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draft Data Set PRSB Record structure and content 2.16.840.1.113883.3.1937.777.28.1.1

Name Id
draft PRSB Record structure and content (1) 2.16.840.1.113883.3.1937.777.28.1.1
Version / effective date Expiration date
2018‑10‑31
Description
PRSB Record structure and content
Name Details [‑]
cancelled test
prsb03-dataelement-10684
Id prsb03-dataelement-10684 (2018‑11‑28 12:58:48)
Value Domain
folder cancelled Patient demographics
prsb03-dataelement-116
Id prsb03-dataelement-116 (2018‑10‑31) 0.1
Description Patient Demographics
cancelled Patient name
prsb03-dataelement-10016
Id prsb03-dataelement-10016 (2018‑10‑31) 0.1
Description The full name of the person.

Properties

FHIR Patient.name
Operationalization The legal name of the patient from the Patient Demographics Service (PDS), or the name volunteered by the patient.
Value Domain
cancelled Patient preferred name
prsb03-dataelement-10017
Id prsb03-dataelement-10017 (2018‑10‑31) 0.1
Description The name by which a patient wishes to be addressed.

Properties

FHIR Patient.name
Operationalization The preferred name volunteered by the patient and recorded on the Patient Administration System (PAS), or a preferred name given by PDS that the patient has asked to be called by.
Value Domain
cancelled Date of birth
prsb03-dataelement-10018
Id prsb03-dataelement-10018 (2018‑10‑31) 0.1
Description The date of birth of the patient.

Properties

FHIR Patient.birthDate
Operationalization The date of birth of the patient taken from PDS, or the date of birth volunteered by the patient (as recorded on the PAS (Patient Administration System). The date of birth will be as precise as possible, but should at least contain a year
Value Domain
cancelled Gender
prsb03-dataelement-10019
Id prsb03-dataelement-10019 (2018‑10‑31) 0.1
notice There is an open issue with this item:
Description The person's stated gender.

Properties

FHIR Patient.gender
Operationalization PERSON STATED GENDER CODE is self-declared or inferred by observation for those unable to declare their PERSON STATED GENDER.1 Male2 Female9 Indeterminate (unable to be classified as either male or female)X not known (not recorded)

or

Sent as per the ECDS Person Stated Gender code set:

1 Male

2 Female

9 Indeterminate

X Unknown
Value Domain
cancelled Person alias
prsb03-dataelement-10020
Id prsb03-dataelement-10020 (2018‑10‑31) 0.1
Description Record details where a person is known to use assumed identities to access health and care services.
Operationalization Other name(s) associated with the person which may be recorded on the local PAS.
Value Domain
cancelled Ethnicity
prsb03-dataelement-10021
Id prsb03-dataelement-10021 (2018‑10‑31) 0.1
Description The ethnicity of a person as specified by the person.
Operationalization The ethnic cateogory codes defined in the 2001 national census or the Office for National Statistics (ONS) ethnic category codes should be used.
Value Domain
cancelled Religion
prsb03-dataelement-10022
Id prsb03-dataelement-10022 (2018‑10‑31) 0.1
Description The religious affiliation as specified by the person.
Operationalization The religious affiliation as volunteered by the person. Use SNOMED CT subset 10791000000130 or free text.
Value Domain
target Used by 0 transactions, 0 templates, inherited once
 
cancelled Religion
prsb03-dataelement-10875
Id prsb03-dataelement-10875 (2019‑03‑27 19:12:11)
Concept inherits from cancelled prsb03-dataelement-10022 (2018‑10‑31)
Description The religious affiliation as specified by the person.
Operationalization The religious affiliation as volunteered by the person. Use SNOMED CT subset 10791000000130 or free text.
Value Domain
cancelled Sex
prsb03-dataelement-10023
Id prsb03-dataelement-10023 (2018‑10‑31) 0.1
Description The person’s phenotypic sex. Determines how the person will be treated clinically.
Operationalization Sent as per the NHS Data Dictionary: person phenotypic sex classification
Value Domain
cancelled NHS number
prsb03-dataelement-10024
Id prsb03-dataelement-10024 (2018‑10‑31) 0.1
Description The unique identifier for a patient within the NHS in England and Wales.

Properties

FHIR Patient.identifier.nhsnumber
Operationalization Sent as per the NHS Data Dictionary NHS number. Traced and verified NHS Numbers only should be used i.e. NHS

number status indicator code:

value 01. If there is no NHS number then this data item should be reported as null and other unique identifiers will need to flow.
Value Domain
cancelled Other identifier
prsb03-dataelement-10025
Id prsb03-dataelement-10025 (2018‑10‑31) 0.1
Description Country specific or local identifier, e.g., Community Health Index (CHI) in Scotland.
Operationalization Recorded as per NHS Data Dictionary: - Local patient identifier, -Local patient identified (extended), -Health and Care number, -Community Health Index number
Value Domain
cancelled Patient address
prsb03-dataelement-10026
Id prsb03-dataelement-10026 (2018‑10‑31) 0.1
Description Patient’s usual place of residence.

Properties

FHIR Patient.Address
Operationalization Sent in accordance with the NHS Data Dictionary: patient usual address. May be auto generated from PDS, GP referral record, or from the local PAS.
Value Domain
cancelled Patient email address
prsb03-dataelement-10027
Id prsb03-dataelement-10027 (2018‑10‑31) 0.1
Description Email address of the patient

Properties

FHIR Patient.telecom
Operationalization Set in accordance with the NHS Data Dictionary: contact email address (patient or lead contact). May be auto generated from PDS, GP referral record, or from the local PAS.
Value Domain
cancelled Patient telephone number
prsb03-dataelement-10028
Id prsb03-dataelement-10028 (2018‑10‑31) 0.1
Description Telephone contact details of the patient. To include, e.g., mobile, work and home number if available.

Properties

FHIR Patient.telecom
Operationalization Contact details may come from PDS, or those recorded on the local PAS. Both the actual contact number and its use (work number, home number, mobile number etc).
Value Domain
cancelled Relevant contacts
prsb03-dataelement-10029
Id prsb03-dataelement-10029 (2018‑10‑31) 0.1
Description Include the most important contacts including:

* Personal contacts e.g., next of kin, in case of emergency contact, lasting power of attorney, dependents, informal carers etc.

* Health/care professional contacts e.g., social worker, hospital clinician, care coordinator, key worker, Independent Mental Capacity Advocate (IMCA) etc.

Name, relationship, role (if formal role), contact details and availability, e.g. out of hours.

Properties

FHIR Patient.contact
Operationalization Details of relevant contacts, such as carers or family members, as recorded on the local system, or volunteered by the patient. This will be a free text list of relevant contacts.
Value Domain
target Used by 0 transactions, 0 templates, inherited once
 
cancelled Communication preferences
prsb03-dataelement-10030
Id prsb03-dataelement-10030 (2018‑10‑31) 0.1
Description Preferred contact method, e.g., sign language, letter, phone, etc. Also preferred written communication format, e.g., large print, braille.
Operationalization Derived from the PDS - communication preferences
Value Domain
cancelled Place of birth
prsb03-dataelement-10031
Id prsb03-dataelement-10031 (2018‑10‑31) 0.1
Description The town and country of birth of the patient
Value Domain
cancelled Marital status
prsb03-dataelement-10032
Id prsb03-dataelement-10032 (2018‑10‑31) 0.1
Description An indicator to identify the legal marital status of the patient
Value Domain
cancelled Date of death
prsb03-dataelement-10033
Id prsb03-dataelement-10033 (2018‑10‑31) 0.1
Description The date of death of the patient (if applicable)
Value Domain
cancelled Time of death
prsb03-dataelement-10034
Id prsb03-dataelement-10034 (2018‑10‑31) 0.1
Description The time of death of the patient (if applicable)
Value Domain
cancelled Educational establishment
prsb03-dataelement-10035
Id prsb03-dataelement-10035 (2018‑10‑31) 0.1
Description If the person is a child, name and address of where the child attends, eg play group, nursery, school.
Operationalization Free text or ODS code where available.
Value Domain
target Used by 0 transactions, 0 templates, inherited once
 
folder cancelled Test
prsb03-dataelement-13091
Id prsb03-dataelement-13091 (2020‑06‑11 12:26:59) 1
Description Test
folder cancelled test record entry
prsb03-dataelement-13092
Id prsb03-dataelement-13092 (2020‑06‑11 12:27:47) 1
folder cancelled medications heading
prsb03-dataelement-13093
Id prsb03-dataelement-13093 (2020‑06‑11 12:28:17) 1
folder draft Person demographics
prsb03-dataelement-10868
Id prsb03-dataelement-10868 (2019‑03‑27 19:02:25)
Description The person's details and contact information.
target Used by one transaction, 0 templates, inherited once
 
folder draft Person name
prsb03-dataelement-10869
Id prsb03-dataelement-10869 (2019‑03‑27 19:05:18) 1
Description Details of the person's name
Relationship
target Used by one transaction, 0 templates, inherited once
 
draft Person first name
prsb03-dataelement-13799
Id prsb03-dataelement-13799 (2020‑11‑09 16:09:39)
Description The first name(s) of the person. This includes middle names.
Rationale Patient.name.given
Operationalization NHS data dictionary :- Person given name
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited once
 
draft Person family name
prsb03-dataelement-13800
Id prsb03-dataelement-13800 (2020‑11‑09 16:43:41)
Description The family name or surname of the person
Rationale Patient.name.family
Operationalization NHS data dictionary : - Person family name

Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited once
 
draft Person preferred name
prsb03-dataelement-10870
Id prsb03-dataelement-10870 (2019‑03‑27 19:06:43)
Description The name by which a person wishes to be addressed. The preferred name volunteered by the person or a preferred name given by PDS that the person has asked to be called by.
Relationship
Rationale Patient.name
Operationalization NHS data dictionary: - Person full name
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited once
 
draft Title
prsb03-dataelement-13089
Id prsb03-dataelement-13089 (2020‑06‑04 17:22:32) 0.1
Description Person's title
Rationale Patient.name.prefix
Operationalization NHS data dictionary: - Person title
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited once
 
draft Person name suffix
prsb03-dataelement-13798
Id prsb03-dataelement-13798 (2020‑11‑08 22:52:48)
Description A textual suffix that may be added to the end of a PERSON's name, for example, OBE, MBE, BSc, JP, GM
Rationale Patient.name.suffix
Operationalization NHS data dictionary: - Person suffix
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited once
 
draft Person full name
prsb03-dataelement-13801
Id prsb03-dataelement-13801 (2020‑11‑09 17:03:29)
Description The full name of the person in text representation.
Rationale Patient.name.text
Operationalization NHS data dictionary :- Person full name
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 6 times
 
draft Date of birth
prsb03-dataelement-10871
Id prsb03-dataelement-10871 (2019‑03‑27 19:08:01) 1
Description The date of birth of the person.

Properties

FHIR Patient.birthDate
Relationship
Rationale Patient.birthdate
Source NHS NSS : - https://www.ndc.scot.nhs.uk/Dictionary-A-Z/Definitions/index.asp?Search=D&ID=186&Title=Date%20of%20Birth
Operationalization NHS data dictionary:- Person birth date
Value Domain
Property
Timestamp precision
day, month and year
target Used by one transaction, 0 templates, inherited once
 
draft Time of birth
prsb03-dataelement-13803
Id prsb03-dataelement-13803 (2020‑11‑20 17:04:14)
Description The time of birth of the person
Rationale Patient.extension(patient-birthTime)
Operationalization NHS data dictionary :- Person birth time
Value Domain
target Used by 0 transactions, 0 templates, inherited once
 
folder draft Location of Birth
prsb03-dataelement-14422
Id prsb03-dataelement-14422 (2021‑08‑05 16:15:23) 0.1
Description The place the baby was born.
target Used by 0 transactions, 0 templates, inherited once
 
draft Coded value
prsb03-dataelement-14423
Id prsb03-dataelement-14423 (2021‑08‑05 16:35:31) 0.1
Description The coded value for location of birth.
Operationalization NHS Data Dictionary: -  Site Code (of Actual Place of Delivery)

Value Domain
Property
min length max length
5 9
target Used by 0 transactions, 0 templates, inherited once
 
draft Free text
prsb03-dataelement-14424
Id prsb03-dataelement-14424 (2021‑08‑05 16:40:54)
Concept inherits from draft prsb03-dataelement-13658 (2020‑09‑08 20:35:42)
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 0 transactions, 0 templates, inherited once
 
draft Pronoun
prsb03-dataelement-14948
Id prsb03-dataelement-14948 (2021‑09‑23 15:11:14)
Value Domain
draft Cultural beliefs
prsb03-dataelement-14947
Id prsb03-dataelement-14947 (2021‑09‑23 15:08:28)
Value Domain
draft Gender
prsb03-dataelement-10872
Id prsb03-dataelement-10872 (2019‑03‑27 19:08:52) 1
Description The person's stated gender.

Properties

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

Value Domain
Property
max length
1
target Used by one transaction, 0 templates, inherited once
 
draft Person alias
prsb03-dataelement-10873
Id prsb03-dataelement-10873 (2019‑03‑27 19:10:48) 1
Description Other name(s) associated with the person.
Relationship
Operationalization Free text
Value Domain
Property
max length
70
target Used by 0 transactions, 0 templates, inherited once
 
draft Ethnicity
prsb03-dataelement-10874
Id prsb03-dataelement-10874 (2019‑03‑27 19:11:37) 1
Description The ethnicity of the person as specified by the person.
Relationship
Rationale Patient.extension(ethnicCategory)
Source NHS_Wales: https://fhir.standards.wales/CodeSystem/DataStandardsWales-Ethnicity

NHS_NSS: https://www.ndc.scot.nhs.uk/Dictionary-A-Z/Definitions/index.asp?Search=E&ID=243&Title=Ethnic%20Group
Operationalization NHS data dictionary :- Ethnic category
Value Domain
Property
max length
2
target Used by one transaction, 0 templates, inherited once
 
draft Religion
prsb03-dataelement-10876
Id prsb03-dataelement-10876 (2019‑03‑27 19:15:05) 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 one transaction, 0 templates, inherited once
 
draft Sex
prsb03-dataelement-10877
Id prsb03-dataelement-10877 (2019‑03‑27 19:15:45) 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 one transaction, 0 templates, inherited once
 
draft NHS number
prsb03-dataelement-10879
Id prsb03-dataelement-10879 (2019‑03‑27 19:16:57) 1
Description The unique identifier for a person within the NHS in England and Wales.

Properties

FHIR Patient.identifier.nhsnumber
Relationship
Rationale Patient.identifier(nhsnumber)
Operationalization NHS data dictionary:- NHS number
Value Domain
Property
max length
10
target Used by one transaction, 0 templates, inherited once
 
draft NHS number status indicator
prsb03-dataelement-13297
Id prsb03-dataelement-13297 (2020‑08‑06 12:08:33)
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 one transaction, 0 templates, inherited once
 
draft Other identifier
prsb03-dataelement-10880
Id prsb03-dataelement-10880 (2019‑03‑27 19:18:59)
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 one transaction, 0 templates, inherited once
 
folder draft Person's address
prsb03-dataelement-10881
Id prsb03-dataelement-10881 (2019‑03‑27 19:19:27)
Description Person’s usual place of residence, and where relevant temporary and correspondence addresses.

Properties

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

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

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

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

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

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

Properties

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

Properties

FHIR Patient.telecom
Relationship
Rationale Patient.contact.telecon.value
Operationalization NHS data dictionary :- Contact email address
Value Domain
Property
max length
255
target Used by one transaction, 0 templates, inherited once
 
draft Person's email address type
prsb03-dataelement-13811
Id prsb03-dataelement-13811 (2020‑11‑26 17:30:54)
Description The type of email address, home, work
Rationale Patient.telecon.use
Operationalization FHIR value set: - Contact point use
Value Domain
Property
max length
6
Example Home
Example Work
Example old
target Used by one transaction, 0 templates, inherited once
 
draft Preference of email address
prsb03-dataelement-13810
Id prsb03-dataelement-13810 (2020‑11‑26 17:07:11)
Description The preferred order of use of email address
Rationale Patient.telecon.rank
Operationalization Preference of use 1-5, 1 being the highest.
Value Domain
target Used by one transaction, 0 templates, inherited once
 
draft Other contact information
prsb03-dataelement-13806
Id prsb03-dataelement-13806 (2020‑11‑26 16:07:06)
Description Contact details via fax, sms, url
Rationale Patient.contact.telecon.value
Operationalization NHS data dictionary:- Communication contact string
Value Domain
Property
max length
255
target Used by one transaction, 0 templates, inherited once
 
draft Photograph
prsb03-dataelement-13065
Id prsb03-dataelement-13065 (2020‑05‑15 16:50:49)
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 one transaction, 0 templates, inherited once
 
cancelled Location of birth
prsb03-dataelement-13081
Id prsb03-dataelement-13081 (2020‑05‑28 16:18:56) 0.1
Description The place the person was born.
Operationalization NHS data dictionary:- Location of birth
Value Domain
Property
min length max length
5an 9an
target Used by 0 transactions, 0 templates, inherited once
 
draft Place of birth
prsb03-dataelement-10884
Id prsb03-dataelement-10884 (2019‑03‑27 19:25:07)
Description The country of birth of the person.
Relationship
Rationale Patient.extension(Birthplace)
Operationalization NHS data dictionary :- Country code (birth)
Value Domain
Property
max length
3
target Used by one transaction, 0 templates, inherited once
 
draft Marital status
prsb03-dataelement-10885
Id prsb03-dataelement-10885 (2019‑03‑27 19:25:57)
Description An indicator to identify the legal marital status of the person.
Relationship
Rationale Patient.maritalstatus
Operationalization NHS data dictionary :- Person marital status
Value Domain
Property
max length
1
target Used by one transaction, 0 templates, inherited once
 
folder draft Immigration status
prsb03-dataelement-13293
Id prsb03-dataelement-13293 (2020‑08‑06 12:01:14)
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 one transaction, 0 templates, inherited once
 
draft Immigration status
prsb03-dataelement-13304
Id prsb03-dataelement-13304 (2020‑08‑06 13:06:19) 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 one transaction, 0 templates, inherited once
 
draft Start date
prsb03-dataelement-13294
Id prsb03-dataelement-13294 (2020‑08‑06 12:02:54)
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 one transaction, 0 templates, inherited once
 
draft End date
prsb03-dataelement-13295
Id prsb03-dataelement-13295 (2020‑08‑06 12:04:03)
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 one transaction, 0 templates, inherited once
 
draft Comment
prsb03-dataelement-13296
Id prsb03-dataelement-13296 (2020‑08‑06 12:05:00)
Description Relevant comments about the person's immigration status
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited once
 
folder cancelled Organ and tissue donation
prsb03-dataelement-10430
Id prsb03-dataelement-10430 (2018‑10‑31) 0.1
Description Whether the person has given consent for organ and/or tissue donation or opted out of automatic donation where applicable. This is information provided by the national register.
Rationale Patient.extension(patient-cadavericDonor)
Operationalization Flag
target Used by 0 transactions, 0 templates, inherited once
 
cancelled Date
prsb03-dataelement-11695
Id prsb03-dataelement-11695 (2019‑05‑31 12:56:56)
Concept inherits from draft prsb03-dataelement-11688 (2019‑05‑31 11:50:22)
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 0 transactions, 0 templates, inherited once
 
folder cancelled Location
prsb03-dataelement-11696
Id prsb03-dataelement-11696 (2019‑05‑31 12:58:01)
Concept inherits from draft prsb03-dataelement-11689 (2019‑05‑31 11:51:04)
Description The location where the mental capacity assessment was made.
target Used by 0 transactions, 0 templates, inherited once
 
folder cancelled Person completing record
prsb03-dataelement-11349
Id prsb03-dataelement-11349 (2019‑05‑30 13:37:15)
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 0 transactions, 0 templates, inherited once
 
cancelled Name
prsb03-dataelement-11350
Id prsb03-dataelement-11350 (2019‑05‑30 13:37:40)
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 0 transactions, 0 templates, inherited once
 
cancelled Role
prsb03-dataelement-11351
Id prsb03-dataelement-11351 (2019‑05‑30 13:37:40)
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 0 transactions, 0 templates, inherited once
 
cancelled Grade
prsb03-dataelement-11352
Id prsb03-dataelement-11352 (2019‑05‑30 13:37:40)
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 0 transactions, 0 templates, inherited once
 
cancelled Specialty
prsb03-dataelement-11353
Id prsb03-dataelement-11353 (2019‑05‑30 13:37:40)
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 0 transactions, 0 templates, inherited once
 
folder cancelled Organisation
prsb03-dataelement-11354
Id prsb03-dataelement-11354 (2019‑05‑30 13:37:40)
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 0 transactions, 0 templates, inherited once
 
cancelled Professional identifier
prsb03-dataelement-11355
Id prsb03-dataelement-11355 (2019‑05‑30 13:37:40)
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 0 transactions, 0 templates, inherited once
 
cancelled Date completed
prsb03-dataelement-11356
Id prsb03-dataelement-11356 (2019‑05‑30 13:37:40)
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 0 transactions, 0 templates, inherited once
 
cancelled Contact details
prsb03-dataelement-11357
Id prsb03-dataelement-11357 (2019‑05‑30 13:37:40)
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 0 transactions, 0 templates, inherited once
 
draft Organ and tissue donation
prsb03-dataelement-13847
Id prsb03-dataelement-13847 (2020‑12‑30 11:45:54)
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 one transaction, 0 templates, inherited once
 
draft Overseas visitor status
prsb03-dataelement-10908
Id prsb03-dataelement-10908 (2019‑04‑02 13:22:04)
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 one transaction, 0 templates, inherited once
 
cancelled Accommodation status
prsb03-dataelement-10909
Id prsb03-dataelement-10909 (2019‑04‑02 13:25:31) 0.1
Description An indication of the type of accommodation where the person lives. This should be based on the main or temporary residence.
Relationship
Operationalization Free text
Value Domain
target Used by 0 transactions, 0 templates, inherited once
 
draft Accommodation status
prsb03-dataelement-12473
Id prsb03-dataelement-12473 (2019‑06‑25 17:28:11)
Description An indication of the type of accommodation where the person lives. This should be based on the main or temporary residence.
Relationship
Operationalization NHS data dictionary - Accommodation status ECDS
Value Domain
Property
min length max length
6 18
target Used by 0 transactions, 0 templates, inherited once
 
draft Relevant contacts
prsb03-dataelement-10910
Id prsb03-dataelement-10910 (2019‑04‑02 13:27:59)
Description Include the most important contacts including:

* Personal contacts e.g., next of kin, in case of emergency contact, lasting power of attorney, dependents, informal carers etc.

* Health/care professional contacts e.g., social worker, hospital clinician, care coordinator, key worker, Independent Mental Capacity Advocate (IMCA) etc.

Name, relationship, role (if formal role), contact details and availability, e.g. out of hours.

Properties

FHIR Patient.contact
Relationship
Operationalization Details of relevant contacts, such as carers or family members, as recorded on the local system, or volunteered by the person. This will be a free text list of relevant contacts.
Value Domain
target Used by 0 transactions, 0 templates, inherited once
 
draft Educational establishment
prsb03-dataelement-10911
Id prsb03-dataelement-10911 (2019‑04‑02 13:30:05)
Concept inherits from cancelled prsb03-dataelement-10035 (2018‑10‑31)
Description If the person is a child, name and address of where the child attends, eg play group, nursery, school.
Operationalization Free text or ODS code where available.
Value Domain
target Used by 0 transactions, 0 templates, inherited once
 
draft Date of death
prsb03-dataelement-12963
Id prsb03-dataelement-12963 (2020‑03‑25 16:55:17)
Description The date of death of the person.
Relationship
Operationalization NHS data dictionary :- Person death date
Value Domain
Property
Timestamp precision default
day, month and year 10
target Used by 0 transactions, 0 templates, inherited once
 
draft Time of death
prsb03-dataelement-13088
Id prsb03-dataelement-13088 (2020‑06‑01 15:48:50)
Description The time on which the person died.
Operationalization NHS data dictionary :- Time of death
Value Domain
target Used by 0 transactions, 0 templates, inherited once
 
cancelled NHS Number
prsb03-dataelement-10878
Id prsb03-dataelement-10878 (2019‑03‑27 19:16:26)
Concept inherits from draft prsb03-dataelement-10351 (2018‑10‑31)
Description The NHS number of the personal contact
Operationalization NHS data dictionary:- NHS NUMBER
Value Domain
Property
max length
10
target Used by 0 transactions, 0 templates, inherited once
 
cancelled Caller Details
prsb03-dataelement-14924
Id prsb03-dataelement-14924 (2021‑09‑17 12:39:38) 0.1
Description The callers details and contact information
Value Domain
cancelled Encounter ID
prsb03-dataelement-14925
Id prsb03-dataelement-14925 (2021‑09‑17 13:16:08) 0.1
Value Domain
cancelled 
prsb03-dataelement-14559
Id prsb03-dataelement-14559 (2021‑09‑08 15:02:44) 0.1
Value Domain
folder cancelled Additional info
prsb03-dataelement-14486
Id prsb03-dataelement-14486 (2021‑09‑01 15:24:14) 0.1
folder cancelled Person demographics
prsb03-dataelement-14487
Id prsb03-dataelement-14487 (2021‑09‑01 15:30:46) 0.1
Concept inherits from draft prsb03-dataelement-10868 (2019‑03‑27 19:02:25)
Description The person's details and contact information.
folder cancelled Person name
prsb03-dataelement-14488
Id prsb03-dataelement-14488 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10869 (2019‑03‑27 19:05:18)
Description Details of the person's name
Relationship
cancelled Person first name
prsb03-dataelement-14489
Id prsb03-dataelement-14489 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13799 (2020‑11‑09 16:09:39)
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
cancelled Person family name
prsb03-dataelement-14490
Id prsb03-dataelement-14490 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13800 (2020‑11‑09 16:43:41)
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
cancelled Person preferred name
prsb03-dataelement-14491
Id prsb03-dataelement-14491 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10870 (2019‑03‑27 19:06:43)
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
cancelled Title
prsb03-dataelement-14492
Id prsb03-dataelement-14492 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13089 (2020‑06‑04 17:22:32)
Description Person's title
Rationale Patient.name.prefix
Operationalization NHS data dictionary: - Person title
Value Domain
Property
max length
35
cancelled Person name suffix
prsb03-dataelement-14493
Id prsb03-dataelement-14493 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13798 (2020‑11‑08 22:52:48)
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
cancelled Person full name
prsb03-dataelement-14494
Id prsb03-dataelement-14494 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13801 (2020‑11‑09 17:03:29)
Description The full name of the person in text representation.
Rationale Patient.name.text
Operationalization NHS data dictionary :- Person full name
Value Domain
Property
max length
70
cancelled Date of birth
prsb03-dataelement-14495
Id prsb03-dataelement-14495 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10871 (2019‑03‑27 19:08:01)
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
cancelled Time of birth
prsb03-dataelement-14496
Id prsb03-dataelement-14496 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13803 (2020‑11‑20 17:04:14)
Description The time of birth of the person
Rationale Patient.extension(patient-birthTime)
Operationalization NHS data dictionary :- Person birth time
Value Domain
folder cancelled Location of Birth
prsb03-dataelement-14497
Id prsb03-dataelement-14497 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-14422 (2021‑08‑05 16:15:23)
Description The place the baby was born.
cancelled Coded value
prsb03-dataelement-14498
Id prsb03-dataelement-14498 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-14423 (2021‑08‑05 16:35:31)
Description The coded value for location of birth.
Operationalization NHS Data Dictionary: -  Site Code (of Actual Place of Delivery)

Value Domain
Property
min length max length
5 9
cancelled Free text
prsb03-dataelement-14499
Id prsb03-dataelement-14499 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-14424 (2021‑08‑05 16:40:54)
Description Free text field to be used when code is not available
Relationship
Operationalization Free text
Value Domain
Property
max length
150
cancelled Gender
prsb03-dataelement-14500
Id prsb03-dataelement-14500 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10872 (2019‑03‑27 19:08:52)
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
cancelled Person alias
prsb03-dataelement-14501
Id prsb03-dataelement-14501 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10873 (2019‑03‑27 19:10:48)
Description Other name(s) associated with the person.
Relationship
Operationalization Free text
Value Domain
Property
max length
70
cancelled Ethnicity
prsb03-dataelement-14502
Id prsb03-dataelement-14502 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10874 (2019‑03‑27 19:11:37)
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
cancelled Religion
prsb03-dataelement-14503
Id prsb03-dataelement-14503 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10876 (2019‑03‑27 19:15:05)
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
cancelled Sex
prsb03-dataelement-14504
Id prsb03-dataelement-14504 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10877 (2019‑03‑27 19:15:45)
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
cancelled NHS number
prsb03-dataelement-14505
Id prsb03-dataelement-14505 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10879 (2019‑03‑27 19:16:57)
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
cancelled NHS number status indicator
prsb03-dataelement-14506
Id prsb03-dataelement-14506 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13297 (2020‑08‑06 12:08:33)
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
cancelled Other identifier
prsb03-dataelement-14507
Id prsb03-dataelement-14507 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10880 (2019‑03‑27 19:18:59)
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
folder cancelled Person's address
prsb03-dataelement-14508
Id prsb03-dataelement-14508 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10881 (2019‑03‑27 19:19:27)
Description Person’s usual place of residence, and where relevant temporary and correspondence addresses.

Properties

FHIR Patient.Address
Relationship
cancelled Address line 1
prsb03-dataelement-14509
Id prsb03-dataelement-14509 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13082 (2020‑05‑29 15:28:51)
Description Person's first line of address.
Rationale Patient.address.line
Operationalization
NHS data dictionary :-  Address line 1

Value Domain
Property
max length
35
cancelled Address line 2
prsb03-dataelement-14510
Id prsb03-dataelement-14510 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13083 (2020‑05‑29 15:32:41)
Description Person's second line of address.
Rationale Patient.address.city
Operationalization
NHS data dictionary :- Address line 2

Value Domain
Property
max length
35
cancelled Address line 3
prsb03-dataelement-14511
Id prsb03-dataelement-14511 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13084 (2020‑05‑29 15:35:34)
Description Person's third line of address.
Rationale Patient.address.district
Operationalization
NHS data dictionary : - Address line 3
Value Domain
Property
max length
35
cancelled Address line 4
prsb03-dataelement-14512
Id prsb03-dataelement-14512 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13085 (2020‑06‑01 11:29:56)
Description Person's fourth line of address.
Rationale Patient.address.state
Operationalization
NHS data dictionary : - Address line 4

Value Domain
Property
max length
35
cancelled Address line 5
prsb03-dataelement-14513
Id prsb03-dataelement-14513 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13086 (2020‑06‑01 11:32:10)
Description Person's fifth line of address.
Rationale Patient.address.country
Operationalization NHS data dictionary : - Address line 5

Value Domain
Property
max length
35
cancelled Postcode
prsb03-dataelement-14514
Id prsb03-dataelement-14514 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13087 (2020‑06‑01 11:40:09)
Description The person's postcode.
Rationale Patient.address.postalcode
Operationalization NHS data dictionary :- Postcode of usual address

Value Domain
Property
max length
8
cancelled Address type
prsb03-dataelement-14515
Id prsb03-dataelement-14515 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13221 (2020‑07‑08 15:58:39)
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
folder cancelled Person's contact details
prsb03-dataelement-14516
Id prsb03-dataelement-14516 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13804 (2020‑11‑25 18:32:36)
Description Details of the person's contact information.
cancelled Preferred contact method
prsb03-dataelement-14517
Id prsb03-dataelement-14517 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10886 (2019‑03‑27 19:29:17)
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
folder cancelled Person's telephone number details
prsb03-dataelement-14518
Id prsb03-dataelement-14518 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10883 (2019‑03‑27 19:22:39)
Description The person's telephone number details

Properties

FHIR Patient.telecom
Relationship
cancelled Person's telephone number
prsb03-dataelement-14519
Id prsb03-dataelement-14519 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13808 (2020‑11‑26 16:51:24)
Description The person's telephone number
Rationale Patient.contact.telecon.value
Operationalization NHS data dictionary : - UK telephone number
Value Domain
Property
max length
35
cancelled Person's telephone number type
prsb03-dataelement-14520
Id prsb03-dataelement-14520 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13805 (2020‑11‑25 18:37:54)
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
cancelled Preference of telephone number
prsb03-dataelement-14521
Id prsb03-dataelement-14521 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13809 (2020‑11‑26 16:55:09)
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
folder cancelled Person's email address details
prsb03-dataelement-14522
Id prsb03-dataelement-14522 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13807 (2020‑11‑26 16:29:22)
Description Details of the person's email address
cancelled Person's email address
prsb03-dataelement-14523
Id prsb03-dataelement-14523 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10882 (2019‑03‑27 19:20:19)
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
cancelled Person's email address type
prsb03-dataelement-14524
Id prsb03-dataelement-14524 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13811 (2020‑11‑26 17:30:54)
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
cancelled Preference of email address
prsb03-dataelement-14525
Id prsb03-dataelement-14525 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13810 (2020‑11‑26 17:07:11)
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
cancelled Other contact information
prsb03-dataelement-14526
Id prsb03-dataelement-14526 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13806 (2020‑11‑26 16:07:06)
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
cancelled Photograph
prsb03-dataelement-14527
Id prsb03-dataelement-14527 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13065 (2020‑05‑15 16:50:49)
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
cancelled Location of birth
prsb03-dataelement-14528
Id prsb03-dataelement-14528 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-13081 (2020‑05‑28 16:18:56)
Description The place the person was born.
Operationalization NHS data dictionary:- Location of birth
Value Domain
Property
min length max length
5an 9an
cancelled Place of birth
prsb03-dataelement-14529
Id prsb03-dataelement-14529 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10884 (2019‑03‑27 19:25:07)
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
cancelled Marital status
prsb03-dataelement-14530
Id prsb03-dataelement-14530 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10885 (2019‑03‑27 19:25:57)
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
folder cancelled Immigration status
prsb03-dataelement-14531
Id prsb03-dataelement-14531 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13293 (2020‑08‑06 12:01:14)
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.
cancelled Immigration status
prsb03-dataelement-14532
Id prsb03-dataelement-14532 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13304 (2020‑08‑06 13:06:19)
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
cancelled Start date
prsb03-dataelement-14533
Id prsb03-dataelement-14533 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13294 (2020‑08‑06 12:02:54)
Description Start date of immigration status
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
cancelled End date
prsb03-dataelement-14534
Id prsb03-dataelement-14534 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13295 (2020‑08‑06 12:04:03)
Description End date of immigration status
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
cancelled Comment
prsb03-dataelement-14535
Id prsb03-dataelement-14535 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13296 (2020‑08‑06 12:05:00)
Description Relevant comments about the person's immigration status
Operationalization Free text
Value Domain
Property
max length
150
folder cancelled Organ and tissue donation
prsb03-dataelement-14536
Id prsb03-dataelement-14536 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-10430 (2018‑10‑31)
Description Whether the person has given consent for organ and/or tissue donation or opted out of automatic donation where applicable. This is information provided by the national register.
Rationale Patient.extension(patient-cadavericDonor)
Operationalization Flag
cancelled Date
prsb03-dataelement-14537
Id prsb03-dataelement-14537 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-11695 (2019‑05‑31 12:56:56)
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
folder cancelled Location
prsb03-dataelement-14538
Id prsb03-dataelement-14538 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-11696 (2019‑05‑31 12:58:01)
Description The location where the mental capacity assessment was made.
folder cancelled Person completing record
prsb03-dataelement-14539
Id prsb03-dataelement-14539 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-11349 (2019‑05‑30 13:37:15)
Description Details of the person completing the record.
Relationship
cancelled Name
prsb03-dataelement-14540
Id prsb03-dataelement-14540 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-11350 (2019‑05‑30 13:37:40)
Description The name of the person completing the record.
Relationship
Rationale Composition.author.Practitioner.name
Operationalization Free text.
Value Domain
Property
max length
70
cancelled Role
prsb03-dataelement-14541
Id prsb03-dataelement-14541 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-11351 (2019‑05‑30 13:37:40)
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
cancelled Grade
prsb03-dataelement-14542
Id prsb03-dataelement-14542 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-11352 (2019‑05‑30 13:37:40)
Description The grade of the person completing the record.
Relationship
Rationale PractitionerRole.code
Operationalization Free text.
Value Domain
Property
max length
150
cancelled Specialty
prsb03-dataelement-14543
Id prsb03-dataelement-14543 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-11353 (2019‑05‑30 13:37:40)
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
folder cancelled Organisation
prsb03-dataelement-14544
Id prsb03-dataelement-14544 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-11354 (2019‑05‑30 13:37:40)
Description The organisation the person completing the record works for.
Relationship
Operationalization NHS data dictionary : - Organisation data service
cancelled Professional identifier
prsb03-dataelement-14545
Id prsb03-dataelement-14545 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-11355 (2019‑05‑30 13:37:40)
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
cancelled Date completed
prsb03-dataelement-14546
Id prsb03-dataelement-14546 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-11356 (2019‑05‑30 13:37:40)
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
cancelled Contact details
prsb03-dataelement-14547
Id prsb03-dataelement-14547 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-11357 (2019‑05‑30 13:37:40)
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
cancelled Organ and tissue donation
prsb03-dataelement-14548
Id prsb03-dataelement-14548 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13847 (2020‑12‑30 11:45:54)
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
cancelled Overseas visitor status
prsb03-dataelement-14549
Id prsb03-dataelement-14549 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10908 (2019‑04‑02 13:22:04)
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
cancelled Accommodation status
prsb03-dataelement-14550
Id prsb03-dataelement-14550 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-10909 (2019‑04‑02 13:25:31)
Description An indication of the type of accommodation where the person lives. This should be based on the main or temporary residence.
Relationship
Operationalization Free text
Value Domain
cancelled Accommodation status
prsb03-dataelement-14551
Id prsb03-dataelement-14551 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-12473 (2019‑06‑25 17:28:11)
Description An indication of the type of accommodation where the person lives. This should be based on the main or temporary residence.
Relationship
Operationalization NHS data dictionary - Accommodation status ECDS
Value Domain
Property
min length max length
6 18
cancelled Relevant contacts
prsb03-dataelement-14552
Id prsb03-dataelement-14552 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10910 (2019‑04‑02 13:27:59)
Description Include the most important contacts including:

* Personal contacts e.g., next of kin, in case of emergency contact, lasting power of attorney, dependents, informal carers etc.

* Health/care professional contacts e.g., social worker, hospital clinician, care coordinator, key worker, Independent Mental Capacity Advocate (IMCA) etc.

Name, relationship, role (if formal role), contact details and availability, e.g. out of hours.

Properties

FHIR Patient.contact
Relationship
Operationalization Details of relevant contacts, such as carers or family members, as recorded on the local system, or volunteered by the person. This will be a free text list of relevant contacts.
Value Domain
cancelled Educational establishment
prsb03-dataelement-14553
Id prsb03-dataelement-14553 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-10911 (2019‑04‑02 13:30:05)
Description If the person is a child, name and address of where the child attends, eg play group, nursery, school.
Operationalization Free text or ODS code where available.
Value Domain
cancelled Date of death
prsb03-dataelement-14554
Id prsb03-dataelement-14554 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-12963 (2020‑03‑25 16:55:17)
Description The date of death of the person.
Relationship
Operationalization NHS data dictionary :- Person death date
Value Domain
Property
Timestamp precision default
day, month and year 10
cancelled Time of death
prsb03-dataelement-14555
Id prsb03-dataelement-14555 (2021‑09‑01 15:31:35) 0.1
Concept inherits from draft prsb03-dataelement-13088 (2020‑06‑01 15:48:50)
Description The time on which the person died.
Operationalization NHS data dictionary :- Time of death
Value Domain
cancelled NHS Number
prsb03-dataelement-14556
Id prsb03-dataelement-14556 (2021‑09‑01 15:31:35) 0.1
Concept inherits from cancelled prsb03-dataelement-10878 (2019‑03‑27 19:16:26)
Description The NHS number of the personal contact
Operationalization NHS data dictionary:- NHS NUMBER
Value Domain
Property
max length
10
folder draft GP practice
prsb03-dataelement-101
Id prsb03-dataelement-101 (2018‑10‑31)
Description Details of the person's GP practice.
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft GP practice record entry
prsb03-dataelement-10643
Id prsb03-dataelement-10643 (2018‑11‑09 14:59:24)
Description This is an GP practice record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items
target Used by one transaction, 0 templates, inherited 0 times
 
draft GP name
prsb03-dataelement-10003
Id prsb03-dataelement-10003 (2018‑10‑31)
Description The name of the person's GP. If the person is registered with a GP practice, their usual GP name will be something volunteered by the person or their representative.

Properties

FHIR Practitioner.name, where PractitionerRole.code=GP
Rationale Practitioner.name
Operationalization Free text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft GP practice details
prsb03-dataelement-10002
Id prsb03-dataelement-10002 (2018‑10‑31)
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 one transaction, 0 templates, inherited 0 times
 
draft GP practice identifier
prsb03-dataelement-10001
Id prsb03-dataelement-10001 (2018‑10‑31)
Description The identifier of the registered GP practice.

Properties

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

target Used by one transaction, 0 templates, inherited 0 times
 
draft What is most important to me
prsb03-dataelement-14325
Id prsb03-dataelement-14325 (2021‑07‑01 13:49:23)
Description A description of what is most important to you 
 Emergency Information : - Include any essential information that any professional in health and social care should know about the you in any situation, including emergencies.
Other Information : -This could include : - Values, Spirituality/religion, Ethnicity, Culture, Pets, Goals and aspirations, Meaningful activities including leisure activities, visiting places, sport and exercise, listening to music, employment, education, volunteering
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft People who are important to me
prsb03-dataelement-13009
Id prsb03-dataelement-13009 (2020‑04‑27 11:23:17) 0.3
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 one transaction, 0 templates, inherited 0 times
 
draft People who are important to me
prsb03-dataelement-14327
Id prsb03-dataelement-14327 (2021‑07‑01 16:27:25)
Description Details of who is important to you and why. They could be family members, carers, friends, members of staff etc. Include how you want the people important to you to be engaged and involved in your care and support in both emergency and normal situations. Include how you stay connected to the people important to you. Who should not be contacted or consulted about your care and support and why, if you wish to say
Operationalization Free text 
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
cancelled Coded value
prsb03-dataelement-14328
Id prsb03-dataelement-14328 (2021‑07‑01 16:31:23) 0.1
Description The code used to tag people who are important to me.
Operationalization SNOMED CT: - 302160007 | Household, family and support network detail (observable entity) |
Value Domain
folder draft How I communicate and how to communicate with me
prsb03-dataelement-13006
Id prsb03-dataelement-13006 (2020‑04‑24 11:48:24) 0.3
Description A description of how you communicate normally. 
Source SNOMED CT Tag : - 428330008 | Preferred mode of communication (observable entity) |
target Used by one transaction, 0 templates, inherited 0 times
 
draft How I communicate and how to communicate with me
prsb03-dataelement-14329
Id prsb03-dataelement-14329 (2021‑07‑01 16:39:25)
Description

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

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

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

Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
cancelled Coded value
prsb03-dataelement-14330
Id prsb03-dataelement-14330 (2021‑07‑01 16:42:37) 0.1
Description The code used to tag how I communicate and how to communicate with me.
Operationalization SNOMED CT : - 428330008 | Preferred mode of communication (observable entity) |
Value Domain
folder draft My wellness
prsb03-dataelement-13005
Id prsb03-dataelement-13005 (2020‑04‑24 11:45:53)
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 one transaction, 0 templates, inherited 0 times
 
draft My wellness
prsb03-dataelement-14331
Id prsb03-dataelement-14331 (2021‑07‑01 16:58:12)
Description

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

  • Include any causes that might result in you becoming unwell and strategies for avoiding or addressing the causes. For example, not drinking enough water could cause constipation.
  • Include any signs that indicate you might be becoming unwell.
  • On a bad day describe what is different about what you are able to do, how you engage with others and how you feel.
  • Include how your everyday life is affected by any medical conditions e.g. dementia and any symptoms e.g. itchiness, cough, pain and how you manage those conditions.
  • Include past health issues or experiences that need to be considered
  • Include your wellbeing and lifestyle goals and aspirations
    Operationalization Free text
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    cancelled Coded value
    prsb03-dataelement-14332
    Id prsb03-dataelement-14332 (2021‑07‑01 17:05:54) 0.1
    Description
    The code used to tag my wellness.
    Operationalization SNOMED CT : - 363800008 | General wellbeing (observable entity) |
    Value Domain
    folder draft Please do and please don't
    prsb03-dataelement-13008
    Id prsb03-dataelement-13008 (2020‑04‑27 10:34:59) 0.3
    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 one transaction, 0 templates, inherited 0 times
     
    draft Please do and please don't
    prsb03-dataelement-14333
    Id prsb03-dataelement-14333 (2021‑07‑01 17:26:02)
    Description A description of things you want someone supporting you to do (or not to do).
    Things you want someone to do might include (for example): - Talk to me not to my carer, remind me to take my medication, encourage me to wash my hands regularly, explain to me what is happening and why, respond to my communication.
    A description of things you do not want someone supporting you to do might include (for example): - Discussing or asking questions about certain topics, making assumptions about something, providing support when it is not wanted, talking to you in a certain way, undergoing a specific intervention or taking a medication the person does not want.
    Operationalization Free text
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    cancelled Coded value
    prsb03-dataelement-14334
    Id prsb03-dataelement-14334 (2021‑07‑01 17:27:40) 0.1
    Description
    The code used to tag please do and please don't.
    Operationalization SNOMED CT: - 414642003 | Making considered choices (observable entity) |
    Value Domain
    folder draft How and when to support me
    prsb03-dataelement-13007
    link
    Id prsb03-dataelement-13007 (2020‑04‑27 10:29:54) 0.3
    Description A description of how and when you want someone caring for you to support you.
    Source SNOMED CT Tag
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft How and when to support me
    prsb03-dataelement-14335
    Id prsb03-dataelement-14335 (2021‑07‑01 17:35:20)
    Description

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

    • This could include support needs in an emergency situation (for example taking blood)
    • This could include support you need to maintain important routines or to carry out particular activities, for example: - Personal care routines, Eating and drinking, Bedtime routines, Taking medications, Moving and transitioning
    • This could also include support needed with:- wearing glasses/hearing aids/false teeth etc, making informed choices or understanding dangers and risks, managing your emotions, moods and behaviours, memory or confusion.
    • Include how your support needs change in different environments. Include any triggers that might result in you needing further support and strategies for avoiding or addressing the triggers. Include how you want the support to be provided.

    Operationalization Free text
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    cancelled Coded value
    prsb03-dataelement-14336
    Id prsb03-dataelement-14336 (2021‑07‑01 17:37:15) 0.1
    Description The code used to tag how and when to support me.
    Operationalization SNOMED CT
    Value Domain
    folder draft Also worth knowing about me
    prsb03-dataelement-13094
    link
    Id prsb03-dataelement-13094 (2020‑06‑22 11:30:09) 0.2
    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 one transaction, 0 templates, inherited 0 times
     
    draft Also worth knowing about me
    prsb03-dataelement-14337
    Id prsb03-dataelement-14337 (2021‑07‑01 17:41:50)
    Description

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

    • This could include a short history of your life (where you have worked, where you lived, important events in your life, important people in your past life).
    • This could include a short profile of your current life:- your work / study, your aspirations, your skills, your networks, things you like e.g. particular foods, places, a football team and things you like to talk about, things you dislike
    • This could also include any care and support preferences that have not been included elsewhere.

    Operationalization Free text
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    cancelled Coded value
    prsb03-dataelement-14338
    Id prsb03-dataelement-14338 (2021‑07‑01 17:48:56) 0.1
    Description The code used to tag also worth knowing about me
    Operationalization SNOMED CT : - 160476009 | Social / personal history observable (observable entity) |
    Value Domain
    draft Date
    prsb03-dataelement-10367
    Id prsb03-dataelement-10367 (2018‑10‑31)
    Description This is a record of the date that this information was last updated.
    Operationalization Date and Time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Supported to write this by
    prsb03-dataelement-10368
    Id prsb03-dataelement-10368 (2018‑10‑31)
    Description Where relevant, this is a record of name, relationship/role and contact details of the individual who supported the person to write this section e.g. carer, family member, advocate, professional.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Location to multimedia file
    prsb03-dataelement-14326
    Id prsb03-dataelement-14326 (2021‑07‑01 13:50:03)
    Description The link to the person's multimedia file
    Operationalization Link to URL
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder cancelled About me
    prsb03-dataelement-10366
    link
    Id prsb03-dataelement-10366 (2018‑10‑31) 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.
    cancelled My sleep
    prsb03-dataelement-13010
    Id prsb03-dataelement-13010 (2020‑04‑27 11:24:58) 0.1
    Description Quality of sleep, disturbed sleep patterns, early wakening, or daytime sleepiness and support for good quality sleep.
    Operationalization Free text
    Value Domain
    cancelled My medications and treatment
    prsb03-dataelement-13011
    Id prsb03-dataelement-13011 (2020‑04‑27 11:26:35) 0.1
    Description How medication is taken and support required with taking medicines.
    Operationalization Free text
    Value Domain
    cancelled My mobility and movement
    prsb03-dataelement-13012
    Id prsb03-dataelement-13012 (2020‑04‑27 11:27:46) 0.1
    Description Mobility and movement both inside and outside and support needed to achieve a degree of independence.
    Operationalization Free text
    Value Domain
    cancelled My memory and thoughts
    prsb03-dataelement-13013
    Id prsb03-dataelement-13013 (2020‑04‑27 11:28:58) 0.1
    Description What helps the person with memory and confusion.
    Operationalization Free text
    Value Domain
    cancelled My emotions, mood and behaviour
    prsb03-dataelement-13014
    Id prsb03-dataelement-13014 (2020‑04‑27 11:30:36) 0.1
    Description
    Managing different emotions.
    - what emotions are experienced (depression, anxiety, stress, frustration, worry).
    - what makes the person feel happy and relaxed.
    - what stops the person feeling happy and relaxed.
    Operationalization Free text
    Value Domain
    cancelled My work and learning
    prsb03-dataelement-13015
    Id prsb03-dataelement-13015 (2020‑04‑27 11:32:00) 0.1
    Description Current and historic jobs or study and any support requirements at school or work.
    Operationalization Free text
    Value Domain
    cancelled Symptoms or conditions that affect my daily living
    prsb03-dataelement-13016
    Id prsb03-dataelement-13016 (2020‑04‑27 11:54:40) 0.1
    Description Important or significant symptoms that affect daily life e.g., itchiness, cough, pain and associated support requirements.
    Operationalization Free text
    Value Domain
    folder draft Individual requirements
    prsb03-dataelement-160
    link
    Id prsb03-dataelement-160 (2018‑10‑31)
    Description The individual requirements of the person.
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder cancelled Individual requirements record entry
    prsb03-dataelement-12984
    link
    Id prsb03-dataelement-12984 (2020‑04‑23 18:51:14) 0.1
    Description This is an individual requirements 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.
    cancelled Additional communications support
    prsb03-dataelement-12985
    Id prsb03-dataelement-12985 (2020‑04‑23 19:07:17) 0.1
    Description Identifies other communications support (outside the accessible information areas) e.g. requires carer at encounter or uses apps on mobile device to support communication or has difficulty analysing information).
    Operationalization Free text
    Value Domain
    cancelled Community language support
    prsb03-dataelement-12986
    Id prsb03-dataelement-12986 (2020‑04‑23 19:08:31) 0.1
    Description Identifies that an interpreter would be needed and the language spoken at home.
    Operationalization Free text
    Value Domain
    cancelled Additional support
    prsb03-dataelement-12987
    Id prsb03-dataelement-12987 (2020‑04‑23 19:12:02) 0.1
    Description Additional support requirements, e.g. needs assistance with medication regimen adherence or has appointed person with personal welfare lasting power of attorney (Mental Capacity Act 2005)
    Operationalization Free text
    Value Domain
    cancelled Individual care requirements
    prsb03-dataelement-12988
    Id prsb03-dataelement-12988 (2020‑04‑23 19:13:47) 0.1
    Description Requirements related to care e.g. has anticipatory care plan or preference for male healthcare professional.
    Operationalization Free text
    Value Domain
    cancelled Adjustments to the environment
    prsb03-dataelement-12989
    Id prsb03-dataelement-12989 (2020‑04‑23 19:14:53) 0.1
    Description Any adjustments needed to the environment e.g. related to noise intolerance, photophobia or requires wheelchair access
    Operationalization Free text
    Value Domain
    cancelled Other reasonable adjustments
    prsb03-dataelement-12990
    Id prsb03-dataelement-12990 (2020‑04‑23 19:16:06) 0.1
    Description Any other reasonable adjustments not covered by a code.
    Operationalization Free text
    Value Domain
    cancelled Date reasonable adjustments record was created
    prsb03-dataelement-13002
    Id prsb03-dataelement-13002 (2020‑04‑23 20:19:28) 0.1
    Description The date on which the reasonable adjustment record was created
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year
    cancelled Consent provided by
    prsb03-dataelement-13003
    Id prsb03-dataelement-13003 (2020‑04‑23 20:21:28) 0.1
    Description
    The details of the person that provided consent for the reasonable adjustments record.
    Operationalization Free text
    Value Domain
    cancelled Person completing record
    prsb03-dataelement-13004
    Id prsb03-dataelement-13004 (2020‑04‑23 20:23:11) 0.1
    Concept inherits from cancelled prsb03-dataelement-10954 (2019‑05‑18 21:07:16)
    Description This is the person completing the record.

    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    folder cancelled Accessible information standard
    prsb03-dataelement-13241
    link
    Id prsb03-dataelement-13241 (2020‑07‑27 13:27:30) 0.1
    Description From 1st August 2016 onwards, all organisations that provide NHS care and / or publicly-funded adult social care are legally required to follow the Accessible Information Standard. The Standard sets out a specific, consistent approach to identifying, recording, flagging, sharing and meeting the information and communication support needs of patients, service users, carers and parents with a disability, impairment or sensory loss.
    folder cancelled Accessible information - requires specific information format
    prsb03-dataelement-11032
    link
    Id prsb03-dataelement-11032 (2019‑05‑24 11:06:51) 0.1
    Description The specific format the person requires in order for information to be accessible.
    cancelled Date
    prsb03-dataelement-11697
    Id prsb03-dataelement-11697 (2019‑05‑31 12:59:21) 0.1
    Description The date the accessible information requirement was identified.
    Relationship
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    folder cancelled Location
    prsb03-dataelement-11698
    link
    Id prsb03-dataelement-11698 (2019‑05‑31 12:59:49) 0.1
    Description The location where the accessible information requirement was identified.
    Relationship
    cancelled Coded value
    prsb03-dataelement-13371
    Id prsb03-dataelement-13371 (2020‑08‑06 19:02:35) 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
    cancelled Free text
    prsb03-dataelement-13372
    Id prsb03-dataelement-13372 (2020‑08‑06 19:03:11) 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
    folder cancelled Requires specific information format
    prsb03-dataelement-13359
    link
    Id prsb03-dataelement-13359 (2020‑08‑06 17:47:48) 0.1
    Description The specific format the person requires in order for information to be accessible.
    cancelled Coded value
    prsb03-dataelement-13360
    Id prsb03-dataelement-13360 (2020‑08‑06 17:50:15) 0.1
    Description The coded value. https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/658
    Operationalization SNOMED CT: - : ^999002141000000102 |Accessible information - requires specific information format simple reference set (foundation metadata concept)|
    Value Domain
    cancelled Free text
    prsb03-dataelement-13361
    Id prsb03-dataelement-13361 (2020‑08‑06 17:53:11) 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
    folder cancelled Performing professional
    prsb03-dataelement-11402
    link
    Id prsb03-dataelement-11402 (2019‑05‑30 14:04:34) 0.1
    Description The professional who identified the accessible information requirement.
    Relationship
    cancelled Name
    prsb03-dataelement-11403
    Id prsb03-dataelement-11403 (2019‑05‑30 14:04:54) 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
    cancelled Role
    prsb03-dataelement-11404
    Id prsb03-dataelement-11404 (2019‑05‑30 14:04:54) 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
    cancelled Grade
    prsb03-dataelement-11405
    Id prsb03-dataelement-11405 (2019‑05‑30 14:04:54) 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
    cancelled Speciality
    prsb03-dataelement-11406
    Id prsb03-dataelement-11406 (2019‑05‑30 14:04:54) 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
    cancelled Professional identifier
    prsb03-dataelement-11407
    Id prsb03-dataelement-11407 (2019‑05‑30 14:04:54) 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
    folder cancelled Organisation
    prsb03-dataelement-11408
    Id prsb03-dataelement-11408 (2019‑05‑30 14:04:54) 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.
    cancelled Contact details
    prsb03-dataelement-11409
    Id prsb03-dataelement-11409 (2019‑05‑30 14:04:54) 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
    folder cancelled Person completing record
    prsb03-dataelement-11410
    link
    Id prsb03-dataelement-11410 (2019‑05‑30 14:05:15) 0.1
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    cancelled Name
    prsb03-dataelement-11411
    Id prsb03-dataelement-11411 (2019‑05‑30 14:06:19) 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
    cancelled Role
    prsb03-dataelement-11412
    Id prsb03-dataelement-11412 (2019‑05‑30 14:06:19) 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
    cancelled Grade
    prsb03-dataelement-11413
    Id prsb03-dataelement-11413 (2019‑05‑30 14:06:19) 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
    cancelled Specialty
    prsb03-dataelement-11414
    Id prsb03-dataelement-11414 (2019‑05‑30 14:06:19) 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
    folder cancelled Organisation
    prsb03-dataelement-11415
    Id prsb03-dataelement-11415 (2019‑05‑30 14:06:19) 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
    cancelled Professional identifier
    prsb03-dataelement-11416
    Id prsb03-dataelement-11416 (2019‑05‑30 14:06:19) 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
    cancelled Date completed
    prsb03-dataelement-11417
    Id prsb03-dataelement-11417 (2019‑05‑30 14:06:19) 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
    cancelled Contact details
    prsb03-dataelement-11418
    Id prsb03-dataelement-11418 (2019‑05‑30 14:06:19) 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
    folder cancelled Performing professional
    prsb03-dataelement-11178
    link
    Id prsb03-dataelement-11178 (2019‑05‑28 17:55:07)
    Concept inherits from cancelled prsb03-dataelement-11148 (2019‑05‑24 11:51:30)
    Description The professional identifying the safeguarding concern.
    cancelled Name
    prsb03-dataelement-11179
    Id prsb03-dataelement-11179 (2019‑05‑28 17:55:37)
    Concept inherits from cancelled prsb03-dataelement-11149 (2019‑05‑24 11:51:53)
    Description The name of the professional with responsibility for the care of the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    cancelled Role
    prsb03-dataelement-11180
    Id prsb03-dataelement-11180 (2019‑05‑28 17:55:37)
    Concept inherits from cancelled prsb03-dataelement-11150 (2019‑05‑24 11:51:53)
    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
    cancelled Speciality
    prsb03-dataelement-11181
    Id prsb03-dataelement-11181 (2019‑05‑28 17:55:37)
    Concept inherits from cancelled prsb03-dataelement-11151 (2019‑05‑24 11:51:53)
    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
    cancelled Team
    prsb03-dataelement-11182
    Id prsb03-dataelement-11182 (2019‑05‑28 17:55:37)
    Concept inherits from cancelled prsb03-dataelement-11152 (2019‑05‑24 11:51:53)
    Description The name of the team.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    folder cancelled Organisation
    prsb03-dataelement-11183
    Id prsb03-dataelement-11183 (2019‑05‑28 17:55:37)
    Concept inherits from cancelled prsb03-dataelement-11153 (2019‑05‑24 11:51:53)
    Description The name of the organisation.
    cancelled Contact details
    prsb03-dataelement-11184
    Id prsb03-dataelement-11184 (2019‑05‑28 17:55:37)
    Concept inherits from cancelled prsb03-dataelement-11154 (2019‑05‑24 11:51:53)
    Description Contact details of the professional (e.g. telephone number, email address etc.).
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    cancelled Professional identifier
    prsb03-dataelement-11185
    Id prsb03-dataelement-11185 (2019‑05‑28 17:55:37)
    Concept inherits from cancelled prsb03-dataelement-11167 (2019‑05‑28 17:18:30)
    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)
    Value Domain
    cancelled Start date
    prsb03-dataelement-11186
    Id prsb03-dataelement-11186 (2019‑05‑28 17:55:37)
    Concept inherits from cancelled prsb03-dataelement-11155 (2019‑05‑24 11:51:53)
    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
    cancelled End date
    prsb03-dataelement-11187
    Id prsb03-dataelement-11187 (2019‑05‑28 17:55:37)
    Concept inherits from cancelled prsb03-dataelement-11156 (2019‑05‑24 11:51:53)
    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
    folder cancelled Professional contacts record entry
    prsb03-dataelement-11188
    Id prsb03-dataelement-11188 (2019‑05‑28 17:55:37)
    Concept inherits from cancelled prsb03-dataelement-11157 (2019‑05‑24 11:51:53)
    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.
    Relationship
    folder cancelled Person completing record
    prsb03-dataelement-11189
    link
    Id prsb03-dataelement-11189 (2019‑05‑28 17:57:32)
    Concept inherits from cancelled prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    cancelled Name
    prsb03-dataelement-11190
    Id prsb03-dataelement-11190 (2019‑05‑28 17:58:01)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-11191
    Id prsb03-dataelement-11191 (2019‑05‑28 17:58:01)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-11192
    Id prsb03-dataelement-11192 (2019‑05‑28 17:58:01)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11193
    Id prsb03-dataelement-11193 (2019‑05‑28 17:58:01)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11194
    Id prsb03-dataelement-11194 (2019‑05‑28 17:58:01)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11195
    Id prsb03-dataelement-11195 (2019‑05‑28 17:58:01)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11196
    Id prsb03-dataelement-11196 (2019‑05‑28 17:58:01)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11197
    Id prsb03-dataelement-11197 (2019‑05‑28 17:58:01)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    folder cancelled Performing professional
    prsb03-dataelement-11043
    link
    Id prsb03-dataelement-11043 (2019‑05‑24 11:17:33)
    Description The performing professional identifying the requirement.
    Relationship
    target Used by 0 transactions, 0 templates, inherited 5 times
     
    cancelled Name
    prsb03-dataelement-11045
    Id prsb03-dataelement-11045 (2019‑05‑24 11:18:10)
    Concept inherits from draft prsb03-dataelement-10352 (2018‑10‑31)
    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 0 transactions, 0 templates, inherited 6 times
     
    cancelled Role
    prsb03-dataelement-11046
    Id prsb03-dataelement-11046 (2019‑05‑24 11:18:10)
    Concept inherits from draft prsb03-dataelement-10353 (2018‑10‑31)
    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 0 transactions, 0 templates, inherited 6 times
     
    cancelled Speciality
    prsb03-dataelement-11047
    Id prsb03-dataelement-11047 (2019‑05‑24 11:18:10)
    Concept inherits from draft prsb03-dataelement-10354 (2018‑10‑31)
    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 0 transactions, 0 templates, inherited 6 times
     
    cancelled Team
    prsb03-dataelement-11048
    Id prsb03-dataelement-11048 (2019‑05‑24 11:18:10)
    Concept inherits from draft prsb03-dataelement-10355 (2018‑10‑31)
    Description The name of the team.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    target Used by 0 transactions, 0 templates, inherited 6 times
     
    folder cancelled Organisation
    prsb03-dataelement-11049
    Id prsb03-dataelement-11049 (2019‑05‑24 11:18:10)
    Concept inherits from draft prsb03-dataelement-10356 (2018‑10‑31)
    Description The name of the organisation.
    target Used by 0 transactions, 0 templates, inherited 6 times
     
    cancelled Contact details
    prsb03-dataelement-11050
    Id prsb03-dataelement-11050 (2019‑05‑24 11:18:10)
    Concept inherits from draft prsb03-dataelement-10357 (2018‑10‑31)
    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 0 transactions, 0 templates, inherited 6 times
     
    cancelled Start date
    prsb03-dataelement-11051
    Id prsb03-dataelement-11051 (2019‑05‑24 11:18:10)
    Concept inherits from draft prsb03-dataelement-10358 (2018‑10‑31)
    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 0 transactions, 0 templates, inherited 6 times
     
    cancelled End date
    prsb03-dataelement-11052
    Id prsb03-dataelement-11052 (2019‑05‑24 11:18:10)
    Concept inherits from draft prsb03-dataelement-10359 (2018‑10‑31)
    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 0 transactions, 0 templates, inherited 6 times
     
    folder cancelled Professional contacts record entry
    prsb03-dataelement-11044
    Id prsb03-dataelement-11044 (2019‑05‑24 11:18:10)
    Concept inherits from draft prsb03-dataelement-10767 (2019‑03‑18 18:07:16)
    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 0 transactions, 0 templates, inherited 5 times
     
    folder cancelled Performing professional
    prsb03-dataelement-11033
    link
    Id prsb03-dataelement-11033 (2019‑05‑24 11:12:34)
    Description The performing professional identifying the accessible information.
    Relationship
    folder cancelled Professional contacts record entry
    prsb03-dataelement-11034
    link
    Id prsb03-dataelement-11034 (2019‑05‑24 11:13:32)
    Concept inherits from draft prsb03-dataelement-10767 (2019‑03‑18 18:07:16)
    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.
    cancelled Name
    prsb03-dataelement-11035
    Id prsb03-dataelement-11035 (2019‑05‑24 11:13:32)
    Concept inherits from draft prsb03-dataelement-10352 (2018‑10‑31)
    Description The name of the professional with responsibility for the care of the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    cancelled Role
    prsb03-dataelement-11036
    Id prsb03-dataelement-11036 (2019‑05‑24 11:13:32)
    Concept inherits from draft prsb03-dataelement-10353 (2018‑10‑31)
    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
    cancelled Speciality
    prsb03-dataelement-11037
    Id prsb03-dataelement-11037 (2019‑05‑24 11:13:32)
    Concept inherits from draft prsb03-dataelement-10354 (2018‑10‑31)
    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
    cancelled Team
    prsb03-dataelement-11038
    Id prsb03-dataelement-11038 (2019‑05‑24 11:13:32)
    Concept inherits from draft prsb03-dataelement-10355 (2018‑10‑31)
    Description The name of the team.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    folder cancelled Organisation
    prsb03-dataelement-11039
    Id prsb03-dataelement-11039 (2019‑05‑24 11:13:32)
    Concept inherits from draft prsb03-dataelement-10356 (2018‑10‑31)
    Description The name of the organisation.
    cancelled Contact details
    prsb03-dataelement-11040
    Id prsb03-dataelement-11040 (2019‑05‑24 11:13:32)
    Concept inherits from draft prsb03-dataelement-10357 (2018‑10‑31)
    Description Contact details of the professional (e.g. telephone number, email address etc.).
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    cancelled Start date
    prsb03-dataelement-11041
    Id prsb03-dataelement-11041 (2019‑05‑24 11:13:32)
    Concept inherits from draft prsb03-dataelement-10358 (2018‑10‑31)
    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
    cancelled End date
    prsb03-dataelement-11042
    Id prsb03-dataelement-11042 (2019‑05‑24 11:13:32)
    Concept inherits from draft prsb03-dataelement-10359 (2018‑10‑31)
    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
    folder cancelled Person completing record
    prsb03-dataelement-11023
    link
    Id prsb03-dataelement-11023 (2019‑05‑24 11:01:31)
    Concept inherits from cancelled prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    cancelled Name
    prsb03-dataelement-11024
    Id prsb03-dataelement-11024 (2019‑05‑24 11:02:03)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-11025
    Id prsb03-dataelement-11025 (2019‑05‑24 11:02:03)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-11026
    Id prsb03-dataelement-11026 (2019‑05‑24 11:02:03)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11027
    Id prsb03-dataelement-11027 (2019‑05‑24 11:02:03)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11028
    Id prsb03-dataelement-11028 (2019‑05‑24 11:02:03)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11029
    Id prsb03-dataelement-11029 (2019‑05‑24 11:02:03)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11030
    Id prsb03-dataelement-11030 (2019‑05‑24 11:02:03)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11031
    Id prsb03-dataelement-11031 (2019‑05‑24 11:02:03)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    folder cancelled Accessible information - requires specific contact method
    prsb03-dataelement-10063
    link
    Id prsb03-dataelement-10063 (2018‑10‑31) 0.1
    Description The contact method the person requires in order for information to be accessible.
    cancelled Date
    prsb03-dataelement-11699
    Id prsb03-dataelement-11699 (2019‑05‑31 13:00:44) 0.1
    Description The date the accessible information requirement was identified.
    Relationship
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    folder cancelled Location
    prsb03-dataelement-11700
    link
    Id prsb03-dataelement-11700 (2019‑05‑31 13:01:11) 0.1
    Description The location where the accessible information requirement was identified.
    Relationship
    cancelled Coded value
    prsb03-dataelement-13373
    Id prsb03-dataelement-13373 (2020‑08‑06 19:04:27) 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
    cancelled Free text
    prsb03-dataelement-13374
    Id prsb03-dataelement-13374 (2020‑08‑06 19:05:13) 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
    folder cancelled Requires specific contact method
    prsb03-dataelement-13362
    link
    Id prsb03-dataelement-13362 (2020‑08‑06 18:39:01) 0.1
    Description The contact method the person requires in order for information to be accessible.
    cancelled Coded value
    prsb03-dataelement-13363
    Id prsb03-dataelement-13363 (2020‑08‑06 18:41:53) 0.1
    Description The coded value for contact method. https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/658
    Operationalization SNOMED CT :- ^999002131000000106 |Accessible information - requires specific contact method simple reference set (foundation metadata concept)|
    Value Domain
    cancelled Free text
    prsb03-dataelement-13364
    Id prsb03-dataelement-13364 (2020‑08‑06 18:44:22) 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
    folder cancelled Performing professional
    prsb03-dataelement-11419
    link
    Id prsb03-dataelement-11419 (2019‑05‑30 14:08:28) 0.1
    Description The professional who identified the accessible information requirement.
    Relationship
    cancelled Name
    prsb03-dataelement-11420
    Id prsb03-dataelement-11420 (2019‑05‑30 14:08:48) 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
    cancelled Role
    prsb03-dataelement-11421
    Id prsb03-dataelement-11421 (2019‑05‑30 14:08:48) 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
    cancelled Grade
    prsb03-dataelement-11422
    Id prsb03-dataelement-11422 (2019‑05‑30 14:08:48) 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
    cancelled Speciality
    prsb03-dataelement-11423
    Id prsb03-dataelement-11423 (2019‑05‑30 14:08:48) 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
    cancelled Professional identifier
    prsb03-dataelement-11424
    Id prsb03-dataelement-11424 (2019‑05‑30 14:08:48) 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
    folder cancelled Organisation
    prsb03-dataelement-11425
    Id prsb03-dataelement-11425 (2019‑05‑30 14:08:48) 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.
    cancelled Contact details
    prsb03-dataelement-11426
    Id prsb03-dataelement-11426 (2019‑05‑30 14:08:48) 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
    folder cancelled Person completing record
    prsb03-dataelement-11427
    link
    Id prsb03-dataelement-11427 (2019‑05‑30 14:09:00) 0.1
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    cancelled Name
    prsb03-dataelement-11428
    Id prsb03-dataelement-11428 (2019‑05‑30 14:09:25) 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
    cancelled Role
    prsb03-dataelement-11429
    Id prsb03-dataelement-11429 (2019‑05‑30 14:09:25) 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
    cancelled Grade
    prsb03-dataelement-11430
    Id prsb03-dataelement-11430 (2019‑05‑30 14:09:25) 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
    cancelled Specialty
    prsb03-dataelement-11431
    Id prsb03-dataelement-11431 (2019‑05‑30 14:09:25) 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
    folder cancelled Organisation
    prsb03-dataelement-11432
    Id prsb03-dataelement-11432 (2019‑05‑30 14:09:25) 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
    cancelled Professional identifier
    prsb03-dataelement-11433
    Id prsb03-dataelement-11433 (2019‑05‑30 14:09:25) 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
    cancelled Date completed
    prsb03-dataelement-11434
    Id prsb03-dataelement-11434 (2019‑05‑30 14:09:25) 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
    cancelled Contact details
    prsb03-dataelement-11435
    Id prsb03-dataelement-11435 (2019‑05‑30 14:09:25) 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
    folder cancelled Performing professional
    prsb03-dataelement-11198
    link
    Id prsb03-dataelement-11198 (2019‑05‑28 18:01:11)
    Concept inherits from cancelled prsb03-dataelement-11148 (2019‑05‑24 11:51:30)
    Description The professional identifying the safeguarding concern.
    cancelled Name
    prsb03-dataelement-11199
    Id prsb03-dataelement-11199 (2019‑05‑28 18:02:55)
    Concept inherits from cancelled prsb03-dataelement-11149 (2019‑05‑24 11:51:53)
    Description The name of the professional with responsibility for the care of the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    cancelled Role
    prsb03-dataelement-11200
    Id prsb03-dataelement-11200 (2019‑05‑28 18:02:55)
    Concept inherits from cancelled prsb03-dataelement-11150 (2019‑05‑24 11:51:53)
    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
    cancelled Speciality
    prsb03-dataelement-11201
    Id prsb03-dataelement-11201 (2019‑05‑28 18:02:55)
    Concept inherits from cancelled prsb03-dataelement-11151 (2019‑05‑24 11:51:53)
    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
    cancelled Team
    prsb03-dataelement-11202
    Id prsb03-dataelement-11202 (2019‑05‑28 18:02:55)
    Concept inherits from cancelled prsb03-dataelement-11152 (2019‑05‑24 11:51:53)
    Description The name of the team.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    folder cancelled Organisation
    prsb03-dataelement-11203
    Id prsb03-dataelement-11203 (2019‑05‑28 18:02:55)
    Concept inherits from cancelled prsb03-dataelement-11153 (2019‑05‑24 11:51:53)
    Description The name of the organisation.
    cancelled Contact details
    prsb03-dataelement-11204
    Id prsb03-dataelement-11204 (2019‑05‑28 18:02:55)
    Concept inherits from cancelled prsb03-dataelement-11154 (2019‑05‑24 11:51:53)
    Description Contact details of the professional (e.g. telephone number, email address etc.).
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    cancelled Professional identifier
    prsb03-dataelement-11205
    Id prsb03-dataelement-11205 (2019‑05‑28 18:02:55)
    Concept inherits from cancelled prsb03-dataelement-11167 (2019‑05‑28 17:18:30)
    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)
    Value Domain
    cancelled Start date
    prsb03-dataelement-11206
    Id prsb03-dataelement-11206 (2019‑05‑28 18:02:55)
    Concept inherits from cancelled prsb03-dataelement-11155 (2019‑05‑24 11:51:53)
    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
    cancelled End date
    prsb03-dataelement-11207
    Id prsb03-dataelement-11207 (2019‑05‑28 18:02:55)
    Concept inherits from cancelled prsb03-dataelement-11156 (2019‑05‑24 11:51:53)
    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
    folder cancelled Professional contacts record entry
    prsb03-dataelement-11208
    Id prsb03-dataelement-11208 (2019‑05‑28 18:02:55)
    Concept inherits from cancelled prsb03-dataelement-11157 (2019‑05‑24 11:51:53)
    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.
    Relationship
    folder cancelled Person completing record
    prsb03-dataelement-11209
    link
    Id prsb03-dataelement-11209 (2019‑05‑28 18:04:59)
    Concept inherits from cancelled prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    cancelled Name
    prsb03-dataelement-11210
    Id prsb03-dataelement-11210 (2019‑05‑28 18:05:50)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-11211
    Id prsb03-dataelement-11211 (2019‑05‑28 18:05:50)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-11212
    Id prsb03-dataelement-11212 (2019‑05‑28 18:05:50)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11213
    Id prsb03-dataelement-11213 (2019‑05‑28 18:05:50)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11214
    Id prsb03-dataelement-11214 (2019‑05‑28 18:05:50)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11215
    Id prsb03-dataelement-11215 (2019‑05‑28 18:05:50)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11216
    Id prsb03-dataelement-11216 (2019‑05‑28 18:05:50)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11217
    Id prsb03-dataelement-11217 (2019‑05‑28 18:05:50)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    folder cancelled Performing professional
    prsb03-dataelement-11053
    link
    Id prsb03-dataelement-11053 (2019‑05‑24 11:27:22)
    Concept inherits from cancelled prsb03-dataelement-11043 (2019‑05‑24 11:17:33)
    Description The performing professional identifying the requirement.
    Relationship
    cancelled Name
    prsb03-dataelement-11054
    Id prsb03-dataelement-11054 (2019‑05‑24 11:28:02)
    Concept inherits from cancelled prsb03-dataelement-11045 (2019‑05‑24 11:18:10)
    Description The name of the professional with responsibility for the care of the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    cancelled Role
    prsb03-dataelement-11055
    Id prsb03-dataelement-11055 (2019‑05‑24 11:28:02)
    Concept inherits from cancelled prsb03-dataelement-11046 (2019‑05‑24 11:18:10)
    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
    cancelled Speciality
    prsb03-dataelement-11056
    Id prsb03-dataelement-11056 (2019‑05‑24 11:28:02)
    Concept inherits from cancelled prsb03-dataelement-11047 (2019‑05‑24 11:18:10)
    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
    cancelled Team
    prsb03-dataelement-11057
    Id prsb03-dataelement-11057 (2019‑05‑24 11:28:02)
    Concept inherits from cancelled prsb03-dataelement-11048 (2019‑05‑24 11:18:10)
    Description The name of the team.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    folder cancelled Organisation
    prsb03-dataelement-11058
    Id prsb03-dataelement-11058 (2019‑05‑24 11:28:02)
    Concept inherits from cancelled prsb03-dataelement-11049 (2019‑05‑24 11:18:10)
    Description The name of the organisation.
    cancelled Contact details
    prsb03-dataelement-11059
    Id prsb03-dataelement-11059 (2019‑05‑24 11:28:02)
    Concept inherits from cancelled prsb03-dataelement-11050 (2019‑05‑24 11:18:10)
    Description Contact details of the professional (e.g. telephone number, email address etc.).
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    cancelled Start date
    prsb03-dataelement-11060
    Id prsb03-dataelement-11060 (2019‑05‑24 11:28:02)
    Concept inherits from cancelled prsb03-dataelement-11051 (2019‑05‑24 11:18:10)
    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
    cancelled End date
    prsb03-dataelement-11061
    Id prsb03-dataelement-11061 (2019‑05‑24 11:28:02)
    Concept inherits from cancelled prsb03-dataelement-11052 (2019‑05‑24 11:18:10)
    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
    folder cancelled Professional contacts record entry
    prsb03-dataelement-11062
    Id prsb03-dataelement-11062 (2019‑05‑24 11:28:02)
    Concept inherits from cancelled prsb03-dataelement-11044 (2019‑05‑24 11:18:10)
    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.
    folder cancelled Person completing record
    prsb03-dataelement-11063
    link
    Id prsb03-dataelement-11063 (2019‑05‑24 11:28:14)
    Concept inherits from cancelled prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    cancelled Name
    prsb03-dataelement-11064
    Id prsb03-dataelement-11064 (2019‑05‑24 11:28:43)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-11065
    Id prsb03-dataelement-11065 (2019‑05‑24 11:28:43)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-11066
    Id prsb03-dataelement-11066 (2019‑05‑24 11:28:43)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11067
    Id prsb03-dataelement-11067 (2019‑05‑24 11:28:43)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11068
    Id prsb03-dataelement-11068 (2019‑05‑24 11:28:43)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11069
    Id prsb03-dataelement-11069 (2019‑05‑24 11:28:43)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11070
    Id prsb03-dataelement-11070 (2019‑05‑24 11:28:43)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11071
    Id prsb03-dataelement-11071 (2019‑05‑24 11:28:43)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    folder cancelled Accessible information - requires communication support
    prsb03-dataelement-10062
    link
    Id prsb03-dataelement-10062 (2018‑10‑31) 0.1
    Description The communication support the person requires in order for information to be accessible.
    cancelled Date
    prsb03-dataelement-11701
    Id prsb03-dataelement-11701 (2019‑05‑31 13:03:10) 0.1
    Description The date the accessible information requirement was identified.
    Relationship
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year
    folder cancelled Location
    prsb03-dataelement-11702
    link
    Id prsb03-dataelement-11702 (2019‑05‑31 13:03:39) 0.1
    Description The location where the accessible information requirement was identified.
    Relationship
    cancelled Coded value
    prsb03-dataelement-13375
    Id prsb03-dataelement-13375 (2020‑08‑06 19:07:03) 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
    cancelled Free text
    prsb03-dataelement-13376
    Id prsb03-dataelement-13376 (2020‑08‑06 19:08:01) 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
    folder cancelled Requires communication support
    prsb03-dataelement-13365
    link
    Id prsb03-dataelement-13365 (2020‑08‑06 18:45:45) 0.1
    Description The communication support the person requires in order for information to be accessible.
    cancelled Coded value
    prsb03-dataelement-13366
    Id prsb03-dataelement-13366 (2020‑08‑06 18:47:48) 0.1
    Description The coded value for communication support. https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/658
    Operationalization SNOMED CT :- ^999002121000000109 |Accessible information - communication support simple reference set (foundation metadata concept)
    Value Domain
    cancelled Free text
    prsb03-dataelement-13367
    Id prsb03-dataelement-13367 (2020‑08‑06 18:48:50) 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
    folder cancelled Performing professional
    prsb03-dataelement-11436
    link
    Id prsb03-dataelement-11436 (2019‑05‑30 14:13:49) 0.1
    Description The professional who identified the accessible information requirement.
    Relationship
    cancelled Name
    prsb03-dataelement-11437
    Id prsb03-dataelement-11437 (2019‑05‑30 14:18:52) 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
    cancelled Role
    prsb03-dataelement-11438
    Id prsb03-dataelement-11438 (2019‑05‑30 14:18:52) 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
    cancelled Grade
    prsb03-dataelement-11439
    Id prsb03-dataelement-11439 (2019‑05‑30 14:18:52) 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
    cancelled Speciality
    prsb03-dataelement-11440
    Id prsb03-dataelement-11440 (2019‑05‑30 14:18:52) 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
    cancelled Professional identifier
    prsb03-dataelement-11441
    Id prsb03-dataelement-11441 (2019‑05‑30 14:18:52) 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
    folder cancelled Organisation
    prsb03-dataelement-11442
    Id prsb03-dataelement-11442 (2019‑05‑30 14:18:52) 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.
    cancelled Contact details
    prsb03-dataelement-11443
    Id prsb03-dataelement-11443 (2019‑05‑30 14:18:52) 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
    folder cancelled Person completing record
    prsb03-dataelement-11444
    link
    Id prsb03-dataelement-11444 (2019‑05‑30 14:19:18) 0.1
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    cancelled Name
    prsb03-dataelement-11445
    Id prsb03-dataelement-11445 (2019‑05‑30 14:19:57) 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
    cancelled Role
    prsb03-dataelement-11446
    Id prsb03-dataelement-11446 (2019‑05‑30 14:19:57) 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
    cancelled Grade
    prsb03-dataelement-11447
    Id prsb03-dataelement-11447 (2019‑05‑30 14:19:57) 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
    cancelled Specialty
    prsb03-dataelement-11448
    Id prsb03-dataelement-11448 (2019‑05‑30 14:19:57) 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
    folder cancelled Organisation
    prsb03-dataelement-11449
    Id prsb03-dataelement-11449 (2019‑05‑30 14:19:57) 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
    cancelled Professional identifier
    prsb03-dataelement-11450
    Id prsb03-dataelement-11450 (2019‑05‑30 14:19:57) 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
    cancelled Date completed
    prsb03-dataelement-11451
    Id prsb03-dataelement-11451 (2019‑05‑30 14:19:57) 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
    cancelled Contact details
    prsb03-dataelement-11452
    Id prsb03-dataelement-11452 (2019‑05‑30 14:19:57) 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
    folder cancelled Performing professional
    prsb03-dataelement-11218
    link
    Id prsb03-dataelement-11218 (2019‑05‑28 18:10:22)
    Concept inherits from cancelled prsb03-dataelement-11148 (2019‑05‑24 11:51:30)
    Description The professional identifying the safeguarding concern.
    cancelled Name
    prsb03-dataelement-11219
    Id prsb03-dataelement-11219 (2019‑05‑28 18:11:38)
    Concept inherits from cancelled prsb03-dataelement-11149 (2019‑05‑24 11:51:53)
    Description The name of the professional with responsibility for the care of the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    cancelled Role
    prsb03-dataelement-11220
    Id prsb03-dataelement-11220 (2019‑05‑28 18:11:38)
    Concept inherits from cancelled prsb03-dataelement-11150 (2019‑05‑24 11:51:53)
    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
    cancelled Speciality
    prsb03-dataelement-11221
    Id prsb03-dataelement-11221 (2019‑05‑28 18:11:38)
    Concept inherits from cancelled prsb03-dataelement-11151 (2019‑05‑24 11:51:53)
    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
    cancelled Team
    prsb03-dataelement-11222
    Id prsb03-dataelement-11222 (2019‑05‑28 18:11:38)
    Concept inherits from cancelled prsb03-dataelement-11152 (2019‑05‑24 11:51:53)
    Description The name of the team.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    folder cancelled Organisation
    prsb03-dataelement-11223
    Id prsb03-dataelement-11223 (2019‑05‑28 18:11:38)
    Concept inherits from cancelled prsb03-dataelement-11153 (2019‑05‑24 11:51:53)
    Description The name of the organisation.
    cancelled Contact details
    prsb03-dataelement-11224
    Id prsb03-dataelement-11224 (2019‑05‑28 18:11:38)
    Concept inherits from cancelled prsb03-dataelement-11154 (2019‑05‑24 11:51:53)
    Description Contact details of the professional (e.g. telephone number, email address etc.).
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    cancelled Professional identifier
    prsb03-dataelement-11225
    Id prsb03-dataelement-11225 (2019‑05‑28 18:11:38)
    Concept inherits from cancelled prsb03-dataelement-11167 (2019‑05‑28 17:18:30)
    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)
    Value Domain
    cancelled Start date
    prsb03-dataelement-11226
    Id prsb03-dataelement-11226 (2019‑05‑28 18:11:38)
    Concept inherits from cancelled prsb03-dataelement-11155 (2019‑05‑24 11:51:53)
    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
    cancelled End date
    prsb03-dataelement-11227
    Id prsb03-dataelement-11227 (2019‑05‑28 18:11:38)
    Concept inherits from cancelled prsb03-dataelement-11156 (2019‑05‑24 11:51:53)
    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
    folder cancelled Professional contacts record entry
    prsb03-dataelement-11228
    Id prsb03-dataelement-11228 (2019‑05‑28 18:11:38)
    Concept inherits from cancelled prsb03-dataelement-11157 (2019‑05‑24 11:51:53)
    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.
    Relationship
    folder cancelled Person completing record
    prsb03-dataelement-11229
    link
    Id prsb03-dataelement-11229 (2019‑05‑28 18:13:20)
    Concept inherits from cancelled prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    cancelled Name
    prsb03-dataelement-11230
    Id prsb03-dataelement-11230 (2019‑05‑28 18:13:47)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-11231
    Id prsb03-dataelement-11231 (2019‑05‑28 18:13:47)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-11232
    Id prsb03-dataelement-11232 (2019‑05‑28 18:13:47)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11233
    Id prsb03-dataelement-11233 (2019‑05‑28 18:13:47)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11234
    Id prsb03-dataelement-11234 (2019‑05‑28 18:13:47)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11235
    Id prsb03-dataelement-11235 (2019‑05‑28 18:13:47)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11236
    Id prsb03-dataelement-11236 (2019‑05‑28 18:13:47)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11237
    Id prsb03-dataelement-11237 (2019‑05‑28 18:13:47)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    folder cancelled Performing professional
    prsb03-dataelement-11072
    link
    Id prsb03-dataelement-11072 (2019‑05‑24 11:29:36)
    Concept inherits from cancelled prsb03-dataelement-11043 (2019‑05‑24 11:17:33)
    Description The performing professional identifying the requirement.
    Relationship
    cancelled Name
    prsb03-dataelement-11073
    Id prsb03-dataelement-11073 (2019‑05‑24 11:31:26)
    Concept inherits from cancelled prsb03-dataelement-11045 (2019‑05‑24 11:18:10)
    Description The name of the professional with responsibility for the care of the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    cancelled Role
    prsb03-dataelement-11074
    Id prsb03-dataelement-11074 (2019‑05‑24 11:31:26)
    Concept inherits from cancelled prsb03-dataelement-11046 (2019‑05‑24 11:18:10)
    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
    cancelled Speciality
    prsb03-dataelement-11075
    Id prsb03-dataelement-11075 (2019‑05‑24 11:31:26)
    Concept inherits from cancelled prsb03-dataelement-11047 (2019‑05‑24 11:18:10)
    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
    cancelled Team
    prsb03-dataelement-11076
    Id prsb03-dataelement-11076 (2019‑05‑24 11:31:26)
    Concept inherits from cancelled prsb03-dataelement-11048 (2019‑05‑24 11:18:10)
    Description The name of the team.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    folder cancelled Organisation
    prsb03-dataelement-11077
    Id prsb03-dataelement-11077 (2019‑05‑24 11:31:26)
    Concept inherits from cancelled prsb03-dataelement-11049 (2019‑05‑24 11:18:10)
    Description The name of the organisation.
    cancelled Contact details
    prsb03-dataelement-11078
    Id prsb03-dataelement-11078 (2019‑05‑24 11:31:26)
    Concept inherits from cancelled prsb03-dataelement-11050 (2019‑05‑24 11:18:10)
    Description Contact details of the professional (e.g. telephone number, email address etc.).
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    cancelled Start date
    prsb03-dataelement-11079
    Id prsb03-dataelement-11079 (2019‑05‑24 11:31:26)
    Concept inherits from cancelled prsb03-dataelement-11051 (2019‑05‑24 11:18:10)
    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
    cancelled End date
    prsb03-dataelement-11080
    Id prsb03-dataelement-11080 (2019‑05‑24 11:31:26)
    Concept inherits from cancelled prsb03-dataelement-11052 (2019‑05‑24 11:18:10)
    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
    folder cancelled Professional contacts record entry
    prsb03-dataelement-11081
    Id prsb03-dataelement-11081 (2019‑05‑24 11:31:26)
    Concept inherits from cancelled prsb03-dataelement-11044 (2019‑05‑24 11:18:10)
    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.
    folder cancelled Person completing record
    prsb03-dataelement-11082
    link
    Id prsb03-dataelement-11082 (2019‑05‑24 11:31:31)
    Concept inherits from cancelled prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    cancelled Name
    prsb03-dataelement-11083
    Id prsb03-dataelement-11083 (2019‑05‑24 11:31:54)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-11084
    Id prsb03-dataelement-11084 (2019‑05‑24 11:31:54)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-11085
    Id prsb03-dataelement-11085 (2019‑05‑24 11:31:54)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11086
    Id prsb03-dataelement-11086 (2019‑05‑24 11:31:54)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11087
    Id prsb03-dataelement-11087 (2019‑05‑24 11:31:54)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11088
    Id prsb03-dataelement-11088 (2019‑05‑24 11:31:54)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11089
    Id prsb03-dataelement-11089 (2019‑05‑24 11:31:54)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11090
    Id prsb03-dataelement-11090 (2019‑05‑24 11:31:54)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    folder cancelled Accessible information - requires communication professional
    prsb03-dataelement-10061
    link
    Id prsb03-dataelement-10061 (2018‑10‑31) 0.1
    Description Identifies that the person needs support from a communication professional in order for information to be accessible.
    Operationalization SNOMED CT



    Refset ^999002141000000102



    https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/660
    cancelled Date
    prsb03-dataelement-11703
    Id prsb03-dataelement-11703 (2019‑05‑31 13:04:26) 0.1
    Description The date the accessible information requirement was identified.
    Relationship
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year
    folder cancelled Location
    prsb03-dataelement-11704
    link
    Id prsb03-dataelement-11704 (2019‑05‑31 13:04:51) 0.1
    Description The location where the accessible information requirement was identified.
    Relationship
    cancelled Coded value
    prsb03-dataelement-13377
    Id prsb03-dataelement-13377 (2020‑08‑06 19:09:30) 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
    cancelled Free text
    prsb03-dataelement-13378
    Id prsb03-dataelement-13378 (2020‑08‑06 19:10:29) 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
    folder cancelled Requires communication professional
    prsb03-dataelement-13368
    link
    Id prsb03-dataelement-13368 (2020‑08‑06 18:50:18) 0.1
    Description Identifies that the person needs support from a communication professional in order for information to be accessible.
    cancelled Coded value
    prsb03-dataelement-13369
    Id prsb03-dataelement-13369 (2020‑08‑06 18:55:08) 0.1
    Description The coded value of communication professional. https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/660
    Operationalization SNOMED CT :- ^999002151000000104 | Accessible information - requires communication professional simple reference set (foundation metadata concept) |
    Value Domain
    cancelled Free text
    prsb03-dataelement-13370
    Id prsb03-dataelement-13370 (2020‑08‑06 18:56:16) 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
    folder cancelled Performing professional
    prsb03-dataelement-11453
    link
    Id prsb03-dataelement-11453 (2019‑05‑30 14:21:39) 0.1
    Description The professional who identified the accessible information requirement.
    Relationship
    cancelled Name
    prsb03-dataelement-11454
    Id prsb03-dataelement-11454 (2019‑05‑30 14:22:06) 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
    cancelled Role
    prsb03-dataelement-11455
    Id prsb03-dataelement-11455 (2019‑05‑30 14:22:06) 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
    cancelled Grade
    prsb03-dataelement-11456
    Id prsb03-dataelement-11456 (2019‑05‑30 14:22:06) 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
    cancelled Speciality
    prsb03-dataelement-11457
    Id prsb03-dataelement-11457 (2019‑05‑30 14:22:06) 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
    cancelled Professional identifier
    prsb03-dataelement-11458
    Id prsb03-dataelement-11458 (2019‑05‑30 14:22:06) 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
    folder cancelled Organisation
    prsb03-dataelement-11459
    Id prsb03-dataelement-11459 (2019‑05‑30 14:22:06) 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.
    cancelled Contact details
    prsb03-dataelement-11460
    Id prsb03-dataelement-11460 (2019‑05‑30 14:22:06) 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
    folder cancelled Person completing record
    prsb03-dataelement-11461
    link
    Id prsb03-dataelement-11461 (2019‑05‑30 14:23:01) 0.1
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    cancelled Name
    prsb03-dataelement-11462
    Id prsb03-dataelement-11462 (2019‑05‑30 14:23:26) 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
    cancelled Role
    prsb03-dataelement-11463
    Id prsb03-dataelement-11463 (2019‑05‑30 14:23:26) 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
    cancelled Grade
    prsb03-dataelement-11464
    Id prsb03-dataelement-11464 (2019‑05‑30 14:23:26) 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
    cancelled Specialty
    prsb03-dataelement-11465
    Id prsb03-dataelement-11465 (2019‑05‑30 14:23:26) 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
    folder cancelled Organisation
    prsb03-dataelement-11466
    Id prsb03-dataelement-11466 (2019‑05‑30 14:23:26) 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
    cancelled Professional identifier
    prsb03-dataelement-11467
    Id prsb03-dataelement-11467 (2019‑05‑30 14:23:26) 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
    cancelled Date completed
    prsb03-dataelement-11468
    Id prsb03-dataelement-11468 (2019‑05‑30 14:23:26) 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
    cancelled Contact details
    prsb03-dataelement-11469
    Id prsb03-dataelement-11469 (2019‑05‑30 14:23:26) 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
    folder cancelled Performing professional
    prsb03-dataelement-11238
    link
    Id prsb03-dataelement-11238 (2019‑05‑28 18:14:43)
    Concept inherits from cancelled prsb03-dataelement-11148 (2019‑05‑24 11:51:30)
    Description The professional identifying the safeguarding concern.
    cancelled Name
    prsb03-dataelement-11239
    Id prsb03-dataelement-11239 (2019‑05‑28 18:15:22)
    Concept inherits from cancelled prsb03-dataelement-11149 (2019‑05‑24 11:51:53)
    Description The name of the professional with responsibility for the care of the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    cancelled Role
    prsb03-dataelement-11240
    Id prsb03-dataelement-11240 (2019‑05‑28 18:15:22)
    Concept inherits from cancelled prsb03-dataelement-11150 (2019‑05‑24 11:51:53)
    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
    cancelled Speciality
    prsb03-dataelement-11241
    Id prsb03-dataelement-11241 (2019‑05‑28 18:15:22)
    Concept inherits from cancelled prsb03-dataelement-11151 (2019‑05‑24 11:51:53)
    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
    cancelled Team
    prsb03-dataelement-11242
    Id prsb03-dataelement-11242 (2019‑05‑28 18:15:22)
    Concept inherits from cancelled prsb03-dataelement-11152 (2019‑05‑24 11:51:53)
    Description The name of the team.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    folder cancelled Organisation
    prsb03-dataelement-11243
    Id prsb03-dataelement-11243 (2019‑05‑28 18:15:22)
    Concept inherits from cancelled prsb03-dataelement-11153 (2019‑05‑24 11:51:53)
    Description The name of the organisation.
    cancelled Contact details
    prsb03-dataelement-11244
    Id prsb03-dataelement-11244 (2019‑05‑28 18:15:22)
    Concept inherits from cancelled prsb03-dataelement-11154 (2019‑05‑24 11:51:53)
    Description Contact details of the professional (e.g. telephone number, email address etc.).
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    cancelled Professional identifier
    prsb03-dataelement-11245
    Id prsb03-dataelement-11245 (2019‑05‑28 18:15:22)
    Concept inherits from cancelled prsb03-dataelement-11167 (2019‑05‑28 17:18:30)
    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)
    Value Domain
    cancelled Start date
    prsb03-dataelement-11246
    Id prsb03-dataelement-11246 (2019‑05‑28 18:15:22)
    Concept inherits from cancelled prsb03-dataelement-11155 (2019‑05‑24 11:51:53)
    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
    cancelled End date
    prsb03-dataelement-11247
    Id prsb03-dataelement-11247 (2019‑05‑28 18:15:22)
    Concept inherits from cancelled prsb03-dataelement-11156 (2019‑05‑24 11:51:53)
    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
    folder cancelled Professional contacts record entry
    prsb03-dataelement-11248
    Id prsb03-dataelement-11248 (2019‑05‑28 18:15:22)
    Concept inherits from cancelled prsb03-dataelement-11157 (2019‑05‑24 11:51:53)
    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.
    Relationship
    folder cancelled Person completing record
    prsb03-dataelement-11249
    link
    Id prsb03-dataelement-11249 (2019‑05‑28 18:16:41)
    Concept inherits from cancelled prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    cancelled Name
    prsb03-dataelement-11250
    Id prsb03-dataelement-11250 (2019‑05‑28 18:17:17)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-11251
    Id prsb03-dataelement-11251 (2019‑05‑28 18:17:17)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-11252
    Id prsb03-dataelement-11252 (2019‑05‑28 18:17:17)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11253
    Id prsb03-dataelement-11253 (2019‑05‑28 18:17:17)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11254
    Id prsb03-dataelement-11254 (2019‑05‑28 18:17:17)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11255
    Id prsb03-dataelement-11255 (2019‑05‑28 18:17:17)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11256
    Id prsb03-dataelement-11256 (2019‑05‑28 18:17:17)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11257
    Id prsb03-dataelement-11257 (2019‑05‑28 18:17:17)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    folder cancelled Performing professional
    prsb03-dataelement-11091
    link
    Id prsb03-dataelement-11091 (2019‑05‑24 11:32:54)
    Concept inherits from cancelled prsb03-dataelement-11043 (2019‑05‑24 11:17:33)
    Description The performing professional identifying the requirement.
    Relationship
    cancelled Name
    prsb03-dataelement-11092
    Id prsb03-dataelement-11092 (2019‑05‑24 11:33:21)
    Concept inherits from cancelled prsb03-dataelement-11045 (2019‑05‑24 11:18:10)
    Description The name of the professional with responsibility for the care of the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    cancelled Role
    prsb03-dataelement-11093
    Id prsb03-dataelement-11093 (2019‑05‑24 11:33:21)
    Concept inherits from cancelled prsb03-dataelement-11046 (2019‑05‑24 11:18:10)
    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
    cancelled Speciality
    prsb03-dataelement-11094
    Id prsb03-dataelement-11094 (2019‑05‑24 11:33:21)
    Concept inherits from cancelled prsb03-dataelement-11047 (2019‑05‑24 11:18:10)
    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
    cancelled Team
    prsb03-dataelement-11095
    Id prsb03-dataelement-11095 (2019‑05‑24 11:33:21)
    Concept inherits from cancelled prsb03-dataelement-11048 (2019‑05‑24 11:18:10)
    Description The name of the team.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    folder cancelled Organisation
    prsb03-dataelement-11096
    Id prsb03-dataelement-11096 (2019‑05‑24 11:33:21)
    Concept inherits from cancelled prsb03-dataelement-11049 (2019‑05‑24 11:18:10)
    Description The name of the organisation.
    cancelled Contact details
    prsb03-dataelement-11097
    Id prsb03-dataelement-11097 (2019‑05‑24 11:33:21)
    Concept inherits from cancelled prsb03-dataelement-11050 (2019‑05‑24 11:18:10)
    Description Contact details of the professional (e.g. telephone number, email address etc.).
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    cancelled Start date
    prsb03-dataelement-11098
    Id prsb03-dataelement-11098 (2019‑05‑24 11:33:21)
    Concept inherits from cancelled prsb03-dataelement-11051 (2019‑05‑24 11:18:10)
    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
    cancelled End date
    prsb03-dataelement-11099
    Id prsb03-dataelement-11099 (2019‑05‑24 11:33:21)
    Concept inherits from cancelled prsb03-dataelement-11052 (2019‑05‑24 11:18:10)
    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
    folder cancelled Professional contacts record entry
    prsb03-dataelement-11100
    Id prsb03-dataelement-11100 (2019‑05‑24 11:33:21)
    Concept inherits from cancelled prsb03-dataelement-11044 (2019‑05‑24 11:18:10)
    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.
    folder cancelled Person completing record
    prsb03-dataelement-11101
    link
    Id prsb03-dataelement-11101 (2019‑05‑24 11:33:32)
    Concept inherits from cancelled prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    cancelled Name
    prsb03-dataelement-11102
    Id prsb03-dataelement-11102 (2019‑05‑24 11:33:56)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-11103
    Id prsb03-dataelement-11103 (2019‑05‑24 11:33:56)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-11104
    Id prsb03-dataelement-11104 (2019‑05‑24 11:33:56)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11105
    Id prsb03-dataelement-11105 (2019‑05‑24 11:33:56)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11106
    Id prsb03-dataelement-11106 (2019‑05‑24 11:33:56)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11107
    Id prsb03-dataelement-11107 (2019‑05‑24 11:33:56)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11108
    Id prsb03-dataelement-11108 (2019‑05‑24 11:33:56)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11109
    Id prsb03-dataelement-11109 (2019‑05‑24 11:33:56)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    folder draft Reasonable adjustment
    prsb03-dataelement-12991
    link
    Id prsb03-dataelement-12991 (2020‑04‑23 19:50:39)
    Description A record of reasonable adjustments that must be provided by the service to comply with the Equality Act 2010.
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Reasonable adjustment record entry
    prsb03-dataelement-13061
    link
    Id prsb03-dataelement-13061 (2020‑05‑12 14:38:35)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-13098
    link
    Id prsb03-dataelement-13098 (2020‑06‑24 11:17:33)
    Description The location where the reasonable adjustment was identified.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13357
    Id prsb03-dataelement-13357 (2020‑08‑06 17:41:52)
    Description The coded value for location.
    Operationalization NHS Data dictionary : - Organisation data service code
    Value Domain
    Property
    min length max length
    3 5
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13358
    Id prsb03-dataelement-13358 (2020‑08‑06 17:44:19)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Reasonable adjustment flag
    prsb03-dataelement-13874
    Id prsb03-dataelement-13874 (2021‑01‑29 12:59:53)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Reasonable adjustment
    prsb03-dataelement-13017
    link
    Id prsb03-dataelement-13017 (2020‑04‑28 18:57:15)
    Description The reasonable adjustment required e.g. requires specific contact method, requires communication professional
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13505
    Id prsb03-dataelement-13505 (2020‑09‑02 18:40:38)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13506
    Id prsb03-dataelement-13506 (2020‑09‑02 18:41:44)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Reasonable adjustment additional detail
    prsb03-dataelement-13018
    Id prsb03-dataelement-13018 (2020‑04‑28 19:01:03)
    Description Further detail about the support required and the consequence of not providing it.
    Operationalization Free text
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-13020
    Id prsb03-dataelement-13020 (2020‑04‑28 19:14:37)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-13027
    link
    Id prsb03-dataelement-13027 (2020‑04‑28 19:30:46)
    Description The professional who confirmed the need for the reasonable adjustment.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-13028
    Id prsb03-dataelement-13028 (2020‑04‑28 19:31:24)
    Concept inherits from draft prsb03-dataelement-12185 (2019‑05‑31 16:19:35)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-13029
    Id prsb03-dataelement-13029 (2020‑04‑28 19:31:24)
    Concept inherits from draft prsb03-dataelement-12186 (2019‑05‑31 16:19:35)
    Description The role the professional has in relation to the person.
    Relationship
    Operationalization FHIR value set : - sdsjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-13030
    Id prsb03-dataelement-13030 (2020‑04‑28 19:31:24)
    Concept inherits from draft prsb03-dataelement-12187 (2019‑05‑31 16:19:35)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-13031
    Id prsb03-dataelement-13031 (2020‑04‑28 19:31:24)
    Concept inherits from draft prsb03-dataelement-12188 (2019‑05‑31 16:19:35)
    Description The specialty of the professional.
    Relationship
    Operationalization NHS data dictionary - Main specialty code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-13032
    Id prsb03-dataelement-13032 (2020‑04‑28 19:31:24)
    Concept inherits from draft prsb03-dataelement-12189 (2019‑05‑31 16:19:35)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-13033
    Id prsb03-dataelement-13033 (2020‑04‑28 19:31:24)
    Concept inherits from draft prsb03-dataelement-12190 (2019‑05‑31 16:19:35)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-13034
    Id prsb03-dataelement-13034 (2020‑04‑28 19:31:24)
    Concept inherits from draft prsb03-dataelement-12191 (2019‑05‑31 16:19:35)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-13035
    link
    Id prsb03-dataelement-13035 (2020‑04‑28 19:33:13)
    Description A record of the details of the person that entered the reasonable adjustment and the date on which it was entered.
    Relationship
    target Used by one transaction, 0 templates, inherited once
     
    draft Name
    prsb03-dataelement-13036
    Id prsb03-dataelement-13036 (2020‑04‑28 19:33:40)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 3 times
     
    draft Role
    prsb03-dataelement-13037
    Id prsb03-dataelement-13037 (2020‑04‑28 19:33:40)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 3 times
     
    draft Grade
    prsb03-dataelement-13038
    Id prsb03-dataelement-13038 (2020‑04‑28 19:33:40)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 3 times
     
    draft Specialty
    prsb03-dataelement-13039
    Id prsb03-dataelement-13039 (2020‑04‑28 19:33:40)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 3 times
     
    folder draft Organisation
    prsb03-dataelement-13040
    Id prsb03-dataelement-13040 (2020‑04‑28 19:33:40)
    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 one transaction, 0 templates, inherited 3 times
     
    draft Professional identifier
    prsb03-dataelement-13041
    Id prsb03-dataelement-13041 (2020‑04‑28 19:33:40)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 3 times
     
    draft Date completed
    prsb03-dataelement-13042
    Id prsb03-dataelement-13042 (2020‑04‑28 19:33:40)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 3 times
     
    draft Contact details
    prsb03-dataelement-13043
    Id prsb03-dataelement-13043 (2020‑04‑28 19:33:40)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 3 times
     
    cancelled Performing Professional
    prsb03-dataelement-13026
    Id prsb03-dataelement-13026 (2020‑04‑28 19:29:36) 0.2
    Concept inherits from draft prsb03-dataelement-10316 (2018‑10‑31)
    Description Details of the professional performing the immunisation (including name and role)
    Value Domain
    cancelled Performing Professional
    prsb03-dataelement-13021
    Id prsb03-dataelement-13021 (2020‑04‑28 19:15:45) 0.1
    Description Details of the professional assigning the reasonable adjustment (including name and role).
    Relationship
    Value Domain
    cancelled Person completing record
    prsb03-dataelement-13019
    Id prsb03-dataelement-13019 (2020‑04‑28 19:13:17) 0.2
    Concept inherits from cancelled prsb03-dataelement-10954 (2019‑05‑18 21:07:16)
    Description This is the person completing the record.

    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    cancelled Autism
    prsb03-dataelement-12992
    Id prsb03-dataelement-12992 (2020‑04‑23 19:51:53) 0.1
    Description
    Impairment related to autism (Equality Act 2010)
    Operationalization Free text
    Value Domain
    cancelled Developmental conditions (excluding autism)
    prsb03-dataelement-12993
    Id prsb03-dataelement-12993 (2020‑04‑23 19:53:01) 0.1
    Description Impairment related to developmental conditions (excluding autism) (Equality Act 2010), such as dyslexia or dyspraxia
    Operationalization

    Free text
    Value Domain
    cancelled Dementia
    prsb03-dataelement-12994
    Id prsb03-dataelement-12994 (2020‑04‑23 19:55:03) 0.1
    Description Impairment related to dementia (Equality Act 2010)
    Operationalization Free text
    Value Domain
    cancelled Learning disability
    prsb03-dataelement-12995
    Id prsb03-dataelement-12995 (2020‑04‑23 19:56:39) 0.1
    Description
    Impairment related to learning disability (Equality Act 2010)
    Operationalization Free text
    Value Domain
    cancelled Mental health condition
    prsb03-dataelement-12996
    Id prsb03-dataelement-12996 (2020‑04‑23 19:57:50) 0.1
    Description
    Impairment related to learning disability (Equality Act 2010)
    Operationalization Free text
    Value Domain
    cancelled Physical disability
    prsb03-dataelement-12997
    Id prsb03-dataelement-12997 (2020‑04‑23 19:59:41) 0.1
    Description
    Impairment related to physical disability (Equality Act 2010), produced by injury to the body, including to the brain.
    Operationalization Free text
    Value Domain
    cancelled Sensory disability - such as sight, hearing or verbal
    prsb03-dataelement-12998
    Id prsb03-dataelement-12998 (2020‑04‑23 20:01:42) 0.1
    Description Impairment related to sensory disability (Equality Act 2010), such as those affecting sight or hearing;
    Operationalization Free text
    Value Domain
    cancelled Long-term condition
    prsb03-dataelement-12999
    Id prsb03-dataelement-12999 (2020‑04‑23 20:04:04) 0.1
    Description
    Impairment related to long-term condition (Equality Act 2010), including impairments with fluctuating or recurring effects such as rheumatoid arthritis, myalgic encephalitis (ME), chronic fatigue syndrome (CFS), fibromyalgia, depression and epilepsy;progressive, such as motor neurone disease, muscular dystrophy, and forms of dementia; auto-immune conditions such as systemic lupus erythematosus (SLE); organ specific, including respiratory conditions, such as asthma, and cardiovascular diseases, including thrombosis, stroke and heart disease.
    There is specific guidance in relation to HIV, cancer and multiple sclerosis
    Operationalization Free text
    Value Domain
    cancelled Prefers not to say
    prsb03-dataelement-13000
    Id prsb03-dataelement-13000 (2020‑04‑23 20:05:12) 0.1
    Description Person prefers not to share impairment on reasonable adjustment record.
    Operationalization Free text
    Value Domain
    folder draft Impairment
    prsb03-dataelement-13001
    link
    Id prsb03-dataelement-13001 (2020‑04‑23 20:09:01)
    Description A record of any impairments for the person relating to reasonable adjustments.
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Impairment record entry
    prsb03-dataelement-13062
    link
    Id prsb03-dataelement-13062 (2020‑05‑12 15:52:51)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-13099
    link
    Id prsb03-dataelement-13099 (2020‑06‑24 11:19:59)
    Description The location where the impairment was identified.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13429
    Id prsb03-dataelement-13429 (2020‑08‑13 15:01:40)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13430
    Id prsb03-dataelement-13430 (2020‑08‑13 15:38:25)
    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 Impairment category
    prsb03-dataelement-13022
    link
    Id prsb03-dataelement-13022 (2020‑04‑28 19:21:25)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13507
    Id prsb03-dataelement-13507 (2020‑09‑02 18:45:17)
    Description The coded value for impairment.
    Operationalization SNOMED CT
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13508
    Id prsb03-dataelement-13508 (2020‑09‑02 18:46:00)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Impairment additional detail
    prsb03-dataelement-13023
    Id prsb03-dataelement-13023 (2020‑04‑28 19:23:16)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-13024
    Id prsb03-dataelement-13024 (2020‑04‑28 19:24:22)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-13044
    link
    Id prsb03-dataelement-13044 (2020‑04‑28 19:34:59)
    Description The professional who confirmed the impairment.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-13045
    Id prsb03-dataelement-13045 (2020‑04‑28 19:35:28)
    Concept inherits from draft prsb03-dataelement-12028 (2019‑05‑31 15:30:50)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-13046
    Id prsb03-dataelement-13046 (2020‑04‑28 19:35:28)
    Concept inherits from draft prsb03-dataelement-12029 (2019‑05‑31 15:30:50)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-13047
    Id prsb03-dataelement-13047 (2020‑04‑28 19:35:28)
    Concept inherits from draft prsb03-dataelement-12030 (2019‑05‑31 15:30:50)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-13048
    Id prsb03-dataelement-13048 (2020‑04‑28 19:35:28)
    Concept inherits from draft prsb03-dataelement-12031 (2019‑05‑31 15:30:50)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-13049
    Id prsb03-dataelement-13049 (2020‑04‑28 19:35:28)
    Concept inherits from draft prsb03-dataelement-12032 (2019‑05‑31 15:30:50)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-13050
    Id prsb03-dataelement-13050 (2020‑04‑28 19:35:28)
    Concept inherits from draft prsb03-dataelement-12033 (2019‑05‑31 15:30:50)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-13051
    Id prsb03-dataelement-13051 (2020‑04‑28 19:35:28)
    Concept inherits from draft prsb03-dataelement-12034 (2019‑05‑31 15:30:50)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-13052
    link
    Id prsb03-dataelement-13052 (2020‑04‑28 19:36:14)
    Description
    A record of the details of the person that entered the impairment and the date on which it was entered.
    Relationship
    target Used by one transaction, 0 templates, inherited once
     
    draft Name
    prsb03-dataelement-13053
    Id prsb03-dataelement-13053 (2020‑04‑28 19:36:38)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 2 times
     
    draft Role
    prsb03-dataelement-13054
    Id prsb03-dataelement-13054 (2020‑04‑28 19:36:38)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 2 times
     
    draft Grade
    prsb03-dataelement-13055
    Id prsb03-dataelement-13055 (2020‑04‑28 19:36:38)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 2 times
     
    draft Specialty
    prsb03-dataelement-13056
    Id prsb03-dataelement-13056 (2020‑04‑28 19:36:38)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 2 times
     
    folder draft Organisation
    prsb03-dataelement-13057
    Id prsb03-dataelement-13057 (2020‑04‑28 19:36:38)
    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 one transaction, 0 templates, inherited 2 times
     
    draft Professional identifier
    prsb03-dataelement-13058
    Id prsb03-dataelement-13058 (2020‑04‑28 19:36:38)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 2 times
     
    draft Date completed
    prsb03-dataelement-13059
    Id prsb03-dataelement-13059 (2020‑04‑28 19:36:38)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 2 times
     
    draft Contact details
    prsb03-dataelement-13060
    Id prsb03-dataelement-13060 (2020‑04‑28 19:36:38)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 2 times
     
    cancelled Performing Professional
    prsb03-dataelement-13025
    Id prsb03-dataelement-13025 (2020‑04‑28 19:25:46) 0.2
    Description Details of the professional performing diagnosing the impairment (including name and role)
    Relationship
    Value Domain
    folder draft Cognition
    prsb03-dataelement-10066
    link
    Id prsb03-dataelement-10066 (2018‑10‑31)
    Description Details of the persons cognitive impairment.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11705
    Id prsb03-dataelement-11705 (2019‑05‑31 13:05:51)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-11706
    link
    Id prsb03-dataelement-11706 (2019‑05‑31 13:06:37)
    Description The location where the cognitive impairment was identified.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13431
    Id prsb03-dataelement-13431 (2020‑08‑13 15:39:55)
    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
    prsb03-dataelement-13432
    Id prsb03-dataelement-13432 (2020‑08‑13 15:41:10)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Cognition
    prsb03-dataelement-13669
    Id prsb03-dataelement-13669 (2020‑09‑08 22:42:26)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11470
    link
    Id prsb03-dataelement-11470 (2019‑05‑30 14:25:03)
    Description The professional who identified the cognitive impairment.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11471
    Id prsb03-dataelement-11471 (2019‑05‑30 14:25:24)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11472
    Id prsb03-dataelement-11472 (2019‑05‑30 14:25:24)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11473
    Id prsb03-dataelement-11473 (2019‑05‑30 14:25:24)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11474
    Id prsb03-dataelement-11474 (2019‑05‑30 14:25:24)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11475
    Id prsb03-dataelement-11475 (2019‑05‑30 14:25:24)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11476
    Id prsb03-dataelement-11476 (2019‑05‑30 14:25:24)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11477
    Id prsb03-dataelement-11477 (2019‑05‑30 14:25:24)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11478
    link
    Id prsb03-dataelement-11478 (2019‑05‑30 14:25:35)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11479
    Id prsb03-dataelement-11479 (2019‑05‑30 14:26:05)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11480
    Id prsb03-dataelement-11480 (2019‑05‑30 14:26:05)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11481
    Id prsb03-dataelement-11481 (2019‑05‑30 14:26:05)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11482
    Id prsb03-dataelement-11482 (2019‑05‑30 14:26:05)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11483
    Id prsb03-dataelement-11483 (2019‑05‑30 14:26:05)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11484
    Id prsb03-dataelement-11484 (2019‑05‑30 14:26:05)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11485
    Id prsb03-dataelement-11485 (2019‑05‑30 14:26:05)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11486
    Id prsb03-dataelement-11486 (2019‑05‑30 14:26:05)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder cancelled Performing professional
    prsb03-dataelement-11110
    link
    Id prsb03-dataelement-11110 (2019‑05‑24 11:37:44)
    Concept inherits from cancelled prsb03-dataelement-11043 (2019‑05‑24 11:17:33)
    Description The performing professional identifying the requirement.
    Relationship
    cancelled Name
    prsb03-dataelement-11111
    Id prsb03-dataelement-11111 (2019‑05‑24 11:38:06)
    Concept inherits from cancelled prsb03-dataelement-11045 (2019‑05‑24 11:18:10)
    Description The name of the professional with responsibility for the care of the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    cancelled Role
    prsb03-dataelement-11112
    Id prsb03-dataelement-11112 (2019‑05‑24 11:38:06)
    Concept inherits from cancelled prsb03-dataelement-11046 (2019‑05‑24 11:18:10)
    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
    cancelled Speciality
    prsb03-dataelement-11113
    Id prsb03-dataelement-11113 (2019‑05‑24 11:38:06)
    Concept inherits from cancelled prsb03-dataelement-11047 (2019‑05‑24 11:18:10)
    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
    cancelled Team
    prsb03-dataelement-11114
    Id prsb03-dataelement-11114 (2019‑05‑24 11:38:06)
    Concept inherits from cancelled prsb03-dataelement-11048 (2019‑05‑24 11:18:10)
    Description The name of the team.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    folder cancelled Organisation
    prsb03-dataelement-11115
    Id prsb03-dataelement-11115 (2019‑05‑24 11:38:06)
    Concept inherits from cancelled prsb03-dataelement-11049 (2019‑05‑24 11:18:10)
    Description The name of the organisation.
    cancelled Contact details
    prsb03-dataelement-11116
    Id prsb03-dataelement-11116 (2019‑05‑24 11:38:06)
    Concept inherits from cancelled prsb03-dataelement-11050 (2019‑05‑24 11:18:10)
    Description Contact details of the professional (e.g. telephone number, email address etc.).
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    cancelled Start date
    prsb03-dataelement-11117
    Id prsb03-dataelement-11117 (2019‑05‑24 11:38:06)
    Concept inherits from cancelled prsb03-dataelement-11051 (2019‑05‑24 11:18:10)
    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
    cancelled End date
    prsb03-dataelement-11118
    Id prsb03-dataelement-11118 (2019‑05‑24 11:38:06)
    Concept inherits from cancelled prsb03-dataelement-11052 (2019‑05‑24 11:18:10)
    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
    folder cancelled Professional contacts record entry
    prsb03-dataelement-11119
    Id prsb03-dataelement-11119 (2019‑05‑24 11:38:06)
    Concept inherits from cancelled prsb03-dataelement-11044 (2019‑05‑24 11:18:10)
    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.
    folder cancelled Person completing record
    prsb03-dataelement-11120
    link
    Id prsb03-dataelement-11120 (2019‑05‑24 11:38:33)
    Concept inherits from cancelled prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    cancelled Name
    prsb03-dataelement-11121
    Id prsb03-dataelement-11121 (2019‑05‑24 11:38:55)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-11122
    Id prsb03-dataelement-11122 (2019‑05‑24 11:38:55)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-11123
    Id prsb03-dataelement-11123 (2019‑05‑24 11:38:55)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11124
    Id prsb03-dataelement-11124 (2019‑05‑24 11:38:55)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11125
    Id prsb03-dataelement-11125 (2019‑05‑24 11:38:55)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11126
    Id prsb03-dataelement-11126 (2019‑05‑24 11:38:55)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11127
    Id prsb03-dataelement-11127 (2019‑05‑24 11:38:55)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11128
    Id prsb03-dataelement-11128 (2019‑05‑24 11:38:55)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    folder draft Mobility
    prsb03-dataelement-10067
    link
    Id prsb03-dataelement-10067 (2018‑10‑31)
    Description Details of the person's mobility needs.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11707
    Id prsb03-dataelement-11707 (2019‑05‑31 13:08:03)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-11710
    link
    Id prsb03-dataelement-11710 (2019‑05‑31 13:11:14)
    Description The location where the mobility needs were identified.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13433
    Id prsb03-dataelement-13433 (2020‑08‑13 15:42:39)
    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
    prsb03-dataelement-13434
    Id prsb03-dataelement-13434 (2020‑08‑13 15:44:10)
    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 Mobility needs
    prsb03-dataelement-13670
    link
    Id prsb03-dataelement-13670 (2020‑09‑08 22:45:14)
    Description The mobility needs of the person that allows movement between two spaces and achieves participation and a degree of independence.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13671
    Id prsb03-dataelement-13671 (2020‑09‑08 22:47:06)
    Description The coded value for mobility needs
    Operationalization SNOMED CT: - ^999002551000000108 |Mobility findings simple reference set (foundation metadata concept)|
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13672
    Id prsb03-dataelement-13672 (2020‑09‑08 22:47:50)
    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
     
    cancelled Location
    prsb03-dataelement-11709
    Id prsb03-dataelement-11709 (2019‑05‑31 13:09:26)
    Value Domain
    cancelled Location
    prsb03-dataelement-11708
    Id prsb03-dataelement-11708 (2019‑05‑31 13:08:30)
    Value Domain
    folder draft Performing professional
    prsb03-dataelement-11487
    link
    Id prsb03-dataelement-11487 (2019‑05‑30 14:26:29)
    Description The professional who identified the mobility needs.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11488
    Id prsb03-dataelement-11488 (2019‑05‑30 14:27:10)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11489
    Id prsb03-dataelement-11489 (2019‑05‑30 14:27:10)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11490
    Id prsb03-dataelement-11490 (2019‑05‑30 14:27:10)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11491
    Id prsb03-dataelement-11491 (2019‑05‑30 14:27:10)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11492
    Id prsb03-dataelement-11492 (2019‑05‑30 14:27:10)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11493
    Id prsb03-dataelement-11493 (2019‑05‑30 14:27:10)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11494
    Id prsb03-dataelement-11494 (2019‑05‑30 14:27:10)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11495
    link
    Id prsb03-dataelement-11495 (2019‑05‑30 14:27:24)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11496
    Id prsb03-dataelement-11496 (2019‑05‑30 14:27:45)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11497
    Id prsb03-dataelement-11497 (2019‑05‑30 14:27:45)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11498
    Id prsb03-dataelement-11498 (2019‑05‑30 14:27:45)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11499
    Id prsb03-dataelement-11499 (2019‑05‑30 14:27:45)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11500
    Id prsb03-dataelement-11500 (2019‑05‑30 14:27:45)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11501
    Id prsb03-dataelement-11501 (2019‑05‑30 14:27:45)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11502
    Id prsb03-dataelement-11502 (2019‑05‑30 14:27:45)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11503
    Id prsb03-dataelement-11503 (2019‑05‑30 14:27:45)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder cancelled Performing professional
    prsb03-dataelement-11129
    link
    Id prsb03-dataelement-11129 (2019‑05‑24 11:40:07)
    Concept inherits from cancelled prsb03-dataelement-11043 (2019‑05‑24 11:17:33)
    Description The performing professional identifying the requirement.
    Relationship
    cancelled Name
    prsb03-dataelement-11130
    Id prsb03-dataelement-11130 (2019‑05‑24 11:40:41)
    Concept inherits from cancelled prsb03-dataelement-11045 (2019‑05‑24 11:18:10)
    Description The name of the professional with responsibility for the care of the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    cancelled Role
    prsb03-dataelement-11131
    Id prsb03-dataelement-11131 (2019‑05‑24 11:40:41)
    Concept inherits from cancelled prsb03-dataelement-11046 (2019‑05‑24 11:18:10)
    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
    cancelled Speciality
    prsb03-dataelement-11132
    Id prsb03-dataelement-11132 (2019‑05‑24 11:40:41)
    Concept inherits from cancelled prsb03-dataelement-11047 (2019‑05‑24 11:18:10)
    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
    cancelled Team
    prsb03-dataelement-11133
    Id prsb03-dataelement-11133 (2019‑05‑24 11:40:41)
    Concept inherits from cancelled prsb03-dataelement-11048 (2019‑05‑24 11:18:10)
    Description The name of the team.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    folder cancelled Organisation
    prsb03-dataelement-11134
    Id prsb03-dataelement-11134 (2019‑05‑24 11:40:41)
    Concept inherits from cancelled prsb03-dataelement-11049 (2019‑05‑24 11:18:10)
    Description The name of the organisation.
    cancelled Contact details
    prsb03-dataelement-11135
    Id prsb03-dataelement-11135 (2019‑05‑24 11:40:41)
    Concept inherits from cancelled prsb03-dataelement-11050 (2019‑05‑24 11:18:10)
    Description Contact details of the professional (e.g. telephone number, email address etc.).
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    cancelled Start date
    prsb03-dataelement-11136
    Id prsb03-dataelement-11136 (2019‑05‑24 11:40:41)
    Concept inherits from cancelled prsb03-dataelement-11051 (2019‑05‑24 11:18:10)
    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
    cancelled End date
    prsb03-dataelement-11137
    Id prsb03-dataelement-11137 (2019‑05‑24 11:40:41)
    Concept inherits from cancelled prsb03-dataelement-11052 (2019‑05‑24 11:18:10)
    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
    folder cancelled Professional contacts record entry
    prsb03-dataelement-11138
    Id prsb03-dataelement-11138 (2019‑05‑24 11:40:41)
    Concept inherits from cancelled prsb03-dataelement-11044 (2019‑05‑24 11:18:10)
    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.
    folder cancelled Person completing record
    prsb03-dataelement-11139
    link
    Id prsb03-dataelement-11139 (2019‑05‑24 11:41:00)
    Concept inherits from cancelled prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    cancelled Name
    prsb03-dataelement-11140
    Id prsb03-dataelement-11140 (2019‑05‑24 11:41:23)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-11141
    Id prsb03-dataelement-11141 (2019‑05‑24 11:41:23)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-11142
    Id prsb03-dataelement-11142 (2019‑05‑24 11:41:23)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11143
    Id prsb03-dataelement-11143 (2019‑05‑24 11:41:23)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11144
    Id prsb03-dataelement-11144 (2019‑05‑24 11:41:23)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11145
    Id prsb03-dataelement-11145 (2019‑05‑24 11:41:23)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11146
    Id prsb03-dataelement-11146 (2019‑05‑24 11:41:23)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11147
    Id prsb03-dataelement-11147 (2019‑05‑24 11:41:23)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    folder draft Other individual requirements
    prsb03-dataelement-10835
    link
    Id prsb03-dataelement-10835 (2019‑03‑22 16:24:41)
    Description Details of any other individual requirements the person may have
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11711
    Id prsb03-dataelement-11711 (2019‑05‑31 13:12:01)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-11712
    link
    Id prsb03-dataelement-11712 (2019‑05‑31 13:12:31)
    Description The location where the other individual requirements were identified.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13435
    Id prsb03-dataelement-13435 (2020‑08‑13 15:46:58)
    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 0 times
     
    draft Free text
    prsb03-dataelement-13436
    Id prsb03-dataelement-13436 (2020‑08‑13 15:48:03)
    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
     
    draft Other individual requirement
    prsb03-dataelement-13673
    Id prsb03-dataelement-13673 (2020‑09‑08 22:51:48)
    Description Other individual requirements that a person may have.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11504
    link
    Id prsb03-dataelement-11504 (2019‑05‑30 14:34:59)
    Description The professional who identified the other individual requirements.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11505
    Id prsb03-dataelement-11505 (2019‑05‑30 14:35:29)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited once
     
    draft Role
    prsb03-dataelement-11506
    Id prsb03-dataelement-11506 (2019‑05‑30 14:35:29)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited once
     
    draft Grade
    prsb03-dataelement-11507
    Id prsb03-dataelement-11507 (2019‑05‑30 14:35:29)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited once
     
    draft Speciality
    prsb03-dataelement-11508
    Id prsb03-dataelement-11508 (2019‑05‑30 14:35:29)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited once
     
    draft Professional identifier
    prsb03-dataelement-11509
    Id prsb03-dataelement-11509 (2019‑05‑30 14:35:29)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited once
     
    folder draft Organisation
    prsb03-dataelement-11510
    Id prsb03-dataelement-11510 (2019‑05‑30 14:35:29)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited once
     
    draft Contact details
    prsb03-dataelement-11511
    Id prsb03-dataelement-11511 (2019‑05‑30 14:35:29)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited once
     
    folder draft Person completing record
    prsb03-dataelement-11512
    link
    Id prsb03-dataelement-11512 (2019‑05‑30 14:35:41)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11513
    Id prsb03-dataelement-11513 (2019‑05‑30 14:36:02)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11514
    Id prsb03-dataelement-11514 (2019‑05‑30 14:36:02)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11515
    Id prsb03-dataelement-11515 (2019‑05‑30 14:36:02)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11516
    Id prsb03-dataelement-11516 (2019‑05‑30 14:36:02)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11517
    Id prsb03-dataelement-11517 (2019‑05‑30 14:36:02)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11518
    Id prsb03-dataelement-11518 (2019‑05‑30 14:36:02)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11519
    Id prsb03-dataelement-11519 (2019‑05‑30 14:36:02)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11520
    Id prsb03-dataelement-11520 (2019‑05‑30 14:36:02)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder cancelled Performing professional
    prsb03-dataelement-11260
    link
    Id prsb03-dataelement-11260 (2019‑05‑29 13:38:29)
    Concept inherits from cancelled prsb03-dataelement-11148 (2019‑05‑24 11:51:30)
    Description The professional identifying the safeguarding concern.
    cancelled Name
    prsb03-dataelement-11261
    Id prsb03-dataelement-11261 (2019‑05‑29 13:39:03)
    Concept inherits from cancelled prsb03-dataelement-11149 (2019‑05‑24 11:51:53)
    Description The name of the professional with responsibility for the care of the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    cancelled Role
    prsb03-dataelement-11262
    Id prsb03-dataelement-11262 (2019‑05‑29 13:39:03)
    Concept inherits from cancelled prsb03-dataelement-11150 (2019‑05‑24 11:51:53)
    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
    cancelled Speciality
    prsb03-dataelement-11263
    Id prsb03-dataelement-11263 (2019‑05‑29 13:39:03)
    Concept inherits from cancelled prsb03-dataelement-11151 (2019‑05‑24 11:51:53)
    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
    cancelled Team
    prsb03-dataelement-11264
    Id prsb03-dataelement-11264 (2019‑05‑29 13:39:03)
    Concept inherits from cancelled prsb03-dataelement-11152 (2019‑05‑24 11:51:53)
    Description The name of the team.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    folder cancelled Organisation
    prsb03-dataelement-11265
    Id prsb03-dataelement-11265 (2019‑05‑29 13:39:03)
    Concept inherits from cancelled prsb03-dataelement-11153 (2019‑05‑24 11:51:53)
    Description The name of the organisation.
    cancelled Contact details
    prsb03-dataelement-11266
    Id prsb03-dataelement-11266 (2019‑05‑29 13:39:03)
    Concept inherits from cancelled prsb03-dataelement-11154 (2019‑05‑24 11:51:53)
    Description Contact details of the professional (e.g. telephone number, email address etc.).
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    cancelled Professional identifier
    prsb03-dataelement-11267
    Id prsb03-dataelement-11267 (2019‑05‑29 13:39:03)
    Concept inherits from cancelled prsb03-dataelement-11167 (2019‑05‑28 17:18:30)
    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)
    Value Domain
    cancelled Start date
    prsb03-dataelement-11268
    Id prsb03-dataelement-11268 (2019‑05‑29 13:39:03)
    Concept inherits from cancelled prsb03-dataelement-11155 (2019‑05‑24 11:51:53)
    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
    cancelled End date
    prsb03-dataelement-11269
    Id prsb03-dataelement-11269 (2019‑05‑29 13:39:03)
    Concept inherits from cancelled prsb03-dataelement-11156 (2019‑05‑24 11:51:53)
    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
    folder cancelled Professional contacts record entry
    prsb03-dataelement-11270
    Id prsb03-dataelement-11270 (2019‑05‑29 13:39:03)
    Concept inherits from cancelled prsb03-dataelement-11157 (2019‑05‑24 11:51:53)
    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.
    Relationship
    folder cancelled Person completing record
    prsb03-dataelement-11271
    link
    Id prsb03-dataelement-11271 (2019‑05‑29 13:40:37)
    Concept inherits from cancelled prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    cancelled Name
    prsb03-dataelement-11272
    Id prsb03-dataelement-11272 (2019‑05‑29 13:40:57)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-11273
    Id prsb03-dataelement-11273 (2019‑05‑29 13:40:57)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-11274
    Id prsb03-dataelement-11274 (2019‑05‑29 13:40:57)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11275
    Id prsb03-dataelement-11275 (2019‑05‑29 13:40:57)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11276
    Id prsb03-dataelement-11276 (2019‑05‑29 13:40:57)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11277
    Id prsb03-dataelement-11277 (2019‑05‑29 13:40:57)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11278
    Id prsb03-dataelement-11278 (2019‑05‑29 13:40:57)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11279
    Id prsb03-dataelement-11279 (2019‑05‑29 13:40:57)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    cancelled Performing professional
    prsb03-dataelement-11258
    Id prsb03-dataelement-11258 (2019‑05‑29 11:24:50)
    Value Domain
    cancelled IRRE
    prsb03-dataelement-10648
    Id prsb03-dataelement-10648 (2018‑11‑12 15:35:54)
    Value Domain
    cancelled IRRE
    prsb03-dataelement-10647
    Id prsb03-dataelement-10647 (2018‑11‑12 15:34:56)
    Value Domain
    folder draft Individual requirements record entry
    prsb03-dataelement-10645
    link
    Id prsb03-dataelement-10645 (2018‑11‑12 15:00:49)
    Description This is an individual requirement record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Individual requirement
    prsb03-dataelement-10060
    Id prsb03-dataelement-10060 (2018‑10‑31)
    Description Individual requirement that a person has. These may be communication, cultural, cognitive or mobility needs.

    Properties

    FHIR Patient. nhsCommunications
    Operationalization Information volunteered by the person or their representative or carer, or known about locally.Text or coded text (SNOMED CT), constrained as specified in SCCI1605.



    Accessible Information standard

    Accessible information - communications support refset ^999002121000000109https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/657

    Accessible information - requires communications professional refset ^999002141000000102https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/660

    Accessible information - requires specific contact method refset ^999002151000000104https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/658

    Accessible information - requires specific information format refset ^999002131000000106https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/659
    Value Domain
    target Used by one transaction, 0 templates, inherited once
     
    draft Date
    prsb03-dataelement-10858
    Id prsb03-dataelement-10858 (2019‑03‑27 17:44:40)
    Description The date on which the individual requirement was identified.
    Relationship
    Operationalization Date and time.
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Location
    prsb03-dataelement-10859
    Id prsb03-dataelement-10859 (2019‑03‑27 17:45:48)
    Description The location where the accessible information was identified.
    Relationship
    Operationalization ODS Code or free text.
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    cancelled Performing professional
    prsb03-dataelement-10970
    Id prsb03-dataelement-10970 (2019‑05‑22 15:20:30)
    Description Details of the professional identifying the individual requirements.
    Relationship
    Value Domain
    cancelled Person completing record
    prsb03-dataelement-10860
    Id prsb03-dataelement-10860 (2019‑03‑27 17:46:45)
    Description This is the person recording the individual requirement.

    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    target Used by 0 transactions, 0 templates, inherited 4 times
     
    folder cancelled Accessible Information
    prsb03-dataelement-10064
    Id prsb03-dataelement-10064 (2018‑10‑31)
    Description Details of the accessible information
    draft Child or Parent/Carer/Guardian
    prsb03-dataelement-10065
    Id prsb03-dataelement-10065 (2018‑10‑31)
    Description An indicator of whether the individual requirement relates to the child or their primary carer.
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Alerts
    prsb03-dataelement-10741
    link
    Id prsb03-dataelement-10741 (2019‑03‑06 17:55:12)
    Description Details of alerts.
    folder draft Alerts record entry
    prsb03-dataelement-10916
    link
    Id prsb03-dataelement-10916 (2019‑04‑09 12:53:12)
    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
    draft Date
    prsb03-dataelement-10755
    Id prsb03-dataelement-10755 (2019‑03‑07 18:40:35)
    Description The date the alert was recorded.
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    folder draft Location of alert
    prsb03-dataelement-10756
    link
    Id prsb03-dataelement-10756 (2019‑03‑07 18:40:55)
    Description The organisation raising the alert.
    draft Coded value
    prsb03-dataelement-13568
    Id prsb03-dataelement-13568 (2020‑09‑07 12:15:55)
    Description The coded value of location
    Operationalization NHS data dictionary: - Organisation data service
    Value Domain
    Property
    min length max length
    3 5
    draft Free text
    prsb03-dataelement-13569
    Id prsb03-dataelement-13569 (2020‑09‑07 12:19:02)
    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
    draft Alert
    prsb03-dataelement-10742
    Id prsb03-dataelement-10742 (2019‑03‑06 18:10:58)
    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
    folder draft Performing professional
    prsb03-dataelement-10758
    link
    Id prsb03-dataelement-10758 (2019‑03‑08 12:59:18)
    Concept inherits from draft prsb03-dataelement-12150 (2019‑05‑31 16:08:40)
    Description The professional who performed the procedure.
    Relationship
    draft Name
    prsb03-dataelement-12977
    Id prsb03-dataelement-12977 (2020‑04‑23 12:56:38)
    Concept inherits from draft prsb03-dataelement-12151 (2019‑05‑31 16:09:20)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    draft Role
    prsb03-dataelement-12978
    Id prsb03-dataelement-12978 (2020‑04‑23 12:56:38)
    Concept inherits from draft prsb03-dataelement-12152 (2019‑05‑31 16:09:20)
    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
    draft Grade
    prsb03-dataelement-12979
    Id prsb03-dataelement-12979 (2020‑04‑23 12:56:38)
    Concept inherits from draft prsb03-dataelement-12153 (2019‑05‑31 16:09:20)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Speciality
    prsb03-dataelement-12980
    Id prsb03-dataelement-12980 (2020‑04‑23 12:56:38)
    Concept inherits from draft prsb03-dataelement-12154 (2019‑05‑31 16:09:20)
    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
    draft Professional identifier
    prsb03-dataelement-12981
    Id prsb03-dataelement-12981 (2020‑04‑23 12:56:38)
    Concept inherits from draft prsb03-dataelement-12155 (2019‑05‑31 16:09:20)
    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
    folder draft Organisation
    prsb03-dataelement-12982
    Id prsb03-dataelement-12982 (2020‑04‑23 12:56:38)
    Concept inherits from draft prsb03-dataelement-12156 (2019‑05‑31 16:09:20)
    Description The name of the organisation the professional works for.
    draft Contact details
    prsb03-dataelement-12983
    Id prsb03-dataelement-12983 (2020‑04‑23 12:56:38)
    Concept inherits from draft prsb03-dataelement-12157 (2019‑05‑31 16:09:20)
    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
    folder draft Person completing record
    prsb03-dataelement-12399
    link
    Id prsb03-dataelement-12399 (2019‑06‑05 13:09:30)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    draft Name
    prsb03-dataelement-12400
    Id prsb03-dataelement-12400 (2019‑06‑05 13:10:34)
    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
    draft Role
    prsb03-dataelement-12401
    Id prsb03-dataelement-12401 (2019‑06‑05 13:10:34)
    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
    draft Grade
    prsb03-dataelement-12402
    Id prsb03-dataelement-12402 (2019‑06‑05 13:10:34)
    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
    draft Specialty
    prsb03-dataelement-12403
    Id prsb03-dataelement-12403 (2019‑06‑05 13:10:34)
    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
    folder draft Organisation
    prsb03-dataelement-12404
    Id prsb03-dataelement-12404 (2019‑06‑05 13:10:34)
    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
    draft Professional identifier
    prsb03-dataelement-12405
    Id prsb03-dataelement-12405 (2019‑06‑05 13:10:34)
    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
    draft Date completed
    prsb03-dataelement-12406
    Id prsb03-dataelement-12406 (2019‑06‑05 13:10:34)
    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
    draft Contact details
    prsb03-dataelement-12407
    Id prsb03-dataelement-12407 (2019‑06‑05 13:10:34)
    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
    folder draft Legal information
    prsb03-dataelement-520
    link
    Id prsb03-dataelement-520 (2018‑10‑31)
    Description The legal information relating to the person.
    folder draft Consent for treatment record
    prsb03-dataelement-10420
    link
    Id prsb03-dataelement-10420 (2018‑10‑31)
    Description Details of the person's consent for treatment.
    draft Date
    prsb03-dataelement-13457
    Id prsb03-dataelement-13457 (2020‑09‑02 12:31:32)
    Description The date the consent was taken
    Operationalization Date
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    folder draft Location
    prsb03-dataelement-13459
    link
    Id prsb03-dataelement-13459 (2020‑09‑02 12:33:42)
    Description The location of where the consent was taken.
    Relationship
    draft Coded value
    prsb03-dataelement-13460
    Id prsb03-dataelement-13460 (2020‑09‑02 12:34:21)
    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
    draft Free text
    prsb03-dataelement-13461
    Id prsb03-dataelement-13461 (2020‑09‑02 12:34:21)
    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
    draft Consent for treatment record
    prsb03-dataelement-13574
    Id prsb03-dataelement-13574 (2020‑09‑07 16:40:51)
    Description Whether consent has been obtained for the treatment. May include where record of consent is located or record of consent. A statement about the patient's consent for treatment.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Location of document
    prsb03-dataelement-13777
    Id prsb03-dataelement-13777 (2020‑10‑16 16:32:46)
    Description The location of the consent for treatment record.
    Relationship
    Operationalization Free text or URL
    Value Domain
    Property
    max length
    150
    folder draft Performing professional
    prsb03-dataelement-13462
    link
    Id prsb03-dataelement-13462 (2020‑09‑02 12:35:54)
    Description The professional who took the consent for treatment.
    Relationship
    draft Name
    prsb03-dataelement-13463
    Id prsb03-dataelement-13463 (2020‑09‑02 12:38:25)
    Concept inherits from draft prsb03-dataelement-11735 (2019‑05‑31 13:23:55)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by 0 transactions, 0 templates, inherited 2 times
     
    draft Role
    prsb03-dataelement-13464
    Id prsb03-dataelement-13464 (2020‑09‑02 12:38:25)
    Concept inherits from draft prsb03-dataelement-11736 (2019‑05‑31 13:23:55)
    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 0 transactions, 0 templates, inherited 2 times
     
    draft Grade
    prsb03-dataelement-13465
    Id prsb03-dataelement-13465 (2020‑09‑02 12:38:25)
    Concept inherits from draft prsb03-dataelement-11737 (2019‑05‑31 13:23:55)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by 0 transactions, 0 templates, inherited 2 times
     
    draft Speciality
    prsb03-dataelement-13466
    Id prsb03-dataelement-13466 (2020‑09‑02 12:38:25)
    Concept inherits from draft prsb03-dataelement-11738 (2019‑05‑31 13:23:55)
    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 0 transactions, 0 templates, inherited 2 times
     
    draft Professional identifier
    prsb03-dataelement-13467
    Id prsb03-dataelement-13467 (2020‑09‑02 12:38:25)
    Concept inherits from draft prsb03-dataelement-11739 (2019‑05‑31 13:23:55)
    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 0 transactions, 0 templates, inherited 2 times
     
    folder draft Organisation
    prsb03-dataelement-13468
    Id prsb03-dataelement-13468 (2020‑09‑02 12:38:25)
    Concept inherits from draft prsb03-dataelement-11740 (2019‑05‑31 13:23:55)
    Description The name of the organisation the professional works for.
    target Used by 0 transactions, 0 templates, inherited 2 times
     
    draft Contact details
    prsb03-dataelement-13469
    Id prsb03-dataelement-13469 (2020‑09‑02 12:38:25)
    Concept inherits from draft prsb03-dataelement-11741 (2019‑05‑31 13:23:55)
    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 0 transactions, 0 templates, inherited 2 times
     
    folder draft Person completing record
    prsb03-dataelement-13470
    link
    Id prsb03-dataelement-13470 (2020‑09‑02 12:40:15)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    draft Name
    prsb03-dataelement-13471
    Id prsb03-dataelement-13471 (2020‑09‑02 12:41:04)
    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
    draft Role
    prsb03-dataelement-13472
    Id prsb03-dataelement-13472 (2020‑09‑02 12:41:04)
    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
    draft Grade
    prsb03-dataelement-13473
    Id prsb03-dataelement-13473 (2020‑09‑02 12:41:04)
    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
    draft Specialty
    prsb03-dataelement-13474
    Id prsb03-dataelement-13474 (2020‑09‑02 12:41:04)
    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
    folder draft Organisation
    prsb03-dataelement-13475
    Id prsb03-dataelement-13475 (2020‑09‑02 12:41:04)
    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
    draft Professional identifier
    prsb03-dataelement-13476
    Id prsb03-dataelement-13476 (2020‑09‑02 12:41:04)
    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
    draft Date completed
    prsb03-dataelement-13477
    Id prsb03-dataelement-13477 (2020‑09‑02 12:41:04)
    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
    draft Contact details
    prsb03-dataelement-13478
    Id prsb03-dataelement-13478 (2020‑09‑02 12:41:04)
    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
    cancelled Location
    prsb03-dataelement-13458
    Id prsb03-dataelement-13458 (2020‑09‑02 12:32:19) 0.1
    Concept inherits from cancelled prsb03-dataelement-10139 (2018‑10‑31)
    Description The location where the procedure was performed.
    Operationalization ODS code or free text
    Value Domain
    folder draft Consent for information sharing
    prsb03-dataelement-10421
    link
    Id prsb03-dataelement-10421 (2018‑10‑31)
    Description Details of the person's consent for information sharing
    draft Date
    prsb03-dataelement-11713
    Id prsb03-dataelement-11713 (2019‑05‑31 13:15:18)
    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
    folder draft Location
    prsb03-dataelement-11714
    link
    Id prsb03-dataelement-11714 (2019‑05‑31 13:15:54)
    Description The location where the consent was taken.
    Relationship
    draft Coded value
    prsb03-dataelement-13451
    Id prsb03-dataelement-13451 (2020‑08‑27 16:51:03)
    Description The coded value for location.
    Operationalization NHS data dictionary : - Organisation data service code
    Value Domain
    Property
    min length max length
    3 5
    draft Free text
    prsb03-dataelement-13452
    Id prsb03-dataelement-13452 (2020‑08‑27 16:52:16)
    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
    draft Consent for information sharing
    prsb03-dataelement-13575
    Id prsb03-dataelement-13575 (2020‑09‑07 16:47:31)
    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
    draft Reason for consent not given
    prsb03-dataelement-13778
    Id prsb03-dataelement-13778 (2020‑10‑16 16:34:53)
    Description Reason not given for consent
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    folder draft Performing professional
    prsb03-dataelement-11715
    link
    Id prsb03-dataelement-11715 (2019‑05‑31 13:16:35)
    Description The professional who took the consent for information sharing
    Relationship
    draft Name
    prsb03-dataelement-11716
    Id prsb03-dataelement-11716 (2019‑05‑31 13:17:18)
    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
    draft Role
    prsb03-dataelement-11717
    Id prsb03-dataelement-11717 (2019‑05‑31 13:17:18)
    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
    draft Grade
    prsb03-dataelement-11718
    Id prsb03-dataelement-11718 (2019‑05‑31 13:17:18)
    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
    draft Speciality
    prsb03-dataelement-11719
    Id prsb03-dataelement-11719 (2019‑05‑31 13:17:18)
    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
    draft Professional identifier
    prsb03-dataelement-11720
    Id prsb03-dataelement-11720 (2019‑05‑31 13:17:18)
    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
    folder draft Organisation
    prsb03-dataelement-11721
    Id prsb03-dataelement-11721 (2019‑05‑31 13:17:18)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    draft Contact details
    prsb03-dataelement-11722
    Id prsb03-dataelement-11722 (2019‑05‑31 13:17:18)
    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
    folder draft Person completing record
    prsb03-dataelement-11723
    link
    Id prsb03-dataelement-11723 (2019‑05‑31 13:17:29)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    draft Name
    prsb03-dataelement-11724
    Id prsb03-dataelement-11724 (2019‑05‑31 13:17:58)
    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
    draft Role
    prsb03-dataelement-11725
    Id prsb03-dataelement-11725 (2019‑05‑31 13:17:58)
    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
    draft Grade
    prsb03-dataelement-11726
    Id prsb03-dataelement-11726 (2019‑05‑31 13:17:58)
    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
    draft Specialty
    prsb03-dataelement-11727
    Id prsb03-dataelement-11727 (2019‑05‑31 13:17:58)
    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
    folder draft Organisation
    prsb03-dataelement-11728
    Id prsb03-dataelement-11728 (2019‑05‑31 13:17:58)
    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
    draft Professional identifier
    prsb03-dataelement-11729
    Id prsb03-dataelement-11729 (2019‑05‑31 13:17:58)
    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
    draft Date completed
    prsb03-dataelement-11730
    Id prsb03-dataelement-11730 (2019‑05‑31 13:17:58)
    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
    draft Contact details
    prsb03-dataelement-11731
    Id prsb03-dataelement-11731 (2019‑05‑31 13:17:58)
    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
    folder draft Consent relating to child
    prsb03-dataelement-10422
    link
    Id prsb03-dataelement-10422 (2018‑10‑31)
    Description Details of the person's consent relating to child
    draft Date
    prsb03-dataelement-11732
    Id prsb03-dataelement-11732 (2019‑05‑31 13:21:58)
    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
    folder draft Location
    prsb03-dataelement-11733
    link
    Id prsb03-dataelement-11733 (2019‑05‑31 13:22:27)
    Description The location where the person with responsibility for the child was identified.
    Relationship
    draft Coded value
    prsb03-dataelement-13674
    Id prsb03-dataelement-13674 (2020‑09‑08 23:44:15)
    Description The coded value for location
    Operationalization NHS data dictionary : - Organisation data service
    Value Domain
    Property
    min length max length
    3 5
    draft Free text
    prsb03-dataelement-13675
    Id prsb03-dataelement-13675 (2020‑09‑08 23:45:35)
    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
    draft Consent relating to child
    prsb03-dataelement-13576
    Id prsb03-dataelement-13576 (2020‑09‑07 16:50:40)
    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
    folder draft Performing professional
    prsb03-dataelement-11734
    link
    Id prsb03-dataelement-11734 (2019‑05‑31 13:23:06)
    Description The professional who identified the person responsible for the child.
    Relationship
    draft Name
    prsb03-dataelement-11735
    Id prsb03-dataelement-11735 (2019‑05‑31 13:23:55)
    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 0 transactions, 0 templates, inherited once
     
    draft Role
    prsb03-dataelement-11736
    Id prsb03-dataelement-11736 (2019‑05‑31 13:23:55)
    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 0 transactions, 0 templates, inherited once
     
    draft Grade
    prsb03-dataelement-11737
    Id prsb03-dataelement-11737 (2019‑05‑31 13:23:55)
    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 0 transactions, 0 templates, inherited once
     
    draft Speciality
    prsb03-dataelement-11738
    Id prsb03-dataelement-11738 (2019‑05‑31 13:23:55)
    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 0 transactions, 0 templates, inherited once
     
    draft Professional identifier
    prsb03-dataelement-11739
    Id prsb03-dataelement-11739 (2019‑05‑31 13:23:55)
    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 0 transactions, 0 templates, inherited once
     
    folder draft Organisation
    prsb03-dataelement-11740
    Id prsb03-dataelement-11740 (2019‑05‑31 13:23:55)
    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 0 transactions, 0 templates, inherited once
     
    draft Contact details
    prsb03-dataelement-11741
    Id prsb03-dataelement-11741 (2019‑05‑31 13:23:55)
    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 0 transactions, 0 templates, inherited once
     
    folder draft Person completing record
    prsb03-dataelement-11742
    link
    Id prsb03-dataelement-11742 (2019‑05‑31 13:23:59)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    draft Name
    prsb03-dataelement-11743
    Id prsb03-dataelement-11743 (2019‑05‑31 13:24:18)
    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
    draft Role
    prsb03-dataelement-11744
    Id prsb03-dataelement-11744 (2019‑05‑31 13:24:18)
    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
    draft Grade
    prsb03-dataelement-11745
    Id prsb03-dataelement-11745 (2019‑05‑31 13:24:18)
    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
    draft Specialty
    prsb03-dataelement-11746
    Id prsb03-dataelement-11746 (2019‑05‑31 13:24:18)
    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
    folder draft Organisation
    prsb03-dataelement-11747
    Id prsb03-dataelement-11747 (2019‑05‑31 13:24:18)
    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
    draft Professional identifier
    prsb03-dataelement-11748
    Id prsb03-dataelement-11748 (2019‑05‑31 13:24:18)
    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
    draft Date completed
    prsb03-dataelement-11749
    Id prsb03-dataelement-11749 (2019‑05‑31 13:24:18)
    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
    draft Contact details
    prsb03-dataelement-11750
    Id prsb03-dataelement-11750 (2019‑05‑31 13:24:18)
    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
    folder draft Mental capacity assessment
    prsb03-dataelement-10424
    link
    Id prsb03-dataelement-10424 (2018‑10‑31)
    Description Details of the persons mental capacity assessment
    target Used by 0 transactions, 0 templates, inherited 2 times
     
    draft Date
    prsb03-dataelement-11688
    Id prsb03-dataelement-11688 (2019‑05‑31 11:50:22)
    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 0 transactions, 0 templates, inherited 3 times
     
    folder draft Location
    prsb03-dataelement-11689
    link
    Id prsb03-dataelement-11689 (2019‑05‑31 11:51:04)
    Description The location where the mental capacity assessment was made.
    target Used by 0 transactions, 0 templates, inherited 3 times
     
    draft Coded value
    prsb03-dataelement-13449
    Id prsb03-dataelement-13449 (2020‑08‑27 16:43:20)
    Description The coded value for location
    Operationalization
    NHS data dictionary : - Organisation code

    Value Domain
    Property
    min length max length
    3 5
    draft Free text
    prsb03-dataelement-13450
    Id 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 0 transactions, 0 templates, inherited 3 times
     
    draft Mental capacity assessment
    prsb03-dataelement-13724
    Id prsb03-dataelement-13724 (2020‑09‑16 11:32:28)
    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
    draft Location of document
    prsb03-dataelement-13779
    Id prsb03-dataelement-13779 (2020‑10‑16 16:40:41)
    Description The location of the mental capacity assessment information.
    Relationship
    Operationalization Free text or URL
    Value Domain
    Property
    max length
    150
    cancelled Mental capacity assessment
    prsb03-dataelement-13090
    Id prsb03-dataelement-13090 (2020‑06‑08 18:04:55) 0.1
    Description Record where a person diagnosed with a mental disorder is formally detained under the Mental Health Act or equivalent, including the section number and start date, start time and end date. If person subject to Community Treatment Order or Conditional Discharge (or equivalent) record here.
    Operationalization NHS data dictionary : - Mental health act legal status classification code
    Value Domain
    Property
    fixed
    2an
    folder draft Performing professional
    prsb03-dataelement-11281
    link
    Id prsb03-dataelement-11281 (2019‑05‑30 11:53:30)
    Description The professional who made the mental capacity assessment.
    target Used by 0 transactions, 0 templates, inherited 3 times
     
    draft Name
    prsb03-dataelement-11282
    Id 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 0 transactions, 0 templates, inherited 61 times
     
    draft Role
    prsb03-dataelement-11283
    Id 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 0 transactions, 0 templates, inherited 60 times
     
    draft Grade
    prsb03-dataelement-11288
    Id 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 0 transactions, 0 templates, inherited 61 times
     
    draft Speciality
    prsb03-dataelement-11284
    Id 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 0 transactions, 0 templates, inherited 60 times
     
    draft Professional identifier
    prsb03-dataelement-11285
    Id 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 0 transactions, 0 templates, inherited 61 times
     
    folder draft Organisation
    prsb03-dataelement-11286
    link
    Id prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by 0 transactions, 0 templates, inherited 61 times
     
    draft Coded value
    prsb03-dataelement-13521
    Id prsb03-dataelement-13521 (2020‑09‑04 13:43:41)
    Description The coded value for location
    Rationale Practitioner.PractitionerRole.organisation.Name
    Operationalization NHS data dictionary: - Organisation data service
    Value Domain
    Property
    min length max length
    3 7
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Free text
    prsb03-dataelement-13522
    Id prsb03-dataelement-13522 (2020‑09‑04 13:45:47)
    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 0 transactions, 0 templates, inherited once
     
    draft Contact details
    prsb03-dataelement-11287
    Id 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 0 transactions, 0 templates, inherited 61 times
     
    folder draft Person completing record
    prsb03-dataelement-11289
    link
    Id prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by 0 transactions, 0 templates, inherited 68 times
     
    draft Name
    prsb03-dataelement-11290
    Id 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 0 transactions, 0 templates, inherited 70 times
     
    draft Role
    prsb03-dataelement-11291
    Id 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 0 transactions, 0 templates, inherited 70 times
     
    draft Grade
    prsb03-dataelement-11292
    Id 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 0 transactions, 0 templates, inherited 70 times
     
    draft Specialty
    prsb03-dataelement-11293
    Id 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 0 transactions, 0 templates, inherited 70 times
     
    folder draft Organisation
    prsb03-dataelement-11294
    link
    Id 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 0 transactions, 0 templates, inherited 70 times
     
    draft Coded value
    prsb03-dataelement-13523
    Id prsb03-dataelement-13523 (2020‑09‑04 13:52:48)
    Description The coded value for location
    Rationale Composition.author.Practitioner.PractitionerRole.organisation.Name
    Operationalization NHS data dictionary : - Organisation data service
    Value Domain
    Property
    min length max length
    3 7
    target Used by 0 transactions, 0 templates, inherited 2 times
     
    draft Free text
    prsb03-dataelement-13524
    Id prsb03-dataelement-13524 (2020‑09‑04 13:54:04)
    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 0 transactions, 0 templates, inherited 2 times
     
    draft Professional identifier
    prsb03-dataelement-11295
    Id 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 0 transactions, 0 templates, inherited 70 times
     
    draft Date completed
    prsb03-dataelement-11296
    Id 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 0 transactions, 0 templates, inherited 70 times
     
    draft Contact details
    prsb03-dataelement-11297
    Id 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 0 transactions, 0 templates, inherited 70 times
     
    folder draft Lasting power of attorney for health and welfare or court-appointed deputy (or equivalent)
    prsb03-dataelement-10425
    link
    Id prsb03-dataelement-10425 (2018‑10‑31)
    Description Details of the person's LPA record or equivalent
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Date
    prsb03-dataelement-13630
    Id prsb03-dataelement-13630 (2020‑09‑08 20:03:11)
    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
    folder draft Location
    prsb03-dataelement-13631
    link
    Id prsb03-dataelement-13631 (2020‑09‑08 20:04:28)
    Description The location where the LPA was given
    Relationship
    draft Coded value
    prsb03-dataelement-13632
    Id prsb03-dataelement-13632 (2020‑09‑08 20:05:20)
    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
    draft Free text
    prsb03-dataelement-13633
    Id prsb03-dataelement-13633 (2020‑09‑08 20:05:20)
    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
    folder draft Lasting power of attorney for health and welfare or court appointed deputy (or equivalent)
    prsb03-dataelement-13634
    link
    Id prsb03-dataelement-13634 (2020‑09‑08 20:05:47)
    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.
    draft Coded value
    prsb03-dataelement-13636
    Id prsb03-dataelement-13636 (2020‑09‑08 20:10:08)
    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
    draft Location of document
    prsb03-dataelement-13776
    Id prsb03-dataelement-13776 (2020‑10‑12 13:50:45)
    Description The location of the LPA information
    Operationalization Free text or URL
    Value Domain
    Property
    max length
    150
    draft Name of LPA
    prsb03-dataelement-13635
    Id prsb03-dataelement-13635 (2020‑09‑08 20:08:39)
    Description The names of any appointed people or deputies
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Contact details
    prsb03-dataelement-13637
    Id prsb03-dataelement-13637 (2020‑09‑08 20:11:29)
    Description The contact details of the LPA
    Operationalization NHS data dictionary:- UK telephone number
    Value Domain
    Property
    max length
    35
    folder draft Performing professional
    prsb03-dataelement-13638
    link
    Id prsb03-dataelement-13638 (2020‑09‑08 20:13:16)
    Description The professional who took the details of the LPA or equivalent
    Relationship
    draft Name
    prsb03-dataelement-13639
    Id prsb03-dataelement-13639 (2020‑09‑08 20:13:55)
    Concept inherits from draft prsb03-dataelement-13463 (2020‑09‑02 12:38:25)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    draft Role
    prsb03-dataelement-13640
    Id prsb03-dataelement-13640 (2020‑09‑08 20:13:55)
    Concept inherits from draft prsb03-dataelement-13464 (2020‑09‑02 12:38:25)
    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
    draft Grade
    prsb03-dataelement-13641
    Id prsb03-dataelement-13641 (2020‑09‑08 20:13:55)
    Concept inherits from draft prsb03-dataelement-13465 (2020‑09‑02 12:38:25)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Speciality
    prsb03-dataelement-13642
    Id prsb03-dataelement-13642 (2020‑09‑08 20:13:55)
    Concept inherits from draft prsb03-dataelement-13466 (2020‑09‑02 12:38:25)
    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
    draft Professional identifier
    prsb03-dataelement-13643
    Id prsb03-dataelement-13643 (2020‑09‑08 20:13:55)
    Concept inherits from draft prsb03-dataelement-13467 (2020‑09‑02 12:38:25)
    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
    folder draft Organisation
    prsb03-dataelement-13644
    Id prsb03-dataelement-13644 (2020‑09‑08 20:13:55)
    Concept inherits from draft prsb03-dataelement-13468 (2020‑09‑02 12:38:25)
    Description The name of the organisation the professional works for.
    draft Contact details
    prsb03-dataelement-13645
    Id prsb03-dataelement-13645 (2020‑09‑08 20:13:55)
    Concept inherits from draft prsb03-dataelement-13469 (2020‑09‑02 12:38:25)
    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
    folder draft Person completing record
    prsb03-dataelement-13646
    link
    Id prsb03-dataelement-13646 (2020‑09‑08 20:14:17)
    Description Details of the person who took the LPA.
    Relationship
    draft Name
    prsb03-dataelement-13647
    Id prsb03-dataelement-13647 (2020‑09‑08 20:14:49)
    Concept inherits from draft prsb03-dataelement-13493 (2020‑09‑02 17:10:59)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    draft Role
    prsb03-dataelement-13648
    Id prsb03-dataelement-13648 (2020‑09‑08 20:14:49)
    Concept inherits from draft prsb03-dataelement-13494 (2020‑09‑02 17:10:59)
    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
    draft Grade
    prsb03-dataelement-13649
    Id prsb03-dataelement-13649 (2020‑09‑08 20:14:49)
    Concept inherits from draft prsb03-dataelement-13495 (2020‑09‑02 17:10:59)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    draft Specialty
    prsb03-dataelement-13650
    Id prsb03-dataelement-13650 (2020‑09‑08 20:14:49)
    Concept inherits from draft prsb03-dataelement-13496 (2020‑09‑02 17:10:59)
    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
    folder draft Organisation
    prsb03-dataelement-13651
    Id prsb03-dataelement-13651 (2020‑09‑08 20:14:49)
    Concept inherits from draft prsb03-dataelement-13497 (2020‑09‑02 17:10:59)
    Description The organisation the person completing the record works for.
    Relationship
    Operationalization NHS data dictionary : - Organisation data service
    draft Professional identifier
    prsb03-dataelement-13652
    Id prsb03-dataelement-13652 (2020‑09‑08 20:14:49)
    Concept inherits from draft prsb03-dataelement-13498 (2020‑09‑02 17:10:59)
    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
    draft Date completed
    prsb03-dataelement-13653
    Id prsb03-dataelement-13653 (2020‑09‑08 20:14:49)
    Concept inherits from draft prsb03-dataelement-13499 (2020‑09‑02 17:10:59)
    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
    draft Contact details
    prsb03-dataelement-13654
    Id prsb03-dataelement-13654 (2020‑09‑08 20:14:49)
    Concept inherits from draft prsb03-dataelement-13500 (2020‑09‑02 17:10:59)
    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
    folder draft Deprivation of Liberty Safeguards or equivalent
    prsb03-dataelement-10426
    link
    Id prsb03-dataelement-10426 (2018‑10‑31)
    Description Details of the person's Deprivation of Liberty Safeguards (DoLS) or equivalent
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Application date
    prsb03-dataelement-13068
    Id prsb03-dataelement-13068 (2020‑05‑21 18:04:27)
    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
    draft Application status
    prsb03-dataelement-13069
    Id prsb03-dataelement-13069 (2020‑05‑21 18:05:36)
    Description The status of the DOLs application.
    Operationalization Free text : - Requested or authorised
    Value Domain
    Property
    max length
    10
    Example Requested
    Example Authorised
    draft Deprivation of liberty safeguards or equivalent
    prsb03-dataelement-13626
    Id prsb03-dataelement-13626 (2020‑09‑08 19:49:07)
    Description Record of Deprivation of Liberty Safeguards (DoLS) or equivalent, including the reason for this.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Start date of authorisation
    prsb03-dataelement-13071
    Id prsb03-dataelement-13071 (2020‑05‑21 18:16:32)
    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
    draft Planned or actual end date of authorisation
    prsb03-dataelement-13072
    Id prsb03-dataelement-13072 (2020‑05‑21 18:18:19)
    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
    folder draft Performing professional
    prsb03-dataelement-13073
    link
    Id prsb03-dataelement-13073 (2020‑05‑21 18:20:41)
    Description The professional who applied for the DOLs.
    Relationship
    draft Name
    prsb03-dataelement-13074
    Id prsb03-dataelement-13074 (2020‑05‑21 18:21:29)
    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
    draft Role
    prsb03-dataelement-13075
    Id prsb03-dataelement-13075 (2020‑05‑21 18:21:29)
    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
    draft Grade
    prsb03-dataelement-13076
    Id prsb03-dataelement-13076 (2020‑05‑21 18:21:29)
    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
    draft Speciality
    prsb03-dataelement-13077
    Id prsb03-dataelement-13077 (2020‑05‑21 18:21:29)
    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
    draft Professional identifier
    prsb03-dataelement-13078
    Id prsb03-dataelement-13078 (2020‑05‑21 18:21:29)
    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
    folder draft Organisation
    prsb03-dataelement-13079
    Id prsb03-dataelement-13079 (2020‑05‑21 18:21:29)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    draft Contact details
    prsb03-dataelement-13080
    Id prsb03-dataelement-13080 (2020‑05‑21 18:21:29)
    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
    cancelled Performing professional
    prsb03-dataelement-13070
    Id prsb03-dataelement-13070 (2020‑05‑21 18:09:04)
    Description Details of the professional applying for the DOLs.
    Relationship
    Value Domain
    cancelled Date
    prsb03-dataelement-11690
    Id prsb03-dataelement-11690 (2019‑05‑31 12:45:04)
    Description The date when the deprivation of liberty safeguard decision was made.
    Relationship
    Value Domain
    Property
    Timestamp precision
    at least day, month and year
    cancelled Location
    prsb03-dataelement-11691
    Id prsb03-dataelement-11691 (2019‑05‑31 12:47:02)
    Description The location where the deprivation of liberty safeguard decision was made.
    Relationship
    Value Domain
    folder cancelled Performing professional
    prsb03-dataelement-11298
    link
    Id prsb03-dataelement-11298 (2019‑05‑30 12:50:51)
    Description The professional who made the deprivation of liberty safeguard decision.
    Relationship
    cancelled Name
    prsb03-dataelement-11299
    Id prsb03-dataelement-11299 (2019‑05‑30 12:51:19)
    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
    cancelled Role
    prsb03-dataelement-11300
    Id prsb03-dataelement-11300 (2019‑05‑30 12:51:19)
    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
    cancelled Grade
    prsb03-dataelement-11301
    Id prsb03-dataelement-11301 (2019‑05‑30 12:51:19)
    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
    cancelled Speciality
    prsb03-dataelement-11302
    Id prsb03-dataelement-11302 (2019‑05‑30 12:51:19)
    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
    cancelled Professional identifier
    prsb03-dataelement-11303
    Id prsb03-dataelement-11303 (2019‑05‑30 12:51:19)
    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
    folder cancelled Organisation
    prsb03-dataelement-11304
    Id prsb03-dataelement-11304 (2019‑05‑30 12:51:19)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    cancelled Contact details
    prsb03-dataelement-11305
    Id prsb03-dataelement-11305 (2019‑05‑30 12:51:19)
    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
    folder cancelled Person completing record
    prsb03-dataelement-11306
    link
    Id prsb03-dataelement-11306 (2019‑05‑30 12:51:31)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    cancelled Name
    prsb03-dataelement-11307
    Id prsb03-dataelement-11307 (2019‑05‑30 12:52:15)
    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
    cancelled Role
    prsb03-dataelement-11308
    Id prsb03-dataelement-11308 (2019‑05‑30 12:52:15)
    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
    cancelled Grade
    prsb03-dataelement-11309
    Id prsb03-dataelement-11309 (2019‑05‑30 12:52:15)
    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
    cancelled Specialty
    prsb03-dataelement-11310
    Id prsb03-dataelement-11310 (2019‑05‑30 12:52:15)
    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
    folder cancelled Organisation
    prsb03-dataelement-11311
    Id prsb03-dataelement-11311 (2019‑05‑30 12:52:15)
    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
    cancelled Professional identifier
    prsb03-dataelement-11312
    Id prsb03-dataelement-11312 (2019‑05‑30 12:52:15)
    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
    cancelled Date completed
    prsb03-dataelement-11313
    Id prsb03-dataelement-11313 (2019‑05‑30 12:52:15)
    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
    cancelled Contact details
    prsb03-dataelement-11314
    Id prsb03-dataelement-11314 (2019‑05‑30 12:52:15)
    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
    folder draft Mental health act or equivalent status
    prsb03-dataelement-10427
    link
    Id prsb03-dataelement-10427 (2018‑10‑31)
    Description Details of the persons mental health act record
    target Used by 0 transactions, 0 templates, inherited once
     
    cancelled Mental health act or equivalent status
    prsb03-dataelement-10922
    Id prsb03-dataelement-10922 (2019‑04‑26 14:22:17)
    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.
    Value Domain
    draft Section start date
    prsb03-dataelement-10920
    Id prsb03-dataelement-10920 (2019‑04‑26 14:17:19)
    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
    draft Section end date
    prsb03-dataelement-10921
    Id prsb03-dataelement-10921 (2019‑04‑26 14:19:05)
    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
    folder draft Location
    prsb03-dataelement-11692
    link
    Id prsb03-dataelement-11692 (2019‑05‑31 12:51:56)
    Description The location where the decision to detain the person was made under the mental health act.
    Relationship
    draft Coded value
    prsb03-dataelement-13453
    Id 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 0 transactions, 0 templates, inherited once
     
    draft Free text
    prsb03-dataelement-13454
    Id prsb03-dataelement-13454 (2020‑08‑27 16:56:28)
    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 0 transactions, 0 templates, inherited once
     
    folder draft Mental health act or equivalent status
    prsb03-dataelement-13627
    link
    Id prsb03-dataelement-13627 (2020‑09‑08 19:52:25)
    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.
    draft Coded value
    prsb03-dataelement-13628
    Id prsb03-dataelement-13628 (2020‑09‑08 19:57:06)
    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
    draft Free text
    prsb03-dataelement-13629
    Id prsb03-dataelement-13629 (2020‑09‑08 19:58:49)
    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
    draft Supporting information
    prsb03-dataelement-13755
    Id prsb03-dataelement-13755 (2020‑09‑29 11:48:32)
    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
    folder draft Performing professional
    prsb03-dataelement-11315
    link
    Id prsb03-dataelement-11315 (2019‑05‑30 12:53:22)
    Description The professional who made the decision to detain the person under the mental health act.
    Relationship
    draft Name
    prsb03-dataelement-11316
    Id prsb03-dataelement-11316 (2019‑05‑30 12:53:54)
    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
    draft Role
    prsb03-dataelement-11317
    Id prsb03-dataelement-11317 (2019‑05‑30 12:53:54)
    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
    draft Grade
    prsb03-dataelement-11318
    Id prsb03-dataelement-11318 (2019‑05‑30 12:53:54)
    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
    draft Speciality
    prsb03-dataelement-11319
    Id prsb03-dataelement-11319 (2019‑05‑30 12:53:54)
    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
    draft Professional identifier
    prsb03-dataelement-11320
    Id prsb03-dataelement-11320 (2019‑05‑30 12:53:54)
    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
    folder draft Organisation
    prsb03-dataelement-11321
    Id prsb03-dataelement-11321 (2019‑05‑30 12:53:54)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    draft Contact details
    prsb03-dataelement-11322
    Id prsb03-dataelement-11322 (2019‑05‑30 12:53:54)
    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
    folder draft Person completing record
    prsb03-dataelement-11323
    link
    Id prsb03-dataelement-11323 (2019‑05‑30 12:54:57)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    draft Name
    prsb03-dataelement-11324
    Id prsb03-dataelement-11324 (2019‑05‑30 12:55:19)
    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
    draft Role
    prsb03-dataelement-11325
    Id prsb03-dataelement-11325 (2019‑05‑30 12:55:19)
    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
    draft Grade
    prsb03-dataelement-11326
    Id prsb03-dataelement-11326 (2019‑05‑30 12:55:19)
    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
    draft Specialty
    prsb03-dataelement-11327
    Id prsb03-dataelement-11327 (2019‑05‑30 12:55:19)
    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
    folder draft Organisation
    prsb03-dataelement-11328
    Id prsb03-dataelement-11328 (2019‑05‑30 12:55:19)
    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
    draft Professional identifier
    prsb03-dataelement-11329
    Id prsb03-dataelement-11329 (2019‑05‑30 12:55:19)
    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
    draft Date completed
    prsb03-dataelement-11330
    Id prsb03-dataelement-11330 (2019‑05‑30 12:55:19)
    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
    draft Contact details
    prsb03-dataelement-11331
    Id prsb03-dataelement-11331 (2019‑05‑30 12:55:19)
    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
    folder draft Advance decision to refuse treatment (ADRT)
    prsb03-dataelement-10428
    link
    Id prsb03-dataelement-10428 (2018‑10‑31)
    Description Details of the person's ADRT status.
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Date
    prsb03-dataelement-13479
    Id prsb03-dataelement-13479 (2020‑09‑02 16:59:59)
    Description The date the ADRT was recorded.
    Operationalization Date
    Value Domain
    Property
    Timestamp precision
    at least day, month and year
    folder draft Location
    prsb03-dataelement-13480
    link
    Id prsb03-dataelement-13480 (2020‑09‑02 17:01:08)
    Description The location where the ADRT was recorded.
    draft Coded value
    prsb03-dataelement-13481
    Id prsb03-dataelement-13481 (2020‑09‑02 17:01:48)
    Description The coded value of location
    Operationalization NHS data dictionary : - Organisation data service
    Value Domain
    Property
    min length max length
    3 5
    draft Free text
    prsb03-dataelement-13482
    Id prsb03-dataelement-13482 (2020‑09‑02 17:03:31)
    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
    folder draft Advance decision to refuse treatment
    prsb03-dataelement-13502
    link
    Id prsb03-dataelement-13502 (2020‑09‑02 17:36:30)
    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.
    draft Coded value
    prsb03-dataelement-13503
    Id prsb03-dataelement-13503 (2020‑09‑02 17:46:53)
    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
    draft Free text
    prsb03-dataelement-13504
    Id prsb03-dataelement-13504 (2020‑09‑02 17:48:38)
    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
    cancelled Advance decision to refuse treatment (ADRT)
    prsb03-dataelement-13501
    Id prsb03-dataelement-13501 (2020‑09‑02 17:31:20) 0.1
    Concept inherits from draft prsb03-dataelement-12488 (2019‑10‑04 18:44:06)
    Description A record of whether an advance decision to refuse one or more specific types of future treatment, exists or not.
    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.
    Operationalization
    Yes/ No
    No further information should be sent as anything that is sent must be actionable and therefore must be completely unimpeachable.

    Where the response is yes, use the SNOMED CT concepts from the National Information Standard (SCCI1580) and associated text:

    816301000000100 | Has advance decision to refuse treatment (Mental Capacity Act 2005) (finding)

    816321000000109 | Has advance decision to refuse life sustaining treatment (Mental Capacity Act 2005) (finding)

    820621000000107 | Has involved healthcare professional in discussion about advance decision to refuse treatment (Mental Capacity Act 2005) (finding)
    Value Domain
    folder draft Performing professional
    prsb03-dataelement-13484
    link
    Id prsb03-dataelement-13484 (2020‑09‑02 17:08:08)
    Description The professional who recorded the ADRT
    Relationship
    draft Name
    prsb03-dataelement-13485
    Id prsb03-dataelement-13485 (2020‑09‑02 17:08:45)
    Concept inherits from draft prsb03-dataelement-13463 (2020‑09‑02 12:38:25)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    draft Role
    prsb03-dataelement-13486
    Id prsb03-dataelement-13486 (2020‑09‑02 17:08:45)
    Concept inherits from draft prsb03-dataelement-13464 (2020‑09‑02 12:38:25)
    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
    draft Grade
    prsb03-dataelement-13487
    Id prsb03-dataelement-13487 (2020‑09‑02 17:08:45)
    Concept inherits from draft prsb03-dataelement-13465 (2020‑09‑02 12:38:25)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Speciality
    prsb03-dataelement-13488
    Id prsb03-dataelement-13488 (2020‑09‑02 17:08:45)
    Concept inherits from draft prsb03-dataelement-13466 (2020‑09‑02 12:38:25)
    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
    draft Professional identifier
    prsb03-dataelement-13489
    Id prsb03-dataelement-13489 (2020‑09‑02 17:08:45)
    Concept inherits from draft prsb03-dataelement-13467 (2020‑09‑02 12:38:25)
    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
    folder draft Organisation
    prsb03-dataelement-13490
    Id prsb03-dataelement-13490 (2020‑09‑02 17:08:45)
    Concept inherits from draft prsb03-dataelement-13468 (2020‑09‑02 12:38:25)
    Description The name of the organisation the professional works for.
    draft Contact details
    prsb03-dataelement-13491
    Id prsb03-dataelement-13491 (2020‑09‑02 17:08:45)
    Concept inherits from draft prsb03-dataelement-13469 (2020‑09‑02 12:38:25)
    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
    folder draft Person completing record
    prsb03-dataelement-13492
    link
    Id prsb03-dataelement-13492 (2020‑09‑02 17:10:28)
    Description Details of the person who recorded the ADRT.
    Relationship
    draft Name
    prsb03-dataelement-13493
    Id prsb03-dataelement-13493 (2020‑09‑02 17:10:59)
    Concept inherits from draft prsb03-dataelement-13053 (2020‑04‑28 19:36:38)
    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 0 transactions, 0 templates, inherited once
     
    draft Role
    prsb03-dataelement-13494
    Id prsb03-dataelement-13494 (2020‑09‑02 17:10:59)
    Concept inherits from draft prsb03-dataelement-13054 (2020‑04‑28 19:36:38)
    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 0 transactions, 0 templates, inherited once
     
    draft Grade
    prsb03-dataelement-13495
    Id prsb03-dataelement-13495 (2020‑09‑02 17:10:59)
    Concept inherits from draft prsb03-dataelement-13055 (2020‑04‑28 19:36:38)
    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 0 transactions, 0 templates, inherited once
     
    draft Specialty
    prsb03-dataelement-13496
    Id prsb03-dataelement-13496 (2020‑09‑02 17:10:59)
    Concept inherits from draft prsb03-dataelement-13056 (2020‑04‑28 19:36:38)
    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 0 transactions, 0 templates, inherited once
     
    folder draft Organisation
    prsb03-dataelement-13497
    Id prsb03-dataelement-13497 (2020‑09‑02 17:10:59)
    Concept inherits from draft prsb03-dataelement-13057 (2020‑04‑28 19:36:38)
    Description The organisation the person completing the record works for.
    Relationship
    Operationalization NHS data dictionary : - Organisation data service
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Professional identifier
    prsb03-dataelement-13498
    Id prsb03-dataelement-13498 (2020‑09‑02 17:10:59)
    Concept inherits from draft prsb03-dataelement-13058 (2020‑04‑28 19:36:38)
    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 0 transactions, 0 templates, inherited once
     
    draft Date completed
    prsb03-dataelement-13499
    Id prsb03-dataelement-13499 (2020‑09‑02 17:10:59)
    Concept inherits from draft prsb03-dataelement-13059 (2020‑04‑28 19:36:38)
    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 0 transactions, 0 templates, inherited once
     
    draft Contact details
    prsb03-dataelement-13500
    Id prsb03-dataelement-13500 (2020‑09‑02 17:10:59)
    Concept inherits from draft prsb03-dataelement-13060 (2020‑04‑28 19:36:38)
    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 0 transactions, 0 templates, inherited once
     
    cancelled Performing Professional
    prsb03-dataelement-13483
    Id prsb03-dataelement-13483 (2020‑09‑02 17:04:45) 0.1
    Concept inherits from cancelled prsb03-dataelement-10460 (2018‑10‑31)
    Description Details of the professional performing the examination (including name and role).
    Operationalization Free text
    Value Domain
    cancelled Date
    prsb03-dataelement-11693
    Id prsb03-dataelement-11693 (2019‑05‑31 12:53:37)
    Concept inherits from draft prsb03-dataelement-11688 (2019‑05‑31 11:50:22)
    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
    folder cancelled Location
    prsb03-dataelement-11694
    Id prsb03-dataelement-11694 (2019‑05‑31 12:54:52)
    Concept inherits from draft prsb03-dataelement-11689 (2019‑05‑31 11:51:04)
    Description The location where the mental capacity assessment was made.
    folder cancelled Performing professional
    prsb03-dataelement-11332
    link
    Id prsb03-dataelement-11332 (2019‑05‑30 12:56:57)
    Concept inherits from draft prsb03-dataelement-11281 (2019‑05‑30 11:53:30)
    Description The professional who made the mental capacity assessment.
    cancelled Name
    prsb03-dataelement-11333
    Id prsb03-dataelement-11333 (2019‑05‑30 12:57:23)
    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
    cancelled Role
    prsb03-dataelement-11334
    Id prsb03-dataelement-11334 (2019‑05‑30 12:57:23)
    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
    cancelled Grade
    prsb03-dataelement-11335
    Id prsb03-dataelement-11335 (2019‑05‑30 12:57:23)
    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
    cancelled Speciality
    prsb03-dataelement-11336
    Id prsb03-dataelement-11336 (2019‑05‑30 12:57:23)
    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
    cancelled Professional identifier
    prsb03-dataelement-11337
    Id prsb03-dataelement-11337 (2019‑05‑30 12:57:23)
    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
    folder cancelled Organisation
    prsb03-dataelement-11338
    Id prsb03-dataelement-11338 (2019‑05‑30 12:57:23)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    cancelled Contact details
    prsb03-dataelement-11339
    Id prsb03-dataelement-11339 (2019‑05‑30 12:57:23)
    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
    folder cancelled Person completing record
    prsb03-dataelement-11340
    link
    Id prsb03-dataelement-11340 (2019‑05‑30 12:57:49)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    cancelled Name
    prsb03-dataelement-11341
    Id prsb03-dataelement-11341 (2019‑05‑30 12:58:08)
    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
    cancelled Role
    prsb03-dataelement-11342
    Id prsb03-dataelement-11342 (2019‑05‑30 12:58:08)
    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
    cancelled Grade
    prsb03-dataelement-11343
    Id prsb03-dataelement-11343 (2019‑05‑30 12:58:08)
    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
    cancelled Specialty
    prsb03-dataelement-11344
    Id prsb03-dataelement-11344 (2019‑05‑30 12:58:08)
    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
    folder cancelled Organisation
    prsb03-dataelement-11345
    Id prsb03-dataelement-11345 (2019‑05‑30 12:58:08)
    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
    cancelled Professional identifier
    prsb03-dataelement-11346
    Id prsb03-dataelement-11346 (2019‑05‑30 12:58:08)
    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
    cancelled Date completed
    prsb03-dataelement-11347
    Id prsb03-dataelement-11347 (2019‑05‑30 12:58:08)
    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
    cancelled Contact details
    prsb03-dataelement-11348
    Id prsb03-dataelement-11348 (2019‑05‑30 12:58:08)
    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
    draft Advance decision to refuse treatment (ADRT)
    prsb03-dataelement-12488
    Id prsb03-dataelement-12488 (2019‑10‑04 18:44:06)
    Description A record of whether an advance decision to refuse one or more specific types of future treatment, exists or not.
    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.
    Operationalization
    Yes/ No
    No further information should be sent as anything that is sent must be actionable and therefore must be completely unimpeachable.

    Where the response is yes, use the SNOMED CT concepts from the National Information Standard (SCCI1580) and associated text:

    816301000000100 | Has advance decision to refuse treatment (Mental Capacity Act 2005) (finding)

    816321000000109 | Has advance decision to refuse life sustaining treatment (Mental Capacity Act 2005) (finding)

    820621000000107 | Has involved healthcare professional in discussion about advance decision to refuse treatment (Mental Capacity Act 2005) (finding)
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Safeguarding issues
    prsb03-dataelement-10429
    Id prsb03-dataelement-10429 (2018‑10‑31)
    Description Any legal matters relating to safeguarding of a vulnerable child or adult, e.g., child protection plan, protection of vulnerable adult.
    Operationalization Information obtained locally, Free Text.
    Value Domain
    draft Parental responsibility
    prsb03-dataelement-10423
    Id prsb03-dataelement-10423 (2018‑10‑31)
    Description For children this is a record of person(s) with parental responsibility
    Operationalization This is a record of the name as volunteered by the parents or recorded on local systems. The contact information for these individuals should be included under the relevant contacts heading.
    Value Domain
    draft Consent for creation of end of life care plan
    prsb03-dataelement-10431
    Id prsb03-dataelement-10431 (2018‑10‑31)
    Description Separate explicit consent is required for creation of an end of life care record. This records how this consent has been granted in order to differentiate between person’s explicit consent, best interest decision, Lasting Power of Attorney decision and withdrawal of consent.
    Operationalization End of life care plan use case only. This is a record of consent to create an end of life care plan.
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    folder cancelled Legal information record entry
    prsb03-dataelement-12381
    link
    Id prsb03-dataelement-12381 (2019‑06‑03 12:32:21) 0.1
    Description This is the legal information 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
    cancelled Looked after child
    prsb03-dataelement-10432
    Id prsb03-dataelement-10432 (2018‑10‑31) 0.1
    Description The details of whether the child is a 'Looked after child'
    Value Domain
    cancelled Child Protection Plan
    prsb03-dataelement-10433
    Id prsb03-dataelement-10433 (2018‑10‑31) 0.1
    Description The details of the Childs Protection Plan
    Value Domain
    cancelled Local Authority
    prsb03-dataelement-10434
    Id prsb03-dataelement-10434 (2018‑10‑31) 0.1
    Description The named local authority.
    Value Domain
    folder draft Safeguarding
    prsb03-dataelement-271
    link
    Id prsb03-dataelement-271 (2018‑10‑31)
    Description The safeguarding details of the person.
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Safeguarding concerns
    prsb03-dataelement-10821
    link
    Id prsb03-dataelement-10821 (2019‑03‑21 12:14:49)
    Description Details of safeguarding concerns
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Safeguarding indicator
    prsb03-dataelement-13428
    Id prsb03-dataelement-13428 (2020‑08‑12 15:01:11) 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 one transaction, 0 templates, inherited 0 times
     
    draft Safeguarding concerns date
    prsb03-dataelement-10172
    Id prsb03-dataelement-10172 (2018‑10‑31)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Safeguarding concerns end date
    prsb03-dataelement-10766
    Id prsb03-dataelement-10766 (2019‑03‑18 17:51:29)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-10173
    link
    Id prsb03-dataelement-10173 (2018‑10‑31)
    Description The location where the safeguarding concerns were identified.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13437
    Id prsb03-dataelement-13437 (2020‑08‑14 15:30:27)
    Description The coded value of location
    Operationalization NHS data dictionary : - Organisation code

    Value Domain
    Property
    min length max length
    3 9
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13438
    Id prsb03-dataelement-13438 (2020‑08‑14 15:32:13)
    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
     
    cancelled Performing professional
    prsb03-dataelement-10969
    Id prsb03-dataelement-10969 (2019‑05‑22 14:39:23)
    Description Details of the professional identifying the safeguarding concerns.
    Relationship
    Value Domain
    cancelled Person completing record
    prsb03-dataelement-10963
    Id prsb03-dataelement-10963 (2019‑05‑20 15:53:16)
    Description This is the person recording the safeguarding concerns.

    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    cancelled Performing Professional
    prsb03-dataelement-10174
    Id prsb03-dataelement-10174 (2018‑10‑31)
    Description Details of the professional recording the safeguarding details (including name and role)
    Value Domain
    folder draft Safeguarding concerns
    prsb03-dataelement-10171
    link
    Id prsb03-dataelement-10171 (2018‑10‑31)
    Description Identified safeguarding concerns.

    Properties

    FHIR Composition.text
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13756
    Id prsb03-dataelement-13756 (2020‑09‑29 12:22:26)
    Description The coded value for safeguarding concerns
    Operationalization SNOMED CT : - ^999002381000000108 | Safeguarding issues simple reference set (foundation metadata concept) |
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13757
    Id prsb03-dataelement-13757 (2020‑09‑29 12:23:18)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11358
    link
    Id prsb03-dataelement-11358 (2019‑05‑30 13:51:50)
    Description The professional who identified the safeguarding concerns.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11359
    Id prsb03-dataelement-11359 (2019‑05‑30 13:52:16)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11360
    Id prsb03-dataelement-11360 (2019‑05‑30 13:52:16)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11361
    Id prsb03-dataelement-11361 (2019‑05‑30 13:52:16)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11362
    Id prsb03-dataelement-11362 (2019‑05‑30 13:52:16)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11363
    Id prsb03-dataelement-11363 (2019‑05‑30 13:52:16)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11364
    Id prsb03-dataelement-11364 (2019‑05‑30 13:52:16)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11365
    Id prsb03-dataelement-11365 (2019‑05‑30 13:52:16)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11366
    link
    Id prsb03-dataelement-11366 (2019‑05‑30 13:53:06)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11367
    Id prsb03-dataelement-11367 (2019‑05‑30 13:53:34)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11368
    Id prsb03-dataelement-11368 (2019‑05‑30 13:53:34)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11369
    Id prsb03-dataelement-11369 (2019‑05‑30 13:53:34)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11370
    Id prsb03-dataelement-11370 (2019‑05‑30 13:53:34)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11371
    Id prsb03-dataelement-11371 (2019‑05‑30 13:53:34)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11372
    Id prsb03-dataelement-11372 (2019‑05‑30 13:53:34)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11373
    Id prsb03-dataelement-11373 (2019‑05‑30 13:53:34)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11374
    Id prsb03-dataelement-11374 (2019‑05‑30 13:53:34)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Comment
    prsb03-dataelement-10175
    Id prsb03-dataelement-10175 (2018‑10‑31)
    Description Further details on safeguarding concerns.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder cancelled Performing professional
    prsb03-dataelement-11148
    link
    Id prsb03-dataelement-11148 (2019‑05‑24 11:51:30)
    Description The professional identifying the safeguarding concern.
    target Used by 0 transactions, 0 templates, inherited 5 times
     
    cancelled Name
    prsb03-dataelement-11149
    Id prsb03-dataelement-11149 (2019‑05‑24 11:51:53)
    Concept inherits from cancelled prsb03-dataelement-11045 (2019‑05‑24 11:18:10)
    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 0 transactions, 0 templates, inherited 5 times
     
    cancelled Role
    prsb03-dataelement-11150
    Id prsb03-dataelement-11150 (2019‑05‑24 11:51:53)
    Concept inherits from cancelled prsb03-dataelement-11046 (2019‑05‑24 11:18:10)
    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 0 transactions, 0 templates, inherited 5 times
     
    cancelled Speciality
    prsb03-dataelement-11151
    Id prsb03-dataelement-11151 (2019‑05‑24 11:51:53)
    Concept inherits from cancelled prsb03-dataelement-11047 (2019‑05‑24 11:18:10)
    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 0 transactions, 0 templates, inherited 5 times
     
    cancelled Team
    prsb03-dataelement-11152
    Id prsb03-dataelement-11152 (2019‑05‑24 11:51:53)
    Concept inherits from cancelled prsb03-dataelement-11048 (2019‑05‑24 11:18:10)
    Description The name of the team.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    target Used by 0 transactions, 0 templates, inherited 5 times
     
    folder cancelled Organisation
    prsb03-dataelement-11153
    Id prsb03-dataelement-11153 (2019‑05‑24 11:51:53)
    Concept inherits from cancelled prsb03-dataelement-11049 (2019‑05‑24 11:18:10)
    Description The name of the organisation.
    target Used by 0 transactions, 0 templates, inherited 5 times
     
    cancelled Contact details
    prsb03-dataelement-11154
    Id prsb03-dataelement-11154 (2019‑05‑24 11:51:53)
    Concept inherits from cancelled prsb03-dataelement-11050 (2019‑05‑24 11:18:10)
    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 0 transactions, 0 templates, inherited 5 times
     
    cancelled Professional identifier
    prsb03-dataelement-11167
    Id prsb03-dataelement-11167 (2019‑05‑28 17:18:30)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    target Used by 0 transactions, 0 templates, inherited 5 times
     
    cancelled Start date
    prsb03-dataelement-11155
    Id prsb03-dataelement-11155 (2019‑05‑24 11:51:53)
    Concept inherits from cancelled prsb03-dataelement-11051 (2019‑05‑24 11:18:10)
    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 0 transactions, 0 templates, inherited 5 times
     
    cancelled End date
    prsb03-dataelement-11156
    Id prsb03-dataelement-11156 (2019‑05‑24 11:51:53)
    Concept inherits from cancelled prsb03-dataelement-11052 (2019‑05‑24 11:18:10)
    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 0 transactions, 0 templates, inherited 5 times
     
    folder cancelled Professional contacts record entry
    prsb03-dataelement-11157
    Id prsb03-dataelement-11157 (2019‑05‑24 11:51:53)
    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.
    Relationship
    target Used by 0 transactions, 0 templates, inherited 5 times
     
    folder cancelled Person completing record
    prsb03-dataelement-319
    link
    Id prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    target Used by 0 transactions, 0 templates, inherited 14 times
     
    cancelled Name
    prsb03-dataelement-10219
    Id prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    target Used by 0 transactions, 0 templates, inherited 15 times
     
    cancelled Role
    prsb03-dataelement-10220
    Id prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    target Used by 0 transactions, 0 templates, inherited 15 times
     
    cancelled Grade
    prsb03-dataelement-10221
    Id prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    target Used by 0 transactions, 0 templates, inherited 15 times
     
    cancelled Specialty
    prsb03-dataelement-10222
    Id prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    target Used by 0 transactions, 0 templates, inherited 15 times
     
    cancelled Organisation
    prsb03-dataelement-10226
    Id prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    target Used by 0 transactions, 0 templates, inherited 15 times
     
    cancelled Professional identifier
    prsb03-dataelement-10223
    Id prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    target Used by 0 transactions, 0 templates, inherited 16 times
     
    cancelled Date completed
    prsb03-dataelement-10224
    Id prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    target Used by 0 transactions, 0 templates, inherited 15 times
     
    cancelled Contact details
    prsb03-dataelement-10225
    Id prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    target Used by 0 transactions, 0 templates, inherited 15 times
     
    folder draft Looked after child
    prsb03-dataelement-10797
    link
    Id prsb03-dataelement-10797 (2019‑03‑20 13:08:45)
    Description Details of the looked after child
    draft Looked after child start date
    prsb03-dataelement-10746
    Id prsb03-dataelement-10746 (2019‑03‑07 11:47:56)
    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
    draft Looked after child end date
    prsb03-dataelement-10761
    Id prsb03-dataelement-10761 (2019‑03‑08 18:36:16)
    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
    folder draft Local authority
    prsb03-dataelement-10799
    link
    Id prsb03-dataelement-10799 (2019‑03‑20 13:14:32)
    Description The named local authority.
    Relationship
    draft Coded value
    prsb03-dataelement-13614
    Id prsb03-dataelement-13614 (2020‑09‑08 18:19:46)
    Description The coded value for local authority
    Operationalization NHS data dictionary : - Organisation data service
    Value Domain
    Property
    min length max length
    3 5
    draft Free text
    prsb03-dataelement-13615
    Id prsb03-dataelement-13615 (2020‑09‑08 18:21:36)
    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
    folder draft Person completing record
    prsb03-dataelement-11375
    link
    Id prsb03-dataelement-11375 (2019‑05‑30 13:54:10)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    draft Name
    prsb03-dataelement-11376
    Id prsb03-dataelement-11376 (2019‑05‑30 13:54:40)
    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
    draft Role
    prsb03-dataelement-11377
    Id prsb03-dataelement-11377 (2019‑05‑30 13:54:40)
    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
    draft Grade
    prsb03-dataelement-11378
    Id prsb03-dataelement-11378 (2019‑05‑30 13:54:40)
    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
    draft Specialty
    prsb03-dataelement-11379
    Id prsb03-dataelement-11379 (2019‑05‑30 13:54:40)
    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
    folder draft Organisation
    prsb03-dataelement-11380
    Id prsb03-dataelement-11380 (2019‑05‑30 13:54:40)
    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
    draft Professional identifier
    prsb03-dataelement-11381
    Id prsb03-dataelement-11381 (2019‑05‑30 13:54:40)
    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
    draft Date completed
    prsb03-dataelement-11382
    Id prsb03-dataelement-11382 (2019‑05‑30 13:54:40)
    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
    draft Contact details
    prsb03-dataelement-11383
    Id prsb03-dataelement-11383 (2019‑05‑30 13:54:40)
    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
    folder cancelled Person completing record
    prsb03-dataelement-11169
    link
    Id prsb03-dataelement-11169 (2019‑05‑28 17:42:48)
    Concept inherits from cancelled prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    cancelled Name
    prsb03-dataelement-11170
    Id prsb03-dataelement-11170 (2019‑05‑28 17:43:26)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-11171
    Id prsb03-dataelement-11171 (2019‑05‑28 17:43:26)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-11172
    Id prsb03-dataelement-11172 (2019‑05‑28 17:43:26)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11173
    Id prsb03-dataelement-11173 (2019‑05‑28 17:43:26)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11174
    Id prsb03-dataelement-11174 (2019‑05‑28 17:43:26)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11175
    Id prsb03-dataelement-11175 (2019‑05‑28 17:43:26)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11176
    Id prsb03-dataelement-11176 (2019‑05‑28 17:43:26)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11177
    Id prsb03-dataelement-11177 (2019‑05‑28 17:43:26)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    cancelled Person completing record
    prsb03-dataelement-11168
    Id prsb03-dataelement-11168 (2019‑05‑28 17:40:50)
    Concept inherits from cancelled prsb03-dataelement-10963 (2019‑05‑20 15:53:16)
    Description This is the person recording the safeguarding concerns.

    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    folder cancelled Person completing record
    prsb03-dataelement-10996
    link
    Id prsb03-dataelement-10996 (2019‑05‑24 10:55:43)
    Description Person completing record
    Relationship
    cancelled Name
    prsb03-dataelement-10997
    Id prsb03-dataelement-10997 (2019‑05‑24 10:56:48)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-10998
    Id prsb03-dataelement-10998 (2019‑05‑24 10:56:48)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-10999
    Id prsb03-dataelement-10999 (2019‑05‑24 10:56:48)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11000
    Id prsb03-dataelement-11000 (2019‑05‑24 10:56:48)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11001
    Id prsb03-dataelement-11001 (2019‑05‑24 10:56:48)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11002
    Id prsb03-dataelement-11002 (2019‑05‑24 10:56:48)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11003
    Id prsb03-dataelement-11003 (2019‑05‑24 10:56:48)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11004
    Id prsb03-dataelement-11004 (2019‑05‑24 10:56:48)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    cancelled Person completing record
    prsb03-dataelement-10964
    Id prsb03-dataelement-10964 (2019‑05‑20 15:56:51)
    Description This is the person recording the details of the looked after child.

    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    folder draft Child protection plan
    prsb03-dataelement-10798
    link
    Id prsb03-dataelement-10798 (2019‑03‑20 13:12:02)
    Description Details of the child protection plan
    draft Child protection plan start date
    prsb03-dataelement-10747
    Id prsb03-dataelement-10747 (2019‑03‑07 11:48:25)
    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
    draft Child protection plan end date
    prsb03-dataelement-10762
    Id prsb03-dataelement-10762 (2019‑03‑08 18:36:48)
    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
    folder draft Local authority
    prsb03-dataelement-10748
    link
    Id prsb03-dataelement-10748 (2019‑03‑07 11:48:45)
    Description The named local authority.
    Relationship
    draft Coded value
    prsb03-dataelement-13616
    Id prsb03-dataelement-13616 (2020‑09‑08 18:37:54)
    Description The coded value for a local authority
    Operationalization NHS data dictionary : - organisation data service
    Value Domain
    Property
    min length max length
    3 5
    draft Free text
    prsb03-dataelement-13617
    Id prsb03-dataelement-13617 (2020‑09‑08 18:39:19)
    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
    folder draft Person completing record
    prsb03-dataelement-11384
    link
    Id prsb03-dataelement-11384 (2019‑05‑30 13:55:02)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    draft Name
    prsb03-dataelement-11385
    Id prsb03-dataelement-11385 (2019‑05‑30 13:55:35)
    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
    draft Role
    prsb03-dataelement-11386
    Id prsb03-dataelement-11386 (2019‑05‑30 13:55:35)
    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
    draft Grade
    prsb03-dataelement-11387
    Id prsb03-dataelement-11387 (2019‑05‑30 13:55:35)
    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
    draft Specialty
    prsb03-dataelement-11388
    Id prsb03-dataelement-11388 (2019‑05‑30 13:55:35)
    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
    folder draft Organisation
    prsb03-dataelement-11389
    Id prsb03-dataelement-11389 (2019‑05‑30 13:55:35)
    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
    draft Professional identifier
    prsb03-dataelement-11390
    Id prsb03-dataelement-11390 (2019‑05‑30 13:55:35)
    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
    draft Date completed
    prsb03-dataelement-11391
    Id prsb03-dataelement-11391 (2019‑05‑30 13:55:35)
    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
    draft Contact details
    prsb03-dataelement-11392
    Id prsb03-dataelement-11392 (2019‑05‑30 13:55:35)
    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
    folder cancelled Person completing record
    prsb03-dataelement-11005
    link
    Id prsb03-dataelement-11005 (2019‑05‑24 10:57:24)
    Concept inherits from cancelled prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    cancelled Name
    prsb03-dataelement-11006
    Id prsb03-dataelement-11006 (2019‑05‑24 10:57:52)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-11007
    Id prsb03-dataelement-11007 (2019‑05‑24 10:57:52)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-11008
    Id prsb03-dataelement-11008 (2019‑05‑24 10:57:52)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11009
    Id prsb03-dataelement-11009 (2019‑05‑24 10:57:52)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11010
    Id prsb03-dataelement-11010 (2019‑05‑24 10:57:52)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11011
    Id prsb03-dataelement-11011 (2019‑05‑24 10:57:52)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11012
    Id prsb03-dataelement-11012 (2019‑05‑24 10:57:52)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11013
    Id prsb03-dataelement-11013 (2019‑05‑24 10:57:52)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    cancelled Person completing record
    prsb03-dataelement-10965
    Id prsb03-dataelement-10965 (2019‑05‑20 15:58:45)
    Description This is the person recording the details of the child protection plan.

    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    folder draft Unborn child protection plan
    prsb03-dataelement-10923
    link
    Id prsb03-dataelement-10923 (2019‑04‑26 17:54:37)
    Description Details of the unborn child protection plan.
    draft Unborn child protection plan start date
    prsb03-dataelement-10924
    Id prsb03-dataelement-10924 (2019‑04‑26 17:55:45)
    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
    draft Unborn child protection plan end date
    prsb03-dataelement-10925
    Id prsb03-dataelement-10925 (2019‑04‑26 17:56:43)
    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
    folder draft Local authority
    prsb03-dataelement-10926
    link
    Id prsb03-dataelement-10926 (2019‑04‑26 17:58:25)
    Description The named local authority.
    draft Coded value
    prsb03-dataelement-13618
    Id prsb03-dataelement-13618 (2020‑09‑08 18:41:51)
    Description The coded value for local authority
    Operationalization NHS data dictionary: - Organisation data service
    Value Domain
    Property
    min length max length
    3 5
    draft Free text
    prsb03-dataelement-13619
    Id prsb03-dataelement-13619 (2020‑09‑08 18:43:11)
    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
    folder draft Person completing record
    prsb03-dataelement-11393
    link
    Id prsb03-dataelement-11393 (2019‑05‑30 13:56:01)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    draft Name
    prsb03-dataelement-11394
    Id prsb03-dataelement-11394 (2019‑05‑30 13:56:18)
    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
    draft Role
    prsb03-dataelement-11395
    Id prsb03-dataelement-11395 (2019‑05‑30 13:56:18)
    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
    draft Grade
    prsb03-dataelement-11396
    Id prsb03-dataelement-11396 (2019‑05‑30 13:56:18)
    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
    draft Specialty
    prsb03-dataelement-11397
    Id prsb03-dataelement-11397 (2019‑05‑30 13:56:18)
    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
    folder draft Organisation
    prsb03-dataelement-11398
    Id prsb03-dataelement-11398 (2019‑05‑30 13:56:18)
    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
    draft Professional identifier
    prsb03-dataelement-11399
    Id prsb03-dataelement-11399 (2019‑05‑30 13:56:18)
    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
    draft Date completed
    prsb03-dataelement-11400
    Id prsb03-dataelement-11400 (2019‑05‑30 13:56:18)
    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
    draft Contact details
    prsb03-dataelement-11401
    Id prsb03-dataelement-11401 (2019‑05‑30 13:56:18)
    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
    folder cancelled Person completing record
    prsb03-dataelement-11014
    link
    Id prsb03-dataelement-11014 (2019‑05‑24 10:58:35)
    Concept inherits from cancelled prsb03-dataelement-319 (2018‑10‑31)
    Description Details of the person completing the record.
    cancelled Name
    prsb03-dataelement-11015
    Id prsb03-dataelement-11015 (2019‑05‑24 10:58:56)
    Concept inherits from cancelled prsb03-dataelement-10219 (2018‑10‑31)
    Description The name of the person completing the record, preferably in a structured format.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, and suffix).
    Value Domain
    cancelled Role
    prsb03-dataelement-11016
    Id prsb03-dataelement-11016 (2019‑05‑24 10:58:56)
    Concept inherits from cancelled prsb03-dataelement-10220 (2018‑10‑31)
    Description The role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Operationalization The role may be held on the source system, be from an authoritative source such as SDS, or use an existing vocabulary such as the job role title (from the national workforce dataset).
    Value Domain
    cancelled Grade
    prsb03-dataelement-11017
    Id prsb03-dataelement-11017 (2019‑05‑24 10:58:56)
    Concept inherits from cancelled prsb03-dataelement-10221 (2018‑10‑31)
    Description The grade of the person completing the record
    Operationalization The grade of the person completing the record held on the source system or from an authoritative source
    Value Domain
    cancelled Specialty
    prsb03-dataelement-11018
    Id prsb03-dataelement-11018 (2019‑05‑24 10:58:56)
    Concept inherits from cancelled prsb03-dataelement-10222 (2018‑10‑31)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Operationalization The main clinical specialty as held on the source system.
    Value Domain
    cancelled Professional identifier
    prsb03-dataelement-11019
    Id prsb03-dataelement-11019 (2019‑05‑24 10:58:56)
    Concept inherits from cancelled prsb03-dataelement-10223 (2018‑10‑31)
    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)
    Value Domain
    cancelled Date completed
    prsb03-dataelement-11020
    Id prsb03-dataelement-11020 (2019‑05‑24 10:58:56)
    Concept inherits from cancelled prsb03-dataelement-10224 (2018‑10‑31)
    Description The date and time the record was updated.
    Operationalization The date/time the record was updated.
    Value Domain
    cancelled Contact details
    prsb03-dataelement-11021
    Id prsb03-dataelement-11021 (2019‑05‑24 10:58:56)
    Concept inherits from cancelled prsb03-dataelement-10225 (2018‑10‑31)
    Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.

    Properties

    FHIR PractitionerRole.telecom
    Operationalization The contact details may be for the individual completing the record, or wider team details (for example a phone number for a hospital department).
    Value Domain
    cancelled Organisation
    prsb03-dataelement-11022
    Id prsb03-dataelement-11022 (2019‑05‑24 10:58:56)
    Concept inherits from cancelled prsb03-dataelement-10226 (2018‑10‑31)
    Description The organisation the person completing the record works for.
    Operationalization An ODS identifier for the organisation or site, the name of the organisation or site, and a postal address (if available).
    Value Domain
    cancelled Person completing record
    prsb03-dataelement-10966
    Id prsb03-dataelement-10966 (2019‑05‑20 16:00:34)
    Description This is the person recording the details of the unborn child protection plan.

    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    folder cancelled Safeguarding record entry
    prsb03-dataelement-10656
    Id prsb03-dataelement-10656 (2018‑11‑13 12:19:53)
    Description This is a Safeguarding 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.
    folder draft Referrer Details
    prsb03-dataelement-10714
    link
    Id prsb03-dataelement-10714 (2018‑12‑04 15:38:18)
    draft Date and time of referral
    prsb03-dataelement-10717
    Id prsb03-dataelement-10717 (2018‑12‑04 15:39:07)
    Description Date and time the patient was referred to the service.
    Value Domain
    draft Reason for referral
    prsb03-dataelement-10716
    Id prsb03-dataelement-10716 (2018‑12‑04 15:38:52)
    Description A clear statement of the purpose of the person making the referral e.g. diagnosis, treatment, transfer of care due to relocation, investigation, second opinion, management of the patient (e.g. palliative care), provide referrer with advice / guidance. This may include referral because of carers' concerns.
    Value Domain
    draft Referrer details
    prsb03-dataelement-10715
    Id prsb03-dataelement-10715 (2018‑12‑04 15:38:38)
    Description Details of the source of the referral. Name, role, grade, organisation and contact details of referrer, or details of the person making the contact for ambulance or urgent care services. If not an individual, this could be e.g. GP surgery, department, specialty, sub-specialty, educational institution, mental health team etc. Also needs to include self-referral.
    Operationalization Sent as per the ECDS Emergency Care Attendance Source code set (SNOMED CT).
    Value Domain
    folder draft Consent
    prsb03-dataelement-10702
    link
    Id prsb03-dataelement-10702 (2018‑12‑04 15:27:12)
    Description Legal information captured relating to patient care, such as consent.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Consent relating to child
    prsb03-dataelement-10705
    Id prsb03-dataelement-10705 (2018‑12‑04 15:28:03)
    Description Consideration of age and competency, applying Gillick competency or Fraser guidelines. Record of person with parental responsibility or appointed guardian where child lacks competency. Record if there is disagreement between patient and parent.
    Operationalization Free text
    Value Domain
    draft Consent for information sharing
    prsb03-dataelement-10704
    Id prsb03-dataelement-10704 (2018‑12‑04 15:27:48)
    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.
    Operationalization Free text.
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Consent for treatment record
    prsb03-dataelement-10703
    Id prsb03-dataelement-10703 (2018‑12‑04 15:27:26)
    Description Whether consent has been obtained for the treatment. May include where record of consent is located or record of consent.
    Operationalization Free text
    Value Domain
    folder draft Eligibility Criteria
    prsb03-dataelement-10700
    link
    Id prsb03-dataelement-10700 (2018‑12‑04 15:25:08)
    draft Eligibility criteria
    prsb03-dataelement-10701
    Id prsb03-dataelement-10701 (2018‑12‑04 15:25:39)
    Description Records which specific eligibility criteria have been met in order to administer the vaccine.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    cancelled Referral Details
    prsb03-dataelement-10644
    Id prsb03-dataelement-10644 (2018‑11‑12 14:46:39)
    Description The details of the individual or team who referred the person.
    Value Domain
    folder cancelled Disability
    prsb03-dataelement-10816
    link
    Id prsb03-dataelement-10816 (2019‑03‑20 18:55:36) 0.1
    Description Any details relating to a persons disability
    cancelled Onset date
    prsb03-dataelement-10819
    Id prsb03-dataelement-10819 (2019‑03‑20 19:03:27) 0.1
    Description The date the of onset for the disability
    Value Domain
    cancelled Disability code
    prsb03-dataelement-10818
    Id prsb03-dataelement-10818 (2019‑03‑20 19:03:00) 0.1
    Description Code relating to the disability
    Operationalization

    https://www.datadictionary.nhs.uk/data_dictionary/attributes/d/den/disability_code_de.asp?shownav=1
    Value Domain
    cancelled Description
    prsb03-dataelement-10817
    Id prsb03-dataelement-10817 (2019‑03‑20 18:58:30) 0.1
    Description The description of the disability relating to the person
    Value Domain
    folder draft Local authority
    prsb03-dataelement-13298
    link
    Id prsb03-dataelement-13298 (2020‑08‑06 12:38:23)
    Description The details of the Local Authority that is responsible for providing care and support to the person.
    draft Organisation code
    prsb03-dataelement-13299
    Id prsb03-dataelement-13299 (2020‑08‑06 12:39:25)
    Description The ODS (Organisation Data Service) code of the local authority that is responsible for providing care and support to the person.
    Operationalization NHS data dictionary :- Organisation data service
    Value Domain
    Property
    min length max length
    3 5
    draft Local authority name
    prsb03-dataelement-13300
    Id prsb03-dataelement-13300 (2020‑08‑06 12:40:27)
    Description The name of the local authority that is responsible for providing care and support to the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Social services team
    prsb03-dataelement-13301
    Id prsb03-dataelement-13301 (2020‑08‑06 12:41:15)
    Description The name of the local authority social services team or department that is responsible for undertaking the care and support assessment for the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Local authority contact name
    prsb03-dataelement-13302
    Id prsb03-dataelement-13302 (2020‑08‑06 12:42:09)
    Description The name of the person at the local authority who is responsible for liaising with the hospital in relation to the person’s discharge.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    draft Local authority contact details
    prsb03-dataelement-13303
    Id prsb03-dataelement-13303 (2020‑08‑06 12:43:10)
    Description The contact details of the person at the local authority who is responsible for liaising with the hospital in relation to the person’s discharge.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    folder draft Professional contacts
    prsb03-dataelement-452
    link
    Id prsb03-dataelement-452 (2018‑10‑31)
    Description The details of the person’s professional contacts.
    folder draft Professional contacts record entry
    prsb03-dataelement-10767
    link
    Id prsb03-dataelement-10767 (2019‑03‑18 18:07:16)
    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 0 transactions, 0 templates, inherited 2 times
     
    draft Name
    prsb03-dataelement-10352
    Id prsb03-dataelement-10352 (2018‑10‑31)
    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 0 transactions, 0 templates, inherited 6 times
     
    draft Role
    prsb03-dataelement-10353
    Id prsb03-dataelement-10353 (2018‑10‑31)
    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 0 transactions, 0 templates, inherited 6 times
     
    draft Key worker
    prsb03-dataelement-12973
    Id prsb03-dataelement-12973 (2020‑04‑06 20:02:00)
    Description A flag that identifies the personal contact is the key worker assigned to the person.
    Operationalization Flag : - Yes or No
    Value Domain
    draft Speciality
    prsb03-dataelement-10354
    Id prsb03-dataelement-10354 (2018‑10‑31)
    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 0 transactions, 0 templates, inherited 2 times
     
    draft Team
    prsb03-dataelement-10355
    Id prsb03-dataelement-10355 (2018‑10‑31)
    Description The name of the team.
    Operationalization Free text
    Value Domain
    Property
    max length
    35
    target Used by 0 transactions, 0 templates, inherited 3 times
     
    folder draft Organisation
    prsb03-dataelement-10356
    link
    Id prsb03-dataelement-10356 (2018‑10‑31)
    Description The name of the organisation.
    target Used by 0 transactions, 0 templates, inherited 2 times
     
    draft Coded value
    prsb03-dataelement-13564
    Id prsb03-dataelement-13564 (2020‑09‑04 18:18:34)
    Description The coded value for location
    Operationalization NHS data dictionary : - Organisation data service
    Value Domain
    Property
    min length max length
    3 5
    draft Free text
    prsb03-dataelement-13565
    Id prsb03-dataelement-13565 (2020‑09‑04 18:19:37)
    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
    draft Contact details
    prsb03-dataelement-10357
    Id prsb03-dataelement-10357 (2018‑10‑31)
    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 0 transactions, 0 templates, inherited 6 times
     
    draft Start date
    prsb03-dataelement-10358
    Id prsb03-dataelement-10358 (2018‑10‑31)
    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 0 transactions, 0 templates, inherited 2 times
     
    draft End date
    prsb03-dataelement-10359
    Id prsb03-dataelement-10359 (2018‑10‑31)
    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 0 transactions, 0 templates, inherited 2 times
     
    folder draft Personal contacts
    prsb03-dataelement-445
    link
    Id prsb03-dataelement-445 (2018‑10‑31)
    Description The details of the individual's personal contacts.
    folder draft Personal contacts record entry
    prsb03-dataelement-10768
    link
    Id prsb03-dataelement-10768 (2019‑03‑19 13:05:13)
    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.
    draft Name
    prsb03-dataelement-10345
    Id prsb03-dataelement-10345 (2018‑10‑31)
    Description The name of the personal contact.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    draft Relationship
    prsb03-dataelement-10346
    Id prsb03-dataelement-10346 (2018‑10‑31)
    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 0 transactions, 0 templates, inherited 3 times
     
    draft Relationship type
    prsb03-dataelement-12968
    Id prsb03-dataelement-12968 (2020‑04‑06 13:13:10)
    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
    draft Parental Responsibility
    prsb03-dataelement-10347
    Id prsb03-dataelement-10347 (2018‑10‑31)
    Description Flag to indicate whether the personal contact has parental responsibility
    Operationalization Flag ; - Yes or No
    Value Domain
    Property
    max length
    3
    draft Household member
    prsb03-dataelement-10348
    Id prsb03-dataelement-10348 (2018‑10‑31)
    Description Status identifying whether the personal contact is a member of the same household
    Operationalization Flag : - Yes or No
    Value Domain
    Property
    max length
    3
    draft Next of Kin
    prsb03-dataelement-10349
    Id prsb03-dataelement-10349 (2018‑10‑31)
    Description A flag that identifies the personal contact is the next of kin
    Operationalization Flag : - Yes or No
    Value Domain
    draft Contact details
    prsb03-dataelement-10350
    Id prsb03-dataelement-10350 (2018‑10‑31)
    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 0 transactions, 0 templates, inherited once
     
    draft NHS Number
    prsb03-dataelement-10351
    Id prsb03-dataelement-10351 (2018‑10‑31)
    Description The NHS number of the personal contact
    Operationalization NHS data dictionary:- NHS NUMBER
    Value Domain
    Property
    max length
    10
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Comments
    prsb03-dataelement-10937
    Id prsb03-dataelement-10937 (2019‑05‑02 17:15:44)
    Description Notes on the significance of the personal contact to the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    folder draft Health and care professional details
    prsb03-dataelement-10912
    link
    Id prsb03-dataelement-10912 (2019‑04‑02 15:33:05)
    draft Responsible health or care professional
    prsb03-dataelement-10913
    Id prsb03-dataelement-10913 (2019‑04‑02 15:34:54)
    Description The name, role and/or personal identification number (if used) of the health or care professional with responsibility for the person within this contact. Where multiple professionals have responsibility, provide details of the duration and extent of responsibility held. State whether identified professional was present, in communication, on call etc.
    Operationalization Free text. Where codes are provided by the local system the associated text should be displayed.
    Value Domain
    draft Health or care professional(s) present
    prsb03-dataelement-10914
    Id prsb03-dataelement-10914 (2019‑04‑02 15:36:15)
    Description The name, designation and/or personal identification number (if used) of all other health or care professionals present.
    Operationalization Free text. Where codes are provided by the local system the associated text should be displayed.
    Value Domain
    cancelled IRRE
    prsb03-dataelement-10649
    Id prsb03-dataelement-10649 (2018‑11‑12 15:41:28)
    Value Domain
    folder draft Participation in research
    prsb03-dataelement-168
    link
    Id prsb03-dataelement-168 (2018‑10‑31)
    Description Participation in research
    folder draft Participation in research record entry
    prsb03-dataelement-10646
    link
    Id prsb03-dataelement-10646 (2018‑11‑12 15:14:45)
    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.
    draft Participation in research
    prsb03-dataelement-13834
    Id prsb03-dataelement-13834 (2020‑12‑26 15:50:24)
    Description Flag to indicate whether the person is actively engaged in a research study or clinical trial
    Operationalization Flag : - Yes or No
    Value Domain
    draft Name of research study
    prsb03-dataelement-10068
    Id prsb03-dataelement-10068 (2018‑10‑31)
    Description Name and details of the research study/trial and/or drug/intervention
    Operationalization Free text or URL
    Value Domain
    Property
    max length
    250
    draft Identification code
    prsb03-dataelement-10739
    Id prsb03-dataelement-10739 (2019‑02‑12 17:27:10)
    Description Identification code of research study
    Operationalization NHS data dictionary :- Clinical trial identifier
    Value Domain
    Property
    max length
    20
    draft Start date
    prsb03-dataelement-14280
    Id prsb03-dataelement-14280 (2021‑05‑28 11:31:03)
    Description Start date of trial
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision default
    at least day, month and year 8
    folder draft Person completing record
    prsb03-dataelement-12201
    link
    Id prsb03-dataelement-12201 (2019‑05‑31 16:24:08)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    draft Name
    prsb03-dataelement-12202
    Id prsb03-dataelement-12202 (2019‑05‑31 16:24:35)
    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
    draft Role
    prsb03-dataelement-12203
    Id prsb03-dataelement-12203 (2019‑05‑31 16:24:35)
    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
    draft Grade
    prsb03-dataelement-12204
    Id prsb03-dataelement-12204 (2019‑05‑31 16:24:35)
    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
    draft Specialty
    prsb03-dataelement-12205
    Id prsb03-dataelement-12205 (2019‑05‑31 16:24:35)
    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
    folder draft Organisation
    prsb03-dataelement-12206
    Id prsb03-dataelement-12206 (2019‑05‑31 16:24:35)
    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
    draft Professional identifier
    prsb03-dataelement-12207
    Id prsb03-dataelement-12207 (2019‑05‑31 16:24:35)
    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
    draft Date completed
    prsb03-dataelement-12208
    Id prsb03-dataelement-12208 (2019‑05‑31 16:24:35)
    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
    draft Contact details
    prsb03-dataelement-12209
    Id prsb03-dataelement-12209 (2019‑05‑31 16:24:35)
    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
    folder draft Referral details
    prsb03-dataelement-105
    link
    Id prsb03-dataelement-105 (2018‑10‑31)
    Description The details of the referral.
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Referral details record entry
    prsb03-dataelement-10917
    link
    Id prsb03-dataelement-10917 (2019‑04‑09 15:59:55)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Person's input into service selection flag
    prsb03-dataelement-14934
    Id prsb03-dataelement-14934 (2021‑09‑20 18:32:43)
    Description Flag to identify if the person has requested referral to a specific service. 
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person's input into service selection
    prsb03-dataelement-14935
    link
    Id prsb03-dataelement-14935 (2021‑09‑20 18:37:35)
    Description The person's requested service, the reason for rejection and comments. 
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Service
    prsb03-dataelement-14941
    link
    Id prsb03-dataelement-14941 (2021‑09‑21 17:20:04)
    Concept inherits from draft prsb03-dataelement-12412 (2019‑06‑05 18:20:52)
    Description The service of where the referral is sent to.
    target Used by one transaction, 0 templates, inherited 0 times
     
    cancelled Coded value
    prsb03-dataelement-14944
    Id prsb03-dataelement-14944 (2021‑09‑21 17:23:37) 0.1
    Concept inherits from draft prsb03-dataelement-13509 (2020‑09‑03 17:50:24)
    Description The coded value for service
    Operationalization SNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata concept)|
    Value Domain
    cancelled Free text
    prsb03-dataelement-14945
    Id prsb03-dataelement-14945 (2021‑09‑21 17:23:37) 0.1
    Concept inherits from draft prsb03-dataelement-13510 (2020‑09‑03 17:51:06)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Coded value
    prsb03-dataelement-14942
    Id prsb03-dataelement-14942 (2021‑09‑21 17:20:46)
    Concept inherits from draft prsb03-dataelement-13509 (2020‑09‑03 17:50:24)
    Description The coded value for service
    Operationalization SNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata concept)|
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-14943
    Id prsb03-dataelement-14943 (2021‑09‑21 17:20:46)
    Concept inherits from draft prsb03-dataelement-13510 (2020‑09‑03 17:51:06)
    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
     
    cancelled Service
    prsb03-dataelement-14936
    Id prsb03-dataelement-14936 (2021‑09‑20 18:41:01) 0.1
    Concept inherits from draft prsb03-dataelement-10074 (2018‑10‑31)
    Description The service that was provided.

    Properties

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



    Value Domain
    draft Reason for rejection
    prsb03-dataelement-14937
    Id prsb03-dataelement-14937 (2021‑09‑20 18:43:45)
    Description The person's reason for rejecting suggested service.
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Comment
    prsb03-dataelement-14938
    Id prsb03-dataelement-14938 (2021‑09‑20 18:45:44)
    Description The referrer's comments on the person's input into service selection.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-10006
    Id prsb03-dataelement-10006 (2018‑10‑31)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Referrer details
    prsb03-dataelement-10005
    link
    Id prsb03-dataelement-10005 (2018‑10‑31)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-10971
    Id prsb03-dataelement-10971 (2019‑05‑22 16:29:39)
    Description The name of the referrer.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-10972
    Id prsb03-dataelement-10972 (2019‑05‑22 16:30:25)
    Description Role of the referrer.
    Operationalization FHIR value set : - sdsjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-10973
    Id prsb03-dataelement-10973 (2019‑05‑22 16:31:10)
    Description The grade of the referrer.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Team
    prsb03-dataelement-12409
    Id prsb03-dataelement-12409 (2019‑06‑05 18:11:50)
    Description The team or department of the referrer.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-12410
    Id prsb03-dataelement-12410 (2019‑06‑05 18:12:15)
    Description The specialty of the referrer.
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Service
    prsb03-dataelement-12411
    link
    Id prsb03-dataelement-12411 (2019‑06‑05 18:20:01)
    Description The service of the referrer.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13397
    Id prsb03-dataelement-13397 (2020‑08‑10 19:10:14)
    Description The coded value for service
    Operationalization SNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata concept)|
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13398
    Id prsb03-dataelement-13398 (2020‑08‑10 19:11:12)
    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 Organisation
    prsb03-dataelement-10974
    link
    Id prsb03-dataelement-10974 (2019‑05‑22 16:31:40)
    Description The organisation of the referrer.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13399
    Id prsb03-dataelement-13399 (2020‑08‑10 19:14:38)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13400
    Id prsb03-dataelement-13400 (2020‑08‑10 19:17:07)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-10975
    Id prsb03-dataelement-10975 (2019‑05‑22 16:33:49)
    Description The contact details of the referrer.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    cancelled Comments
    prsb03-dataelement-12408
    Id prsb03-dataelement-12408 (2019‑06‑05 18:09:11)
    Description Further details on the referrer details.
    Value Domain
    draft Person Referral Reference
    prsb03-dataelement-14946
    Id prsb03-dataelement-14946 (2021‑09‑23 12:14:43)
    Description Human readable ID a patient can take from one service to another to identify one particular referral – This is a marker with detail TBD
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Journey ID
    prsb03-dataelement-14933
    Id prsb03-dataelement-14933 (2021‑09‑20 13:57:16)
    Description Marker for future ID to track multiple referrals, details TBD
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Referral type
    prsb03-dataelement-12967
    Id prsb03-dataelement-12967 (2020‑04‑03 18:18:08)
    Description An indication of the type of referral (e.g. 'Hospital Discharge Notification to Social Care', 'GP Referral', etc.)
    Value Domain
    Property
    max length
    150
    draft Referral method
    prsb03-dataelement-10007
    Id prsb03-dataelement-10007 (2018‑10‑31)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Reason for referral
    prsb03-dataelement-10011
    link
    Id prsb03-dataelement-10011 (2018‑10‑31)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13455
    Id prsb03-dataelement-13455 (2020‑08‑27 18:17:32)
    Description The coded value for reason for referral
    Operationalization SNOMED CT :- ^1127581000000103 |Health issues simple reference set|
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13456
    Id prsb03-dataelement-13456 (2020‑08‑27 18:18:45)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Expectation of referral
    prsb03-dataelement-10699
    Id prsb03-dataelement-10699 (2018‑12‑04 15:19:46)
    Description A clear statement of the expectations of the person or professional making the referral in regards to the management of the patient e.g. advice only, diagnosis, treatment, etc. To include any specific patient expectation.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    folder draft Clinical urgency of referral
    prsb03-dataelement-10010
    link
    Id prsb03-dataelement-10010 (2018‑10‑31)
    Description The details of the clinical urgency of referral
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Urgency
    prsb03-dataelement-13835
    Id prsb03-dataelement-13835 (2020‑12‑28 13:54:55)
    Description This is the priority of a request for services
    Operationalization NHS data dictionary : - PRIORITY TYPE
    Value Domain
    Property
    max length
    1
    target Used by one transaction, 0 templates, inherited once
     
    draft Reason for urgency of referral
    prsb03-dataelement-10976
    Id prsb03-dataelement-10976 (2019‑05‑22 17:54:38)
    Description The reason for urgency of referral if not routine.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited once
     
    folder draft Referral to
    prsb03-dataelement-10008
    link
    Id prsb03-dataelement-10008 (2018‑10‑31)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-10977
    Id prsb03-dataelement-10977 (2019‑05‑22 17:56:22)
    Description Name of person the referral is to be sent to.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-10978
    Id prsb03-dataelement-10978 (2019‑05‑22 17:56:39)
    Description Role of person where the referral is to be sent to.
    Operationalization FHIR value set : - sdsjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-10979
    Id prsb03-dataelement-10979 (2019‑05‑22 17:56:51)
    Description The grade of the person where the referral is sent to.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Team
    prsb03-dataelement-10982
    Id prsb03-dataelement-10982 (2019‑05‑22 17:59:49)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-10983
    Id prsb03-dataelement-10983 (2019‑05‑22 18:00:28)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Service
    prsb03-dataelement-12412
    link
    Id prsb03-dataelement-12412 (2019‑06‑05 18:20:52)
    Description The service of where the referral is sent to.
    target Used by one transaction, 0 templates, inherited once
     
    draft Coded value
    prsb03-dataelement-13509
    Id prsb03-dataelement-13509 (2020‑09‑03 17:50:24)
    Description The coded value for service
    Operationalization SNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata concept)|
    Value Domain
    target Used by one transaction, 0 templates, inherited 2 times
     
    draft Free text
    prsb03-dataelement-13510
    Id prsb03-dataelement-13510 (2020‑09‑03 17:51:06)
    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 2 times
     
    folder draft Organisation
    prsb03-dataelement-10980
    link
    Id prsb03-dataelement-10980 (2019‑05‑22 17:57:10)
    Description The organisation of where the referral is to be sent.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13511
    Id prsb03-dataelement-13511 (2020‑09‑03 17:54:29)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13512
    Id prsb03-dataelement-13512 (2020‑09‑03 17:55:57)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-10981
    Id prsb03-dataelement-10981 (2019‑05‑22 17:57:26)
    Description The contact details of where the referral is to be sent.
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    cancelled Speciality referred from
    prsb03-dataelement-10009
    Id prsb03-dataelement-10009 (2018‑10‑31)
    Description The type of service or team that the person has been referred from
    Operationalization NHS data dictionary
    Value Domain
    draft Details of other referrals
    prsb03-dataelement-10013
    Id prsb03-dataelement-10013 (2018‑10‑31)
    Description Other referrals related to this or associated conditions.
    Operationalization The organisation referred to (ODS code)

    Specialty/service (eRS Directory of Services)

    Date of referral

    Narrative text

    Auto-populated UBRN (where available)

    Default - 12 months (editable)
    Value Domain
    draft Referral criteria
    prsb03-dataelement-10014
    Id prsb03-dataelement-10014 (2018‑10‑31)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Return response to
    prsb03-dataelement-10015
    Id prsb03-dataelement-10015 (2018‑10‑31)
    Description Name of professional to be communicated with, if not the referrer
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Attachments
    prsb03-dataelement-10012
    Id prsb03-dataelement-10012 (2018‑10‑31)
    Description Documents included as attachments which accompany the communication Data items:

    * number of attachments

    * type of attachments

    * attached documents.
    Operationalization Number of attachments by category: present, pending, missing.

    Supporting narrative: text for each attachment

    Attachments: various formats, eg jpeg, word

    Metadata about the attachments: document name standard under development by PRSB. Possibly use FHIR 'composition'.
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    folder draft Caller Details
    prsb03-dataelement-14927
    link
    Id prsb03-dataelement-14927 (2021‑09‑20 13:23:50)
    Description The details of the caller 
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Person full name
    prsb03-dataelement-14928
    Id prsb03-dataelement-14928 (2021‑09‑20 13:26:48)
    Concept inherits from draft prsb03-dataelement-13801 (2020‑11‑09 17:03:29)
    Description The full name of the person in text representation.
    Rationale Patient.name.text
    Operationalization NHS data dictionary :- Person full name
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Relationship
    prsb03-dataelement-14929
    Id prsb03-dataelement-14929 (2021‑09‑20 13:28:38)
    Concept inherits from draft prsb03-dataelement-10346 (2018‑10‑31)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Person's telephone number
    prsb03-dataelement-14930
    Id prsb03-dataelement-14930 (2021‑09‑20 13:29:56)
    Concept inherits from draft prsb03-dataelement-13808 (2020‑11‑26 16:51:24)
    Description The person's telephone number
    Rationale Patient.contact.telecon.value
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Preferred contact method
    prsb03-dataelement-14931
    Id prsb03-dataelement-14931 (2021‑09‑20 13:30:32)
    Concept inherits from draft prsb03-dataelement-10886 (2019‑03‑27 19:29:17)
    Description Preferred contact method, e.g. email, letter, phone, text message etc.
    Relationship
    Operationalization NHS data dictionary :- Communication contact method
    Value Domain
    Property
    max length
    1
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Reason for Referral
    prsb03-dataelement-460
    link
    Id prsb03-dataelement-460 (2018‑10‑31)
    Description Reason for Referral
    folder draft Reason for referral
    prsb03-dataelement-10360
    link
    Id prsb03-dataelement-10360 (2018‑10‑31)
    Description The reason for referral/transfer - e.g. diagnosis, treatment, transfer of care due to relocation, investigation, second opinion, management of the patient (e.g. palliative care), provide referrer with advice / guidance. This may include referral because of carers' concerns.
    Operationalization SNOMED CT: - ^1127581000000103 |Health issues simple reference set|
    cancelled Coded value
    prsb03-dataelement-13562
    Id prsb03-dataelement-13562 (2020‑09‑04 18:09:40) 0.1
    Description The coded value for reason for referral
    Operationalization SNOMED CT: - ^1127581000000103 |Health issues simple reference set|
    Value Domain
    cancelled Free text
    prsb03-dataelement-13563
    Id prsb03-dataelement-13563 (2020‑09‑04 18:10:37) 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
    folder draft Clinical urgency of referral
    prsb03-dataelement-10361
    link
    Id prsb03-dataelement-10361 (2018‑10‑31)
    Description The details of the clinical urgency of referral
    draft Urgency
    prsb03-dataelement-13836
    Id prsb03-dataelement-13836 (2020‑12‑28 14:39:53)
    Concept inherits from draft prsb03-dataelement-13835 (2020‑12‑28 13:54:55)
    Description This is the priority of a request for services
    Operationalization NHS data dictionary : - PRIORITY TYPE
    Value Domain
    Property
    max length
    1
    draft Reason for urgency of referral
    prsb03-dataelement-13837
    Id prsb03-dataelement-13837 (2020‑12‑28 14:40:56)
    Concept inherits from draft prsb03-dataelement-10976 (2019‑05‑22 17:54:38)
    Description The reason for urgency of referral if not routine.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Expectation of referral
    prsb03-dataelement-10362
    Id prsb03-dataelement-10362 (2018‑10‑31)
    Description A clear statement of the expectations of the person making the referral as to the management of the patient e.g. advice only, diagnosis, treatment, etc. To Include any specific patient expectation. In general text. Risk not put in a procedure not already received
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Presenting complaints or issues
    prsb03-dataelement-10363
    Id prsb03-dataelement-10363 (2018‑10‑31)
    Description The list and description of the health problems and issues experienced by the patient precipitating referral. This may include disease state, medical condition, response and reaction to therapies, e.g. blackout, dizziness, chest pain, follow-up from admission, falls, a specific procedure, investigation, family history or treatment.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft History of each presenting complaint or issue
    prsb03-dataelement-10364
    Id prsb03-dataelement-10364 (2018‑10‑31)
    Description Information directly related to the development and characteristics of each presenting complaint (e.g. including travel history). Including if the information is given by the patient or their carer.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Management to date
    prsb03-dataelement-10365
    Id prsb03-dataelement-10365 (2018‑10‑31)
    Description Referrals, management, investigations and treatment that have already been undertaken, including patient managing their symptoms. Including: procedures conducted - procedures carried out (and the date) and procedure report.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    folder cancelled Problem list
    prsb03-dataelement-12617
    link
    Id prsb03-dataelement-12617 (2019‑11‑19 12:59:13)
    Concept inherits from draft prsb03-dataelement-10927 (2019‑04‑30 17:00:00)
    Description A summary of the problems that require investigation or treatment.
    folder cancelled Problem list record entry
    prsb03-dataelement-12618
    link
    Id prsb03-dataelement-12618 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-10928 (2019‑04‑30 17:01:01)
    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.
    cancelled Date
    prsb03-dataelement-12619
    Id prsb03-dataelement-12619 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-10929 (2019‑04‑30 17:04:55)
    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
    cancelled Performing professional
    prsb03-dataelement-12620
    Id prsb03-dataelement-12620 (2019‑11‑19 13:01:28)
    Concept inherits from cancelled prsb03-dataelement-10930 (2019‑04‑30 17:06:52)
    Description Details of the professional identifying the problem.
    Relationship
    Value Domain
    folder cancelled Performing professional
    prsb03-dataelement-12621
    link
    Id prsb03-dataelement-12621 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12133 (2019‑05‑31 16:03:47)
    Description The professional who identified the problem.
    Relationship
    cancelled Name
    prsb03-dataelement-12622
    Id prsb03-dataelement-12622 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12134 (2019‑05‑31 16:04:17)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    cancelled Role
    prsb03-dataelement-12623
    Id prsb03-dataelement-12623 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12135 (2019‑05‑31 16:04:17)
    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
    cancelled Grade
    prsb03-dataelement-12624
    Id prsb03-dataelement-12624 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12136 (2019‑05‑31 16:04:17)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    cancelled Speciality
    prsb03-dataelement-12625
    Id prsb03-dataelement-12625 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12137 (2019‑05‑31 16:04:17)
    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
    cancelled Professional identifier
    prsb03-dataelement-12626
    Id prsb03-dataelement-12626 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12138 (2019‑05‑31 16:04:17)
    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
    folder cancelled Organisation
    prsb03-dataelement-12627
    Id prsb03-dataelement-12627 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12139 (2019‑05‑31 16:04:17)
    Description The name of the organisation the professional works for.
    cancelled Contact details
    prsb03-dataelement-12628
    Id prsb03-dataelement-12628 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12140 (2019‑05‑31 16:04:17)
    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
    folder cancelled Location
    prsb03-dataelement-12629
    Id prsb03-dataelement-12629 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-10931 (2019‑04‑30 17:07:45)
    Description The location the problem was identified.
    Relationship
    folder cancelled Problem
    prsb03-dataelement-12630
    Id prsb03-dataelement-12630 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-10932 (2019‑04‑30 17:08:40)
    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
    cancelled Onset date
    prsb03-dataelement-12631
    Id prsb03-dataelement-12631 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-10933 (2019‑04‑30 17:10:25)
    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
    cancelled End Date
    prsb03-dataelement-12632
    Id prsb03-dataelement-12632 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-10934 (2019‑04‑30 17:10:59)
    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
    cancelled Stage of disease
    prsb03-dataelement-12633
    Id prsb03-dataelement-12633 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-10935 (2019‑04‑30 17:11:55)
    Description The stage of the disease where relevant.
    Relationship
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    folder cancelled Person completing record
    prsb03-dataelement-12634
    link
    Id prsb03-dataelement-12634 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12141 (2019‑05‑31 16:04:31)
    Description Details of the person completing the record.
    Relationship
    cancelled Name
    prsb03-dataelement-12635
    Id prsb03-dataelement-12635 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12142 (2019‑05‑31 16:04:53)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    cancelled Role
    prsb03-dataelement-12636
    Id prsb03-dataelement-12636 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12143 (2019‑05‑31 16:04:53)
    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
    cancelled Grade
    prsb03-dataelement-12637
    Id prsb03-dataelement-12637 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12144 (2019‑05‑31 16:04:53)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    cancelled Specialty
    prsb03-dataelement-12638
    Id prsb03-dataelement-12638 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12145 (2019‑05‑31 16:04:53)
    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
    folder cancelled Organisation
    prsb03-dataelement-12639
    Id prsb03-dataelement-12639 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12146 (2019‑05‑31 16:04:53)
    Description The organisation the person completing the record works for.
    Relationship
    Operationalization NHS data dictionary : - Organisation data service
    cancelled Professional identifier
    prsb03-dataelement-12640
    Id prsb03-dataelement-12640 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12147 (2019‑05‑31 16:04:53)
    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
    cancelled Date completed
    prsb03-dataelement-12641
    Id prsb03-dataelement-12641 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12148 (2019‑05‑31 16:04:53)
    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
    cancelled Contact details
    prsb03-dataelement-12642
    Id prsb03-dataelement-12642 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-12149 (2019‑05‑31 16:04:53)
    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
    cancelled Person completing record
    prsb03-dataelement-12643
    Id prsb03-dataelement-12643 (2019‑11‑19 13:01:28)
    Concept inherits from cancelled prsb03-dataelement-10952 (2019‑05‑18 21:04:15)
    Description This is the person recording the problem.

    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    cancelled Comment
    prsb03-dataelement-12644
    Id prsb03-dataelement-12644 (2019‑11‑19 13:01:28)
    Concept inherits from draft prsb03-dataelement-10936 (2019‑04‑30 17:13:22)
    Description Supporting text may be given covering the problem.
    Relationship
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    folder draft Problem
    prsb03-dataelement-12645
    Id prsb03-dataelement-12645 (2019‑11‑19 13:04:13)
    Concept inherits from draft prsb03-dataelement-10932 (2019‑04‑30 17:08:40)
    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
    folder draft Contacts with professionals
    prsb03-dataelement-169
    link
    Id prsb03-dataelement-169 (2018‑10‑31)
    Description The details of the person’s contact with a professional.
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Contacts with professionals record entry
    prsb03-dataelement-10718
    link
    Id prsb03-dataelement-10718 (2019‑02‑08 13:49:22)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Date and time of contact
    prsb03-dataelement-10069
    Id prsb03-dataelement-10069 (2018‑10‑31)
    Description Date and time of the contact.

    Properties

    FHIR Encounter.period
    Rationale Encounter.period
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Location of contact
    prsb03-dataelement-10075
    link
    Id prsb03-dataelement-10075 (2018‑10‑31)
    Description The location where the contact took place.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13513
    Id prsb03-dataelement-13513 (2020‑09‑03 18:01:56)
    Description The coded value for location
    Rationale Encounter.location.name
    Operationalization NHS data dictionary : - Organisation service code
    Value Domain
    Property
    min length max length
    3 5
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13514
    Id prsb03-dataelement-13514 (2020‑09‑03 18:04:13)
    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 Seen by
    prsb03-dataelement-10077
    link
    Id prsb03-dataelement-10077 (2018‑10‑31)
    Description The professional that saw the person.

    Properties

    FHIR Encounter.participant
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-13515
    Id prsb03-dataelement-13515 (2020‑09‑03 18:13:01)
    Description The name of the professional that saw the person
    Rationale Encounter.participant
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-13758
    Id prsb03-dataelement-13758 (2020‑09‑29 12:37:26)
    Concept inherits from draft prsb03-dataelement-10710 (2018‑12‑04 15:32:09)
    Description The role of the person providing the service.
    Operationalization FHIR values set : - sdsjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    cancelled Free text
    prsb03-dataelement-13516
    Id prsb03-dataelement-13516 (2020‑09‑03 18:15:56) 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
    folder draft Responsible professional
    prsb03-dataelement-10072
    link
    Id prsb03-dataelement-10072 (2018‑10‑31)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-10988
    Id prsb03-dataelement-10988 (2019‑05‑23 18:36:10)
    Description The name of the responsible professional.
    Rationale Encounter.participant
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-10989
    Id prsb03-dataelement-10989 (2019‑05‑23 18:36:53)
    Description The role of the responsible professional
    Rationale Encounter.participant.type
    Operationalization FHIR value set : - sdsjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Location type
    prsb03-dataelement-10076
    Id prsb03-dataelement-10076 (2018‑10‑31)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Reason for service
    prsb03-dataelement-13751
    Id prsb03-dataelement-13751 (2020‑09‑28 11:15:42)
    Description The reason why the person has been offered the service
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact type
    prsb03-dataelement-10070
    Id prsb03-dataelement-10070 (2018‑10‑31)
    Description Type of contact e.g. GP consultation, outpatient attendance

    Properties

    FHIR Encounter.type
    Rationale Encounter.type
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Consultation method
    prsb03-dataelement-10071
    Id prsb03-dataelement-10071 (2018‑10‑31)
    Description Consultation method used e.g. face to face, telephone

    Properties

    FHIR Handled as text in the transfer of care
    Rationale Extension
    Operationalization NHS data dictionary - Consultation medium
    Value Domain
    Property
    max length
    2
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-10073
    Id prsb03-dataelement-10073 (2018‑10‑31)
    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)
    Rationale Encounter.participant.individual.Practitioner.PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Service
    prsb03-dataelement-10074
    Id prsb03-dataelement-10074 (2018‑10‑31)
    Description The service that was provided.

    Properties

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



    Value Domain
    target Used by one transaction, 0 templates, inherited once
     
    folder draft Professionals present
    prsb03-dataelement-10078
    link
    Id prsb03-dataelement-10078 (2018‑10‑31)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-10990
    Id prsb03-dataelement-10990 (2019‑05‑23 18:51:51)
    Description The name of the professional present
    Rationale Encounter.participant
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-10991
    Id prsb03-dataelement-10991 (2019‑05‑23 18:52:37)
    Description The role of the professional present.
    Rationale Encounter.participant.type
    Operationalization FHIR value set : - sdsjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Outcome of contact
    prsb03-dataelement-10080
    Id prsb03-dataelement-10080 (2018‑10‑31)
    Description This records the outcome of the contact.

    Properties

    FHIR Handled as text in the transfer of care
    Rationale Extension
    Operationalization
    NHS data dictionary :- Attended or did not attend code
    Value Domain
    Property
    max length
    1
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Person accompanying patient
    prsb03-dataelement-10079
    Id prsb03-dataelement-10079 (2018‑10‑31)
    Description Identify, where clinically relevant, others accompanying the patient, e.g. parent, relative, friend. Includes: Name, Relationship, role (e.g. informal carer).

    Properties

    FHIR Encounter.participant
    Rationale Encounter.participant
    Operationalization NHS data dictionary : - Person full name
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Organisation name
    prsb03-dataelement-10706
    Id prsb03-dataelement-10706 (2018‑12‑04 15:30:13)
    Description The name, including the identifier, of the organisation providing the service
    Operationalization NHS data dictionary : - Organisation name
    Value Domain
    Property
    max length
    255
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Organisation address
    prsb03-dataelement-10713
    Id prsb03-dataelement-10713 (2018‑12‑04 15:37:02)
    Description The name of the organisation, including the identifier.
    Operationalization NHS data dictionary : - Organisation address
    Value Domain
    Property
    max length
    175
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Organisation contact details
    prsb03-dataelement-10707
    Id prsb03-dataelement-10707 (2018‑12‑04 15:31:05)
    Description The contact details of the organisation. For example a phone number, NHSmail address etc. Contact details are used to resolve queries about the record entry.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Reason for non-provision of service
    prsb03-dataelement-10708
    Id prsb03-dataelement-10708 (2018‑12‑04 15:31:26)
    Description The reason why the patient was not provided with the service e.g. declined, did not attend etc.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Clinician name
    prsb03-dataelement-10709
    Id prsb03-dataelement-10709 (2018‑12‑04 15:31:49)
    Description The name of the person providing the service.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-10710
    Id prsb03-dataelement-10710 (2018‑12‑04 15:32:09)
    Description The role of the person providing the service.
    Operationalization FHIR values set : - sdsjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 3 times
     
    draft Chaperone
    prsb03-dataelement-10712
    Id prsb03-dataelement-10712 (2018‑12‑04 15:33:12)
    Description The name of any chaperone(s).
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Person collecting the medicine
    prsb03-dataelement-13783
    Id prsb03-dataelement-13783 (2020‑10‑22 15:43:21)
    Description
    Name, relationship, role (if formal role), contact details
    Operationalization Free text
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-10711
    Id prsb03-dataelement-10711 (2018‑12‑04 15:32:25)
    Description Professional identifier of the person providing the service.
    Operationalization NHS data dictionary : - professional identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Admission details
    prsb03-dataelement-181
    link
    Id prsb03-dataelement-181 (2018‑10‑31)
    Description Admission details
    folder draft Admission details record entry
    prsb03-dataelement-10918
    link
    Id prsb03-dataelement-10918 (2019‑04‑09 16:16:31)
    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.
    draft Date of admission
    prsb03-dataelement-10085
    Id prsb03-dataelement-10085 (2018‑10‑31)
    Description Date and time the person was admitted to hospital.

    Properties

    FHIR Encounter.period
    Rationale Encounter.period
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    folder draft Admitted to
    prsb03-dataelement-10090
    link
    Id prsb03-dataelement-10090 (2018‑10‑31)
    notice There are open issues with this item:
    Description The hospital the person was admitted to.
    draft Coded value
    prsb03-dataelement-13380
    Id prsb03-dataelement-13380 (2020‑08‑10 18:02:32)
    Description The coded value for admission to
    Operationalization NHS data dictionary : - Organisations code of provider
    Value Domain
    Property
    min length max length
    3 6
    draft Free text
    prsb03-dataelement-13381
    Id prsb03-dataelement-13381 (2020‑08‑10 18:03:47)
    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
    folder draft Responsible care professional
    prsb03-dataelement-10087
    link
    Id prsb03-dataelement-10087 (2018‑10‑31)
    Description The care professional who has overall responsibility for the person (may not actually see the person)
    draft Name
    prsb03-dataelement-10992
    Id prsb03-dataelement-10992 (2019‑05‑23 23:16:09)
    Description The name of the responsible care professional.
    Rationale Encounter.Practitioner.PractitionerRole.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    draft Role
    prsb03-dataelement-10993
    Id prsb03-dataelement-10993 (2019‑05‑23 23:17:05)
    Description The role of the responsible consultant.
    Rationale Encounter.Practitioner.PractitionerRole
    Operationalization FHIR value set: - sdsjobrole
    Value Domain
    folder draft Reason for admission
    prsb03-dataelement-10081
    link
    Id prsb03-dataelement-10081 (2018‑10‑31)
    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
    draft Coded value
    prsb03-dataelement-13382
    Id prsb03-dataelement-13382 (2020‑08‑10 18:08:34)
    Description The coded value for reason for admission
    Rationale Encounter.reason
    Operationalization SNOMED CT: - ^1127581000000103 |Health issues simple reference set|
    Value Domain
    draft Free text
    prsb03-dataelement-13384
    Id prsb03-dataelement-13384 (2020‑08‑10 18:18:25)
    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
    folder draft Admission method
    prsb03-dataelement-10082
    link
    Id prsb03-dataelement-10082 (2018‑10‑31)
    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
    draft Coded value
    prsb03-dataelement-13385
    Id prsb03-dataelement-13385 (2020‑08‑10 18:21:26)
    Description The coded value for admission method
    Rationale Extension
    Operationalization NHS data dictionary : - Admission method
    Value Domain
    Property
    max length
    2
    draft Free text
    prsb03-dataelement-13387
    Id prsb03-dataelement-13387 (2020‑08‑10 18:22:33)
    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
    draft Legal status on admission
    prsb03-dataelement-10083
    Id prsb03-dataelement-10083 (2018‑10‑31)
    Description Whether the person was admitted as informal or formal/detained.

    Properties

    FHIR Encounter,Subject.Observation
    Rationale Encounter,Subject.Observation
    Operationalization NHS data dictionary : - Mental health act legal status classification code
    Value Domain
    Property
    max length
    2
    folder draft Source of admission
    prsb03-dataelement-10084
    link
    Id prsb03-dataelement-10084 (2018‑10‑31)
    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
    draft Coded value
    prsb03-dataelement-13388
    Id prsb03-dataelement-13388 (2020‑08‑10 18:25:26)
    Description The coded value of source of admission
    Rationale Encounter.hospitalisation.admitsource
    Operationalization NHS data dictionary :- Source of admission
    Value Domain
    Property
    max length fixed
    2 an2
    draft Free text
    prsb03-dataelement-13389
    Id prsb03-dataelement-13389 (2020‑08‑10 18:27:00)
    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
    draft Patient location
    prsb03-dataelement-10086
    Id prsb03-dataelement-10086 (2018‑10‑31)
    Description This is the physical locations of the patient. For inpatient, e.g., hospital ward, bed, theatre. For ambulatory care, e.g., health center, clinic, resources center, patient’s home.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    folder draft Individual accompanying person
    prsb03-dataelement-10088
    link
    Id prsb03-dataelement-10088 (2018‑10‑31)
    Description Details of the accompanying individual and the extent to which they have provided the information about the person.
    draft Name
    prsb03-dataelement-10984
    Id prsb03-dataelement-10984 (2019‑05‑23 12:59:39)
    Description Name of individual accompanying person.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    cancelled Role
    prsb03-dataelement-10985
    Id prsb03-dataelement-10985 (2019‑05‑23 13:00:07) 0.1
    Description Role of the individual accompanying the person.
    Operationalization NHS data dictionary : - Care professional
    Value Domain
    folder draft Relationship
    prsb03-dataelement-10986
    link
    Id prsb03-dataelement-10986 (2019‑05‑23 13:02:20)
    Description Relationship of individual accompanying the person.
    draft Coded value
    prsb03-dataelement-13517
    Id prsb03-dataelement-13517 (2020‑09‑04 12:30:42)
    Description The coded value for relationship to person.
    Operationalization FHIR value set: - Relationship type
    Value Domain
    draft Free text
    prsb03-dataelement-13518
    Id prsb03-dataelement-13518 (2020‑09‑04 12:31:40)
    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
    draft Comment
    prsb03-dataelement-12447
    Id prsb03-dataelement-12447 (2019‑06‑17 14:41:14)
    Description Information about the extent to which the accompanying individual provided information about the person.
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    folder draft Specialty
    prsb03-dataelement-10089
    link
    Id prsb03-dataelement-10089 (2018‑10‑31)
    Description The specialty e.g. physiotherapy, oncology, mental health etc
    draft Coded value
    prsb03-dataelement-13390
    Id prsb03-dataelement-13390 (2020‑08‑10 18:29:53)
    Description The coded value for specialty
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    draft Free text
    prsb03-dataelement-13391
    Id prsb03-dataelement-13391 (2020‑08‑10 18:31:31)
    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
    folder draft Discharge details
    prsb03-dataelement-191
    link
    Id prsb03-dataelement-191 (2018‑10‑31)
    Description Discharge details
    folder draft Discharge details record entry
    prsb03-dataelement-10919
    link
    Id prsb03-dataelement-10919 (2019‑04‑09 16:31:23)
    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.
    draft Expected date of discharge
    prsb03-dataelement-13424
    Id prsb03-dataelement-13424 (2020‑08‑11 14:16:33) 0.1
    Description The expected/ proposed date the person will be discharged.
    Rationale Encounter.period
    Operationalization SNOMED CT: - 861031000000101 |Expected date of discharge from service (observable entity)|
    Value Domain
    Property
    Timestamp precision
    at least day, month and year
    draft Date of discharge
    prsb03-dataelement-10096
    Id prsb03-dataelement-10096 (2018‑10‑31)
    Description The date and time of discharge

    Properties

    FHIR Encounter.period
    Rationale Encounter.period
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    draft Discharge location
    prsb03-dataelement-10095
    Id prsb03-dataelement-10095 (2018‑10‑31)
    Description The hospital the person was discharged from.

    Properties

    FHIR Encounter.location.name
    Rationale Encounter.location.name
    Operationalization NHS data dictionary : - Organisation data service
    Value Domain
    Property
    min length max length
    3 5
    folder draft Discharging consultant
    prsb03-dataelement-10093
    link
    Id prsb03-dataelement-10093 (2018‑10‑31)
    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
    draft Name
    prsb03-dataelement-10994
    Id prsb03-dataelement-10994 (2019‑05‑23 23:22:01)
    Description The name of the discharging consultant
    Rationale
    Encounter.Practitioner.PractitionerRole.Practitioner.name
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    draft Role
    prsb03-dataelement-10995
    Id prsb03-dataelement-10995 (2019‑05‑23 23:22:48)
    Description The role of the discharging consultant
    Rationale
    Encounter.Practitioner.PractitionerRole
    Operationalization FHIR value set : - sdsjobrole
    Value Domain
    draft Discharge destination
    prsb03-dataelement-10091
    Id prsb03-dataelement-10091 (2018‑10‑31)
    Description The destination of the person on discharge. Sent as per the ECDS Emergency Care Discharge Destination code set (SNOMED CT).

    Properties

    FHIR Encounter.hospitalisation.dischargedisposition
    Operationalization SNOMED CT
    Value Domain
    Property
    max length
    2
    draft Discharge status
    prsb03-dataelement-10092
    Id prsb03-dataelement-10092 (2018‑10‑31)
    Description Patient status on discharge from emergency care. Sent as per the ECDS Emergency Care DischargeStatus code set (SNOMED CT)

    Properties

    FHIR Encounter,Subject.Observation
    Operationalization SNOMED CT
    Value Domain
    folder draft Discharge method
    prsb03-dataelement-10098
    link
    Id prsb03-dataelement-10098 (2018‑10‑31)
    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
    draft Coded value
    prsb03-dataelement-13393
    Id prsb03-dataelement-13393 (2020‑08‑10 18:53:34)
    Description The coded value for discharge method
    Rationale Extension
    Operationalization NHS data dictionary : - Discharge method
    Value Domain
    Property
    max length
    1
    draft Free text
    prsb03-dataelement-13394
    Id prsb03-dataelement-13394 (2020‑08‑10 18:55:25)
    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
    folder draft Discharging specialty
    prsb03-dataelement-10094
    link
    Id prsb03-dataelement-10094 (2018‑10‑31)
    Description The specialty of the consultant responsible for the person at the time of discharge.
    draft Coded value
    prsb03-dataelement-13395
    Id prsb03-dataelement-13395 (2020‑08‑10 18:57:49)
    Description The coded value for discharge speciality
    Rationale Encounter.participant.individual.Practitioner.Practitionerrole.speciality
    Operationalization NHS data dictionary : - Activity treatment function code
    Value Domain
    Property
    max length
    3
    draft Free text
    prsb03-dataelement-13396
    Id prsb03-dataelement-13396 (2020‑08‑10 18:59:31)
    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
    draft Discharging department
    prsb03-dataelement-10987
    Id prsb03-dataelement-10987 (2019‑05‑23 13:21:24)
    Description The department from which the person is discharged.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Legal status on discharge
    prsb03-dataelement-10097
    Id prsb03-dataelement-10097 (2018‑10‑31)
    Description Whether the person was discharged as informal or formal/detained.

    Properties

    FHIR Encounter,Subject.Observation
    Rationale Encounter.Subject.Observation
    Operationalization 999003071000000100 | Mental Health Act legal status findings simple reference set (foundation metadata concept)

    Value Domain
    Property
    max length
    2
    folder draft Discharge destination
    prsb03-dataelement-10099
    link
    Id prsb03-dataelement-10099 (2018‑10‑31)

    Properties

    FHIR Encounter.hospitalisation.destination.location. Address
    draft Discharge destination
    prsb03-dataelement-10100
    Id prsb03-dataelement-10100 (2018‑10‑31)
    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
    Rationale Encounter.hospitalisation.dischargedisposition
    Operationalization NHS data dictionary - Discharge destination.
    Value Domain
    Property
    max length
    2
    draft Discharge address
    prsb03-dataelement-10101
    Id prsb03-dataelement-10101 (2018‑10‑31)
    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.
    Rationale Encounter.hospitalisation.destination.location. Address
    Operationalization NHS data dictionary :- Address
    Value Domain
    Property
    min length max length
    35 175
    cancelled Expected date of discharge
    prsb03-dataelement-10102
    Id prsb03-dataelement-10102 (2018‑10‑31)
    Description The date the person is currently expected to be discharged.
    Operationalization Date/time
    Value Domain
    folder cancelled Discharge date informed status
    prsb03-dataelement-13386
    link
    Id prsb03-dataelement-13386 (2020‑08‑10 18:22:05) 0.1
    Description A statement confirming that the patient or carer has been informed of the date on which it is proposed that the patient be discharged
    cancelled Discharge date patient informed indicator
    prsb03-dataelement-13392
    Id prsb03-dataelement-13392 (2020‑08‑10 18:32:48) 0.1
    Description Indicates whether or not the patient has been informed of the proposed discharge date.
    Value Domain
    folder draft Discharge date informed status
    prsb03-dataelement-13383
    link
    Id prsb03-dataelement-13383 (2020‑08‑10 18:08:49) 0.1
    Description A statement confirming that the person or carer has been informed of the date on which it is proposed that the person be discharged
    draft Discharge date person informed indicator
    prsb03-dataelement-13423
    Id prsb03-dataelement-13423 (2020‑08‑11 14:07:04) 0.1
    Description Indicates whether or not the patient has been informed of the proposed discharge date.
    Operationalization Flag;- yes or no
    Value Domain
    draft Discharge date carer informed indicator
    prsb03-dataelement-13422
    Id prsb03-dataelement-13422 (2020‑08‑11 14:02:51) 0.1
    Description Indicates whether or not the carer (where applicable) has been informed of the proposed discharge date.
    Operationalization
    Flag : - N: No;Y: Yes; NKC: No Known Carer
    Value Domain
    folder draft Emergency Care Attendance
    prsb03-dataelement-379
    link
    Id prsb03-dataelement-379 (2018‑10‑31)
    Description Emergency Care Attendance
    draft Clinical narrative
    prsb03-dataelement-10279
    Id prsb03-dataelement-10279 (2018‑10‑31)
    Description A description detailing a patient’s reason for attendance, results from the diagnostic and treatment process.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Date and time of attendance
    prsb03-dataelement-10280
    Id prsb03-dataelement-10280 (2018‑10‑31)
    Description Date and time patient arrived at the unscheduled care unit.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    draft Date and time of discharge
    prsb03-dataelement-10281
    Id prsb03-dataelement-10281 (2018‑10‑31)
    Description The actual date and time of discharge.
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    draft Diagnosis
    prsb03-dataelement-10282
    Id prsb03-dataelement-10282 (2018‑10‑31)
    Description Confirmed diagnosis; active diagnosis being treated. Include the stage of the disease where relevant.
    Value Domain
    draft Discharge destination
    prsb03-dataelement-10283
    Id prsb03-dataelement-10283 (2018‑10‑31)
    Description The destination of the patient on discharge. National codes. E.g., High Dependency Unit.
    Value Domain
    draft Discharge status
    prsb03-dataelement-10284
    Id prsb03-dataelement-10284 (2018‑10‑31)
    Description Patient status on discharge from emergency care.
    Value Domain
    draft Location
    prsb03-dataelement-10285
    Id prsb03-dataelement-10285 (2018‑10‑31)
    Description Details of where the unscheduled care attendance took place.
    Value Domain
    draft Person accompanying patient
    prsb03-dataelement-10286
    Id prsb03-dataelement-10286 (2018‑10‑31)
    Description Identify others accompanying the patient, e.g., relative, friend, patient informal carer, advocate. If the patient was not present, was an authorised representative present. Include name and relationship (friend, relative, etc.)
    Value Domain
    draft Plan and Requested Actions
    prsb03-dataelement-10287
    Id prsb03-dataelement-10287 (2018‑10‑31)
    Description A simple free text description of the plan of action following the contact with the person. This may include actions for the parent, healthcare professional (e.g. health visitor) and review.
    Value Domain
    draft Presenting complaint or issue
    prsb03-dataelement-10288
    Id prsb03-dataelement-10288 (2018‑10‑31)
    Description The health problem or issue experienced by the patient resulting in their attendance. This may include disease state, medical condition, response and reactions to therapies. E.g., blackout, dizziness, chest pain, follow up from admission, falls, a specific procedure, investigation or treatment.
    Value Domain
    cancelled Senior reviewing clinician
    prsb03-dataelement-10800
    Id prsb03-dataelement-10800 (2019‑03‑20 13:45:58)
    Value Domain
    folder draft Senior Reviewing Clinician
    prsb03-dataelement-327
    link
    Id prsb03-dataelement-327 (2018‑10‑31)
    Description Senior Reviewing Clinician
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Name
    prsb03-dataelement-10227
    Id prsb03-dataelement-10227 (2018‑10‑31)
    Description The name of the senior clinician responsible for reviewing the patient treatment and discharge plan.
    Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, suffix).
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Professional identifier
    prsb03-dataelement-10228
    Id prsb03-dataelement-10228 (2018‑10‑31)
    Description The unique identifier issued by the regulatory body e.g., GMC number, HCPC number etc.
    Operationalization The professional identifier type and the identifier itself as held on the source system. An identifier for the person completing the record will be sent (but may not be displayed in the rendered message).
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Procedure
    prsb03-dataelement-10289
    Id prsb03-dataelement-10289 (2018‑10‑31)
    Description The therapeutic or diagnostic procedure performed on the patient. This may be coded, or represented as free text.
    Value Domain
    draft Referral Source
    prsb03-dataelement-10290
    Id prsb03-dataelement-10290 (2018‑10‑31)
    Description Source of referral for Unscheduled care
    Value Domain
    draft Safety Alerts
    prsb03-dataelement-10291
    Id prsb03-dataelement-10291 (2018‑10‑31)
    Description Safety Alerts at the Emergency Care Attendance suggested to be pulled through from the Safety Alerts heading.
    Value Domain
    folder draft Future appointments
    prsb03-dataelement-10720
    link
    Id prsb03-dataelement-10720 (2019‑02‑08 15:58:04)
    Description Details of future appointments.
    folder draft Future appointments record entry
    prsb03-dataelement-10721
    link
    Id prsb03-dataelement-10721 (2019‑02‑08 15:58:39)
    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.
    draft Date of appointment
    prsb03-dataelement-10722
    Id prsb03-dataelement-10722 (2019‑02‑08 15:59:19)
    Description Date and time of future appointment.
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year
    draft Appointment status
    prsb03-dataelement-10723
    Id prsb03-dataelement-10723 (2019‑02‑08 16:00:39)
    Description The status of the appointment e.g. proposed, booked, confirmed, rejected.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Reason for appointment
    prsb03-dataelement-10724
    Id prsb03-dataelement-10724 (2019‑02‑08 16:02:23)
    Description Reason this appointment is scheduled e.g. diagnosis, investigation, treatment or assessment
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Clinical urgency of appointment
    prsb03-dataelement-10725
    Id prsb03-dataelement-10725 (2019‑02‑08 16:03:54)
    Description Urgency of appointment.
    Operationalization NHS data dictionary : - Priority
    Value Domain
    Property
    max length
    1
    folder draft Location of future appointment
    prsb03-dataelement-10726
    link
    Id prsb03-dataelement-10726 (2019‑02‑08 16:05:14)
    Description The location of the appointment.
    draft Coded value
    prsb03-dataelement-13519
    Id prsb03-dataelement-13519 (2020‑09‑04 13:23:38)
    Description The coded value for location
    Operationalization NHS data dictionary : - Organisation data service
    Value Domain
    Property
    min length max length
    3 5
    draft Free text
    prsb03-dataelement-13520
    Id prsb03-dataelement-13520 (2020‑09‑04 13:25:24)
    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
    draft Specialty
    prsb03-dataelement-10727
    Id prsb03-dataelement-10727 (2019‑02‑08 16:10:35)
    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
    draft Service
    prsb03-dataelement-10728
    Id prsb03-dataelement-10728 (2019‑02‑08 16:11:32)
    Description The service being provided.

    Properties

    FHIR Encounter.Appointment.servicetype
    Relationship
    Operationalization SNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata concept)|
    Value Domain
    folder draft Professional to see the person
    prsb03-dataelement-10729
    link
    Id prsb03-dataelement-10729 (2019‑02‑08 16:12:10)
    Description The name and role of the professional e.g. consultant, care worker, nurse consultant.

    Properties

    FHIR Encounter.participant
    Relationship
    draft Name
    prsb03-dataelement-12413
    Id prsb03-dataelement-12413 (2019‑06‑05 18:59:13)
    Description The name of the professional seeing the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    70
    draft Role
    prsb03-dataelement-12414
    Id prsb03-dataelement-12414 (2019‑06‑05 18:59:35)
    Description The role of the professional seeing the person.
    Operationalization FHIR value set : - sdsjobrole
    Value Domain
    folder draft Incident details
    prsb03-dataelement-10887
    link
    Id prsb03-dataelement-10887 (2019‑03‑29 13:05:03)
    Description Details of ambulance incidents.
    draft Source of call
    prsb03-dataelement-10888
    Id prsb03-dataelement-10888 (2019‑03‑29 13:05:52)
    Description Where the call originated from e.g. 999, NHS 111, police, GP, hospital etc.
    Operationalization Record generated from the local system.
    Value Domain
    draft Ambulance service
    prsb03-dataelement-10889
    Id prsb03-dataelement-10889 (2019‑03‑29 13:07:10)
    Description The ambulance service provider. This could be NHS, air ambulance, voluntary or private provider.
    Operationalization This should be the Organisation Data Services name for the ambulance service.
    Value Domain
    draft Incident number
    prsb03-dataelement-10890
    Id prsb03-dataelement-10890 (2019‑03‑29 13:14:27)
    Description The number that identifies the incident and is generated by the dispatcher in response to a call.
    Operationalization This is a number generated by the local system.
    Value Domain
    draft Unique person identifier
    prsb03-dataelement-10891
    Id prsb03-dataelement-10891 (2019‑03‑29 13:22:03)
    Description A unique identifier to identifiy the person.
    Operationalization This is a number generated by the local system. Note: The exact values for this heading are expected to be defined by the Ambulance Dataset Project.
    Value Domain
    draft Incident location
    prsb03-dataelement-10892
    Id prsb03-dataelement-10892 (2019‑03‑29 13:33:38)
    Description The location of the incident.
    Operationalization The record of the address provided by the local system.
    Value Domain
    draft Individual accompanying person
    prsb03-dataelement-10893
    Id prsb03-dataelement-10893 (2019‑03‑29 13:34:37)
    Description Individual who has family, carer or other relationship who accompanies the person.
    Operationalization Record as provided by the ambulance clinician, in free text.
    Value Domain
    draft Incident date and time
    prsb03-dataelement-10894
    Id prsb03-dataelement-10894 (2019‑03‑29 13:35:24)
    Description The date and time of the incident.
    Operationalization This is the date as reported by the person or the person reporting the incident.
    Value Domain
    draft Time of symptom onset
    prsb03-dataelement-10895
    Id prsb03-dataelement-10895 (2019‑03‑29 13:36:11)
    Description The approximate time the person’s symptoms began. Where there is a prodrome of intermittent pain the time recorded should be the time of onset of those symptoms which led the person to call for help.
    Operationalization This is the time as reported by the person or the person reporting the incident.
    Value Domain
    draft Arrival time at incident
    prsb03-dataelement-10896
    Id prsb03-dataelement-10896 (2019‑03‑29 13:37:59)
    Description The time the crew or individual responder arrived at the scene of the incident
    Operationalization The information is provided by the local system.
    Value Domain
    draft Time left incident location
    prsb03-dataelement-10897
    Id prsb03-dataelement-10897 (2019‑03‑29 13:38:51)
    Description Time the crew or individual responder left the incident
    Operationalization The information is provided by the local system.
    Value Domain
    draft Time of arrival at handover destination
    prsb03-dataelement-10898
    Id prsb03-dataelement-10898 (2019‑03‑29 13:39:37)
    Description
    The time the ambulance parks at the handover
    destination (eg A&E, clinic, etc).
    Operationalization The information is provided by the local system.
    Value Domain
    folder draft Injury
    prsb03-dataelement-10899
    link
    Id prsb03-dataelement-10899 (2019‑04‑02 12:05:36)
    Description Details of the person's injury.
    draft Injury activity status
    prsb03-dataelement-10900
    Id prsb03-dataelement-10900 (2019‑04‑02 12:07:28)
    Description The status of activity being undertaken by the person at the moment the injury occurred (e.g. education, work, leisure activity etc).
    Operationalization
    To obtain the subset click on members under concept details along the top right section
    Value Domain
    draft Injury activity
    prsb03-dataelement-10901
    Id prsb03-dataelement-10901 (2019‑04‑02 12:09:04)
    Description The type of activity being undertaken by the person at the moment the injury occurred.
    Operationalization
    To obtain the subset click on members under concept details along the top right section
    Value Domain
    draft Injury intent
    prsb03-dataelement-10902
    Id prsb03-dataelement-10902 (2019‑04‑02 12:12:31)
    Description The most likely human intent in the occurrence of the injury or poisoning as assessed by clinician.
    Operationalization
    To obtain the subset click on members under concept details along the top right section
    Value Domain
    draft Injury mechanism
    prsb03-dataelement-10903
    Id prsb03-dataelement-10903 (2019‑04‑02 12:13:24)
    Description How the injury was caused.
    Operationalization
    To obtain the subset click on members under concept details along the top right section
    Value Domain
    draft Alcohol or drug involvement in injury
    prsb03-dataelement-10904
    Id prsb03-dataelement-10904 (2019‑04‑02 12:14:19)
    Description A record of any drugs or alcohol used by the person, which are thought likely to have contributed to the need to attend the ED.
    Operationalization
    To obtain the subset click on members under concept details along the top right section
    Value Domain
    folder draft Relevant past medical, surgical and mental health history
    prsb03-dataelement-547
    link
    Id prsb03-dataelement-547 (2018‑10‑31)
    Description The record of the person’s significant medical, surgical and mental health history. Including relevant previous diagnoses, problems and issues, procedures, investigations, specific anaesthesia issues, etc (with obstetric history).
    draft Date
    prsb03-dataelement-10447
    Id prsb03-dataelement-10447 (2018‑10‑31)
    Description The date on which the medical history was recorded
    Value Domain
    draft Location
    prsb03-dataelement-10448
    Id prsb03-dataelement-10448 (2018‑10‑31)
    Description The location where the medical history was recorded
    Value Domain
    draft Performing Professional
    prsb03-dataelement-10449
    Id prsb03-dataelement-10449 (2018‑10‑31)
    Description Details of the professional performing the medical history (including name and role)
    Value Domain
    draft Gynaecology
    prsb03-dataelement-10450
    Id prsb03-dataelement-10450 (2018‑10‑31)
    Description A record of the woman’s gynaecology medical history relevant to the maternity episode, including relevant previous diagnoses, problems and issues, procedures, surgeries and investigations.
    Value Domain
    draft Past obstetric
    prsb03-dataelement-10451
    Id prsb03-dataelement-10451 (2018‑10‑31)
    Description A record of the woman’s obstetric medical history relevant to the maternity episode. To include each previous pregnancy details and the outcome.
    Value Domain
    draft Relevant past medical history
    prsb03-dataelement-10452
    Id prsb03-dataelement-10452 (2018‑10‑31)
    Description The record of the person's significant medical, history. Including relevant previous diagnoses, health history problems and issues.
    Value Domain
    draft Relevant past surgical history
    prsb03-dataelement-10453
    Id prsb03-dataelement-10453 (2018‑10‑31)
    Description The record of the person’s significant surgical history. Including relevant issues, procedures, investigations, specific anaesthesia issues, etc.
    Value Domain
    draft Relevant past mental health history
    prsb03-dataelement-10454
    Id prsb03-dataelement-10454 (2018‑10‑31)
    Description A record of the person’s mental health history relevant to the episode
    Value Domain
    draft Acute Hospital Episodes
    prsb03-dataelement-10455
    Id prsb03-dataelement-10455 (2018‑10‑31)
    Description Reported details of any history of acute hospital episodes including ITU, HDU and A&E attendances the woman has had.
    Value Domain
    draft Mental Health Admissions
    prsb03-dataelement-10456
    Id prsb03-dataelement-10456 (2018‑10‑31)
    Description Reported details of any history of mental health admissions.
    Value Domain
    draft Relevant past medical, surgical and mental health history
    prsb03-dataelement-12476
    Id prsb03-dataelement-12476 (2019‑06‑27 12:35:48)
    Description The record of the person's significant medical, surgical and mental health history (will include dental and obstetric history). Including relevant previous diagnoses, problems and issues, procedures, investigations, specific anaesthesia issues, etc.
    Relationship
    Operationalization A list of the person's relevant past medical, surgical and mental health history recorded in free text or coded form.
    Value Domain
    folder draft Relevant clinical risk factors
    prsb03-dataelement-203
    link
    Id prsb03-dataelement-203 (2018‑10‑31)
    Description Relevant clinical risk factors
    folder draft Relevant clinical risk factor record entry
    prsb03-dataelement-10650
    link
    Id prsb03-dataelement-10650 (2018‑11‑12 19:39:02)
    Description This is a Relevant clinical risk factor 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.
    draft Relevant clinical risk factor
    prsb03-dataelement-10103
    Id prsb03-dataelement-10103 (2018‑10‑31)
    Description Factors that have been shown to be associated with the development of a medical condition being considered as a diagnosis/differential diagnosis. E.g. being overweight, smoker, no use of sun screen, enzyme deficiency.

    Properties

    FHIR composition.text
    Operationalization Free text
    Value Domain
    draft Date
    prsb03-dataelement-10104
    Id prsb03-dataelement-10104 (2018‑10‑31)
    Description The date on which the clinical risk factor was recorded
    Value Domain
    draft Location
    prsb03-dataelement-10105
    Id prsb03-dataelement-10105 (2018‑10‑31)
    Description The location where the clinical risk factor was recorded.
    Value Domain
    draft Performing Professional
    prsb03-dataelement-10106
    Id prsb03-dataelement-10106 (2018‑10‑31)
    Description Details of the professional recording the clinical risk factor (including name and role)
    Value Domain
    draft Clinical risk assessment
    prsb03-dataelement-10107
    Id prsb03-dataelement-10107 (2018‑10‑31)
    Description Specific risk assessments required/undertaken.
    Operationalization Coded (SNOMED CT) or text
    Value Domain
    draft Risk mitigation
    prsb03-dataelement-10108
    Id prsb03-dataelement-10108 (2018‑10‑31)
    Description Action taken to reduce the clinical risk and date actions.
    Operationalization Free text
    Value Domain
    draft Patient at high risk
    prsb03-dataelement-10109
    Id prsb03-dataelement-10109 (2018‑10‑31)
    Description This patient is at high risk of clinical deterioration and will need an immediate response if called
    Value Domain
    folder draft Vaccinations
    prsb03-dataelement-10685
    link
    Id prsb03-dataelement-10685 (2018‑12‑04 11:33:10)
    Description Details of vaccinations.
    folder draft Vaccinations record entry
    prsb03-dataelement-10686
    link
    Id prsb03-dataelement-10686 (2018‑12‑04 11:34:26) 0.1
    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.
    draft Date
    prsb03-dataelement-10695
    Id prsb03-dataelement-10695 (2018‑12‑04 11:38:40)
    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
    folder draft Location
    prsb03-dataelement-10759
    link
    Id prsb03-dataelement-10759 (2019‑03‑08 17:50:00)
    Description The location where the vaccine was administered.
    Relationship
    draft Coded value
    prsb03-dataelement-13577
    Id prsb03-dataelement-13577 (2020‑09‑07 17:08:23)
    Description The coded value for location
    Operationalization NHS data dictionary: - Organisation data service
    Value Domain
    Property
    min length max length
    3 5
    draft Free text
    prsb03-dataelement-13578
    Id prsb03-dataelement-13578 (2020‑09‑07 17:09:39)
    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
    cancelled Performing professional
    prsb03-dataelement-10760
    Id prsb03-dataelement-10760 (2019‑03‑08 17:50:41)
    Description Details of the professional administering the vaccine or the professional to whom the vaccination was reported.
    Relationship
    Operationalization Free text
    Value Domain
    folder draft Performing professional
    prsb03-dataelement-12184
    link
    Id prsb03-dataelement-12184 (2019‑05‑31 16:19:14)
    Description The professional who administered the vaccine.
    Relationship
    draft Name
    prsb03-dataelement-12185
    Id prsb03-dataelement-12185 (2019‑05‑31 16:19:35)
    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 0 transactions, 0 templates, inherited once
     
    draft Role
    prsb03-dataelement-12186
    Id prsb03-dataelement-12186 (2019‑05‑31 16:19:35)
    Description The role the professional has in relation to the person.
    Relationship
    Operationalization FHIR value set : - sdsjobrole
    Value Domain
    target Used by 0 transactions, 0 templates, inherited 4 times
     
    draft Grade
    prsb03-dataelement-12187
    Id prsb03-dataelement-12187 (2019‑05‑31 16:19:35)
    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 0 transactions, 0 templates, inherited once
     
    draft Speciality
    prsb03-dataelement-12188
    Id prsb03-dataelement-12188 (2019‑05‑31 16:19:35)
    Description The specialty of the professional.
    Relationship
    Operationalization NHS data dictionary - Main specialty code
    Value Domain
    Property
    max length
    3
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Professional identifier
    prsb03-dataelement-12189
    Id prsb03-dataelement-12189 (2019‑05‑31 16:19:35)
    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 0 transactions, 0 templates, inherited once
     
    folder draft Organisation
    prsb03-dataelement-12190
    Id prsb03-dataelement-12190 (2019‑05‑31 16:19:35)
    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 0 transactions, 0 templates, inherited once
     
    draft Contact details
    prsb03-dataelement-12191
    Id prsb03-dataelement-12191 (2019‑05‑31 16:19:35)
    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 0 transactions, 0 templates, inherited once
     
    folder draft Vaccine product
    prsb03-dataelement-10687
    link
    Id prsb03-dataelement-10687 (2018‑12‑04 11:36:00)
    Description The vaccine product administered.
    draft Coded value
    prsb03-dataelement-13237
    Id prsb03-dataelement-13237 (2020‑07‑21 16:44:15)
    Description The coded value for vaccine product.
    Operationalization dm+d (SNOMED) Concept ID AMP (preferred) or VMP term for the vaccine product

    Value Domain
    draft Free text
    prsb03-dataelement-13238
    Id prsb03-dataelement-13238 (2020‑07‑21 16:45:32)
    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
    folder draft Manufacturer
    prsb03-dataelement-10698
    link
    Id prsb03-dataelement-10698 (2018‑12‑04 15:11:19)
    Description Name of vaccine manufacturer.
    draft Coded value
    prsb03-dataelement-13239
    Id prsb03-dataelement-13239 (2020‑07‑21 17:14:02)
    Description The coded value of the manufacturer.
    Operationalization SNOMED CT: - DM+D or GS1
    Value Domain
    draft Free text
    prsb03-dataelement-13240
    Id prsb03-dataelement-13240 (2020‑07‑21 17:15:48)
    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
    folder draft Vaccine procedure
    prsb03-dataelement-10688
    link
    Id prsb03-dataelement-10688 (2018‑12‑04 11:36:30)
    Description The procedure which was used to administer the vaccine.
    draft Coded value
    prsb03-dataelement-13219
    Id prsb03-dataelement-13219 (2020‑07‑08 12:29:41)
    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
    draft Free text
    prsb03-dataelement-13220
    Id 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 0 transactions, 0 templates, inherited 114 times
     
    folder draft Batch number
    prsb03-dataelement-10697
    link
    Id prsb03-dataelement-10697 (2018‑12‑04 15:10:59)
    Description The batch number of the product.
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Coded value
    prsb03-dataelement-13233
    Id prsb03-dataelement-13233 (2020‑07‑21 15:15:57)
    Description The coded value for the batch number
    Operationalization FMD code : - Derived from Falsified medicines directive
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Free text
    prsb03-dataelement-13234
    Id prsb03-dataelement-13234 (2020‑07‑21 15:17:14)
    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 0 transactions, 0 templates, inherited once
     
    draft Expiry date
    prsb03-dataelement-10696
    Id prsb03-dataelement-10696 (2018‑12‑04 15:10:32)
    Description The date on which the vaccine will expire.
    Operationalization Date/time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    folder draft Serialisation code
    prsb03-dataelement-10690
    link
    Id prsb03-dataelement-10690 (2018‑12‑04 11:37:07)
    Description A code that separately identifies two identical vaccines (i.e. same product, same batch).
    draft Coded value
    prsb03-dataelement-13235
    Id prsb03-dataelement-13235 (2020‑07‑21 15:21:31)
    Description The coded value for serialisation code.
    Operationalization FMD code : - Derived from Falsified medicines directive
    Value Domain
    draft Free text
    prsb03-dataelement-13236
    Id prsb03-dataelement-13236 (2020‑07‑21 15:22:23)
    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
    folder draft Body site
    prsb03-dataelement-10691
    link
    Id prsb03-dataelement-10691 (2018‑12‑04 11:37:33)
    Description Body site vaccine was administered.
    draft Coded value
    prsb03-dataelement-13222
    Id prsb03-dataelement-13222 (2020‑07‑08 17:37:37)
    Description The coded value for body site
    Operationalization SNOMED CT : - ^ 1127941000000100 |Vaccine body site of administration simple reference set (foundation metadata concept)|
    Value Domain
    draft Free text
    prsb03-dataelement-13223
    Id 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 0 transactions, 0 templates, inherited 17 times
     
    folder draft Route
    prsb03-dataelement-10692
    link
    Id prsb03-dataelement-10692 (2018‑12‑04 11:37:53)
    Description How the vaccine entered the body.
    draft Coded value
    prsb03-dataelement-13224
    Id prsb03-dataelement-13224 (2020‑07‑08 18:23:10)
    Description The coded value for vaccination route
    Operationalization SNOMED CT: - ^999000051000001100 |ePrescribing route of administration simple reference set (foundation metadata concept)|
    Value Domain
    draft Free text
    prsb03-dataelement-13225
    Id prsb03-dataelement-13225 (2020‑07‑08 18:25:39)
    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
    folder draft Indication
    prsb03-dataelement-10693
    link
    Id prsb03-dataelement-10693 (2018‑12‑04 11:38:05)
    Description The clinical indication or reason for administering the vaccine.
    draft Coded value
    prsb03-dataelement-13226
    Id prsb03-dataelement-13226 (2020‑07‑14 17:03:18)
    Description The coded value for Indication.
    Operationalization SNOMED CT:- ^1127601000000107 | Healthcare matters simple reference set (foundation metadata concept) |

    Value Domain
    draft Free text
    prsb03-dataelement-13227
    Id prsb03-dataelement-13227 (2020‑07‑14 17:08:12)
    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
    folder draft Dose amount
    prsb03-dataelement-10694
    link
    Id prsb03-dataelement-10694 (2018‑12‑04 11:38:24) 0.1
    Description Amount of vaccine administered.
    draft Coded value
    prsb03-dataelement-13228
    Id prsb03-dataelement-13228 (2020‑07‑15 18:42:20)
    Description Amount of vaccine administered.
    Operationalization SNOMED CT : - dm+d
    Value Domain
    draft Value
    prsb03-dataelement-13838
    Id prsb03-dataelement-13838 (2020‑12‑28 22:49:54)
    Description The amount of vaccine administered
    Relationship
    Operationalization Free text
    Value Domain
    draft Units of measure
    prsb03-dataelement-13839
    Id prsb03-dataelement-13839 (2020‑12‑28 22:51:47)
    Description The units of measure for the dose amount
    Relationship
    Operationalization UCUM code
    Value Domain
    Property
    max length
    10
    draft Free text
    prsb03-dataelement-13229
    Id 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 0 transactions, 0 templates, inherited once
     
    draft Dose sequence
    prsb03-dataelement-10824
    Id prsb03-dataelement-10824 (2019‑03‑21 13:38:54)
    Description Nominal position in a series of vaccines.
    Relationship
    Operationalization Numeric value
    Value Domain
    Property
    max include
    1
    folder draft Outcome status
    prsb03-dataelement-10838
    link
    Id prsb03-dataelement-10838 (2019‑03‑26 12:32:46)
    Description Whether the vaccine was administered or not, including the reason why
    Relationship
    draft Not given flag
    prsb03-dataelement-13230
    Id prsb03-dataelement-13230 (2020‑07‑16 14:54:34)
    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
    draft Vaccination situation (not given reason)
    prsb03-dataelement-13231
    Id prsb03-dataelement-13231 (2020‑07‑16 15:00:05)
    Description The reason why a vaccination was not administered.
    Operationalization FHIR value set : - Reason code

    Value Domain
    Property
    max length
    150
    folder draft Person completing record
    prsb03-dataelement-12192
    link
    Id prsb03-dataelement-12192 (2019‑05‑31 16:19:51)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    draft Name
    prsb03-dataelement-12193
    Id prsb03-dataelement-12193 (2019‑05‑31 16:20:12)
    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
    draft Role
    prsb03-dataelement-12194
    Id prsb03-dataelement-12194 (2019‑05‑31 16:20:12)
    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
    draft Grade
    prsb03-dataelement-12195
    Id prsb03-dataelement-12195 (2019‑05‑31 16:20:12)
    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
    draft Specialty
    prsb03-dataelement-12196
    Id prsb03-dataelement-12196 (2019‑05‑31 16:20:12)
    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
    folder draft Organisation
    prsb03-dataelement-12197
    Id prsb03-dataelement-12197 (2019‑05‑31 16:20:12)
    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
    draft Professional identifier
    prsb03-dataelement-12198
    Id prsb03-dataelement-12198 (2019‑05‑31 16:20:12)
    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
    draft Date completed
    prsb03-dataelement-12199
    Id prsb03-dataelement-12199 (2019‑05‑31 16:20:12)
    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
    draft Contact details
    prsb03-dataelement-12200
    Id prsb03-dataelement-12200 (2019‑05‑31 16:20:12)
    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
    cancelled Person completing record
    prsb03-dataelement-10951
    Id prsb03-dataelement-10951 (2019‑05‑18 20:30:31) 0.1
    Description This is the person recording the vaccination.

    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    folder draft Reported
    prsb03-dataelement-10825
    link
    Id prsb03-dataelement-10825 (2019‑03‑21 13:40:11)
    Description Details of the vaccination reported to the professional
    Relationship
    draft Date
    prsb03-dataelement-10837
    Id prsb03-dataelement-10837 (2019‑03‑26 12:29:22)
    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
    draft Reported
    prsb03-dataelement-13849
    Id prsb03-dataelement-13849 (2021‑01‑05 12:59:10)
    Description A flag to indicate the information was reported to a professional
    Operationalization Flag: - Yes or No
    Value Domain
    Property
    default
    3
    draft Report origin
    prsb03-dataelement-13232
    Id prsb03-dataelement-13232 (2020‑07‑21 12:49:00)
    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
    cancelled Manufacturer
    prsb03-dataelement-10689
    Id prsb03-dataelement-10689 (2018‑12‑04 11:36:46)
    Value Domain
    folder draft Appliances
    prsb03-dataelement-13762
    link
    Id prsb03-dataelement-13762 (2020‑09‑30 12:33:21)
    Description Details of appliances
    folder draft Appliance records entry
    prsb03-dataelement-13763
    link
    Id prsb03-dataelement-13763 (2020‑09‑30 12:41:04)
    Description This is the appliance records entry.
    draft Appliance name
    prsb03-dataelement-13764
    Id prsb03-dataelement-13764 (2020‑09‑30 12:44:26)
    Description May be generic name or brand name (as appropriate).
    Operationalization As per dm+d (AMP)
    Value Domain
    draft Product order number
    prsb03-dataelement-13765
    Id prsb03-dataelement-13765 (2020‑09‑30 12:59:10)
    Description The product order number for the appliance.
    Value Domain
    draft Manufacturer
    prsb03-dataelement-13766
    Id prsb03-dataelement-13766 (2020‑09‑30 13:01:00)
    Description Name of appliance manufacturer
    Operationalization Free text
    Value Domain
    draft Batch number
    prsb03-dataelement-13767
    Id prsb03-dataelement-13767 (2020‑09‑30 13:03:53)
    Description The batch number of the appliance.
    Operationalization Free text
    Value Domain
    draft Size
    prsb03-dataelement-13768
    Id prsb03-dataelement-13768 (2020‑09‑30 13:07:19)
    Description The size of the appliance.
    Operationalization UCUM
    Value Domain
    draft Weight
    prsb03-dataelement-13769
    Id prsb03-dataelement-13769 (2020‑09‑30 13:09:16)
    Description The weight of the appliance.
    Operationalization UCUM
    Value Domain
    draft Colour
    prsb03-dataelement-13770
    Id prsb03-dataelement-13770 (2020‑09‑30 13:11:53)
    Description The colour of the appliance
    Operationalization Free text
    Value Domain
    folder draft Route
    prsb03-dataelement-13771
    link
    Id prsb03-dataelement-13771 (2020‑09‑30 13:14:22)
    Description Appliance administration description (IM, IV, etc.): may include method of administration, (e.g., by infusion).
    Operationalization SNOMED CT: -  ^999000051000001100 |ePrescribing route of administration simple reference set (foundation metadata concept)|
    draft Coded Value
    prsb03-dataelement-14268
    Id prsb03-dataelement-14268 (2021‑03‑31 12:16:55)
    Description Coded value for appliance route
    Operationalization

    SNOMED CT: -      ^999000051000001100 |ePrescribing route of administration simple reference set (foundation metadata concept)|
    Value Domain
    draft Free text
    prsb03-dataelement-14267
    Id prsb03-dataelement-14267 (2021‑03‑31 12:16:40)
    Description Free text field to be used if no coded text available
    Value Domain
    cancelled Coded value
    prsb03-dataelement-13795
    Id prsb03-dataelement-13795 (2020‑11‑04 12:10:01) 1
    Value Domain
    cancelled Free text
    prsb03-dataelement-13794
    Id prsb03-dataelement-13794 (2020‑11‑04 12:09:49) 1
    Description Free text field to be used if no code available
    Operationalization Free text
    Value Domain
    folder draft Site
    prsb03-dataelement-13772
    link
    Id prsb03-dataelement-13772 (2020‑09‑30 13:19:42) 1
    Description The anatomical site at which the appliance is to be used, including laterality.
    draft Coded Value
    prsb03-dataelement-14269
    Id prsb03-dataelement-14269 (2021‑03‑31 12:46:03)
    Description Coded value for site
    Operationalization

    SNOMED CT: - <442083009 | Anatomical or acquired body structure (body structure) |
    Value Domain
    draft Free text
    prsb03-dataelement-14270
    Id prsb03-dataelement-14270 (2021‑03‑31 12:48:09)
    Description Free text where no coded value is available
    Operationalization Free text
    Value Domain
    cancelled Coded value
    prsb03-dataelement-13797
    Id prsb03-dataelement-13797 (2020‑11‑04 12:33:31) 1
    Description Coded value for site
    Operationalization
    The following value set may be applicable, but would need validating for appliances:
    • Coded text – constraint: SiteOfMedicationAdministration. Any valid site for the administration of a medication. Constraint binding: [SNOMED-CT]subset= SiteOfMedicationAdministration
    Value Domain
    cancelled Free text
    prsb03-dataelement-13796
    Id prsb03-dataelement-13796 (2020‑11‑04 12:33:18) 1
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    draft Quantity
    prsb03-dataelement-13773
    Id prsb03-dataelement-13773 (2020‑09‑30 14:00:10)
    Description The quantity of the appliance (including the units).
    Operationalization UCUM
    Value Domain
    draft Indication
    prsb03-dataelement-13774
    Id prsb03-dataelement-13774 (2020‑09‑30 14:04:52)
    Description Reason for appliance being prescribed, where known.
    Operationalization Free text
    Value Domain
    draft Matters identified during the discussion
    prsb03-dataelement-13775
    Id prsb03-dataelement-13775 (2020‑09‑30 14:06:42)
    Description Matters identified during the service about the patient's experience of using the appliance. To include e.g, patient using/not using the appliance as prescribed, patient reports negative feelings about the appliance etc. Also to include whether the information was provided by the patient or somebody else (e.g. a relative, carer etc) e.g. patient using/not using the appliance as prescribed, patient reports negative feelings about the appliance etc.
    Operationalization Free text
    Value Domain
    draft Date/time
    prsb03-dataelement-13802
    Id prsb03-dataelement-13802 (2020‑11‑12 20:45:55) 1
    Value Domain
    Property
    Timestamp precision
    at least day, month and year
    folder draft Presenting complaints or issues
    prsb03-dataelement-210
    link
    Id prsb03-dataelement-210 (2018‑10‑31)
    Description Presenting complaints or issues
    target Used by one transaction, 0 templates, inherited 0 times
     
    cancelled Presenting complaint or issue
    prsb03-dataelement-10110
    Id prsb03-dataelement-10110 (2018‑10‑31) 0.1
    Description The health problem or issue experienced by the patient resulting in their attendance. This may include disease state, medical condition, response and reactions to therapies. E.g., blackout, dizziness, chest pain, follow up from admission, falls, a specific procedure, investigation or treatment.

    Properties

    FHIR Condition.code
    Operationalization Only ONE (chief complaint) sent as per the ECDS Emergency Care Chief Complaint code set (SNOMED CT).
    Value Domain
    folder draft Presenting complaint or issue
    prsb03-dataelement-13784
    link
    Id prsb03-dataelement-13784 (2020‑10‑22 17:40:08)
    Description The health problem or issue experienced by the person resulting in their attendance. This may include disease state, medical condition, response and reactions to therapies. e.g., blackout, dizziness, chest pain, follow up from admission, falls, a specific procedure, investigation or treatment.

    Properties

    FHIR Condition.code
    Relationship
    target Used by one transaction, 0 templates, inherited once
     
    draft Coded value
    prsb03-dataelement-13785
    Id prsb03-dataelement-13785 (2020‑10‑22 17:41:38)
    notice There is an open issue with this item:
    Description The coded value for presenting complaint or issue
    Operationalization SNOMED CT : - ^1127581000000103 |Health issues simple reference set|
    Value Domain
    target Used by one transaction, 0 templates, inherited once
     
    draft Free text
    prsb03-dataelement-13786
    Id prsb03-dataelement-13786 (2020‑10‑22 17:42:28)
    Relationship
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited once
     
    folder draft Chief complaint
    prsb03-dataelement-10905
    link
    Id prsb03-dataelement-10905 (2019‑04‑02 12:33:30)
    Description The nature of the person's chief complaint as assessed by the care professional first assessing the person. Only ONE (chief complaint) sent as per the Chief Complaint code set (SNOMED CT).
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-14939
    Id prsb03-dataelement-14939 (2021‑09‑21 12:52:26)
    Description The coded value of the chief complaint
    Operationalization SNOMED CT
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-14940
    Id prsb03-dataelement-14940 (2021‑09‑21 12:53:37)
    Description Any free text if no coded value is available
    Relationship
    Operationalization Free text
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Person reported complaints or issues
    prsb03-dataelement-10906
    Id prsb03-dataelement-10906 (2019‑04‑02 12:34:17)
    Description Person stated description of the health problems and issues. This may differ from the clinicians impression. This may also be expressed on behalf of the person, eg by parent or carer.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person who made the call
    prsb03-dataelement-14308
    link
    Id prsb03-dataelement-14308 (2021‑06‑21 18:15:09)
    Description The person who made the call to 111
    draft Person full name
    prsb03-dataelement-14309
    Id prsb03-dataelement-14309 (2021‑06‑21 18:16:54)
    Concept inherits from draft prsb03-dataelement-13801 (2020‑11‑09 17:03:29)
    Description The full name of the person in text representation.
    Rationale Patient.name.text
    Operationalization NHS data dictionary :- Person full name
    Value Domain
    Property
    max length
    70
    draft Relationship
    prsb03-dataelement-14310
    Id prsb03-dataelement-14310 (2021‑06‑21 18:22:11)
    Concept inherits from draft prsb03-dataelement-10346 (2018‑10‑31)
    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
    draft Repeat caller
    prsb03-dataelement-14311
    Id prsb03-dataelement-14311 (2021‑06‑21 18:28:07)
    Description Repeat caller, if the person has called more than twice in 96 hours.
    Operationalization Yes or no
    Value Domain
    draft Acuity assessment
    prsb03-dataelement-10907
    Id prsb03-dataelement-10907 (2019‑04‑02 12:35:14)
    Description The most recent acuity of the person's condition on the paramedic's assessment.
    Operationalization SNOMED CT :-  999003061000000107 | Emergency care acuity simple reference set (foundation metadata concept) |

    Value Domain
    draft Addtional information sources
    prsb03-dataelement-14932
    Id prsb03-dataelement-14932 (2021‑09‑20 13:47:50)
    Description The source of additional relevant information about the person e.g. summary care record or link via NRL or copy and paste local record e.g. Special Patient Notes (SPN)
    Operationalization Free text or url
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Problem list
    prsb03-dataelement-10927
    link
    Id prsb03-dataelement-10927 (2019‑04‑30 17:00:00)
    Description A summary of the problems that require investigation or treatment.
    target Used by one transaction, 0 templates, inherited once
     
    folder draft Problem list record entry
    prsb03-dataelement-10928
    link
    Id prsb03-dataelement-10928 (2019‑04‑30 17:01:01)
    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 one transaction, 0 templates, inherited once
     
    draft Date
    prsb03-dataelement-10929
    Id prsb03-dataelement-10929 (2019‑04‑30 17:04:55)
    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 one transaction, 0 templates, inherited once
     
    cancelled Performing professional
    prsb03-dataelement-10930
    Id prsb03-dataelement-10930 (2019‑04‑30 17:06:52) 0.1
    Description Details of the professional identifying the problem.
    Relationship
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    folder draft Performing professional
    prsb03-dataelement-12133
    link
    Id prsb03-dataelement-12133 (2019‑05‑31 16:03:47)
    Description The professional who identified the problem.
    Relationship
    target Used by one transaction, 0 templates, inherited once
     
    draft Name
    prsb03-dataelement-12134
    Id prsb03-dataelement-12134 (2019‑05‑31 16:04:17)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited once
     
    draft Role
    prsb03-dataelement-12135
    Id prsb03-dataelement-12135 (2019‑05‑31 16:04:17)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited once
     
    draft Grade
    prsb03-dataelement-12136
    Id prsb03-dataelement-12136 (2019‑05‑31 16:04:17)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited once
     
    draft Speciality
    prsb03-dataelement-12137
    Id prsb03-dataelement-12137 (2019‑05‑31 16:04:17)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited once
     
    draft Professional identifier
    prsb03-dataelement-12138
    Id prsb03-dataelement-12138 (2019‑05‑31 16:04:17)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited once
     
    folder draft Organisation
    prsb03-dataelement-12139
    Id prsb03-dataelement-12139 (2019‑05‑31 16:04:17)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited once
     
    draft Contact details
    prsb03-dataelement-12140
    Id prsb03-dataelement-12140 (2019‑05‑31 16:04:17)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited once
     
    folder draft Location
    prsb03-dataelement-10931
    link
    Id prsb03-dataelement-10931 (2019‑04‑30 17:07:45)
    Description The location the problem was identified.
    Relationship
    target Used by one transaction, 0 templates, inherited once
     
    draft Coded value
    prsb03-dataelement-13242
    Id prsb03-dataelement-13242 (2020‑07‑27 18:27:08)
    Description The coded value for location.
    Operationalization NHS data dictionary : - Organisation data service code
    Value Domain
    Property
    min length max length
    3 5
    target Used by one transaction, 0 templates, inherited 4 times
     
    draft Free text
    prsb03-dataelement-13243
    Id prsb03-dataelement-13243 (2020‑07‑27 18:31:13)
    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 4 times
     
    folder draft Problem
    prsb03-dataelement-10932
    link
    Id prsb03-dataelement-10932 (2019‑04‑30 17:08:40)
    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 one transaction, 0 templates, inherited 3 times
     
    draft Coded value
    prsb03-dataelement-13244
    Id prsb03-dataelement-13244 (2020‑07‑27 18:43:32)
    Description The coded value for the problem list.
    Operationalization SNOMED CT : - ^1127581000000103 |Health issues simple reference set|
    Value Domain
    target Used by one transaction, 0 templates, inherited 2 times
     
    draft Free text
    prsb03-dataelement-13245
    Id prsb03-dataelement-13245 (2020‑07‑27 18:46:30)
    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 2 times
     
    draft Onset date
    prsb03-dataelement-10933
    Id prsb03-dataelement-10933 (2019‑04‑30 17:10:25)
    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 one transaction, 0 templates, inherited once
     
    draft End Date
    prsb03-dataelement-10934
    Id prsb03-dataelement-10934 (2019‑04‑30 17:10:59)
    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 one transaction, 0 templates, inherited once
     
    folder draft Problem on discharge
    prsb03-dataelement-14262
    link
    Id prsb03-dataelement-14262 (2021‑03‑10 15:51:43)
    Description PLACEHOLDER: The main problem or diagnosis on discharge.

    Problems may include diagnoses, symptoms, disabilities and social or behavioural issues, and comprise the ‘Problem list’
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-14263
    Id prsb03-dataelement-14263 (2021‑03‑10 15:53:09)
    Concept inherits from draft prsb03-dataelement-13244 (2020‑07‑27 18:43:32)
    Description The coded value for the problem list.
    Operationalization SNOMED CT : - ^1127581000000103 |Health issues simple reference set|
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-14264
    Id prsb03-dataelement-14264 (2021‑03‑10 15:53:09)
    Concept inherits from draft prsb03-dataelement-13245 (2020‑07‑27 18:46:30)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder cancelled Problem on discharge
    prsb03-dataelement-14261
    Id prsb03-dataelement-14261 (2021‑03‑10 15:49:19) 0.1
    Description PLACEHOLDER. Anoop and Nilesh to write description
    draft Stage of disease
    prsb03-dataelement-10935
    Id prsb03-dataelement-10935 (2019‑04‑30 17:11:55)
    Description The stage of the disease where relevant.
    Relationship
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited once
     
    folder draft Primary end of life problem
    prsb03-dataelement-14356
    link
    Id prsb03-dataelement-14356 (2021‑07‑04 21:25:34)
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Primary end of life problem
    prsb03-dataelement-14357
    link
    Id prsb03-dataelement-14357 (2021‑07‑04 21:27:00)
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-14358
    Id prsb03-dataelement-14358 (2021‑07‑04 21:39:44)
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-14359
    Id prsb03-dataelement-14359 (2021‑07‑04 21:40:49)
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Person awareness of end of life problem
    prsb03-dataelement-14360
    Id prsb03-dataelement-14360 (2021‑07‑04 21:43:51)
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-12141
    link
    Id prsb03-dataelement-12141 (2019‑05‑31 16:04:31)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited once
     
    draft Name
    prsb03-dataelement-12142
    Id prsb03-dataelement-12142 (2019‑05‑31 16:04:53)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited once
     
    draft Role
    prsb03-dataelement-12143
    Id prsb03-dataelement-12143 (2019‑05‑31 16:04:53)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited once
     
    draft Grade
    prsb03-dataelement-12144
    Id prsb03-dataelement-12144 (2019‑05‑31 16:04:53)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited once
     
    draft Specialty
    prsb03-dataelement-12145
    Id prsb03-dataelement-12145 (2019‑05‑31 16:04:53)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited once
     
    folder draft Organisation
    prsb03-dataelement-12146
    Id prsb03-dataelement-12146 (2019‑05‑31 16:04:53)
    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 one transaction, 0 templates, inherited once
     
    draft Professional identifier
    prsb03-dataelement-12147
    Id prsb03-dataelement-12147 (2019‑05‑31 16:04:53)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited once
     
    draft Date completed
    prsb03-dataelement-12148
    Id prsb03-dataelement-12148 (2019‑05‑31 16:04:53)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited once
     
    draft Contact details
    prsb03-dataelement-12149
    Id prsb03-dataelement-12149 (2019‑05‑31 16:04:53)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited once
     
    cancelled Person completing record
    prsb03-dataelement-10952
    Id prsb03-dataelement-10952 (2019‑05‑18 21:04:15) 0.1
    Description This is the person recording the problem.

    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Comment
    prsb03-dataelement-10936
    Id prsb03-dataelement-10936 (2019‑04‑30 17:13:22)
    Description Supporting text may be given covering the problem.
    Relationship
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited once
     
    folder cancelled Problems and issues
    prsb03-dataelement-211
    link
    Id prsb03-dataelement-211 (2018‑10‑31) 0.1
    Description Problems and issues
    folder cancelled Problems and Issues record entry
    prsb03-dataelement-10719
    link
    Id prsb03-dataelement-10719 (2019‑02‑08 15:18:59) 0.1
    cancelled Date Recorded
    prsb03-dataelement-10111
    Id prsb03-dataelement-10111 (2018‑10‑31) 0.1
    Description The date on which the problem was recorded
    Value Domain
    cancelled Performing Professional
    prsb03-dataelement-10112
    Id prsb03-dataelement-10112 (2018‑10‑31) 0.1
    Description Details of the professional recording (including name and role)
    Value Domain
    cancelled Location
    prsb03-dataelement-10113
    Id prsb03-dataelement-10113 (2018‑10‑31) 0.1
    Description Details of where the problem was recorded
    Value Domain
    cancelled Problem
    prsb03-dataelement-10114
    Id prsb03-dataelement-10114 (2018‑10‑31) 0.1
    Description A condition which needs addressing and so is important for every health professional to know about when seeing the person. Problems may include diagnoses, symptoms, disabilities and social or behavioural issues, and comprise the ‘Problem list’
    Value Domain
    cancelled Onset date
    prsb03-dataelement-10115
    Id prsb03-dataelement-10115 (2018‑10‑31) 0.1
    Description A date or estimated date that the Problem began
    Value Domain
    cancelled End Date
    prsb03-dataelement-10116
    Id prsb03-dataelement-10116 (2018‑10‑31) 0.1
    Description The date or estimated date the problem was resolved (will be blank for active)
    Value Domain
    cancelled Stage of Disease
    prsb03-dataelement-10117
    Id prsb03-dataelement-10117 (2018‑10‑31) 0.1
    Description The stage of the disease where relevant.
    Value Domain
    cancelled Clinical risks
    prsb03-dataelement-10119
    Id prsb03-dataelement-10119 (2018‑10‑31) 0.1
    Description Description of clinical risks identified e.g. problematic intubation, person with brittle diabetes, immuno-compromised/risk of infection etc.
    Operationalization Free text or coded form (SNOMED CT).
    Value Domain
    cancelled Comment
    prsb03-dataelement-10120
    Id prsb03-dataelement-10120 (2018‑10‑31) 0.1
    Description Any further textual comment to clarify, such as statement that information is partial or incomplete.
    Operationalization Free text
    Value Domain
    cancelled Problems and issues
    prsb03-dataelement-10118
    Id prsb03-dataelement-10118 (2018‑10‑31) 0.1
    Description Summary of problems that require investigation or treatment. This would include significant examination findings, symptoms and signs, which are likely to have relevance and are not a diagnosis.
    Operationalization Text. The problems and issues heading is for the clinician or healthcare professional's recording of medical problems and issues.

    Or

    Free text or coded form (SNOMED CT).
    Value Domain
    folder draft Diagnoses
    prsb03-dataelement-221
    link
    Id prsb03-dataelement-221 (2018‑10‑31)
    Description Diagnoses
    folder draft Diagnosis record entry
    prsb03-dataelement-10651
    link
    Id prsb03-dataelement-10651 (2018‑11‑13 11:54:29)
    Description This is a Diagnosis record entry. There may be 0 to many record entries under Diagnosis. Each record entry is made up of a number of elements or data items.
    draft Date diagnosis made
    prsb03-dataelement-10125
    Id prsb03-dataelement-10125 (2018‑10‑31)
    Description The date when the diagnosis was made.
    Value Domain
    draft Location
    prsb03-dataelement-10848
    Id prsb03-dataelement-10848 (2019‑03‑27 17:10:12)
    Description The location where the diagnosis was recorded.
    Relationship
    Value Domain
    draft Performing professional
    prsb03-dataelement-10849
    Id prsb03-dataelement-10849 (2019‑03‑27 17:13:41)
    Description Details of the professional recording the diagnosis (including name and role).
    Relationship
    Value Domain
    draft Diagnosis
    prsb03-dataelement-10121
    Id prsb03-dataelement-10121 (2018‑10‑31)
    Description Confirmed diagnosis (or symptom); active diagnosis being treated.

    Properties

    FHIR Encounter.Diagnosis .Condition
    Operationalization Choice of Text, Coded text - constraint: SNOMED CT. A subset / refset containing a list of diagnoses and symptoms. Constraint binding: [SNOMED CT] subset=???

    Or

    Sent as per the ECDS Emergency Care Diagnosis code set (SNOMED CT). Where the ECDS diagnosis qualifier is 'suspected diagnosis', the chief complaint should be entered here (see implementation guidance).

    or

    SNOMED CT concept and/or free text.

    By preference the diagnosis is represented by a SNOMED CT concept. If this is not possible, a free text description of the diagnosis may be given. Supporting text may be given covering diagnosis confirmation, active diagnosis being treated, stage of the disease where relevant.

    or

    SNOMED CT concept and/or free text. By preference the diagnosis or symptom is represented by a SNOMED CT concept. If this is not possible, a free text description of the diagnosis or symptom may be given.
    Value Domain
    draft Diagnosis (Clinical Impression)
    prsb03-dataelement-12477
    Id prsb03-dataelement-12477 (2019‑06‑27 13:45:47)
    Description The clinical assessment by the ambulance of crew of the persons clinical situation at the conclusion of their treatment. This will be one of confirmed diagnosis, suspected diagnosis or chief complaint.

    Properties

    FHIR Encounter.Diagnosis .Condition
    Relationship
    Operationalization Confirmed or suspected diagnosis where this is available using the ECDS Emergency care diagnosis simple reference set (SNOMED CT). If no diagnosis is available then enter the chief clinical concern using the ECDS Emergency Care Chief Complaint code set (SNOMED CT) (see implementation guidance).



    Emergency Care Diagnosis simple reference set



    Emergency care diagnosis qualifier simple reference set
    Value Domain
    draft Stage
    prsb03-dataelement-10122
    Id prsb03-dataelement-10122 (2018‑10‑31)
    Description Stage of the disease or disorder, where relevant
    Operationalization Choice of:TextCoded text
    Value Domain
    draft Awareness of diagnosis
    prsb03-dataelement-10124
    Id prsb03-dataelement-10124 (2018‑10‑31)
    Description Description of the level of awareness the person and or their carer/family has regarding their diagnosis.
    Operationalization The awareness statement made by a clinician.
    Value Domain
    draft Person completing record
    prsb03-dataelement-10953
    Id prsb03-dataelement-10953 (2019‑05‑18 21:06:01)
    Concept inherits from cancelled prsb03-dataelement-10860 (2019‑03‑27 17:46:45)
    Description This is the person recording the individual requirement.

    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    draft Comment
    prsb03-dataelement-10123
    Id prsb03-dataelement-10123 (2018‑10‑31)
    Description Supporting text may be given covering diagnosis confirmation, active diagnosis being treated. Include severity, occurrence (first, recurrence, ongoing).
    Operationalization Free text.

    Or

    Free text. Supporting text may be given covering diagnosis confirmation, active diagnosis being treated.

    Or

    Free text. This is the place to record differential and excluded diagnosis.
    Value Domain
    folder draft Procedures and therapies
    prsb03-dataelement-238
    link
    Id prsb03-dataelement-238 (2018‑10‑31)
    Description The details of any procedures performed. Includes both psychological and medical therapies and procedures (e.g. cognitive behaviour therapy, hip replacement)
    folder draft Procedure record entry
    prsb03-dataelement-10652
    link
    Id prsb03-dataelement-10652 (2018‑11‑13 12:02:22)
    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.
    draft Date
    prsb03-dataelement-10138
    Id prsb03-dataelement-10138 (2018‑10‑31)
    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
    folder draft Location
    prsb03-dataelement-13246
    link
    Id prsb03-dataelement-13246 (2020‑07‑27 19:13:27)
    Description The location where the procedure was undertaken.
    Relationship
    draft Coded value
    prsb03-dataelement-13247
    Id prsb03-dataelement-13247 (2020‑07‑27 19:14:31)
    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
    draft Free text
    prsb03-dataelement-13248
    Id prsb03-dataelement-13248 (2020‑07‑27 19:14:31)
    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
    cancelled Location
    prsb03-dataelement-10139
    Id prsb03-dataelement-10139 (2018‑10‑31) 0.1
    Description The location where the procedure was performed.
    Operationalization ODS code or free text
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    folder draft Performing professional
    prsb03-dataelement-12150
    link
    Id prsb03-dataelement-12150 (2019‑05‑31 16:08:40)
    Description The professional who performed the procedure.
    Relationship
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Name
    prsb03-dataelement-12151
    Id prsb03-dataelement-12151 (2019‑05‑31 16:09:20)
    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 0 transactions, 0 templates, inherited once
     
    draft Role
    prsb03-dataelement-12152
    Id prsb03-dataelement-12152 (2019‑05‑31 16:09:20)
    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 0 transactions, 0 templates, inherited once
     
    draft Grade
    prsb03-dataelement-12153
    Id prsb03-dataelement-12153 (2019‑05‑31 16:09:20)
    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 0 transactions, 0 templates, inherited once
     
    draft Speciality
    prsb03-dataelement-12154
    Id prsb03-dataelement-12154 (2019‑05‑31 16:09:20)
    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 0 transactions, 0 templates, inherited once
     
    draft Professional identifier
    prsb03-dataelement-12155
    Id prsb03-dataelement-12155 (2019‑05‑31 16:09:20)
    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 0 transactions, 0 templates, inherited once
     
    folder draft Organisation
    prsb03-dataelement-12156
    Id prsb03-dataelement-12156 (2019‑05‑31 16:09:20)
    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 0 transactions, 0 templates, inherited once
     
    draft Contact details
    prsb03-dataelement-12157
    Id prsb03-dataelement-12157 (2019‑05‑31 16:09:20)
    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 0 transactions, 0 templates, inherited once
     
    cancelled Performing professional
    prsb03-dataelement-10140
    Id prsb03-dataelement-10140 (2018‑10‑31) 0.1
    Description Details of the professional performing the procedure.
    Operationalization Free text
    Value Domain
    folder draft Procedure
    prsb03-dataelement-10141
    link
    Id prsb03-dataelement-10141 (2018‑10‑31)
    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
    draft Coded value
    prsb03-dataelement-13249
    Id prsb03-dataelement-13249 (2020‑07‑27 19:35:09)
    Description The procedure code.
    Operationalization SNOMED CT : - << 71388002 |Procedure| OR << 129125009 |Procedure with explicit context|
    Value Domain
    draft Free text
    prsb03-dataelement-13250
    Id prsb03-dataelement-13250 (2020‑07‑27 19:40:38)
    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
    folder draft Anatomical site
    prsb03-dataelement-10142
    link
    Id prsb03-dataelement-10142 (2018‑10‑31)
    Description The body site of the procedure

    Properties

    FHIR Procedure.bodySite
    draft Coded value
    prsb03-dataelement-13251
    Id prsb03-dataelement-13251 (2020‑07‑27 19:46:07)
    Description The coded value of the anatomical site.
    Operationalization SNOMED CT :- < 123037004 |Body structure (body structure)|
    Value Domain
    draft Free text
    prsb03-dataelement-13252
    Id prsb03-dataelement-13252 (2020‑07‑27 19:48:24)
    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
    folder draft Laterality
    prsb03-dataelement-10143
    link
    Id prsb03-dataelement-10143 (2018‑10‑31)
    Description Laterality of the procedure

    Properties

    FHIR ??Procedure.Code as an EXPRESSION Procedure.bodySite
    draft Coded value
    prsb03-dataelement-13253
    Id prsb03-dataelement-13253 (2020‑07‑27 19:50:39)
    Description The coded value for laterality.
    Operationalization SNOMED CT:- < 182353008 |Side (qualifier value)|
    Value Domain
    draft Free text
    prsb03-dataelement-13254
    Id prsb03-dataelement-13254 (2020‑07‑27 19:52:35)
    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
    folder draft Complications related to procedure
    prsb03-dataelement-10144
    link
    Id prsb03-dataelement-10144 (2018‑10‑31)
    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
    draft Coded value
    prsb03-dataelement-13255
    Id prsb03-dataelement-13255 (2020‑07‑27 19:56:23)
    Description The coded value for complications relating to procedure.
    Operationalization SNOMED CT : - < 404684003 |Clinical finding (finding)|

    Value Domain
    draft Free text
    prsb03-dataelement-13256
    Id prsb03-dataelement-13256 (2020‑07‑27 19:58:17)
    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
    folder draft Specific anesthesia issues
    prsb03-dataelement-10145
    link
    Id prsb03-dataelement-10145 (2018‑10‑31)
    Description Details of any adverse reaction to any anesthetic agents including local anesthesia. Problematic intubation, transfusion reaction, etc.

    Properties

    FHIR Procedure. Procedure.AnestheticIssues
    draft Coded value
    prsb03-dataelement-13257
    Id prsb03-dataelement-13257 (2020‑07‑27 20:00:25)
    Description The coded value for specific anesthesia issues.
    Operationalization SNOMED CT
    Value Domain
    draft Free text
    prsb03-dataelement-13258
    Id prsb03-dataelement-13258 (2020‑07‑27 20:01:36)
    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
    folder draft Person completing record
    prsb03-dataelement-12158
    link
    Id prsb03-dataelement-12158 (2019‑05‑31 16:09:35)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    draft Name
    prsb03-dataelement-12159
    Id prsb03-dataelement-12159 (2019‑05‑31 16:10:02)
    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
    draft Role
    prsb03-dataelement-12160
    Id prsb03-dataelement-12160 (2019‑05‑31 16:10:02)
    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
    draft Grade
    prsb03-dataelement-12161
    Id prsb03-dataelement-12161 (2019‑05‑31 16:10:02)
    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
    draft Specialty
    prsb03-dataelement-12162
    Id prsb03-dataelement-12162 (2019‑05‑31 16:10:02)
    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
    folder draft Organisation
    prsb03-dataelement-12163
    Id prsb03-dataelement-12163 (2019‑05‑31 16:10:02)
    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
    draft Professional identifier
    prsb03-dataelement-12164
    Id prsb03-dataelement-12164 (2019‑05‑31 16:10:02)
    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
    draft Date completed
    prsb03-dataelement-12165
    Id prsb03-dataelement-12165 (2019‑05‑31 16:10:02)
    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
    draft Contact details
    prsb03-dataelement-12166
    Id prsb03-dataelement-12166 (2019‑05‑31 16:10:02)
    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
    cancelled Person completing record
    prsb03-dataelement-10954
    Id prsb03-dataelement-10954 (2019‑05‑18 21:07:16)
    Description This is the person completing the record.

    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    target Used by 0 transactions, 0 templates, inherited 2 times
     
    draft Comment
    prsb03-dataelement-10146
    Id prsb03-dataelement-10146 (2018‑10‑31)
    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
    folder draft History
    prsb03-dataelement-226
    link
    Id prsb03-dataelement-226 (2018‑10‑31)
    Description Information relating to the evolution of each presenting complaint, and the patient's relevant health history.
    folder draft Patient’s reason for referral
    prsb03-dataelement-10126
    link
    Id prsb03-dataelement-10126 (2018‑10‑31)
    Description Patient stated reason for referral. This may include any discussions that took place, the level of shared decision making involved, information about patient’s source of advice. This may be expressed on behalf of the patient, e.g. by parent or carer. 
    draft Coded value
    prsb03-dataelement-14265
    Id prsb03-dataelement-14265 (2021‑03‑11 16:32:44)
    Description The coded value for patients reason for referral
    Operationalization SNOMED CT :-  ^1127581000000103 |Health issues simple reference set|
    Value Domain
    draft Free text
    prsb03-dataelement-14266
    Id prsb03-dataelement-14266 (2021‑03‑11 16:34:08)
    Concept inherits from draft prsb03-dataelement-13984 (2021‑02‑11 12:46:37)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    cancelled Presenting complaints or issues
    prsb03-dataelement-10127
    Id prsb03-dataelement-10127 (2018‑10‑31) 0.1
    Description The list and description of the health problems and issues experienced by the patient resulting in the attendance. This may include disease state, medical condition, response and reaction to therapies, e.g. blackout, dizziness, chest pain, follow-up from admission, falls, a specific procedure, investigation or treatment.
    Operationalization May be a SNOMED CT term or free text
    Value Domain
    folder draft Presenting complaint or issue
    prsb03-dataelement-14274
    link
    Id prsb03-dataelement-14274 (2021‑04‑28 12:37:06)
    Concept inherits from draft prsb03-dataelement-13784 (2020‑10‑22 17:40:08)
    Description The health problem or issue experienced by the person resulting in their attendance. This may include disease state, medical condition, response and reactions to therapies. e.g., blackout, dizziness, chest pain, follow up from admission, falls, a specific procedure, investigation or treatment.

    Properties

    FHIR Condition.code
    Relationship
    draft Coded value
    prsb03-dataelement-14275
    Id prsb03-dataelement-14275 (2021‑04‑28 12:39:45)
    Concept inherits from draft prsb03-dataelement-13785 (2020‑10‑22 17:41:38)
    Description The coded value for presenting complaint or issue
    Operationalization SNOMED CT : - ^1127581000000103 |Health issues simple reference set|
    Value Domain
    draft Free text
    prsb03-dataelement-14276
    Id prsb03-dataelement-14276 (2021‑04‑28 12:39:45)
    Concept inherits from draft prsb03-dataelement-13786 (2020‑10‑22 17:42:28)
    Relationship
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft History of each presenting complaint or issue
    prsb03-dataelement-10128
    Id prsb03-dataelement-10128 (2018‑10‑31)
    Description Information directly related to the development and characteristics of each presenting complaint (e.g. including travel history). Including if the information is given by the patient or their carer. This textual description may be provided by the referral document or during the consultation
    Operationalization Free text
    Value Domain
    draft History since last contact
    prsb03-dataelement-10129
    Id prsb03-dataelement-10129 (2018‑10‑31)
    Description History since last attendance, discharge from hospital, etc. To include adherence to treatment plan, where appropriate
    Operationalization Free text
    Value Domain
    folder draft Relevant past medical, surgical and mental health history
    prsb03-dataelement-10130
    link
    Id prsb03-dataelement-10130 (2018‑10‑31)
    Description The record of the person’s significant medical, surgical and mental health history. Including relevant previous diagnoses, problems and issues, procedures, investigations, specific anesthesia issues, etc. (will include dental and obstetric history)

    A list of the person's relevant past medical, surgical and mental health history recorded in free text or coded form or Information relating to past medical, surgical and mental health history may be provided by the referral document or during the consultation.
    draft Coded value
    prsb03-dataelement-13787
    Id prsb03-dataelement-13787 (2020‑10‑22 17:51:01)
    notice There is an open issue with this item:
    Description The coded value relevant past medical, surgical and mental health history
    Operationalization SNOMED CT : -  ^1127581000000103 |Health issues simple reference set|
    Value Domain
    draft Free text
    prsb03-dataelement-13788
    Id prsb03-dataelement-13788 (2020‑10‑22 17:53:28)
    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
    folder draft Clinical Review of Systems
    prsb03-dataelement-14277
    link
    Id prsb03-dataelement-14277 (2021‑04‑28 13:52:04)
    Concept inherits from draft prsb03-dataelement-314 (2018‑10‑31)
    Description Information gathered on symptoms related to physiological systems.
    draft Clinical review of systems
    prsb03-dataelement-14278
    Id prsb03-dataelement-14278 (2021‑04‑28 13:53:10)
    Concept inherits from draft prsb03-dataelement-10214 (2018‑10‑31)
    Description The clinical review of systems. This is the record of the review of systems as volunteered by the patient or their representative or carer.  The record of clinical information gathered in responses to questions to the patient about specific symptoms from various physiological systems, including food intake (increasing/decreasing) weight change, swallowing difficulties etc. 

    Properties

    FHIR Observation.category Observation.code Observation.valueCodeabelConcept Observation.subject
    Operationalization SNOMED CT: - 415300000 |Review of systems (procedure)|
    Value Domain
    cancelled Reason for referral
    prsb03-dataelement-10131
    Id prsb03-dataelement-10131 (2018‑10‑31) 0.1
    Description A clear statement of the purpose of the person making the referral e.g. diagnosis, treatment, transfer of care due to relocation, investigation, second opinion, management of the patient (e.g. palliative care), provide referrer with advice / guidance. This may include referral because of carers' concerns.
    Operationalization Free text SNOMED CT coded & free text
    Value Domain
    cancelled Expectation of referral
    prsb03-dataelement-10132
    Id prsb03-dataelement-10132 (2018‑10‑31) 0.1
    Description A clear statement of the expectations of the person making the referral as to the management of the patient e.g. advice only, diagnosis, treatment, etc.
    Operationalization Free text
    Value Domain
    cancelled Patient's expectation of referral
    prsb03-dataelement-10133
    Id prsb03-dataelement-10133 (2018‑10‑31) 0.1
    Description Patient‘s expectations of the referral including preferences. This may include any discussions that took place, the level of shared decision making involved, information about patient’s source of advice.
    Value Domain
    cancelled Management to date
    prsb03-dataelement-10134
    Id prsb03-dataelement-10134 (2018‑10‑31) 0.1
    Description Referrals, management, investigations and treatment that have already been undertaken, including patient managing their symptoms. Including:

    *procedures conducted - procedures carried out (and the date) and procedure report.
    Operationalization Free text
    Value Domain
    cancelled Urgency of referral
    prsb03-dataelement-10135
    Id prsb03-dataelement-10135 (2018‑10‑31) 0.1
    Description Referrer’s assessment of urgency (e.g. urgent/ soon/ routine). May include reason if other than routine. E.g. two data items:

    * level of urgency

    * reason.
    Operationalization PRIORITY TYPE (NHS Data Dictionary) free text reasonhttps://www.datadictionary.nhs.uk/web_site_content/pages/search_pages/dosearch.asp
    Value Domain
    cancelled Reason for admission
    prsb03-dataelement-10136
    Id prsb03-dataelement-10136 (2018‑10‑31) 0.1
    Description

    The health problems and issues experienced by the patient resulting in their referral by a healthcare professional for hospital admission, e.g., chest pains blackouts, falls, a specific procedure, investigation or treatment.

    Value Domain
    cancelled Information brought by patient
    prsb03-dataelement-10137
    Id prsb03-dataelement-10137 (2018‑10‑31) 0.1
    Description E.g. Patient Passport, example diary data, pre-completed questionnaires, person-held maternity record, personal child health record, etc.
    Value Domain
    folder draft Clinical Summary
    prsb03-dataelement-247
    link
    Id prsb03-dataelement-247 (2018‑10‑31)
    Description Clinical Summary
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-13308
    Id prsb03-dataelement-13308 (2020‑08‑06 13:53:22)
    Description The date the clinical summary was written.
    Operationalization Date
    Value Domain
    Property
    Timestamp precision
    day, month and year
    folder draft Location
    prsb03-dataelement-13309
    link
    Id prsb03-dataelement-13309 (2020‑08‑06 13:56:22)
    Description The location the clinical summary was written.
    Relationship
    draft Coded value
    prsb03-dataelement-13310
    Id prsb03-dataelement-13310 (2020‑08‑06 13:56:53)
    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
    draft Free text
    prsb03-dataelement-13311
    Id prsb03-dataelement-13311 (2020‑08‑06 13:56:53)
    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
    draft Clinical summary
    prsb03-dataelement-10147
    Id prsb03-dataelement-10147 (2018‑10‑31)
    Description Summary of the encounter. Where possible, very brief. This may include interpretation of findings and results; differential diagnoses, opinion and specific action(s). Planned actions will be recorded under ‘plan’.
    Operationalization Free text
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    folder draft Performing professional
    prsb03-dataelement-13312
    link
    Id prsb03-dataelement-13312 (2020‑08‑06 13:57:51)
    Description The professional who wrote the clinical summary
    Relationship
    draft Name
    prsb03-dataelement-13313
    Id prsb03-dataelement-13313 (2020‑08‑06 13:58:21)
    Concept inherits from draft prsb03-dataelement-11505 (2019‑05‑30 14:35:29)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    draft Role
    prsb03-dataelement-13314
    Id prsb03-dataelement-13314 (2020‑08‑06 13:58:21)
    Concept inherits from draft prsb03-dataelement-11506 (2019‑05‑30 14:35:29)
    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
    draft Grade
    prsb03-dataelement-13315
    Id prsb03-dataelement-13315 (2020‑08‑06 13:58:21)
    Concept inherits from draft prsb03-dataelement-11507 (2019‑05‑30 14:35:29)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Speciality
    prsb03-dataelement-13316
    Id prsb03-dataelement-13316 (2020‑08‑06 13:58:21)
    Concept inherits from draft prsb03-dataelement-11508 (2019‑05‑30 14:35:29)
    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
    draft Professional identifier
    prsb03-dataelement-13317
    Id prsb03-dataelement-13317 (2020‑08‑06 13:58:21)
    Concept inherits from draft prsb03-dataelement-11509 (2019‑05‑30 14:35:29)
    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
    folder draft Organisation
    prsb03-dataelement-13318
    Id prsb03-dataelement-13318 (2020‑08‑06 13:58:21)
    Concept inherits from draft prsb03-dataelement-11510 (2019‑05‑30 14:35:29)
    Description The name of the organisation the professional works for.
    draft Contact details
    prsb03-dataelement-13319
    Id prsb03-dataelement-13319 (2020‑08‑06 13:58:21)
    Concept inherits from draft prsb03-dataelement-11511 (2019‑05‑30 14:35:29)
    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
    folder draft Person completing record
    prsb03-dataelement-13320
    link
    Id prsb03-dataelement-13320 (2020‑08‑06 13:59:10)
    Description A record of the details of the person that entered the clinical summary and the date on which is was entered.
    Relationship
    draft Name
    prsb03-dataelement-13321
    Id prsb03-dataelement-13321 (2020‑08‑06 13:59:45)
    Concept inherits from draft prsb03-dataelement-13036 (2020‑04‑28 19:33:40)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    draft Role
    prsb03-dataelement-13322
    Id prsb03-dataelement-13322 (2020‑08‑06 13:59:45)
    Concept inherits from draft prsb03-dataelement-13037 (2020‑04‑28 19:33:40)
    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
    draft Grade
    prsb03-dataelement-13323
    Id prsb03-dataelement-13323 (2020‑08‑06 13:59:45)
    Concept inherits from draft prsb03-dataelement-13038 (2020‑04‑28 19:33:40)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    draft Specialty
    prsb03-dataelement-13324
    Id prsb03-dataelement-13324 (2020‑08‑06 13:59:45)
    Concept inherits from draft prsb03-dataelement-13039 (2020‑04‑28 19:33:40)
    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
    folder draft Organisation
    prsb03-dataelement-13325
    Id prsb03-dataelement-13325 (2020‑08‑06 13:59:45)
    Concept inherits from draft prsb03-dataelement-13040 (2020‑04‑28 19:33:40)
    Description The organisation the person completing the record works for.
    Relationship
    Operationalization NHS data dictionary : - Organisation data service
    draft Professional identifier
    prsb03-dataelement-13326
    Id prsb03-dataelement-13326 (2020‑08‑06 13:59:45)
    Concept inherits from draft prsb03-dataelement-13041 (2020‑04‑28 19:33:40)
    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
    draft Date completed
    prsb03-dataelement-13327
    Id prsb03-dataelement-13327 (2020‑08‑06 13:59:45)
    Concept inherits from draft prsb03-dataelement-13042 (2020‑04‑28 19:33:40)
    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
    draft Contact details
    prsb03-dataelement-13328
    Id prsb03-dataelement-13328 (2020‑08‑06 13:59:45)
    Concept inherits from draft prsb03-dataelement-13043 (2020‑04‑28 19:33:40)
    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
    draft Formulation
    prsb03-dataelement-10148
    Id 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 0 transactions, 0 templates, inherited 3 times
     
    draft Treatments and interventions and changes made to treatments.
    prsb03-dataelement-10149
    Id prsb03-dataelement-10149 (2018‑10‑31)
    Description The relevant treatments and interventions which the patient received during the inpatient stay. Include psychological therapies. All medications should be recorded under the medications section.
    Operationalization Free text
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Clinical narrative
    prsb03-dataelement-10150
    Id prsb03-dataelement-10150 (2018‑10‑31)
    Description A description detailing a patient’s reason for attendance, results from the diagnostic and treatment process.
    Operationalization Free text
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Treatments and interventions
    prsb03-dataelement-12480
    link
    Id prsb03-dataelement-12480 (2019‑07‑01 11:30:36)
    Description Treatments and interventions carried out
    folder draft Treatments and interventions and changes made to treatments.
    prsb03-dataelement-12481
    link
    Id prsb03-dataelement-12481 (2019‑07‑01 11:32:03)
    Description The treatments and interventions carried out. Where appropriate record the rationale for the decision to treat and the information sources reviewed e.g. end of life care plan etc. All medications should be recorded under the medications heading.
    Relationship
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Coded value
    prsb03-dataelement-13259
    Id prsb03-dataelement-13259 (2020‑07‑28 11:51:38)
    Description The coded value for treatment and interventions.
    Operationalization SNOMED CT
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Free text
    prsb03-dataelement-13260
    Id prsb03-dataelement-13260 (2020‑07‑28 11:52:30)
    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 0 transactions, 0 templates, inherited once
     
    folder draft Social context
    prsb03-dataelement-136
    link
    Id prsb03-dataelement-136 (2018‑10‑31)
    Description The social setting in which the person lives, such as their household, occupational history, and lifestyle factors.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Services and care
    prsb03-dataelement-12482
    Id prsb03-dataelement-12482 (2019‑07‑01 12:40:21)
    Description The description of services and care providing support for person's health and social well-being.
    Operationalization Free text. The record of the services and care as provided by the person or their representative.
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Household composition
    prsb03-dataelement-10036
    link
    Id prsb03-dataelement-10036 (2018‑10‑31)
    Description Details of the person's household composition.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11770
    Id prsb03-dataelement-11770 (2019‑05‑31 14:13:42)
    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 one transaction, 0 templates, inherited 0 times
     
    cancelled Location
    prsb03-dataelement-11771
    Id prsb03-dataelement-11771 (2019‑05‑31 14:14:32) 0.1
    Description The location where the household composition was taken.
    Relationship
    Operationalization ODS code or free text
    Value Domain
    folder draft Location
    prsb03-dataelement-13271
    link
    Id prsb03-dataelement-13271 (2020‑07‑28 14:07:57)
    Description The location where the household composition was taken.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13272
    Id prsb03-dataelement-13272 (2020‑07‑28 14:09:11)
    Concept inherits from draft prsb03-dataelement-13242 (2020‑07‑27 18:27:08)
    Description The coded value for location.
    Operationalization NHS data dictionary : - Organisation data service code
    Value Domain
    Property
    min length max length
    3 5
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13273
    Id prsb03-dataelement-13273 (2020‑07‑28 14:09:11)
    Concept inherits from draft prsb03-dataelement-13243 (2020‑07‑27 18:31:13)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Household composition
    prsb03-dataelement-13261
    link
    Id prsb03-dataelement-13261 (2020‑07‑28 12:00:25)
    Description Description of the household composition e.g. lives alone, lives with family, lives with partner, etc.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13262
    Id prsb03-dataelement-13262 (2020‑07‑28 12:15:50)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13263
    Id prsb03-dataelement-13263 (2020‑07‑28 12:20:28)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11648
    link
    Id prsb03-dataelement-11648 (2019‑05‑30 18:03:53)
    Description The professional who took the household composition.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11649
    Id prsb03-dataelement-11649 (2019‑05‑30 18:07:33)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11650
    Id prsb03-dataelement-11650 (2019‑05‑30 18:07:33)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11651
    Id prsb03-dataelement-11651 (2019‑05‑30 18:07:33)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11652
    Id prsb03-dataelement-11652 (2019‑05‑30 18:07:33)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11653
    Id prsb03-dataelement-11653 (2019‑05‑30 18:07:33)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11654
    Id prsb03-dataelement-11654 (2019‑05‑30 18:07:33)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11655
    Id prsb03-dataelement-11655 (2019‑05‑30 18:07:33)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11521
    link
    Id prsb03-dataelement-11521 (2019‑05‑30 14:50:23)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11522
    Id prsb03-dataelement-11522 (2019‑05‑30 14:50:56)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11523
    Id prsb03-dataelement-11523 (2019‑05‑30 14:50:56)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11524
    Id prsb03-dataelement-11524 (2019‑05‑30 14:50:56)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11525
    Id prsb03-dataelement-11525 (2019‑05‑30 14:50:56)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11526
    Id prsb03-dataelement-11526 (2019‑05‑30 14:50:56)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11527
    Id prsb03-dataelement-11527 (2019‑05‑30 14:50:56)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11528
    Id prsb03-dataelement-11528 (2019‑05‑30 14:50:56)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11529
    Id prsb03-dataelement-11529 (2019‑05‑30 14:50:56)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Occupational history
    prsb03-dataelement-10037
    link
    Id prsb03-dataelement-10037 (2018‑10‑31)
    Description The current and/or previous occupation(s) of the person.

    Properties

    FHIR Observation.category Observation.code Observation.valueCodeabelConcept Observation.subject
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11772
    Id prsb03-dataelement-11772 (2019‑05‑31 14:15:12)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-11773
    link
    Id prsb03-dataelement-11773 (2019‑05‑31 14:15:38)
    Description The location where the occupational history was taken.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13274
    Id prsb03-dataelement-13274 (2020‑07‑30 14:41:27)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13275
    Id prsb03-dataelement-13275 (2020‑07‑30 14:44:58)
    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 Occupational history
    prsb03-dataelement-13264
    link
    Id prsb03-dataelement-13264 (2020‑07‑28 12:26:39)
    Description The current and/or previous occupation(s) of the person.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13265
    Id prsb03-dataelement-13265 (2020‑07‑28 12:27:26)
    Description The coded value for occupational history
    Operationalization SNOMED CT : - ^ 999001571000000109 | Occupation simple reference set (foundation metadata concept)
    Value Domain
    target Used by one transaction, 0 templates, inherited once
     
    draft Free text
    prsb03-dataelement-13266
    Id prsb03-dataelement-13266 (2020‑07‑28 12:29:14)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11656
    link
    Id prsb03-dataelement-11656 (2019‑05‑30 18:08:03)
    Description The professional who took the occupational history.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11657
    Id prsb03-dataelement-11657 (2019‑05‑30 18:08:20)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11658
    Id prsb03-dataelement-11658 (2019‑05‑30 18:08:20)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11659
    Id prsb03-dataelement-11659 (2019‑05‑30 18:08:20)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11660
    Id prsb03-dataelement-11660 (2019‑05‑30 18:08:20)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11661
    Id prsb03-dataelement-11661 (2019‑05‑30 18:08:20)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11662
    Id prsb03-dataelement-11662 (2019‑05‑30 18:08:20)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11663
    Id prsb03-dataelement-11663 (2019‑05‑30 18:08:20)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11530
    link
    Id prsb03-dataelement-11530 (2019‑05‑30 14:51:51)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11531
    Id prsb03-dataelement-11531 (2019‑05‑30 14:52:22)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11532
    Id prsb03-dataelement-11532 (2019‑05‑30 14:52:22)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11533
    Id prsb03-dataelement-11533 (2019‑05‑30 14:52:22)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11534
    Id prsb03-dataelement-11534 (2019‑05‑30 14:52:22)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11535
    Id prsb03-dataelement-11535 (2019‑05‑30 14:52:22)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11536
    Id prsb03-dataelement-11536 (2019‑05‑30 14:52:22)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11537
    Id prsb03-dataelement-11537 (2019‑05‑30 14:52:22)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11538
    Id prsb03-dataelement-11538 (2019‑05‑30 14:52:22)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Educational history
    prsb03-dataelement-10038
    link
    Id prsb03-dataelement-10038 (2018‑10‑31)
    Description Details of the person's educational history.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11774
    Id prsb03-dataelement-11774 (2019‑05‑31 14:16:22)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-11775
    link
    Id prsb03-dataelement-11775 (2019‑05‑31 14:16:57)
    Description The location where the education history was taken.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13276
    Id prsb03-dataelement-13276 (2020‑07‑30 14:53:55)
    Description The coded value for location.
    Operationalization NHS Data dictionary : - Organisation data service code
    Value Domain
    Property
    min length max length
    3 5
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13277
    Id prsb03-dataelement-13277 (2020‑07‑30 14:55:09)
    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 cancelled Educational history
    prsb03-dataelement-13267
    Id prsb03-dataelement-13267 (2020‑07‑28 13:20:32) 0.1
    Description The current and/or previous relevant educational history of the person.
    Operationalization Free text
    draft Educational history
    prsb03-dataelement-13840
    Id prsb03-dataelement-13840 (2020‑12‑29 11:11:55)
    Description The current and/or previous relevant educational history of the person.
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11776
    link
    Id prsb03-dataelement-11776 (2019‑05‑31 14:17:28)
    Description The professional who took the educational history.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11777
    Id prsb03-dataelement-11777 (2019‑05‑31 14:17:50)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11778
    Id prsb03-dataelement-11778 (2019‑05‑31 14:17:50)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11779
    Id prsb03-dataelement-11779 (2019‑05‑31 14:17:50)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11780
    Id prsb03-dataelement-11780 (2019‑05‑31 14:17:50)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11781
    Id prsb03-dataelement-11781 (2019‑05‑31 14:17:50)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11782
    Id prsb03-dataelement-11782 (2019‑05‑31 14:17:50)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11783
    Id prsb03-dataelement-11783 (2019‑05‑31 14:17:50)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11539
    link
    Id prsb03-dataelement-11539 (2019‑05‑30 14:52:55)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11540
    Id prsb03-dataelement-11540 (2019‑05‑30 14:53:14)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11541
    Id prsb03-dataelement-11541 (2019‑05‑30 14:53:14)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11542
    Id prsb03-dataelement-11542 (2019‑05‑30 14:53:14)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11543
    Id prsb03-dataelement-11543 (2019‑05‑30 14:53:14)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11544
    Id prsb03-dataelement-11544 (2019‑05‑30 14:53:14)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11545
    Id prsb03-dataelement-11545 (2019‑05‑30 14:53:14)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11546
    Id prsb03-dataelement-11546 (2019‑05‑30 14:53:14)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11547
    Id prsb03-dataelement-11547 (2019‑05‑30 14:53:14)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Lifestyle choices
    prsb03-dataelement-10039
    link
    Id prsb03-dataelement-10039 (2018‑10‑31)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11784
    Id prsb03-dataelement-11784 (2019‑05‑31 14:18:12)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-11785
    link
    Id prsb03-dataelement-11785 (2019‑05‑31 14:18:40)
    Description The location where the lifestyle choices were taken.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13278
    Id prsb03-dataelement-13278 (2020‑07‑30 14:58:15)
    Description The coded value for location.
    Operationalization NHS Data dictionary : - Organisation data service code
    Value Domain
    Property
    min length max length
    3 5
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13279
    Id prsb03-dataelement-13279 (2020‑07‑30 14:59:21)
    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 cancelled Lifestyle choices
    prsb03-dataelement-13268
    link
    Id prsb03-dataelement-13268 (2020‑07‑28 13:29:22) 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
    cancelled Coded value
    prsb03-dataelement-13269
    Id prsb03-dataelement-13269 (2020‑07‑28 13:30:20) 0.1
    Description The coded value of the person's lifestyle choice.
    Operationalization SNOMED CT
    Value Domain
    cancelled Free text
    prsb03-dataelement-13270
    Id prsb03-dataelement-13270 (2020‑07‑28 13:31:11) 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
    draft Lifestyle choices
    prsb03-dataelement-13841
    Id prsb03-dataelement-13841 (2020‑12‑29 11:26:28)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11786
    link
    Id prsb03-dataelement-11786 (2019‑05‑31 14:19:14)
    Description The professional who took the lifestyle choices.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11787
    Id prsb03-dataelement-11787 (2019‑05‑31 14:19:39)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11788
    Id prsb03-dataelement-11788 (2019‑05‑31 14:19:39)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11789
    Id prsb03-dataelement-11789 (2019‑05‑31 14:19:39)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11790
    Id prsb03-dataelement-11790 (2019‑05‑31 14:19:39)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11791
    Id prsb03-dataelement-11791 (2019‑05‑31 14:19:39)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11792
    Id prsb03-dataelement-11792 (2019‑05‑31 14:19:39)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11793
    Id prsb03-dataelement-11793 (2019‑05‑31 14:19:39)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11548
    link
    Id prsb03-dataelement-11548 (2019‑05‑30 14:53:59)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11549
    Id prsb03-dataelement-11549 (2019‑05‑30 14:54:28)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11550
    Id prsb03-dataelement-11550 (2019‑05‑30 14:54:28)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11551
    Id prsb03-dataelement-11551 (2019‑05‑30 14:54:28)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11552
    Id prsb03-dataelement-11552 (2019‑05‑30 14:54:28)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11553
    Id prsb03-dataelement-11553 (2019‑05‑30 14:54:28)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11554
    Id prsb03-dataelement-11554 (2019‑05‑30 14:54:28)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11555
    Id prsb03-dataelement-11555 (2019‑05‑30 14:54:28)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11556
    Id prsb03-dataelement-11556 (2019‑05‑30 14:54:28)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Smoking status
    prsb03-dataelement-10040
    link
    Id prsb03-dataelement-10040 (2018‑10‑31)
    Description Details of the person's smoking status.

    Properties

    FHIR Observation.category Observation.code Observation.valueCodeabelConcept Observation.subject
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11794
    Id prsb03-dataelement-11794 (2019‑05‑31 14:20:05)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-11795
    link
    Id prsb03-dataelement-11795 (2019‑05‑31 14:20:40)
    Description The location where the smoking status was taken.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13281
    Id prsb03-dataelement-13281 (2020‑07‑30 15:03:12)
    Description The coded value for location
    Operationalization NHS data dictionary : - Organisation data service code
    Value Domain
    Property
    min length max length
    3 5
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13282
    Id prsb03-dataelement-13282 (2020‑07‑30 15:04:27)
    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
     
    cancelled Coded value
    prsb03-dataelement-13280
    Id prsb03-dataelement-13280 (2020‑07‑30 15:00:43) v.01
    Concept inherits from draft prsb03-dataelement-13265 (2020‑07‑28 12:27:26)
    Description The coded value for occupational history
    Operationalization SNOMED CT : - ^ 999001571000000109 | Occupation simple reference set (foundation metadata concept)
    Value Domain
    folder draft Smoking status
    prsb03-dataelement-13283
    link
    Id prsb03-dataelement-13283 (2020‑07‑30 17:12:22)
    Description
    Record of any smoking use by the person.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13284
    Id prsb03-dataelement-13284 (2020‑07‑30 17:14:44)
    Description The smoking status of the person.
    Operationalization SNOMED CT:- ^999000891000000102 |Smoking simple reference set (foundation metadata concept)|
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13285
    Id prsb03-dataelement-13285 (2020‑07‑30 17:16:04)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Smoking status - details
    prsb03-dataelement-13286
    Id prsb03-dataelement-13286 (2020‑07‑31 15:58:03)
    Description Further details recorded about the smoking status of the person
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Smoking record
    prsb03-dataelement-13995
    link
    Id prsb03-dataelement-13995 (2021‑02‑11 18:40:13)
    Concept inherits from draft prsb03-dataelement-12489 (2019‑10‑29 14:19:57)
    Description Details of the person's smoking record
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Overall smoking status
    prsb03-dataelement-13996
    Id prsb03-dataelement-13996 (2021‑02‑11 18:40:44)
    Concept inherits from draft prsb03-dataelement-12490 (2019‑10‑29 14:22:56)
    Description

    Statement about current smoking behaviour for smoking cigarettes (manufactured or roll up).

    Defined by current smoking status and ever smoking status.

    Operationalization

    Coded text:

    Current Smoker

    Former Smoker

    Never Smoked

    ^999000891000000102 |Smoking simple reference set (foundation metadata concept)|
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date of quitting
    prsb03-dataelement-13997
    Id prsb03-dataelement-13997 (2021‑02‑11 18:40:44)
    Concept inherits from draft prsb03-dataelement-12491 (2019‑10‑29 14:35:16)
    Description Date when the individual stopped smoking (if a former smoker).
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Other tobacco products used
    prsb03-dataelement-13998
    Id prsb03-dataelement-13998 (2021‑02‑11 18:40:44)
    Concept inherits from draft prsb03-dataelement-12492 (2019‑10‑29 14:40:14)
    Description Details of other tobacco products used (e.g. shisha, pipe, cigar, heated tobacco products)
    Operationalization

    No other tobacco products used

    Patient uses other tobacco products.

    Plus free text details of products used.
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Information and advice given
    prsb03-dataelement-13999
    Id prsb03-dataelement-13999 (2021‑02‑11 18:40:44)
    Concept inherits from draft prsb03-dataelement-12493 (2019‑10‑29 14:42:47)
    Description Record of whether brief advice about available smoking cessation treatment/support was given at the time of consultation.

    Properties

    FHIR Free text only
    Relationship
    Operationalization

    No advice given about available smoking cessation treatment/support

    Brief advice given about available smoking cessation treatment/support

    Plus free text with any additional information
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Nicotine Replacement Therapy used
    prsb03-dataelement-14000
    Id prsb03-dataelement-14000 (2021‑02‑11 18:40:44)
    Concept inherits from draft prsb03-dataelement-12495 (2019‑10‑29 16:11:19)
    Description A record of whether nicotine replacement therapy (NRT) is currently used or prescribed in this appointment
    Operationalization

    NRT not currently used

    NRT currently used

    NRT prescribed at this appointment
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Varenicline or other pharmacotherapy used
    prsb03-dataelement-14001
    Id prsb03-dataelement-14001 (2021‑02‑11 18:40:44)
    Concept inherits from draft prsb03-dataelement-12496 (2019‑10‑29 16:26:30)
    Description Record of whether varenicline or other smoking cessation pharmacotherapy (other than nicotine replacement therapy) is currently used or prescribed in this appointment.
    Operationalization

    Varenicline/other pharmacotherapy not used

    Varenicline/other pharmacotherapy currently used

    Varenicline/other pharmacotherapy prescribed in this appointment
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft e-cigarettes used
    prsb03-dataelement-14002
    Id prsb03-dataelement-14002 (2021‑02‑11 18:40:44)
    Concept inherits from draft prsb03-dataelement-12497 (2019‑10‑29 16:35:51)
    Description Record of current use of e-cigarettes
    Operationalization

    Coded - SNOMED CT:

    722499006 |Electronic cigarette user (finding)|
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Therapy prescribed (see medication item entry information model)
    prsb03-dataelement-14003
    Id prsb03-dataelement-14003 (2021‑02‑11 18:40:44)
    Concept inherits from draft prsb03-dataelement-12506 (2019‑10‑29 17:07:06)
    Description Record of nicotine replacement therapy, varenicline or bupropion (or other smoking cessation pharmacotherapy) being prescribed at the time of the consultation
    Operationalization To be entered via Medication item entry (see medications and medical devices information model - PRSB Standards for the Structure and Content of Health and Care Records (2018): https://theprsb.org/standards/healthandcarerecords/
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Referral details
    prsb03-dataelement-14004
    Id prsb03-dataelement-14004 (2021‑02‑11 18:40:44)
    Concept inherits from draft prsb03-dataelement-12508 (2019‑10‑29 17:08:47)
    Description Record of whether referral to smoking cessation services was offered and/or made at the time of the consultation.
    Operationalization

    Referral to smoking cessation services

    Referral not offered

    Referral offered but declined

    And free text with any additional information
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Comment
    prsb03-dataelement-14005
    Id prsb03-dataelement-14005 (2021‑02‑11 18:40:44)
    Concept inherits from draft prsb03-dataelement-12510 (2019‑10‑29 17:16:21)
    Description Additional information about tobacco use or its management not captured in other fields.
    Operationalization Free text
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Set quit date
    prsb03-dataelement-14007
    Id prsb03-dataelement-14007 (2021‑02‑12 11:20:10)
    Concept inherits from draft prsb03-dataelement-14006 (2021‑02‑11 19:20:06)
    Description Date set to quit smoking
    Operationalization Date
    Value Domain
    Property
    Timestamp precision
    at least day, month and year
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Treatments and interventions and changes made to treatments.
    prsb03-dataelement-13992
    link
    Id prsb03-dataelement-13992 (2021‑02‑11 16:46:41)
    Concept inherits from draft prsb03-dataelement-12481 (2019‑07‑01 11:32:03)
    Description The treatments and interventions carried out. Where appropriate record the rationale for the decision to treat and the information sources reviewed e.g. end of life care plan etc. All medications should be recorded under the medications heading.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13993
    Id prsb03-dataelement-13993 (2021‑02‑11 16:48:23)
    Concept inherits from draft prsb03-dataelement-13259 (2020‑07‑28 11:51:38)
    Description The coded value for treatment and interventions.
    Operationalization SNOMED CT
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13994
    Id prsb03-dataelement-13994 (2021‑02‑11 16:48:23)
    Concept inherits from draft prsb03-dataelement-13260 (2020‑07‑28 11:52:30)
    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 Date stopped smoking
    prsb03-dataelement-13287
    link
    Id prsb03-dataelement-13287 (2020‑07‑31 16:00:37)
    Description The date the person stopped smoking (if known)
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13288
    Id prsb03-dataelement-13288 (2020‑07‑31 16:01:49)
    Description The coded value for date stopped smoking.
    Operationalization SNOMED CT:- 160625004 |Date ceased smoking (observable entity)|
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-13289
    Id prsb03-dataelement-13289 (2020‑07‑31 16:06:38)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11796
    link
    Id prsb03-dataelement-11796 (2019‑05‑31 14:21:14)
    Description The professional who took the smoking status.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11797
    Id prsb03-dataelement-11797 (2019‑05‑31 14:21:51)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11798
    Id prsb03-dataelement-11798 (2019‑05‑31 14:21:51)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11799
    Id prsb03-dataelement-11799 (2019‑05‑31 14:21:51)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11800
    Id prsb03-dataelement-11800 (2019‑05‑31 14:21:51)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11801
    Id prsb03-dataelement-11801 (2019‑05‑31 14:21:51)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11802
    Id prsb03-dataelement-11802 (2019‑05‑31 14:21:51)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11803
    Id prsb03-dataelement-11803 (2019‑05‑31 14:21:51)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11557
    link
    Id prsb03-dataelement-11557 (2019‑05‑30 14:55:25)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11558
    Id prsb03-dataelement-11558 (2019‑05‑30 14:55:47)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11559
    Id prsb03-dataelement-11559 (2019‑05‑30 14:55:47)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11560
    Id prsb03-dataelement-11560 (2019‑05‑30 14:55:47)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11561
    Id prsb03-dataelement-11561 (2019‑05‑30 14:55:47)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11562
    Id prsb03-dataelement-11562 (2019‑05‑30 14:55:47)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11563
    Id prsb03-dataelement-11563 (2019‑05‑30 14:55:47)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11564
    Id prsb03-dataelement-11564 (2019‑05‑30 14:55:47)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11565
    Id prsb03-dataelement-11565 (2019‑05‑30 14:55:47)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Alcohol intake
    prsb03-dataelement-10041
    link
    Id prsb03-dataelement-10041 (2018‑10‑31)
    Description Details of the person's alcohol intake

    Properties

    FHIR Composition.text
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11804
    Id prsb03-dataelement-11804 (2019‑05‑31 14:23:05)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-11805
    link
    Id prsb03-dataelement-11805 (2019‑05‑31 14:23:38)
    Description The location where the alcohol intake was noted.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13332
    Id prsb03-dataelement-13332 (2020‑08‑06 16:26:51)
    Description The coded value for location.
    Operationalization NHS Data dictionary : - Organisation data service code
    Value Domain
    Property
    min length max length
    3 5
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13333
    Id prsb03-dataelement-13333 (2020‑08‑06 16:30:11)
    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 Alcohol intake
    prsb03-dataelement-13290
    link
    Id prsb03-dataelement-13290 (2020‑07‑31 17:02:46)
    Description Latest or current alcohol consumption.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13291
    Id prsb03-dataelement-13291 (2020‑07‑31 17:04:14)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13292
    Id prsb03-dataelement-13292 (2020‑07‑31 17:11:04)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Alcohol use details
    prsb03-dataelement-13759
    Id prsb03-dataelement-13759 (2020‑09‑29 14:36:49)
    Description Detailed history of their alcohol use, amount/frequency, bingeing. Questionnaire/Assessment used Audit C, FAST etc
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11806
    link
    Id prsb03-dataelement-11806 (2019‑05‑31 14:24:13)
    Description The professional who noted the alcohol intake.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11807
    Id prsb03-dataelement-11807 (2019‑05‑31 14:24:33)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11808
    Id prsb03-dataelement-11808 (2019‑05‑31 14:24:33)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11809
    Id prsb03-dataelement-11809 (2019‑05‑31 14:24:33)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11810
    Id prsb03-dataelement-11810 (2019‑05‑31 14:24:33)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11811
    Id prsb03-dataelement-11811 (2019‑05‑31 14:24:33)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11812
    Id prsb03-dataelement-11812 (2019‑05‑31 14:24:33)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11813
    Id prsb03-dataelement-11813 (2019‑05‑31 14:24:33)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11566
    link
    Id prsb03-dataelement-11566 (2019‑05‑30 14:56:23)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11567
    Id prsb03-dataelement-11567 (2019‑05‑30 14:57:06)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11568
    Id prsb03-dataelement-11568 (2019‑05‑30 14:57:06)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11569
    Id prsb03-dataelement-11569 (2019‑05‑30 14:57:06)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11570
    Id prsb03-dataelement-11570 (2019‑05‑30 14:57:06)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11571
    Id prsb03-dataelement-11571 (2019‑05‑30 14:57:06)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11572
    Id prsb03-dataelement-11572 (2019‑05‑30 14:57:06)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11573
    Id prsb03-dataelement-11573 (2019‑05‑30 14:57:06)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11574
    Id prsb03-dataelement-11574 (2019‑05‑30 14:57:06)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Drug/substance use
    prsb03-dataelement-10042
    link
    Id prsb03-dataelement-10042 (2018‑10‑31)
    Description Details of the person's drug and substance use.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11814
    Id prsb03-dataelement-11814 (2019‑05‑31 14:24:49)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-11815
    link
    Id prsb03-dataelement-11815 (2019‑05‑31 14:25:16)
    Description The location where the drug/substance use was noted.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13334
    Id prsb03-dataelement-13334 (2020‑08‑06 16:31:42)
    Description The coded value for location.
    Operationalization NHS Data dictionary : - Organisation data service code
    Value Domain
    Property
    min length max length
    3 5
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13335
    Id prsb03-dataelement-13335 (2020‑08‑06 16:33:14)
    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 Drug/substance use
    prsb03-dataelement-13336
    link
    Id prsb03-dataelement-13336 (2020‑08‑06 16:36:01)
    Description Latest or current drug/substance use.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13337
    Id prsb03-dataelement-13337 (2020‑08‑06 16:44:34)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13338
    Id prsb03-dataelement-13338 (2020‑08‑06 16:45:44)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11816
    link
    Id prsb03-dataelement-11816 (2019‑05‑31 14:25:51)
    Description The professional who noted the drug/substance use.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11817
    Id prsb03-dataelement-11817 (2019‑05‑31 14:26:11)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11818
    Id prsb03-dataelement-11818 (2019‑05‑31 14:26:11)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11819
    Id prsb03-dataelement-11819 (2019‑05‑31 14:26:11)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11820
    Id prsb03-dataelement-11820 (2019‑05‑31 14:26:11)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11821
    Id prsb03-dataelement-11821 (2019‑05‑31 14:26:11)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11822
    Id prsb03-dataelement-11822 (2019‑05‑31 14:26:11)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11823
    Id prsb03-dataelement-11823 (2019‑05‑31 14:26:11)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11575
    link
    Id prsb03-dataelement-11575 (2019‑05‑30 14:57:36)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11576
    Id prsb03-dataelement-11576 (2019‑05‑30 14:57:58)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11577
    Id prsb03-dataelement-11577 (2019‑05‑30 14:57:58)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11578
    Id prsb03-dataelement-11578 (2019‑05‑30 14:57:58)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11579
    Id prsb03-dataelement-11579 (2019‑05‑30 14:57:58)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11580
    Id prsb03-dataelement-11580 (2019‑05‑30 14:57:58)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11581
    Id prsb03-dataelement-11581 (2019‑05‑30 14:57:58)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11582
    Id prsb03-dataelement-11582 (2019‑05‑30 14:57:58)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11583
    Id prsb03-dataelement-11583 (2019‑05‑30 14:57:58)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Social circumstances
    prsb03-dataelement-10043
    link
    Id prsb03-dataelement-10043 (2018‑10‑31)
    Description Details of the persons social circumstances
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11824
    Id prsb03-dataelement-11824 (2019‑05‑31 14:26:31)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-11825
    link
    Id prsb03-dataelement-11825 (2019‑05‑31 14:27:00)
    Description The location where the social circumstances were taken.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13339
    Id prsb03-dataelement-13339 (2020‑08‑06 16:47:55)
    Description The coded value for the location
    Value Domain
    Property
    min length max length
    3 5
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13340
    Id prsb03-dataelement-13340 (2020‑08‑06 16:49:24)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Social circumstances
    prsb03-dataelement-13341
    Id prsb03-dataelement-13341 (2020‑08‑06 16:51:45)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11826
    link
    Id prsb03-dataelement-11826 (2019‑05‑31 14:27:37)
    Description The professional who took the social circumstances.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11827
    Id prsb03-dataelement-11827 (2019‑05‑31 14:27:55)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11828
    Id prsb03-dataelement-11828 (2019‑05‑31 14:27:55)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11829
    Id prsb03-dataelement-11829 (2019‑05‑31 14:27:55)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11830
    Id prsb03-dataelement-11830 (2019‑05‑31 14:27:55)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11831
    Id prsb03-dataelement-11831 (2019‑05‑31 14:27:55)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11832
    Id prsb03-dataelement-11832 (2019‑05‑31 14:27:55)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11833
    Id prsb03-dataelement-11833 (2019‑05‑31 14:27:55)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11584
    link
    Id prsb03-dataelement-11584 (2019‑05‑30 14:58:43)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11585
    Id prsb03-dataelement-11585 (2019‑05‑30 14:59:16)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11586
    Id prsb03-dataelement-11586 (2019‑05‑30 14:59:16)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11587
    Id prsb03-dataelement-11587 (2019‑05‑30 14:59:16)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11588
    Id prsb03-dataelement-11588 (2019‑05‑30 14:59:16)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11589
    Id prsb03-dataelement-11589 (2019‑05‑30 14:59:16)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11590
    Id prsb03-dataelement-11590 (2019‑05‑30 14:59:16)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11591
    Id prsb03-dataelement-11591 (2019‑05‑30 14:59:16)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11592
    Id prsb03-dataelement-11592 (2019‑05‑30 14:59:16)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Access
    prsb03-dataelement-10045
    link
    Id prsb03-dataelement-10045 (2018‑10‑31)
    Description Details of access for the person.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11844
    Id prsb03-dataelement-11844 (2019‑05‑31 14:30:01)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-11845
    link
    Id prsb03-dataelement-11845 (2019‑05‑31 14:30:30)
    Description The location where the special access requirements were taken.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13343
    Id prsb03-dataelement-13343 (2020‑08‑06 17:01:07)
    Description The coded value for location
    Operationalization NHS Data dictionary : - Organisation data service code
    Value Domain
    Property
    min length max length
    3 5
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13344
    Id prsb03-dataelement-13344 (2020‑08‑06 17:01:46)
    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
     
    draft Access
    prsb03-dataelement-13342
    Id prsb03-dataelement-13342 (2020‑08‑06 16:54:43)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11846
    link
    Id prsb03-dataelement-11846 (2019‑05‑31 14:31:02)
    Description The professional who took the special access requirements.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11847
    Id prsb03-dataelement-11847 (2019‑05‑31 14:31:19)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11848
    Id prsb03-dataelement-11848 (2019‑05‑31 14:31:19)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11849
    Id prsb03-dataelement-11849 (2019‑05‑31 14:31:19)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11850
    Id prsb03-dataelement-11850 (2019‑05‑31 14:31:19)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11851
    Id prsb03-dataelement-11851 (2019‑05‑31 14:31:19)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11852
    Id prsb03-dataelement-11852 (2019‑05‑31 14:31:19)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11853
    Id prsb03-dataelement-11853 (2019‑05‑31 14:31:19)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11602
    link
    Id prsb03-dataelement-11602 (2019‑05‑30 15:01:10)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11603
    Id prsb03-dataelement-11603 (2019‑05‑30 15:01:27)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11604
    Id prsb03-dataelement-11604 (2019‑05‑30 15:01:27)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11605
    Id prsb03-dataelement-11605 (2019‑05‑30 15:01:27)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11606
    Id prsb03-dataelement-11606 (2019‑05‑30 15:01:27)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11607
    Id prsb03-dataelement-11607 (2019‑05‑30 15:01:27)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11608
    Id prsb03-dataelement-11608 (2019‑05‑30 15:01:27)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11609
    Id prsb03-dataelement-11609 (2019‑05‑30 15:01:27)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11610
    Id prsb03-dataelement-11610 (2019‑05‑30 15:01:27)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Dependants
    prsb03-dataelement-10046
    link
    Id prsb03-dataelement-10046 (2018‑10‑31)
    Description Details of any responsibility the person has for dependants.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11854
    Id prsb03-dataelement-11854 (2019‑05‑31 14:31:40)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-11855
    link
    Id prsb03-dataelement-11855 (2019‑05‑31 14:32:07)
    Description The location where the dependents details were taken.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13346
    Id prsb03-dataelement-13346 (2020‑08‑06 17:07:12)
    Description The coded value for location
    Operationalization NHS Data dictionary : - Organisation data service code
    Value Domain
    Property
    min length max length
    3 5
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13347
    Id prsb03-dataelement-13347 (2020‑08‑06 17:08:03)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Dependants
    prsb03-dataelement-13345
    Id prsb03-dataelement-13345 (2020‑08‑06 17:05:40)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11856
    link
    Id prsb03-dataelement-11856 (2019‑05‑31 14:32:34)
    Description The professional who took the dependents details.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11857
    Id prsb03-dataelement-11857 (2019‑05‑31 14:32:53)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11858
    Id prsb03-dataelement-11858 (2019‑05‑31 14:32:53)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11859
    Id prsb03-dataelement-11859 (2019‑05‑31 14:32:53)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11860
    Id prsb03-dataelement-11860 (2019‑05‑31 14:32:53)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11861
    Id prsb03-dataelement-11861 (2019‑05‑31 14:32:53)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11862
    Id prsb03-dataelement-11862 (2019‑05‑31 14:32:53)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11863
    Id prsb03-dataelement-11863 (2019‑05‑31 14:32:53)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11611
    link
    Id prsb03-dataelement-11611 (2019‑05‑30 15:03:35)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11612
    Id prsb03-dataelement-11612 (2019‑05‑30 15:03:59)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11613
    Id prsb03-dataelement-11613 (2019‑05‑30 15:03:59)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11614
    Id prsb03-dataelement-11614 (2019‑05‑30 15:03:59)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11615
    Id prsb03-dataelement-11615 (2019‑05‑30 15:03:59)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11616
    Id prsb03-dataelement-11616 (2019‑05‑30 15:03:59)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11617
    Id prsb03-dataelement-11617 (2019‑05‑30 15:03:59)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11618
    Id prsb03-dataelement-11618 (2019‑05‑30 15:03:59)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11619
    Id prsb03-dataelement-11619 (2019‑05‑30 15:03:59)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Accommodation status
    prsb03-dataelement-10047
    link
    Id prsb03-dataelement-10047 (2018‑10‑31)
    Description Details of the type of accommodation where the person lives.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11864
    Id prsb03-dataelement-11864 (2019‑05‑31 14:33:22)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-11865
    link
    Id prsb03-dataelement-11865 (2019‑05‑31 14:33:51)
    Description The location where the accommodation was taken.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13352
    Id prsb03-dataelement-13352 (2020‑08‑06 17:23:01)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13353
    Id prsb03-dataelement-13353 (2020‑08‑06 17:23:48)
    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 Accommodation status
    prsb03-dataelement-13348
    link
    Id prsb03-dataelement-13348 (2020‑08‑06 17:12:04)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13349
    Id prsb03-dataelement-13349 (2020‑08‑06 17:13:26)
    Description The coded value for accommodation status
    Operationalization NHS data dictionary :- Accommodation status
    Value Domain
    Property
    max length
    4
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13350
    Id prsb03-dataelement-13350 (2020‑08‑06 17:16:53)
    Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
    Description Free text field to be used if no code is available
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11866
    link
    Id prsb03-dataelement-11866 (2019‑05‑31 14:34:24)
    Description The professional who took the accommodation status.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11867
    Id prsb03-dataelement-11867 (2019‑05‑31 14:34:45)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11868
    Id prsb03-dataelement-11868 (2019‑05‑31 14:34:45)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11869
    Id prsb03-dataelement-11869 (2019‑05‑31 14:34:45)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11870
    Id prsb03-dataelement-11870 (2019‑05‑31 14:34:45)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11871
    Id prsb03-dataelement-11871 (2019‑05‑31 14:34:45)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11872
    Id prsb03-dataelement-11872 (2019‑05‑31 14:34:45)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11873
    Id prsb03-dataelement-11873 (2019‑05‑31 14:34:45)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11874
    link
    Id prsb03-dataelement-11874 (2019‑05‑31 14:35:09)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11875
    Id prsb03-dataelement-11875 (2019‑05‑31 14:35:30)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11876
    Id prsb03-dataelement-11876 (2019‑05‑31 14:35:30)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11877
    Id prsb03-dataelement-11877 (2019‑05‑31 14:35:30)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11878
    Id prsb03-dataelement-11878 (2019‑05‑31 14:35:30)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11879
    Id prsb03-dataelement-11879 (2019‑05‑31 14:35:30)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11880
    Id prsb03-dataelement-11880 (2019‑05‑31 14:35:30)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11881
    Id prsb03-dataelement-11881 (2019‑05‑31 14:35:30)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11882
    Id prsb03-dataelement-11882 (2019‑05‑31 14:35:30)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder cancelled Person completing record
    prsb03-dataelement-11620
    Id prsb03-dataelement-11620 (2019‑05‑30 15:04:53)
    folder draft Household environment
    prsb03-dataelement-10051
    link
    Id prsb03-dataelement-10051 (2018‑10‑31)
    Description Details of the person's household environment.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date
    prsb03-dataelement-11883
    Id prsb03-dataelement-11883 (2019‑05‑31 14:36:04)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Location
    prsb03-dataelement-11884
    link
    Id prsb03-dataelement-11884 (2019‑05‑31 14:36:30)
    Description The location where the household environment details were taken.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Coded value
    prsb03-dataelement-13351
    Id prsb03-dataelement-13351 (2020‑08‑06 17:19:22)
    Description The coded value for location
    Operationalization NHS Data dictionary : - Organisation data service code
    Value Domain
    Property
    min length max length
    3 5
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Free text
    prsb03-dataelement-13354
    Id prsb03-dataelement-13354 (2020‑08‑06 17:25:31)
    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 cancelled Household environment
    prsb03-dataelement-13355
    link
    Id prsb03-dataelement-13355 (2020‑08‑06 17:27:04) 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
    cancelled Coded value
    prsb03-dataelement-13356
    Id prsb03-dataelement-13356 (2020‑08‑06 17:30:15) 0.1
    Value Domain
    draft Household environment
    prsb03-dataelement-13842
    Id prsb03-dataelement-13842 (2020‑12‑29 12:11:12)
    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 one transaction, 0 templates, inherited 0 times
     
    folder draft Performing professional
    prsb03-dataelement-11885
    link
    Id prsb03-dataelement-11885 (2019‑05‑31 14:37:03)
    Description The professional who took the household environment details.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11886
    Id prsb03-dataelement-11886 (2019‑05‑31 14:37:24)
    Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11887
    Id prsb03-dataelement-11887 (2019‑05‑31 14:37:24)
    Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
    Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
    Rationale Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobroletype
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11888
    Id prsb03-dataelement-11888 (2019‑05‑31 14:37:24)
    Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Speciality
    prsb03-dataelement-11889
    Id prsb03-dataelement-11889 (2019‑05‑31 14:37:24)
    Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
    Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary - Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11890
    Id prsb03-dataelement-11890 (2019‑05‑31 14:37:24)
    Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
    Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary : - Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11891
    Id prsb03-dataelement-11891 (2019‑05‑31 14:37:24)
    Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
    Description The name of the organisation the professional works for.
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11892
    Id prsb03-dataelement-11892 (2019‑05‑31 14:37:24)
    Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
    Description Contact details of the professional
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary - UK phone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Person completing record
    prsb03-dataelement-11621
    link
    Id prsb03-dataelement-11621 (2019‑05‑30 15:06:19)
    Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
    Description Details of the person completing the record.
    Relationship
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Name
    prsb03-dataelement-11622
    Id prsb03-dataelement-11622 (2019‑05‑30 15:06:41)
    Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
    Description The name of the person completing the record.
    Relationship
    Rationale Composition.author.Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Role
    prsb03-dataelement-11623
    Id prsb03-dataelement-11623 (2019‑05‑30 15:06:41)
    Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
    Description The organisational role of the person completing record.

    Properties

    FHIR PractitionerRole.code of the practitioner completing the record
    Relationship
    Rationale Composition.author.Practitioner.PractitionerRole.code
    Operationalization FHIR value set :- SDSjobrole
    Value Domain
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Grade
    prsb03-dataelement-11624
    Id prsb03-dataelement-11624 (2019‑05‑30 15:06:41)
    Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
    Description The grade of the person completing the record.
    Relationship
    Rationale PractitionerRole.code
    Operationalization Free text.
    Value Domain
    Property
    max length
    150
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Specialty
    prsb03-dataelement-11625
    Id prsb03-dataelement-11625 (2019‑05‑30 15:06:41)
    Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
    Description The main specialty of the person completing the record.

    Properties

    FHIR PractitionerRole.specialty
    Relationship
    Rationale PractitionerRole.speciality
    Operationalization NHS data dictionary :- Activity treatment function code
    Value Domain
    Property
    max length
    3
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder draft Organisation
    prsb03-dataelement-11626
    Id prsb03-dataelement-11626 (2019‑05‑30 15:06:41)
    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 one transaction, 0 templates, inherited 0 times
     
    draft Professional identifier
    prsb03-dataelement-11627
    Id prsb03-dataelement-11627 (2019‑05‑30 15:06:41)
    Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
    Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

    Properties

    FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
    Relationship
    Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
    Operationalization NHS data dictionary :- Professional registration identifier
    Value Domain
    Property
    max length
    32
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Date completed
    prsb03-dataelement-11628
    Id prsb03-dataelement-11628 (2019‑05‑30 15:06:41)
    Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
    Description The date and time the record was completed.
    Relationship
    Rationale Composition.date
    Operationalization Date and time.
    Value Domain
    Property
    Timestamp precision
    at least day, month and year, hour and minute
    target Used by one transaction, 0 templates, inherited 0 times
     
    draft Contact details
    prsb03-dataelement-11629
    Id prsb03-dataelement-11629 (2019‑05‑30 15:06:41)
    Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
    Description Contact details of the person completing the record.

    Properties

    FHIR PractitionerRole.telecom
    Relationship
    Rationale Practitioner.telecom

    PractitionerRole.telecom

    Organisation.telcom
    Operationalization NHS data dictionary : - UK telephone number
    Value Domain
    Property
    max length
    35
    target Used by one transaction, 0 templates, inherited 0 times
     
    folder cancelled Social context record entry
    prsb03-dataelement-12398
    link
    Id prsb03-dataelement-12398 (2019‑06‑03 16:08:35) 0.1
    Description This is a social context record entry. There may be 0 to many record entries under Diagnosis. Each record entry is made up of a number of elements or data items.
    cancelled Date
    prsb03-dataelement-10861
    Id prsb03-dataelement-10861 (2019‑03‑27 17:50:45) 0.1
    Description The date the social context was recorded.
    Relationship
    Value Domain
    cancelled Location
    prsb03-dataelement-10862
    Id prsb03-dataelement-10862 (2019‑03‑27 17:51:38) 0.1
    Description Details of where the social context was recorded.
    Relationship
    Operationalization ODS/ODR
    Value Domain
    cancelled Family and Household
    prsb03-dataelement-10048
    Id prsb03-dataelement-10048 (2018‑10‑31) 0.1
    Description Family and Household details of Social Context.
    Value Domain
    cancelled Father's employment status
    prsb03-dataelement-10049
    Id prsb03-dataelement-10049 (2018‑10‑31) 0.1
    Description The employment status of the Father and his occupation.
    Value Domain
    cancelled Household Social Services support
    prsb03-dataelement-10050
    Id prsb03-dataelement-10050 (2018‑10‑31) 0.1
    Description Whether or not any household member had/has social services support.
    Value Domain
    cancelled Asylum Status
    prsb03-dataelement-10052
    Id prsb03-dataelement-10052 (2018‑10‑31) 0.1
    Description The asylum status of the woman
    Value Domain
    cancelled Number of years in Education
    prsb03-dataelement-10053
    Id prsb03-dataelement-10053 (2018‑10‑31) 0.1
    Description The number of years that the woman has spent in education
    Value Domain
    cancelled Social Risk Factors
    prsb03-dataelement-10054
    Id prsb03-dataelement-10054 (2018‑10‑31) 0.1
    Description A record of social factors which should be taken into account when providing care and support for the woman and the child when born
    Value Domain
    cancelled Partner's employment status
    prsb03-dataelement-10055
    Id prsb03-dataelement-10055 (2018‑10‑31) 0.1
    Description The employment status of the Partner and their occupation
    Value Domain
    cancelled Mother's employment status
    prsb03-dataelement-10056
    Id prsb03-dataelement-10056 (2018‑10‑31) 0.1
    Description The employment status of the Mother and her occupation.
    Value Domain
    cancelled Mother’s educational status
    prsb03-dataelement-10057
    Id prsb03-dataelement-10057 (2018‑10‑31) 0.1
    Description The highest educational qualification attained by the child’s mother.
    Value Domain
    cancelled Other Significant Individuals
    prsb03-dataelement-10058
    Id prsb03-dataelement-10058 (2018‑10‑31) 0.1
    Description People deemed as key by family and or Health Care Professional in the child's life that do not live in the home (s).
    Value Domain
    cancelled Personal
    prsb03-dataelement-10059
    Id prsb03-dataelement-10059 (2018‑10‑31) 0.1
    Description Personal details of Social Context.
    Value Domain
    cancelled Person completing record
    prsb03-dataelement-10864
    Id prsb03-dataelement-10864 (2019‑03‑27 17:53:18)
    Description This is the person recording the social context. Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    cancelled Person completing record
    prsb03-dataelement-10863
    Id prsb03-dataelement-10863 (2019‑03‑27 17:52:28)
    Concept inherits from cancelled prsb03-dataelement-10850 (2019‑03‑27 17:15:40)
    Description This is the person contributing to the family history record. Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    folder draft Smoking record
    prsb03-dataelement-12489
    link
    Id prsb03-dataelement-12489 (2019‑10‑29 14:19:57)
    Description Details of the person's smoking record
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Overall smoking status
    prsb03-dataelement-12490
    Id prsb03-dataelement-12490 (2019‑10‑29 14:22:56) 0.1
    Description

    Statement about current smoking behaviour for smoking cigarettes (manufactured or roll up).

    Defined by current smoking status and ever smoking status.

    Operationalization

    Coded text:

    Current Smoker

    Former Smoker

    Never Smoked

    ^999000891000000102 |Smoking simple reference set (foundation metadata concept)|
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Set quit date
    prsb03-dataelement-14006
    Id prsb03-dataelement-14006 (2021‑02‑11 19:20:06)
    Description Date set to quit smoking
    Operationalization Date
    Value Domain
    Property
    Timestamp precision
    at least day, month and year
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Date of quitting
    prsb03-dataelement-12491
    Id prsb03-dataelement-12491 (2019‑10‑29 14:35:16)
    Description Date when the individual stopped smoking (if a former smoker).
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Other tobacco products used
    prsb03-dataelement-12492
    Id prsb03-dataelement-12492 (2019‑10‑29 14:40:14)
    Description Details of other tobacco products used (e.g. shisha, pipe, cigar, heated tobacco products)
    Operationalization

    No other tobacco products used

    Patient uses other tobacco products.

    Plus free text details of products used.
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Information and advice given
    prsb03-dataelement-12493
    Id prsb03-dataelement-12493 (2019‑10‑29 14:42:47)
    Description Record of whether brief advice about available smoking cessation treatment/support was given at the time of consultation.

    Properties

    FHIR Free text only
    Relationship
    Operationalization

    No advice given about available smoking cessation treatment/support

    Brief advice given about available smoking cessation treatment/support

    Plus free text with any additional information
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Nicotine Replacement Therapy used
    prsb03-dataelement-12495
    Id prsb03-dataelement-12495 (2019‑10‑29 16:11:19)
    Description A record of whether nicotine replacement therapy (NRT) is currently used or prescribed in this appointment
    Operationalization

    NRT not currently used

    NRT currently used

    NRT prescribed at this appointment
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Varenicline or other pharmacotherapy used
    prsb03-dataelement-12496
    Id prsb03-dataelement-12496 (2019‑10‑29 16:26:30)
    Description Record of whether varenicline or other smoking cessation pharmacotherapy (other than nicotine replacement therapy) is currently used or prescribed in this appointment.
    Operationalization

    Varenicline/other pharmacotherapy not used

    Varenicline/other pharmacotherapy currently used

    Varenicline/other pharmacotherapy prescribed in this appointment
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft e-cigarettes used
    prsb03-dataelement-12497
    Id prsb03-dataelement-12497 (2019‑10‑29 16:35:51)
    Description Record of current use of e-cigarettes
    Operationalization

    Coded - SNOMED CT:

    722499006 |Electronic cigarette user (finding)|
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Therapy prescribed (see medication item entry information model)
    prsb03-dataelement-12506
    Id prsb03-dataelement-12506 (2019‑10‑29 17:07:06)
    Description Record of nicotine replacement therapy, varenicline or bupropion (or other smoking cessation pharmacotherapy) being prescribed at the time of the consultation
    Operationalization To be entered via Medication item entry (see medications and medical devices information model - PRSB Standards for the Structure and Content of Health and Care Records (2018): https://theprsb.org/standards/healthandcarerecords/
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Referral details
    prsb03-dataelement-12508
    Id prsb03-dataelement-12508 (2019‑10‑29 17:08:47)
    Description Record of whether referral to smoking cessation services was offered and/or made at the time of the consultation.
    Operationalization

    Referral to smoking cessation services

    Referral not offered

    Referral offered but declined

    And free text with any additional information
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    draft Comment
    prsb03-dataelement-12510
    Id prsb03-dataelement-12510 (2019‑10‑29 17:16:21)
    Description Additional information about tobacco use or its management not captured in other fields.
    Operationalization Free text
    Value Domain
    target Used by 0 transactions, 0 templates, inherited once
     
    folder draft Alcohol record
    prsb03-dataelement-12498
    link
    Id prsb03-dataelement-12498 (2019‑10‑29 16:51:15)
    Description Details of a person's alcohol record
    folder draft Audit questionnaire
    prsb03-dataelement-12499
    link
    Id prsb03-dataelement-12499 (2019‑10‑29 16:52:18)
    Description Alcohol use disorder identification test (AUDIT) questionnaire
    Operationalization

    SNOMED-CT coded.

    Please note the codes in this section are still under review by NHS Digital and may change (24-05-2018). Any changes will be reflected (and highlighted) in GMS contract changes 2018/19 guidance and audit requirements (NHS Employers). www.nhsemployers.org/gms201819

    Assessment using Alcohol Use Disorders Identification Test Consumption [SNOMED-CT::1084571000000109]

    Alcohol use disorder identification test consumption questionnaire [SNOMED-CT::335811000000106]

    Alcohol consumption screening test declined [SNOMED-CT::428073005]

    Alcohol assessment declined [SNOMED-CT::361731000000101]
    draft Date
    prsb03-dataelement-12524
    Id prsb03-dataelement-12524 (2019‑10‑29 17:53:29)
    Description

    Date of person's AUDIT questionnaire.
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year
    folder draft AUDIT-C cluster
    prsb03-dataelement-12500
    link
    Id prsb03-dataelement-12500 (2019‑10‑29 16:55:54)
    Description

    AUDIT-C questions: Frequency of consumption, Typical consumption, Binge drinking.
    draft Frequency of consumption
    prsb03-dataelement-12501
    Id prsb03-dataelement-12501 (2019‑10‑29 16:57:59)
    Description How often did you have a drink containing alcohol in the past year?
    Operationalization

    0: Never [No drinking of alcohol in the past year.]

    1: Monthly or Less [Drinking alcohol monthly or less frequently during the past year.]

    2: 2 to 4 Times a Month [Drinking alcohol two to four times a month during the past year.]

    3: 2 to 3 Times a Week [Drinking alcohol two to three times a week during the past year.]

    4: 4 or More Times a Week [Drinking alcohol four or more times a week during the past year.]

    Value Domain
    folder draft Typical consumption cluster
    prsb03-dataelement-12502
    link
    Id prsb03-dataelement-12502 (2019‑10‑29 17:00:28)
    Description Details of the person's typical consumption
    draft Absolute value
    prsb03-dataelement-12503
    Id prsb03-dataelement-12503 (2019‑10‑29 17:02:06)
    Description

    How many drinks did you have on a typical day when you were drinking in the past year?
    Operationalization

    Integer (0 to n)
    Value Domain
    draft Categorical value
    prsb03-dataelement-12504
    Id prsb03-dataelement-12504 (2019‑10‑29 17:04:12)
    Description

    How many drinks did you have on a typical day when you were drinking in the past year? This item is generated from Typical consumption (absolute value).

    Operationalization

    0: 0 to 2 [Zero to two drinks of alcohol on a typical day in the past year.]

    1: 3 or 4 [Three or four drinks of alcohol on a typical day in the past year.]

    2: 5 or 6 [Five or six drinks of alcohol on a typical day in the past year.]

    3: 7 to 9 [Seven, eight or nine drinks of alcohol on a typical day in the past year.]

    4: 10 or More [Ten or more drinks of alcohol on a typical day in the past year.]
    Value Domain
    draft Binge drinking
    prsb03-dataelement-12505
    Id prsb03-dataelement-12505 (2019‑10‑29 17:05:54)
    Description

    How often did you have six or more drinks on one occasion in the past year?
    Operationalization

    0:Never [Never, in the past year.]

    1: Less than Monthly [Less than monthly, during the past year.]

    2: Monthly [Monthly, during the past year.]

    3: Weekly [Weekly, during the past year.]

    4: Daily or Almost Daily [Daily, or almost daily, during the past year.]
    Value Domain
    draft AUDIT-C total score
    prsb03-dataelement-12525
    Id prsb03-dataelement-12525 (2019‑10‑31 13:52:46)
    Description AUDIT-C total score calculated from the 3 questions only: Frequency of consumption, Typical consumption (categorical value), Binge drinking.
    Operationalization

    SNOMED-CT coded with associated value calculated from the first 3 questions only.

    Please note the codes in this section are still under review by NHS Digital and may change (24-05-2018). Any changes will be reflected (and highlighted) in GMS contract changes 2018/19 guidance and audit requirements (NHS Employers). www.nhsemployers.org/gms201819

    [SNOMED-CT::1084581000000106] (Alcohol Use Disorders Identification Test - Consumption score)

    And add a value to a field associated with the code to record the score. The score are as follows:

    Current non-drinker (AUDIT-C score = 0)

    Low risk of alcohol misuse (AUDIT-C score 1-4)

    High risk of alcohol misuse (AUDIT-C score >=5)
    Value Domain
    folder draft if AUDIT-C score >=5
    prsb03-dataelement-12507
    link
    Id prsb03-dataelement-12507 (2019‑10‑29 17:08:20)
    Description Populate this section if the AUDIT-C score is >=5.
    cancelled AUDIT questionnaire
    prsb03-dataelement-12509
    Id prsb03-dataelement-12509 (2019‑10‑29 17:10:47)
    Description

    Alcohol use disorder identification test (AUDIT) questionnaire
    Operationalization

    SNOMED-CT coded.

    Please note the codes in this section are still under review by NHS Digital and may change (24-05-2018). Any changes will be reflected (and highlighted) in GMS contract changes 2018/19 guidance and audit requirements (NHS Employers). www.nhsemployers.org/gms201819

    Assessment using alcohol use disorders identification [SNOMED-CT::450760003]

    Alcohol use disorders identification test [SNOMED-CT::273265007]

    Alcohol Use Disorders Identification Test declined [SNOMED-CT::922471000000101]
    Value Domain
    draft Inability to stop
    prsb03-dataelement-12511
    Id prsb03-dataelement-12511 (2019‑10‑29 17:17:08)
    Description

    How often during the last year have you found that you were not able to stop drinking once you had started?

    Operationalization

    0: Never [Never, in the past year.]

    1: Less than Monthly [Less than monthly, during the past year.]

    2: Monthly [Monthly, during the past year.]

    3: Weekly [Weekly, during the past year.]

    4: Daily or Almost Daily [Daily, or almost daily, during the past year.]
    Value Domain
    draft Failed expectations
    prsb03-dataelement-12512
    Id prsb03-dataelement-12512 (2019‑10‑29 17:18:25)
    Description

    How often during the last year have you failed to do what was normally expected of you because of drinking?

    Value Domain
    draft Morning drinking
    prsb03-dataelement-12513
    Id prsb03-dataelement-12513 (2019‑10‑29 17:19:40)
    Description

    How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?

    Operationalization

    0: Never [Never, in the past year.]

    1: Less than Monthly [Less than monthly, during the past year.]

    2: Monthly [Monthly, during the past year.]

    3: Weekly [Weekly, during the past year.]

    4: Daily or Almost Daily [Daily, or almost daily, during the past year.]
    Value Domain
    draft Guilt/remorse
    prsb03-dataelement-12514
    Id prsb03-dataelement-12514 (2019‑10‑29 17:21:13)
    Description

    How often during the last year have you had a feeling of guilt or remorse after drinking?
    Operationalization

    0: Never [Never, in the past year.]

    1: Less than Monthly [Less than monthly, during the past year.]

    2: Monthly [Monthly, during the past year.]

    3: Weekly [Weekly, during the past year.]

    4: Daily or Almost Daily [Daily, or almost daily, during the past year.]
    Value Domain
    draft Loss of memory
    prsb03-dataelement-12515
    Id prsb03-dataelement-12515 (2019‑10‑29 17:22:19)
    Description

    How often during the last year have you been unable to remember what happened the night before because of your drinking?

    Operationalization

    0: Never [Never, in the past year.]

    1: Less than Monthly [Less than monthly, during the past year.]

    2: Monthly [Monthly, during the past year.]

    3: Weekly [Weekly, during the past year.]

    4: Daily or Almost Daily [Daily, or almost daily, during the past year.]
    Value Domain
    draft Injuries
    prsb03-dataelement-12516
    Id prsb03-dataelement-12516 (2019‑10‑29 17:23:40)
    Description

    Have you or someone else been injured because of your drinking?
    Operationalization

    0: No [No occurrence.]

    2: Yes, but not in the last year. [Yes, this has occurred, but not in the last year.]

    4: Yes, during the last year. [Yes this has occurred during the last year.]
    Value Domain
    draft External concern
    prsb03-dataelement-12517
    Id prsb03-dataelement-12517 (2019‑10‑29 17:27:36)
    Description

    Has a relative, friend, doctor, or other health care worker been concerned about your drinking or suggested you cut down?

    Value Domain
    draft AUDIT total score
    prsb03-dataelement-12518
    Id prsb03-dataelement-12518 (2019‑10‑29 17:32:10)
    Description

    AUDIT total score calculated from the 10 AUDIT questions.
    Operationalization

    SNOMED-CT coded with associated value calculated from the 10 AUDIT questions.

    Please note the codes in this section are still under review by NHS Digital and may change (24-05-2018). Any changes will be reflected (and highlighted) in GMS contract changes 2018/19 guidance and audit requirements (NHS Employers). www.nhsemployers.org/gms201819

    Alcohol use disorders identification test score [SNOMED-CT::443280005]



    And add a value to a field associated with the code to record the score. The score are as follows:

    • 0–7 indicates sensible or lower risk drinking

    • 8–15 indicates increasing risk drinking

    • 16–19 indicates higher risk drinking

    • 20 and over indicates possible alcohol dependence
    Value Domain
    folder draft Medications and medical devices
    prsb03-dataelement-12526
    link
    Id prsb03-dataelement-12526 (2019‑11‑04 14:00:57)
    Concept inherits from draft prsb03-dataelement-636 (2018‑10‑31)
    Description Medications and medical devices
    folder draft Medication administration record entry
    prsb03-dataelement-12527
    link
    Id prsb03-dataelement-12527 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-12483 (2019‑07‑03 12:24:36)
    Description Each entry holds details of medications administered
    folder draft Medication name
    prsb03-dataelement-12528
    Id prsb03-dataelement-12528 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-12484 (2019‑07‑03 12:27:06)
    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)
    folder draft Route
    prsb03-dataelement-12529
    Id prsb03-dataelement-12529 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-12485 (2019‑07‑03 12:28:40)
    Description The route by which the medication is administered e.g. oral, IM, IV

    Properties

    FHIR MedicationStatement.dosage.route
    draft Dose administered
    prsb03-dataelement-12530
    Id prsb03-dataelement-12530 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-12487 (2019‑07‑03 12:35:08)
    Description The quantity and units of medication administered
    Operationalization Free text. The quantity and units administered
    Value Domain
    draft Administration date and time
    prsb03-dataelement-12531
    Id prsb03-dataelement-12531 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-12486 (2019‑07‑03 12:28:41)
    Description The date and time when the medication was administered.
    Operationalization Date and time
    Value Domain
    Property
    Timestamp precision
    at least day, month and year
    folder draft Medication item entry
    prsb03-dataelement-12532
    link
    Id prsb03-dataelement-12532 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10663 (2018‑11‑13 15:56:21)
    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.
    folder draft Medication item cluster
    prsb03-dataelement-12533
    link
    Id prsb03-dataelement-12533 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10664 (2018‑11‑13 16:25:51)
    Description Medication item cluster
    draft Date
    prsb03-dataelement-12534
    Id prsb03-dataelement-12534 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10843 (2019‑03‑27 16:59:52)
    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
    folder draft Location
    prsb03-dataelement-12535
    Id prsb03-dataelement-12535 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10844 (2019‑03‑27 17:01:20)
    Description The location where the medication or the medical device was prescribed.
    draft Performing professional
    prsb03-dataelement-12536
    Id prsb03-dataelement-12536 (2019‑11‑04 14:01:34)
    Concept inherits from cancelled prsb03-dataelement-10845 (2019‑03‑27 17:01:47)
    Description Details of the professional prescribing the medication or medical device.
    Value Domain
    folder draft Performing professional
    prsb03-dataelement-12537
    link
    Id prsb03-dataelement-12537 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-12002 (2019‑05‑31 15:12:28)
    Description The professional who prescribed the medication or medical device.
    Relationship
    draft Name
    prsb03-dataelement-12538
    Id prsb03-dataelement-12538 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-12003 (2019‑05‑31 15:12:48)
    Description The name of the professional.
    Rationale Practitioner.name
    Operationalization Free text.
    Value Domain
    Property
    max length
    70
    draft Role
    prsb03-dataelement-12539
    Id prsb03-dataelement-12539 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-12004 (2019‑05‑31 15:12:48)
    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
    draft Grade
    prsb03-dataelement-12540
    Id prsb03-dataelement-12540 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-12005 (2019‑05‑31 15:12:48)
    Description The grade of the professional.
    Rationale PractitionerRole.code
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Speciality
    prsb03-dataelement-12541
    Id prsb03-dataelement-12541 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-12006 (2019‑05‑31 15:12:48)
    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
    draft Professional identifier
    prsb03-dataelement-12542
    Id prsb03-dataelement-12542 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-12007 (2019‑05‑31 15:12:48)
    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
    folder draft Organisation
    prsb03-dataelement-12543
    Id prsb03-dataelement-12543 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-12008 (2019‑05‑31 15:12:48)
    Description The name of the organisation the professional works for.
    draft Contact details
    prsb03-dataelement-12544
    Id prsb03-dataelement-12544 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-12009 (2019‑05‑31 15:12:48)
    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
    folder draft Medication name
    prsb03-dataelement-12545
    Id prsb03-dataelement-12545 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10536 (2018‑10‑31)
    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)
    folder draft Form
    prsb03-dataelement-12546
    Id prsb03-dataelement-12546 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10537 (2018‑10‑31)
    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
    folder draft Quantity supplied
    prsb03-dataelement-12547
    Id prsb03-dataelement-12547 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10539 (2018‑10‑31)
    Description The quantity of the medication (e.g. tablets, inhalers, etc.) provided to the person. This may be dispensed by the pharmacy or on the ward. Record in a structured format i.e. value and a unit

    Properties

    FHIR MedicationStatement.quantityDispensed (Amount of medication to supply per dispense) quantity (as a valueQuantity) - Mandatory quantityText (as a valueString) - Mandatory
    Operationalization Free text
    folder draft Route
    prsb03-dataelement-12548
    Id prsb03-dataelement-12548 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10538 (2018‑10‑31)
    Description The route by which the medication is administered e.g. oral, IM, IV

    Properties

    FHIR MedicationStatement.dosage.route
    folder draft Site
    prsb03-dataelement-12549
    Id prsb03-dataelement-12549 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10540 (2018‑10‑31)
    Description The anatomical site at which the medication is to be administered.

    Properties

    FHIR MedicationStatement.dosage.site
    folder draft Method
    prsb03-dataelement-12550
    Id prsb03-dataelement-12550 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10541 (2018‑10‑31)
    Description The technique or method by which the medication is to be administered.

    Properties

    FHIR MedicationStatement.dosage.method
    draft Dose directions description
    prsb03-dataelement-12551
    Id prsb03-dataelement-12551 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10544 (2018‑10‑31)
    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
    draft Dose amount description
    prsb03-dataelement-12552
    Id prsb03-dataelement-12552 (2019‑11‑04 14:01:34)
    Concept inherits from cancelled prsb03-dataelement-10542 (2018‑10‑31)
    Description A description of the medication single dose amount e.g. "30 mg" or "2 tabs".

    Properties

    FHIR MedicationStatement.dosage.text
    Operationalization Free text
    Value Domain
    draft Dose timing description
    prsb03-dataelement-12553
    Id prsb03-dataelement-12553 (2019‑11‑04 14:01:34)
    Concept inherits from cancelled prsb03-dataelement-10543 (2018‑10‑31)
    Description A description of the frequency of taking or administration of a medication dose. e.g. "Twice a day", "At 8am, 2pm and 10pm".

    Properties

    FHIR MedicationStatement.dosage.timing [a complex data type that holds lots of timing formats]
    Operationalization Free text
    Value Domain
    draft Parsable dose directions
    prsb03-dataelement-12554
    Id prsb03-dataelement-12554 (2019‑11‑04 14:01:34)
    Concept inherits from cancelled prsb03-dataelement-10552 (2018‑10‑31)
    Description A parsable 'dose syntax' which carries dose strength, dose timing, dose duration and maximum dose information, e.g. "20-30mg ^4/6h prn [180mg /24h]" = 20 to 30 mgs, up to 4-6 hourly as required. Maximum 180mg in 24 hours. The 'as required reason' e.g. 'for pain' should be carried in the Additional Instruction element. Note that this is generally a symptom and is not the same as the Indication which will usually describe a diagnosis or condition. Where supported, this would generally be used to exchange dosage information between systems, while Structured dose directions are likely to be used only within openEHR-based systems
    Value Domain
    Property
    max length
    150
    folder draft Structured dose direction cluster
    prsb03-dataelement-12555
    link
    Id prsb03-dataelement-12555 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-11639 (2019‑05‑30 17:40:22)
    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.
    draft Structured dose direction
    prsb03-dataelement-12556
    Id prsb03-dataelement-12556 (2019‑11‑04 14:01:34)
    Concept inherits from cancelled prsb03-dataelement-10553 (2018‑10‑31)
    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.
    Operationalization As per FHIR Dose Syntax Implementation Guidance (NHS Digital): https://developer.nhs.uk/apis/dose-syntax-implementation/
    Value Domain
    folder draft Structured dose amount
    prsb03-dataelement-12557
    Id prsb03-dataelement-12557 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10554 (2018‑10‑31)
    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
    draft Structured dose timing
    prsb03-dataelement-12558
    Id prsb03-dataelement-12558 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10555 (2018‑10‑31)
    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
    draft Dose direction duration
    prsb03-dataelement-12559
    Id prsb03-dataelement-12559 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10548 (2018‑10‑31)
    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
    draft Additional instructions
    prsb03-dataelement-12560
    Id prsb03-dataelement-12560 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10545 (2018‑10‑31)
    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
    draft Request for advice
    prsb03-dataelement-12561
    Id prsb03-dataelement-12561 (2019‑11‑04 14:01:34)
    Concept inherits from cancelled prsb03-dataelement-10559 (2018‑10‑31)
    Description Request for advice and recommendation about medication
    Operationalization Free text
    Value Domain
    Property
    max length
    150
    draft Person completing record
    prsb03-dataelement-12562
    Id prsb03-dataelement-12562 (2019‑11‑04 14:01:34)
    Concept inherits from cancelled prsb03-dataelement-10961 (2019‑05‑18 21:23:41)
    Description This is the person recording the medication.

    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
    Relationship
    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
    Value Domain
    folder draft Course details cluster
    prsb03-dataelement-12563
    link
    Id prsb03-dataelement-12563 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10561 (2018‑10‑31)
    Description Details of the overall course of medication.
    draft Course status
    prsb03-dataelement-12564
    Id prsb03-dataelement-12564 (2019‑11‑04 14:01:34)
    Concept inherits from draft prsb03-dataelement-10666 (2018‑11‑13 16:47:55)
    Description The status of this prescription.
    Operationalization FHIR value set : - Medication status
      Value Domain
      draft Indication
      prsb03-dataelement-12565
      Id prsb03-dataelement-12565 (2019‑11‑04 14:01:34)
      Concept inherits from draft prsb03-dataelement-10546 (2018‑10‑31)
      Description Reason for medication being prescribed, where known.

      Properties

      FHIR MedicationStatement.reasonCode
      Operationalization Free text
      Value Domain
      Property
      max length
      150
      draft Start date/time
      prsb03-dataelement-12566
      Id prsb03-dataelement-12566 (2019‑11‑04 14:01:34)
      Concept inherits from draft prsb03-dataelement-10667 (2018‑11‑13 16:49:22)
      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
      draft End date/time
      prsb03-dataelement-12567
      Id prsb03-dataelement-12567 (2019‑11‑04 14:01:34)
      Concept inherits from draft prsb03-dataelement-10557 (2018‑10‑31)
      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
      draft Link to indication record
      prsb03-dataelement-12568
      Id prsb03-dataelement-12568 (2019‑11‑04 14:01:34)
      Concept inherits from draft prsb03-dataelement-10668 (2018‑11‑13 16:59:09)
      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
      draft Comment/recommendation
      prsb03-dataelement-12569
      Id prsb03-dataelement-12569 (2019‑11‑04 14:01:34)
      Concept inherits from draft prsb03-dataelement-10547 (2018‑10‑31)
      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
      folder draft Medication change summary cluster
      prsb03-dataelement-12570
      link
      Id prsb03-dataelement-12570 (2019‑11‑04 14:01:34)
      Concept inherits from draft prsb03-dataelement-10568 (2018‑10‑31)
      Description Records the changes made to medication.
      draft Status
      prsb03-dataelement-12571
      Id prsb03-dataelement-12571 (2019‑11‑04 14:01:34)
      Concept inherits from draft prsb03-dataelement-10669 (2018‑11‑13 17:00:50)
      Description The nature of any change made to the medication.
      Operationalization FHIR value set : Medication status
        Value Domain
        draft Indication
        prsb03-dataelement-12572
        Id prsb03-dataelement-12572 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-10670 (2018‑11‑13 17:02:07)
        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
        draft Date of change
        prsb03-dataelement-12573
        Id prsb03-dataelement-12573 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-10671 (2018‑11‑13 17:03:03)
        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
        draft Description of amendment
        prsb03-dataelement-12574
        Id prsb03-dataelement-12574 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-10672 (2018‑11‑13 17:03:42)
        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
        draft Total dose daily quantity
        prsb03-dataelement-12575
        Id prsb03-dataelement-12575 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-10665 (2018‑11‑13 16:44:41)
        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
        folder draft Person completing record
        prsb03-dataelement-12576
        link
        Id prsb03-dataelement-12576 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-11993 (2019‑05‑31 15:11:27)
        Description Details of the person completing the record.
        Relationship
        draft Name
        prsb03-dataelement-12577
        Id prsb03-dataelement-12577 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-11994 (2019‑05‑31 15:12:02)
        Description The name of the person completing the record.
        Relationship
        Rationale Composition.author.Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        draft Role
        prsb03-dataelement-12578
        Id prsb03-dataelement-12578 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-11995 (2019‑05‑31 15:12:02)
        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
        draft Grade
        prsb03-dataelement-12579
        Id prsb03-dataelement-12579 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-11996 (2019‑05‑31 15:12:02)
        Description The grade of the person completing the record.
        Relationship
        Rationale PractitionerRole.code
        Operationalization Free text.
        Value Domain
        Property
        max length
        150
        draft Specialty
        prsb03-dataelement-12580
        Id prsb03-dataelement-12580 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-11997 (2019‑05‑31 15:12:02)
        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
        folder draft Organisation
        prsb03-dataelement-12581
        Id prsb03-dataelement-12581 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-11998 (2019‑05‑31 15:12:02)
        Description The organisation the person completing the record works for.
        Relationship
        Operationalization NHS data dictionary : - Organisation data service
        draft Professional identifier
        prsb03-dataelement-12582
        Id prsb03-dataelement-12582 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-11999 (2019‑05‑31 15:12:02)
        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
        draft Date completed
        prsb03-dataelement-12583
        Id prsb03-dataelement-12583 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-12000 (2019‑05‑31 15:12:02)
        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
        draft Contact details
        prsb03-dataelement-12584
        Id prsb03-dataelement-12584 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-12001 (2019‑05‑31 15:12:02)
        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
        folder draft Medication discontinued entry
        prsb03-dataelement-12585
        link
        Id prsb03-dataelement-12585 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-10576 (2018‑10‑31)
        Description Medication discontinued entry
        folder draft Name of discontinued medication
        prsb03-dataelement-12586
        Id prsb03-dataelement-12586 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-10577 (2018‑10‑31)
        Description The name of the medication or medical device being discontinued
        draft Status
        prsb03-dataelement-12587
        Id prsb03-dataelement-12587 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-12472 (2019‑06‑25 11:42:23)
        Description The status of any change made to the medication. MUST CONTAIN STOPPED.
        Operationalization FHIR value set: - Medication status
        Value Domain
        draft Status
        prsb03-dataelement-12588
        Id prsb03-dataelement-12588 (2019‑11‑04 14:01:34)
        Concept inherits from cancelled prsb03-dataelement-10578 (2018‑10‑31)
        Description The nature of any change made to the medication.
        Operationalization Free text
        Value Domain
        draft Indication
        prsb03-dataelement-12589
        Id prsb03-dataelement-12589 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-10579 (2018‑10‑31)
        Description The clinical indication for any changes in medication status
        Operationalization
        SNOMED CT:- ^1127601000000107 | Healthcare matters simple reference set (foundation metadata concept) |
        Value Domain
        draft Date of change
        prsb03-dataelement-12590
        Id prsb03-dataelement-12590 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-10580 (2018‑10‑31)
        Description The date of the discontinuation
        Operationalization Date and time
        Value Domain
        Property
        Timestamp precision
        at least day, month and year, hour and minute
        draft Description of amendment
        prsb03-dataelement-12591
        Id prsb03-dataelement-12591 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-10581 (2018‑10‑31)
        Description A description of any amendment
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        draft Comment
        prsb03-dataelement-12592
        Id prsb03-dataelement-12592 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-10582 (2018‑10‑31)
        Description Any additional comment about the discontinuation or amendment.
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        folder draft Medical devices entry
        prsb03-dataelement-12593
        link
        Id prsb03-dataelement-12593 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-10583 (2018‑10‑31)
        Description Medical devices
        draft Medical device
        prsb03-dataelement-12594
        Id prsb03-dataelement-12594 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-10673 (2018‑11‑13 17:10:15)
        Description Any medical device that isn't prescribed.
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        draft Comments
        prsb03-dataelement-12595
        Id prsb03-dataelement-12595 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-11280 (2019‑05‑29 17:47:02)
        Description Any information regarding the medical device.
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        draft Performing Professional
        prsb03-dataelement-12596
        Id prsb03-dataelement-12596 (2019‑11‑04 14:01:34)
        Concept inherits from cancelled prsb03-dataelement-10549 (2018‑10‑31)
        Description Details of the professional administering the Medication (including name and role)
        Value Domain
        draft Location
        prsb03-dataelement-12597
        Id prsb03-dataelement-12597 (2019‑11‑04 14:01:34)
        Concept inherits from cancelled prsb03-dataelement-10550 (2018‑10‑31)
        Description Details of where the Medication was administered
        Value Domain
        draft Date
        prsb03-dataelement-12598
        Id prsb03-dataelement-12598 (2019‑11‑04 14:01:34)
        Concept inherits from cancelled prsb03-dataelement-10551 (2018‑10‑31)
        Description The date on which the Medication was administered
        Value Domain
        draft Start date/time
        prsb03-dataelement-12599
        Id prsb03-dataelement-12599 (2019‑11‑04 14:01:34)
        Concept inherits from cancelled prsb03-dataelement-10556 (2018‑10‑31)
        Description The date and/or time that the medication course should begin.
        Value Domain
        draft Authorised date
        prsb03-dataelement-12600
        Id prsb03-dataelement-12600 (2019‑11‑04 14:01:34)
        Concept inherits from cancelled prsb03-dataelement-10558 (2018‑10‑31)
        Description Date prescriber created prescription
        Operationalization Date and Time
        Value Domain
        draft Valid from date
        prsb03-dataelement-12601
        Id prsb03-dataelement-12601 (2019‑11‑04 14:01:34)
        Concept inherits from cancelled prsb03-dataelement-10560 (2018‑10‑31)
        Description Date the prescription can be issued from. Valid for 6 months
        Operationalization Date and Time
        Value Domain
        folder draft Repeat medications
        prsb03-dataelement-12602
        Id prsb03-dataelement-12602 (2019‑11‑04 14:01:34)
        Concept inherits from draft prsb03-dataelement-10585 (2018‑10‑31)
        Description This is the sub-section where all repeat medications within a specific period are recorded
        folder draft For medications that have been changed
        prsb03-dataelement-12603
        Id prsb03-dataelement-12603 (2019‑11‑04 14:01:34)
        Concept inherits from cancelled prsb03-dataelement-10607 (2018‑10‑31)
        Description i.e. additions, amendments and discontinued, in addition to the above, also record: is the sub-section where all current repeat medications are recorded.
        folder draft •Prescribed elsewhere
        prsb03-dataelement-12604
        Id prsb03-dataelement-12604 (2019‑11‑04 14:01:34)
        Concept inherits from cancelled prsb03-dataelement-10629 (2018‑10‑31)
        Description Prescribed elsewhere: Medication managed by another organisation
        draft Number of alcohol units consumed per week
        prsb03-dataelement-12519
        Id prsb03-dataelement-12519 (2019‑10‑29 17:43:43)
        Description

        The number of alcohol units consumed by the patient per week.

        Operationalization

        Integer (0 to n)
        Value Domain
        draft History of heavy alcohol use
        prsb03-dataelement-12520
        Id prsb03-dataelement-12520 (2019‑10‑29 17:45:50)
        Description

        Whether the patient reports a history of heavy alcohol use in the past.
        Operationalization

        History of heavy alcohol use

        No history of heavy alcohol use

        Not known
        Value Domain
        draft Information and advice given
        prsb03-dataelement-12521
        Id prsb03-dataelement-12521 (2019‑10‑29 17:47:52)
        Description

        Record of whether brief advice about alcohol use was offered and/or given.

        Properties

        FHIR Free text only
        Relationship
        Operationalization

        SNOMED-CT coded.

        Please note the codes in this section are still under review by NHS Digital and may change (24-05-2018). Any changes will be reflected (and highlighted) in GMS contract changes 2018/19 guidance and audit requirements (NHS Employers). www.nhsemployers.org/gms201819

        Brief intervention for excessive alcohol consumption completed [SNOMED-CT::366371000000105]

        Brief intervention for excessive alcohol consumption declined [SNOMED-CT::379411000000105]
        Value Domain
        draft Referral details
        prsb03-dataelement-12522
        Id prsb03-dataelement-12522 (2019‑10‑29 17:49:43)
        Description

        Record of whether referral to alcohol support services was offered and/or made.
        Relationship
        Operationalization

        Free text and coded form (SNOMED CT).

        Please note the codes in this section are still under review by NHS Digital and may change (24-05-2018). Any changes will be reflected (and highlighted) in GMS contract changes 2018/19 guidance and audit requirements (NHS Employers). www.nhsemployers.org/gms201819

        Referral to specialist alcohol treatment service [SNOMED-CT::431260004]

        Declined referral to specialist alcohol treatment service [SNOMED-CT::380861000000109]

        Declined referral to specialist alcohol treatment service [SNOMED-CT::781191000000101]

        Referral to specialist alcohol treatment service declined by patient [SNOMED-CT::442444001]
        Value Domain
        draft Comment
        prsb03-dataelement-12523
        Id prsb03-dataelement-12523 (2019‑10‑29 17:52:11)
        Description Additional information about alcohol use or its management not captured in other fields.
        Operationalization Free text
        Value Domain
        folder draft Services and care
        prsb03-dataelement-10044
        link
        Id prsb03-dataelement-10044 (2018‑10‑31)
        Description The services and care provided for the person.
        folder draft Services and care record entry
        prsb03-dataelement-12421
        link
        Id prsb03-dataelement-12421 (2019‑06‑11 16:55:24)
        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.
        draft Social care package name
        prsb03-dataelement-12965
        Id prsb03-dataelement-12965 (2020‑04‑03 17:21:47)
        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
        draft Social care package type
        prsb03-dataelement-12966
        Id prsb03-dataelement-12966 (2020‑04‑03 17:25:36)
        Description Higher level categorisation of package type, e.g. Adults Home Support
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        draft Service provided
        prsb03-dataelement-12448
        Id prsb03-dataelement-12448 (2019‑06‑17 16:05:21)
        Description Details of the service providing support for the person's health or well-being.
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        draft Service start date
        prsb03-dataelement-11834
        Id prsb03-dataelement-11834 (2019‑05‑31 14:28:13)
        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
        draft Service end date
        prsb03-dataelement-12420
        Id prsb03-dataelement-12420 (2019‑06‑07 19:30:52)
        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
        folder draft Local authority
        prsb03-dataelement-11835
        link
        Id prsb03-dataelement-11835 (2019‑05‑31 14:28:42)
        Description The name of the local authority providing the care package.
        Relationship
        draft Coded value
        prsb03-dataelement-13566
        Id prsb03-dataelement-13566 (2020‑09‑04 18:45:25)
        Description The coded value for local authority
        Operationalization NHS data dictionary: - Organisation data service
        Value Domain
        Property
        min length max length
        3 5
        draft Free text
        prsb03-dataelement-13567
        Id prsb03-dataelement-13567 (2020‑09‑04 18:46:37)
        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
        folder draft Care funding source
        prsb03-dataelement-13067
        Id prsb03-dataelement-13067 (2020‑05‑21 13:41:46)
        Concept inherits from draft prsb03-dataelement-10410 (2018‑10‑31)
        Description A reference to the funding source and any conditions or limitations associated.
        folder draft Performing professional
        prsb03-dataelement-11836
        link
        Id prsb03-dataelement-11836 (2019‑05‑31 14:29:23)
        Description The professional providing the service.
        Relationship
        Operationalization Free text
        draft Name
        prsb03-dataelement-11837
        Id prsb03-dataelement-11837 (2019‑05‑31 14:29:41)
        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
        draft Role
        prsb03-dataelement-11838
        Id prsb03-dataelement-11838 (2019‑05‑31 14:29:41)
        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
        draft Grade
        prsb03-dataelement-11839
        Id prsb03-dataelement-11839 (2019‑05‑31 14:29:41)
        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
        draft Speciality
        prsb03-dataelement-11840
        Id prsb03-dataelement-11840 (2019‑05‑31 14:29:41)
        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
        draft Professional identifier
        prsb03-dataelement-11841
        Id prsb03-dataelement-11841 (2019‑05‑31 14:29:41)
        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
        folder draft Organisation
        prsb03-dataelement-11842
        Id prsb03-dataelement-11842 (2019‑05‑31 14:29:41)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        draft Contact details
        prsb03-dataelement-11843
        Id prsb03-dataelement-11843 (2019‑05‑31 14:29:41)
        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
        folder draft Person completing record
        prsb03-dataelement-11593
        link
        Id prsb03-dataelement-11593 (2019‑05‑30 14:59:53)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        draft Name
        prsb03-dataelement-11594
        Id prsb03-dataelement-11594 (2019‑05‑30 15:00:18)
        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
        draft Role
        prsb03-dataelement-11595
        Id prsb03-dataelement-11595 (2019‑05‑30 15:00:18)
        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
        draft Grade
        prsb03-dataelement-11596
        Id prsb03-dataelement-11596 (2019‑05‑30 15:00:18)
        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
        draft Specialty
        prsb03-dataelement-11597
        Id prsb03-dataelement-11597 (2019‑05‑30 15:00:18)
        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
        folder draft Organisation
        prsb03-dataelement-11598
        Id prsb03-dataelement-11598 (2019‑05‑30 15:00:18)
        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
        draft Professional identifier
        prsb03-dataelement-11599
        Id prsb03-dataelement-11599 (2019‑05‑30 15:00:18)
        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
        draft Date completed
        prsb03-dataelement-11600
        Id prsb03-dataelement-11600 (2019‑05‑30 15:00:18)
        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
        draft Contact details
        prsb03-dataelement-11601
        Id prsb03-dataelement-11601 (2019‑05‑30 15:00:18)
        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
        folder draft Care needs summary
        prsb03-dataelement-13063
        link
        Id prsb03-dataelement-13063 (2020‑05‑15 16:38:45)
        Description A description of the person's current care needs.
        cancelled Care needs summary
        prsb03-dataelement-13097
        Id prsb03-dataelement-13097 (2020‑06‑22 15:53:40) 0.1
        Description A summary of the person's nursing care needs e.g. catheter / continence / stoma care, skin care (wounds, ulcers), tracteostomy, nutrition and fluids, behavioural care and support.
        Value Domain
        draft Care needs summary
        prsb03-dataelement-13064
        Id prsb03-dataelement-13064 (2020‑05‑15 16:40:47) 0.2
        Description A narrative summary of the person's nursing and care needs e.g. catheter/ continence/ stoma care, skin care (wounds, ulcers), tracteostomy, nutrition and fluids, behavioural care and support.. Attach additional support plans as required.
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        folder draft Performing professional
        prsb03-dataelement-13174
        link
        Id prsb03-dataelement-13174 (2020‑06‑24 17:17:43)
        Description The professional who completed the care needs summary.
        Relationship
        draft Name
        prsb03-dataelement-13182
        Id prsb03-dataelement-13182 (2020‑06‑24 17:19:47)
        Concept inherits from draft prsb03-dataelement-12028 (2019‑05‑31 15:30:50)
        Description The name of the professional.
        Rationale Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        draft Role
        prsb03-dataelement-13183
        Id prsb03-dataelement-13183 (2020‑06‑24 17:19:47)
        Concept inherits from draft prsb03-dataelement-12029 (2019‑05‑31 15:30:50)
        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
        draft Grade
        prsb03-dataelement-13184
        Id prsb03-dataelement-13184 (2020‑06‑24 17:19:47)
        Concept inherits from draft prsb03-dataelement-12030 (2019‑05‑31 15:30:50)
        Description The grade of the professional.
        Rationale PractitionerRole.code
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        draft Speciality
        prsb03-dataelement-13185
        Id prsb03-dataelement-13185 (2020‑06‑24 17:19:47)
        Concept inherits from draft prsb03-dataelement-12031 (2019‑05‑31 15:30:50)
        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
        draft Professional identifier
        prsb03-dataelement-13186
        Id prsb03-dataelement-13186 (2020‑06‑24 17:19:47)
        Concept inherits from draft prsb03-dataelement-12032 (2019‑05‑31 15:30:50)
        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
        folder draft Organisation
        prsb03-dataelement-13187
        Id prsb03-dataelement-13187 (2020‑06‑24 17:19:47)
        Concept inherits from draft prsb03-dataelement-12033 (2019‑05‑31 15:30:50)
        Description The name of the organisation the professional works for.
        draft Contact details
        prsb03-dataelement-13188
        Id prsb03-dataelement-13188 (2020‑06‑24 17:19:47)
        Concept inherits from draft prsb03-dataelement-12034 (2019‑05‑31 15:30:50)
        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
        folder draft Location
        prsb03-dataelement-13189
        link
        Id prsb03-dataelement-13189 (2020‑06‑24 17:22:23)
        Description The location where the care needs summary was written.
        Relationship
        draft Coded value
        prsb03-dataelement-13729
        Id prsb03-dataelement-13729 (2020‑09‑25 16:20:00)
        Description The coded value for location
        Operationalization NHS data dictionary: - Organisation data service
        Value Domain
        Property
        min length max length
        3 5
        draft Free text
        prsb03-dataelement-13730
        Id prsb03-dataelement-13730 (2020‑09‑25 16:24:30)
        Operationalization Free text
        Value Domain
        draft Date
        prsb03-dataelement-13190
        Id prsb03-dataelement-13190 (2020‑06‑24 17:25:46)
        Description The date the care needs summary was written.
        Relationship
        Operationalization Date and time.
        Value Domain
        Property
        Timestamp precision
        at least day, month and year, hour and minute
        folder draft Person completing record
        prsb03-dataelement-13191
        link
        Id prsb03-dataelement-13191 (2020‑06‑24 17:27:12)
        Description A record of the details of the person that entered the care needs summary, and the date on which it was entered.
        Relationship
        draft Name
        prsb03-dataelement-13192
        Id prsb03-dataelement-13192 (2020‑06‑24 17:27:59)
        Concept inherits from draft prsb03-dataelement-13101 (2020‑06‑24 16:00:08)
        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 0 transactions, 0 templates, inherited once
         
        draft Role
        prsb03-dataelement-13193
        Id prsb03-dataelement-13193 (2020‑06‑24 17:27:59)
        Concept inherits from draft prsb03-dataelement-13102 (2020‑06‑24 16:00:08)
        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 0 transactions, 0 templates, inherited once
         
        draft Grade
        prsb03-dataelement-13194
        Id prsb03-dataelement-13194 (2020‑06‑24 17:27:59)
        Concept inherits from draft prsb03-dataelement-13103 (2020‑06‑24 16:00:08)
        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 0 transactions, 0 templates, inherited once
         
        draft Specialty
        prsb03-dataelement-13195
        Id prsb03-dataelement-13195 (2020‑06‑24 17:27:59)
        Concept inherits from draft prsb03-dataelement-13104 (2020‑06‑24 16:00:08)
        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 0 transactions, 0 templates, inherited once
         
        folder draft Organisation
        prsb03-dataelement-13196
        Id prsb03-dataelement-13196 (2020‑06‑24 17:27:59)
        Concept inherits from draft prsb03-dataelement-13105 (2020‑06‑24 16:00:08)
        Description The organisation the person completing the record works for.
        Relationship
        Operationalization NHS data dictionary : - Organisation data service
        target Used by 0 transactions, 0 templates, inherited once
         
        draft Professional identifier
        prsb03-dataelement-13197
        Id prsb03-dataelement-13197 (2020‑06‑24 17:27:59)
        Concept inherits from draft prsb03-dataelement-13106 (2020‑06‑24 16:00:08)
        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 0 transactions, 0 templates, inherited once
         
        draft Date completed
        prsb03-dataelement-13198
        Id prsb03-dataelement-13198 (2020‑06‑24 17:27:59)
        Concept inherits from draft prsb03-dataelement-13107 (2020‑06‑24 16:00:08)
        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 0 transactions, 0 templates, inherited once
         
        draft Contact details
        prsb03-dataelement-13199
        Id prsb03-dataelement-13199 (2020‑06‑24 17:27:59)
        Concept inherits from draft prsb03-dataelement-13108 (2020‑06‑24 16:00:08)
        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 0 transactions, 0 templates, inherited once
         
        folder draft Assessed level of care
        prsb03-dataelement-13425
        link
        Id prsb03-dataelement-13425 (2020‑08‑11 14:29:31) 0.1
        Description Record whether Enhanced care observation was required during the admission and details of level of enhanced care observation needed and why.
        draft Level of enhanced care observation
        prsb03-dataelement-13427
        Id prsb03-dataelement-13427 (2020‑08‑11 14:35:51) 0.1
        Description Record the level of enhanced care observation the person required during the admission and prior to discharge if different.
        Record why needed e.g. to reduce risk and protect the person because of high risk of falling and sustaining injury or person very confused.
        Operationalization Levels:

        A - General level i.e. needed usual inpatient observation

        B = Intermittent observation i.e. every 30 to 60 minutes

        C = Continuous observation within eyesight i.e. in a cohort bay

        D= High level multi professional continuous observation
        Value Domain
        Property
        max length
        150
        folder draft Person completing record
        prsb03-dataelement-13731
        link
        Id prsb03-dataelement-13731 (2020‑09‑25 16:25:22)
        Concept inherits from draft prsb03-dataelement-13100 (2020‑06‑24 15:58:27)
        Description A record of the details of the person that entered the property or equipment the resident is taking into hospital, and the date on which it was entered.
        Relationship
        draft Name
        prsb03-dataelement-13732
        Id prsb03-dataelement-13732 (2020‑09‑25 16:26:25)
        Concept inherits from draft prsb03-dataelement-13101 (2020‑06‑24 16:00:08)
        Description The name of the person completing the record.
        Relationship
        Rationale Composition.author.Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        draft Role
        prsb03-dataelement-13733
        Id prsb03-dataelement-13733 (2020‑09‑25 16:26:25)
        Concept inherits from draft prsb03-dataelement-13102 (2020‑06‑24 16:00:08)
        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
        draft Grade
        prsb03-dataelement-13734
        Id prsb03-dataelement-13734 (2020‑09‑25 16:26:25)
        Concept inherits from draft prsb03-dataelement-13103 (2020‑06‑24 16:00:08)
        Description The grade of the person completing the record.
        Relationship
        Rationale PractitionerRole.code
        Operationalization Free text.
        Value Domain
        Property
        max length
        150
        draft Specialty
        prsb03-dataelement-13735
        Id prsb03-dataelement-13735 (2020‑09‑25 16:26:25)
        Concept inherits from draft prsb03-dataelement-13104 (2020‑06‑24 16:00:08)
        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
        folder draft Organisation
        prsb03-dataelement-13736
        Id prsb03-dataelement-13736 (2020‑09‑25 16:26:25)
        Concept inherits from draft prsb03-dataelement-13105 (2020‑06‑24 16:00:08)
        Description The organisation the person completing the record works for.
        Relationship
        Operationalization NHS data dictionary : - Organisation data service
        draft Professional identifier
        prsb03-dataelement-13737
        Id prsb03-dataelement-13737 (2020‑09‑25 16:26:25)
        Concept inherits from draft prsb03-dataelement-13106 (2020‑06‑24 16:00:08)
        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
        draft Date completed
        prsb03-dataelement-13738
        Id prsb03-dataelement-13738 (2020‑09‑25 16:26:25)
        Concept inherits from draft prsb03-dataelement-13107 (2020‑06‑24 16:00:08)
        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
        draft Contact details
        prsb03-dataelement-13739
        Id prsb03-dataelement-13739 (2020‑09‑25 16:26:25)
        Concept inherits from draft prsb03-dataelement-13108 (2020‑06‑24 16:00:08)
        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
        cancelled Person completing record
        prsb03-dataelement-13426
        Id prsb03-dataelement-13426 (2020‑08‑11 14:31:47) 0.1
        Value Domain
        folder draft Primary support reason
        prsb03-dataelement-12974
        link
        Id prsb03-dataelement-12974 (2020‑04‑06 20:09:53)
        Description The primary support reason for social care.
        folder draft Primary support reason record entry
        prsb03-dataelement-12975
        link
        Id prsb03-dataelement-12975 (2020‑04‑06 20:14:11)
        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.
        draft Primary support reason
        prsb03-dataelement-12976
        Id prsb03-dataelement-12976 (2020‑04‑06 20:15:36)
        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
        draft Active
        prsb03-dataelement-13305
        Id prsb03-dataelement-13305 (2020‑08‑06 13:21:08)
        Description Flag to indicate whether the primary support reason is currently active
        Operationalization Flag: - Yes or No
        Value Domain
        draft Start date
        prsb03-dataelement-13306
        Id prsb03-dataelement-13306 (2020‑08‑06 13:22:22)
        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
        draft End date
        prsb03-dataelement-13307
        Id prsb03-dataelement-13307 (2020‑08‑06 13:22:57)
        Description The end date of authorisation.
        Operationalization Date and time
        Value Domain
        Property
        Timestamp precision
        at least day, month and year, hour and minute
        folder draft Family history
        prsb03-dataelement-251
        link
        Id prsb03-dataelement-251 (2018‑10‑31)
        Description Family history
        folder draft Family history record entry
        prsb03-dataelement-10653
        link
        Id prsb03-dataelement-10653 (2018‑11‑13 12:07:47)
        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.
        draft Date
        prsb03-dataelement-10153
        Id prsb03-dataelement-10153 (2018‑10‑31)
        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
        folder draft Location
        prsb03-dataelement-10851
        link
        Id prsb03-dataelement-10851 (2019‑03‑27 17:17:04)
        Description The location where the family history was taken.
        draft Coded value
        prsb03-dataelement-13682
        Id prsb03-dataelement-13682 (2020‑09‑09 12:51:27)
        Description The coded value for location
        Operationalization NHS data dictionary : - Organisation data service
        Value Domain
        Property
        min length max length
        3 5
        draft Free text
        prsb03-dataelement-13683
        Id prsb03-dataelement-13683 (2020‑09‑09 12:52:38)
        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
        folder draft Performing professional
        prsb03-dataelement-11640
        link
        Id prsb03-dataelement-11640 (2019‑05‑30 17:58:57)
        Description The professional who took the family history.
        Relationship
        draft Name
        prsb03-dataelement-11641
        Id prsb03-dataelement-11641 (2019‑05‑30 17:59:44)
        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
        draft Role
        prsb03-dataelement-11642
        Id prsb03-dataelement-11642 (2019‑05‑30 17:59:44)
        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
        draft Grade
        prsb03-dataelement-11643
        Id prsb03-dataelement-11643 (2019‑05‑30 17:59:44)
        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
        draft Speciality
        prsb03-dataelement-11644
        Id prsb03-dataelement-11644 (2019‑05‑30 17:59:44)
        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
        draft Professional identifier
        prsb03-dataelement-11645
        Id prsb03-dataelement-11645 (2019‑05‑30 17:59:44)
        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
        folder draft Organisation
        prsb03-dataelement-11646
        Id prsb03-dataelement-11646 (2019‑05‑30 17:59:44)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        draft Contact details
        prsb03-dataelement-11647
        Id prsb03-dataelement-11647 (2019‑05‑30 17:59:44)
        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
        cancelled Person completing record
        prsb03-dataelement-10850
        Id prsb03-dataelement-10850 (2019‑03‑27 17:15:40)
        Description This is the person contributing to the family history record. Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
        Relationship
        Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
        Value Domain
        target Used by 0 transactions, 0 templates, inherited once
         
        folder draft Relationship to person
        prsb03-dataelement-10155
        link
        Id prsb03-dataelement-10155 (2018‑10‑31)
        Description The relationship of the family member with the condition to the person.
        draft Coded value
        prsb03-dataelement-13676
        Id prsb03-dataelement-13676 (2020‑09‑09 12:28:47)
        Description The coded value for relationship to person
        Operationalization SNOMED CT: - <303071001 |Person in the family (person)|

        Value Domain
        draft Free text
        prsb03-dataelement-13677
        Id prsb03-dataelement-13677 (2020‑09‑09 12:29:29)
        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
        folder draft Family history
        prsb03-dataelement-10151
        link
        Id prsb03-dataelement-10151 (2018‑10‑31)
        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.
        draft Coded value
        prsb03-dataelement-13678
        Id prsb03-dataelement-13678 (2020‑09‑09 12:35:18)
        Description The coded value for family history
        Operationalization SNOMED CT:- <404684003 |Clinical finding (finding)| OR <243796009 |Situation with explicit context (situation)|

        Value Domain
        draft Free text
        prsb03-dataelement-13679
        Id prsb03-dataelement-13679 (2020‑09‑09 12:38:35)
        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
        folder cancelled Condition or diagnosis
        prsb03-dataelement-10152
        link
        Id prsb03-dataelement-10152 (2018‑10‑31) 0.1
        Description The condition or diagnosis of the family member deemed to be significant to the care or health of the person.
        cancelled Coded value
        prsb03-dataelement-13680
        Id prsb03-dataelement-13680 (2020‑09‑09 12:45:15) 0.1
        Description The coded value for condition or diagnosis
        Operationalization SNOMED CT: - 999000771000000106 | Family history simple reference set (foundation metadata concept) |
        Value Domain
        cancelled Free text
        prsb03-dataelement-13681
        Id prsb03-dataelement-13681 (2020‑09‑09 12:48:08) 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
        folder draft Person completing record
        prsb03-dataelement-11630
        link
        Id prsb03-dataelement-11630 (2019‑05‑30 15:28:16)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        draft Name
        prsb03-dataelement-11631
        Id prsb03-dataelement-11631 (2019‑05‑30 15:28:41)
        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
        draft Role
        prsb03-dataelement-11632
        Id prsb03-dataelement-11632 (2019‑05‑30 15:28:41)
        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
        draft Grade
        prsb03-dataelement-11633
        Id prsb03-dataelement-11633 (2019‑05‑30 15:28:41)
        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
        draft Specialty
        prsb03-dataelement-11634
        Id prsb03-dataelement-11634 (2019‑05‑30 15:28:41)
        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
        folder draft Organisation
        prsb03-dataelement-11635
        Id prsb03-dataelement-11635 (2019‑05‑30 15:28:41)
        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
        draft Professional identifier
        prsb03-dataelement-11636
        Id prsb03-dataelement-11636 (2019‑05‑30 15:28:41)
        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
        draft Date completed
        prsb03-dataelement-11637
        Id prsb03-dataelement-11637 (2019‑05‑30 15:28:41)
        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
        draft Contact details
        prsb03-dataelement-11638
        Id prsb03-dataelement-11638 (2019‑05‑30 15:28:41)
        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
        cancelled Maternal or paternal relation
        prsb03-dataelement-10154
        Id prsb03-dataelement-10154 (2018‑10‑31) 0.1
        Description Record of whether the condition or diagnosis was on the mother’s or father’s side of the family, where needed e.g. paternal grandfather.
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        draft Comment
        prsb03-dataelement-10156
        Id prsb03-dataelement-10156 (2018‑10‑31)
        Description Any further textual comment.
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        folder draft Investigation results
        prsb03-dataelement-257
        link
        Id prsb03-dataelement-257 (2018‑10‑31)
        Description Investigation results
        folder draft Investigation results record entry
        prsb03-dataelement-10654
        link
        Id prsb03-dataelement-10654 (2018‑11‑13 12:10:48)
        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.
        draft Date
        prsb03-dataelement-10157
        Id prsb03-dataelement-10157 (2018‑10‑31)
        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
        cancelled Performing professional
        prsb03-dataelement-10158
        Id prsb03-dataelement-10158 (2018‑10‑31)
        Description Details of the professional performing the investigation (including name and role)
        Value Domain
        folder draft Performing professional
        prsb03-dataelement-12099
        link
        Id prsb03-dataelement-12099 (2019‑05‑31 15:55:11)
        Description The professional who performed the investigation.
        Relationship
        draft Name
        prsb03-dataelement-12100
        Id prsb03-dataelement-12100 (2019‑05‑31 15:55:33)
        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
        draft Role
        prsb03-dataelement-12101
        Id prsb03-dataelement-12101 (2019‑05‑31 15:55:33)
        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
        draft Grade
        prsb03-dataelement-12102
        Id prsb03-dataelement-12102 (2019‑05‑31 15:55:33)
        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
        draft Speciality
        prsb03-dataelement-12103
        Id prsb03-dataelement-12103 (2019‑05‑31 15:55:33)
        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
        draft Professional identifier
        prsb03-dataelement-12104
        Id prsb03-dataelement-12104 (2019‑05‑31 15:55:33)
        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
        folder draft Organisation
        prsb03-dataelement-12105
        Id prsb03-dataelement-12105 (2019‑05‑31 15:55:33)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        draft Contact details
        prsb03-dataelement-12106
        Id prsb03-dataelement-12106 (2019‑05‑31 15:55:33)
        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
        folder draft Location
        prsb03-dataelement-10159
        link
        Id prsb03-dataelement-10159 (2018‑10‑31)
        Description The location where the investigation took place.
        draft Coded location
        prsb03-dataelement-13725
        Id prsb03-dataelement-13725 (2020‑09‑16 12:46:40)
        Description The coded value for location
        Operationalization NHS data dictionary : Organisation data service
        Value Domain
        Property
        min length max length
        3 5
        draft Free text
        prsb03-dataelement-13726
        Id prsb03-dataelement-13726 (2020‑09‑16 13:10:32)
        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
        folder draft Investigation
        prsb03-dataelement-10160
        link
        Id prsb03-dataelement-10160 (2018‑10‑31)
        Description The investigation performed.
        draft Coded value
        prsb03-dataelement-13525
        Id prsb03-dataelement-13525 (2020‑09‑04 14:11:36)
        Description The coded value for investigation
        Operationalization SNOMED CT: - <71388002 |Procedure (procedure)|

        Value Domain
        draft Free text
        prsb03-dataelement-13526
        Id prsb03-dataelement-13526 (2020‑09‑04 14:22:43)
        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
        folder draft Investigation result
        prsb03-dataelement-10161
        link
        Id prsb03-dataelement-10161 (2018‑10‑31)
        Description For each investigation, the result of the investigation. This can include a report which may have results for multiple tests.
        draft Coded value
        prsb03-dataelement-13527
        Id prsb03-dataelement-13527 (2020‑09‑04 14:25:41)
        Description The coded value for investigation results
        Operationalization SNOMED CT:- <404684003 |Clinical finding (finding)| OR <243796009 |Situation with explicit context (situation)|

        Value Domain
        draft Free text
        prsb03-dataelement-13528
        Id prsb03-dataelement-13528 (2020‑09‑04 14:29:50)
        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
        draft Investigation Method
        prsb03-dataelement-14094
        Id prsb03-dataelement-14094 (2021‑02‑18 13:46:34)
        Description Method used in carrying out investigation
        Operationalization Coded entry - Point of care test, Laboratory test
        Value Domain
        folder draft Structured investigation result
        prsb03-dataelement-12415
        link
        Id prsb03-dataelement-12415 (2019‑06‑07 16:21:34)
        Description A structured set of information for each investigation result.
        draft Value
        prsb03-dataelement-12416
        Id prsb03-dataelement-12416 (2019‑06‑07 16:22:08)
        Description The value of the investigation result.
        Operationalization Numeric
        Value Domain
        Property
        max length
        10
        draft Units of measure
        prsb03-dataelement-12417
        Id prsb03-dataelement-12417 (2019‑06‑07 16:23:50)
        Description The units of the investigation result.
        Operationalization UCUM code
        Value Domain
        Property
        max length
        10
        draft Reference ranges
        prsb03-dataelement-12418
        Id prsb03-dataelement-12418 (2019‑06‑07 16:24:48)
        Description The reference range for the investigation result.
        Operationalization Free text
        Value Domain
        draft Abnormal indicator
        prsb03-dataelement-12419
        Id prsb03-dataelement-12419 (2019‑06‑07 16:26:00)
        Description Indicator if the investigation is abnormal.
        Operationalization Abnormal or Normal
        Value Domain
        folder draft Person completing record
        prsb03-dataelement-12107
        link
        Id prsb03-dataelement-12107 (2019‑05‑31 15:55:48)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        draft Name
        prsb03-dataelement-12108
        Id prsb03-dataelement-12108 (2019‑05‑31 15:56:17)
        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
        draft Role
        prsb03-dataelement-12109
        Id prsb03-dataelement-12109 (2019‑05‑31 15:56:17)
        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
        draft Grade
        prsb03-dataelement-12110
        Id prsb03-dataelement-12110 (2019‑05‑31 15:56:17)
        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
        draft Specialty
        prsb03-dataelement-12111
        Id prsb03-dataelement-12111 (2019‑05‑31 15:56:17)
        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
        folder draft Organisation
        prsb03-dataelement-12112
        Id prsb03-dataelement-12112 (2019‑05‑31 15:56:17)
        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
        draft Professional identifier
        prsb03-dataelement-12113
        Id prsb03-dataelement-12113 (2019‑05‑31 15:56:17)
        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
        draft Date completed
        prsb03-dataelement-12114
        Id prsb03-dataelement-12114 (2019‑05‑31 15:56:17)
        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
        draft Contact details
        prsb03-dataelement-12115
        Id prsb03-dataelement-12115 (2019‑05‑31 15:56:17)
        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
        cancelled Person completing record
        prsb03-dataelement-10955
        Id prsb03-dataelement-10955 (2019‑05‑18 21:08:06) 0.1
        Description This is the person recording the investigation result.

        Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
        Relationship
        Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
        Value Domain
        folder draft Signpost details
        prsb03-dataelement-13973
        link
        Id prsb03-dataelement-13973 (2021‑02‑11 12:24:29)
        Description Details of signpost
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Signpost details record entry
        prsb03-dataelement-13974
        link
        Id prsb03-dataelement-13974 (2021‑02‑11 12:26:44)
        Description This is the signpost 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 one transaction, 0 templates, inherited 0 times
         
        draft Date
        prsb03-dataelement-13975
        Id prsb03-dataelement-13975 (2021‑02‑11 12:28:32)
        Description Date of signpost
        Value Domain
        Property
        Timestamp precision
        at least day, month and year
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Signpost to
        prsb03-dataelement-13976
        link
        Id prsb03-dataelement-13976 (2021‑02‑11 12:29:57)
        Description Details of where the signpost is to.


        If not an individual, this could be a service
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-13977
        Id prsb03-dataelement-13977 (2021‑02‑11 12:32:55)
        Description Name of person signposted to
        Operationalization Free Text
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Role
        prsb03-dataelement-13978
        Id prsb03-dataelement-13978 (2021‑02‑11 12:34:34)
        Description Role of person been signposted to.
        Operationalization Free Text
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Grade
        prsb03-dataelement-13979
        Id prsb03-dataelement-13979 (2021‑02‑11 12:39:31)
        Description The grade of the person been signposted to.
        Operationalization Free text
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Team
        prsb03-dataelement-13980
        Id prsb03-dataelement-13980 (2021‑02‑11 12:40:50)
        Description The team or department of the person been signposted to.
        Operationalization Free text
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Specialty
        prsb03-dataelement-13981
        Id prsb03-dataelement-13981 (2021‑02‑11 12:41:59)
        Description The specialty of where been signposted e.g. physiotherapy, oncology, mental health etc
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Service
        prsb03-dataelement-13982
        link
        Id prsb03-dataelement-13982 (2021‑02‑11 12:43:49)
        Description The service of where been signposted to.
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-13983
        Id prsb03-dataelement-13983 (2021‑02‑11 12:45:12)
        Description The coded value for service
        Operationalization SNOMED CT : - 1127531000000102 |Services simple reference set (foundation metadata concept)|
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Free text
        prsb03-dataelement-13984
        Id prsb03-dataelement-13984 (2021‑02‑11 12:46:37)
        Description Free text field to be used if no code is available
        Operationalization Free text
        Value Domain
        target Used by one transaction, 0 templates, inherited once
         
        folder draft Organisation
        prsb03-dataelement-13985
        Id prsb03-dataelement-13985 (2021‑02‑11 12:48:00)
        Description Name of organisation been signposted to.
        Operationalization

        Free text
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Contact details
        prsb03-dataelement-13987
        Id prsb03-dataelement-13987 (2021‑02‑11 13:06:04)
        Description The contact details of where been signposted to
        Operationalization Free text
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        cancelled Coded value
        prsb03-dataelement-13986
        Id prsb03-dataelement-13986 (2021‑02‑11 12:50:43) 0.1
        Description The coded value for organisation
        Value Domain
        folder draft Reason for signpost
        prsb03-dataelement-13988
        link
        Id prsb03-dataelement-13988 (2021‑02‑11 16:06:08)
        Description Reason for signposting
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-13989
        Id prsb03-dataelement-13989 (2021‑02‑11 16:10:28)
        Description Coded value for reason for signpost
        Operationalization SNOMED CT :- ^1127581000000103 |Health issues simple reference set|
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Free text
        prsb03-dataelement-13990
        Id prsb03-dataelement-13990 (2021‑02‑11 16:13:18)
        Description Free text
        Operationalization Free text
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Clinical urgency for signpost
        prsb03-dataelement-13991
        Id prsb03-dataelement-13991 (2021‑02‑11 16:24:10)
        Description The details of the clinical urgency of signpost
        Operationalization

        Free text
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Investigations requested
        prsb03-dataelement-10730
        link
        Id prsb03-dataelement-10730 (2019‑02‑08 16:17:16)
        Description Details of any investigations requested
        folder draft Investigations requested record entry
        prsb03-dataelement-10731
        link
        Id prsb03-dataelement-10731 (2019‑02‑08 16:19:05)
        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.
        draft Date
        prsb03-dataelement-10732
        Id prsb03-dataelement-10732 (2019‑02‑08 16:21:40)
        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
        folder draft Location
        prsb03-dataelement-10736
        link
        Id prsb03-dataelement-10736 (2019‑02‑08 16:24:49)
        Description The location where the investigation was requested.
        draft Coded value
        prsb03-dataelement-13727
        Id prsb03-dataelement-13727 (2020‑09‑16 13:22:15)
        Description The coded value for location
        Operationalization NHS data dictionary: - Organisation data service
        Value Domain
        Property
        min length max length
        3 5
        draft Free text
        prsb03-dataelement-13728
        Id prsb03-dataelement-13728 (2020‑09‑16 13:37:26)
        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
        cancelled Performing professional
        prsb03-dataelement-10735
        Id prsb03-dataelement-10735 (2019‑02‑08 16:24:11) 0.1
        Description The professional requesting the investigation.
        Value Domain
        folder draft Performing professional
        prsb03-dataelement-12081
        link
        Id prsb03-dataelement-12081 (2019‑05‑31 15:49:09)
        Description The professional who requested the investigation.
        Relationship
        draft Name
        prsb03-dataelement-12082
        Id prsb03-dataelement-12082 (2019‑05‑31 15:49:33)
        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
        draft Role
        prsb03-dataelement-12083
        Id prsb03-dataelement-12083 (2019‑05‑31 15:49:33)
        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
        draft Grade
        prsb03-dataelement-12084
        Id prsb03-dataelement-12084 (2019‑05‑31 15:49:33)
        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
        draft Speciality
        prsb03-dataelement-12085
        Id prsb03-dataelement-12085 (2019‑05‑31 15:49:33)
        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
        draft Professional identifier
        prsb03-dataelement-12086
        Id prsb03-dataelement-12086 (2019‑05‑31 15:49:33)
        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
        folder draft Organisation
        prsb03-dataelement-12087
        Id prsb03-dataelement-12087 (2019‑05‑31 15:49:33)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        draft Contact details
        prsb03-dataelement-12088
        Id prsb03-dataelement-12088 (2019‑05‑31 15:49:33)
        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
        folder draft Investigation requested
        prsb03-dataelement-10733
        link
        Id prsb03-dataelement-10733 (2019‑02‑08 16:22:42)
        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 0 transactions, 0 templates, inherited once
         
        draft Coded value
        prsb03-dataelement-13529
        Id prsb03-dataelement-13529 (2020‑09‑04 15:10:24)
        Description The coded value for Investigation requested
        Operationalization SNOMED CT: - <71388002 |Procedure (procedure)|
        Value Domain
        draft Free text
        prsb03-dataelement-13530
        Id prsb03-dataelement-13530 (2020‑09‑04 15:14:59)
        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
        draft Status of request
        prsb03-dataelement-10734
        Id prsb03-dataelement-10734 (2019‑02‑08 16:23:21)
        Description The status of the investigation request.
        Operationalization Code : - draft | active | suspended | completed | entered-in-error | cancelled
        Value Domain
        Property
        max length
        16
        draft Reason for request
        prsb03-dataelement-10737
        Id prsb03-dataelement-10737 (2019‑02‑08 16:25:36)
        Description An explanation or justification for why this investigation is being requested.
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        draft Request priority
        prsb03-dataelement-10738
        Id prsb03-dataelement-10738 (2019‑02‑08 16:26:22)
        Description The urgency of the investigation requested.
        Operationalization Code : - routine | urgent | asap | stat
        Value Domain
        Property
        max length
        10
        cancelled Person completing record
        prsb03-dataelement-10956
        Id prsb03-dataelement-10956 (2019‑05‑18 21:09:13) 0.1
        Description This is the person recording the investigation request.

        Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
        Relationship
        Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
        Value Domain
        target Used by 0 transactions, 0 templates, inherited once
         
        cancelled 
        prsb03-dataelement-12089
        Id prsb03-dataelement-12089 (2019‑05‑31 15:49:50)
        Value Domain
        folder draft Person completing record
        prsb03-dataelement-12090
        link
        Id prsb03-dataelement-12090 (2019‑05‑31 15:49:53)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        draft Name
        prsb03-dataelement-12091
        Id prsb03-dataelement-12091 (2019‑05‑31 15:50:55)
        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
        draft Role
        prsb03-dataelement-12092
        Id prsb03-dataelement-12092 (2019‑05‑31 15:50:55)
        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
        draft Grade
        prsb03-dataelement-12093
        Id prsb03-dataelement-12093 (2019‑05‑31 15:50:55)
        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
        draft Specialty
        prsb03-dataelement-12094
        Id prsb03-dataelement-12094 (2019‑05‑31 15:50:55)
        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
        folder draft Organisation
        prsb03-dataelement-12095
        Id prsb03-dataelement-12095 (2019‑05‑31 15:50:55)
        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
        draft Professional identifier
        prsb03-dataelement-12096
        Id prsb03-dataelement-12096 (2019‑05‑31 15:50:55)
        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
        draft Date completed
        prsb03-dataelement-12097
        Id prsb03-dataelement-12097 (2019‑05‑31 15:50:55)
        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
        draft Contact details
        prsb03-dataelement-12098
        Id prsb03-dataelement-12098 (2019‑05‑31 15:50:55)
        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
        folder draft Observations
        prsb03-dataelement-12475
        link
        Id prsb03-dataelement-12475 (2019‑06‑27 12:29:34)
        Description The record of essential physiological observations
        draft Observations
        prsb03-dataelement-12474
        Id prsb03-dataelement-12474 (2019‑06‑27 12:13:35)
        Description The record of essential physiological observations e.g pulse, blood pressure, oxygen saturation/capnography, temperature, pain score, respiration rate, level of consciousness or new confusion. Use of National Early Warning Score (NEWS2) where appropriate.
        Operationalization FHIR NEWS2 specification produced by NHS Digital and the associated observations. See implmentation guidance for restriction of the use of NEWS2 by age.
        Value Domain
        folder draft Examination findings
        prsb03-dataelement-557
        link
        Id prsb03-dataelement-557 (2018‑10‑31)
        Description Examination findings
        folder draft Examination findings record entry
        prsb03-dataelement-10662
        link
        Id prsb03-dataelement-10662 (2018‑11‑13 13:47:29)
        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.
        draft Date
        prsb03-dataelement-10462
        Id prsb03-dataelement-10462 (2018‑10‑31)
        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
        cancelled Performing Professional
        prsb03-dataelement-10460
        Id prsb03-dataelement-10460 (2018‑10‑31) 0.1
        Description Details of the professional performing the examination (including name and role).
        Operationalization Free text
        Value Domain
        target Used by 0 transactions, 0 templates, inherited once
         
        folder draft Performing professional
        prsb03-dataelement-12116
        link
        Id prsb03-dataelement-12116 (2019‑05‑31 15:59:16)
        Description The professional who performed the examiniation.
        Relationship
        draft Name
        prsb03-dataelement-12117
        Id prsb03-dataelement-12117 (2019‑05‑31 15:59:38)
        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
        draft Role
        prsb03-dataelement-12118
        Id prsb03-dataelement-12118 (2019‑05‑31 15:59:38)
        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
        draft Grade
        prsb03-dataelement-12119
        Id prsb03-dataelement-12119 (2019‑05‑31 15:59:38)
        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
        draft Speciality
        prsb03-dataelement-12120
        Id prsb03-dataelement-12120 (2019‑05‑31 15:59:38)
        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
        draft Professional identifier
        prsb03-dataelement-12121
        Id prsb03-dataelement-12121 (2019‑05‑31 15:59:38)
        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
        folder draft Organisation
        prsb03-dataelement-12122
        Id prsb03-dataelement-12122 (2019‑05‑31 15:59:38)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        draft Contact details
        prsb03-dataelement-12123
        Id prsb03-dataelement-12123 (2019‑05‑31 15:59:38)
        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
        folder draft Location
        prsb03-dataelement-10461
        link
        Id prsb03-dataelement-10461 (2018‑10‑31)
        Description The location where the examination was performed.
        draft Coded value
        prsb03-dataelement-13445
        Id prsb03-dataelement-13445 (2020‑08‑27 15:31:49)
        Description The coded value for location
        Operationalization NHS data dictionary : - Organisation data service
        Value Domain
        Property
        min length max length
        3 5
        draft Free text
        prsb03-dataelement-13446
        Id prsb03-dataelement-13446 (2020‑08‑27 15:32:44)
        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
        cancelled Examination
        prsb03-dataelement-10457
        Id prsb03-dataelement-10457 (2018‑10‑31) 0.1
        Description The examination performed, e.g. general appearance, vital signs, mental state, head and neck examination, oral examination, cardiovascular system, respiratory system, abdomen, genitourinary, nervous system, musculoskeletal system, skin. This could include site and must include laterality where applicable.
        Operationalization This is the record of the examinations undertaken during the appointment. Text or coded text (SNOMED CT).The examination performed, eg general appearance, vital signs, mental state, head and neck examination, oral examination, cardiovascular system, respiratory system, abdomen, genitourinary, nervous system, musculoskeletal system, skin.
        Value Domain
        folder draft Examination findings
        prsb03-dataelement-10458
        link
        Id prsb03-dataelement-10458 (2018‑10‑31)
        Description The record of findings from the examinations performed.
        draft Coded value
        prsb03-dataelement-13443
        Id prsb03-dataelement-13443 (2020‑08‑27 11:58:27)
        Description The coded value for examination findings
        Operationalization SNOMED CT : - ^1127601000000107 |Healthcare matters simple reference set (foundation metadata concept)|

        Value Domain
        draft Free text
        prsb03-dataelement-13444
        Id prsb03-dataelement-13444 (2020‑08‑27 15:18:28)
        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
        cancelled General appearance
        prsb03-dataelement-10463
        Id prsb03-dataelement-10463 (2018‑10‑31) 0.1
        Description The record of a clinician’s ‘first impression’ assessment including general clinical examination finding, e.g., clubbing, anaemia, jaundice, obese/malnourished/cachectic, height, weight, etc
        Operationalization Free Text or SNOMED CT
        Value Domain
        folder draft Observations
        prsb03-dataelement-10464
        link
        Id prsb03-dataelement-10464 (2018‑10‑31)
        Description The record of essential physiological measurements, e.g., heart rate, blood pressure, temperature, pulse, height, weight, respiratory rate, oxygen saturation.
        folder draft Observations record entry
        prsb03-dataelement-13866
        link
        Id prsb03-dataelement-13866 (2021‑01‑27 18:14:05)
        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.
        draft Coded value
        prsb03-dataelement-13447
        Id prsb03-dataelement-13447 (2020‑08‑27 16:08:42)
        Description The coded value for observations
        Operationalization SNOMED CT: - <363787002 | Observable entity (observable entity) |

        Value Domain
        draft Value
        prsb03-dataelement-13832
        Id prsb03-dataelement-13832 (2020‑12‑23 15:22:16)
        Description The measured value of the observations
        Operationalization Enumerated value e.g. numeric, natural numbers, mild, moderate
        Value Domain
        draft Units of measure
        prsb03-dataelement-13833
        Id prsb03-dataelement-13833 (2020‑12‑23 15:23:47)
        Description The units of measure for the observation.
        Relationship
        Operationalization UCUM code
        Value Domain
        Property
        max length
        10
        draft Site
        prsb03-dataelement-13848
        Id prsb03-dataelement-13848 (2020‑12‑30 12:15:58)
        Description The anatomical site at which the observation is taken
        Operationalization SNOMED CT: - 442083009 | Anatomical or acquired body structure (body structure) |
        Value Domain
        draft Interpretation
        prsb03-dataelement-13843
        Id prsb03-dataelement-13843 (2020‑12‑29 15:04:11)
        Description The assessment made based on the result of the observation e.g high, low
        Operationalization FHIR value set: - Interpretation
        Value Domain
        draft Free text
        prsb03-dataelement-13448
        Id prsb03-dataelement-13448 (2020‑08‑27 16:09:58)
        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
        cancelled News 2 score
        prsb03-dataelement-13860
        Id prsb03-dataelement-13860 (2021‑01‑27 17:37:33) 0.1
        Value Domain
        folder draft Height/length
        prsb03-dataelement-13761
        link
        Id prsb03-dataelement-13761 (2020‑09‑29 17:39:18)
        Description The person's height and length measurement
        draft Coded value
        prsb03-dataelement-13812
        Id prsb03-dataelement-13812 (2020‑12‑16 15:09:39)
        Description The coded value for height/length
        Operationalization SNOMED CT: - 50373000 |Body height measure (observable entity)| OR 248334005 |Length of body (observable entity)|
        Value Domain
        draft Value
        prsb03-dataelement-13813
        Id prsb03-dataelement-13813 (2020‑12‑16 15:51:30)
        Description The value of the observation.
        Operationalization Numeric
        Value Domain
        Property
        3
        draft Units of measure
        prsb03-dataelement-13817
        Id prsb03-dataelement-13817 (2020‑12‑18 17:57:29)
        Description The units of measure for height/length
        Operationalization UCUM code
        Value Domain
        Property
        max length
        10
        folder draft Weight
        prsb03-dataelement-13814
        link
        Id prsb03-dataelement-13814 (2020‑12‑18 16:56:16)
        Description The person's weight in kgs
        draft Coded value
        prsb03-dataelement-13815
        Id prsb03-dataelement-13815 (2020‑12‑18 17:03:24)
        Description The coded value of weight
        Operationalization SNOMED CT : - 27113001 |Body weight (observable entity)|
        Value Domain
        draft Value
        prsb03-dataelement-13816
        Id prsb03-dataelement-13816 (2020‑12‑18 17:06:19)
        Description The value of the person's weight
        Operationalization Numeric
        Value Domain
        draft Units of measure
        prsb03-dataelement-13818
        Id prsb03-dataelement-13818 (2020‑12‑18 17:59:33)
        Description The units of measure for weight
        Relationship
        Operationalization UCUM code
        Value Domain
        Property
        max length
        10
        folder draft BMI
        prsb03-dataelement-13819
        link
        Id prsb03-dataelement-13819 (2020‑12‑18 18:18:02)
        Description The person's BMI calculation
        draft Coded value
        prsb03-dataelement-13820
        Id prsb03-dataelement-13820 (2020‑12‑18 18:18:45)
        Description The coded value of BMI
        Operationalization SNOMED CT: - 60621009 |Body mass index (observable entity)|
        Value Domain
        draft Value
        prsb03-dataelement-13821
        Id prsb03-dataelement-13821 (2020‑12‑18 18:20:35)
        Description The value of the person's BMI
        Operationalization Numeric
        Value Domain
        Property
        2
        draft Units of measure
        prsb03-dataelement-13822
        Id prsb03-dataelement-13822 (2020‑12‑18 18:22:30)
        Description The units of measure for BMI
        Operationalization UCUM code
        Value Domain
        Property
        max length
        10
        folder draft Blood pressure
        prsb03-dataelement-13823
        link
        Id prsb03-dataelement-13823 (2020‑12‑18 18:52:08)
        Description The person's blood pressure measurement
        folder draft Systolic blood pressure
        prsb03-dataelement-13824
        link
        Id prsb03-dataelement-13824 (2020‑12‑18 18:53:17)
        Description Details of the person's systolic blood pressure
        draft Coded value
        prsb03-dataelement-13825
        Id prsb03-dataelement-13825 (2020‑12‑18 18:54:13)
        Description The coded value for systolic blood pressure
        Operationalization SNOMED CT : - <<271649006 |Systolic blood pressure (observable entity)|

        Value Domain
        draft Value
        prsb03-dataelement-13826
        Id prsb03-dataelement-13826 (2020‑12‑18 18:55:32)
        Description The value of the systolic blood pressure reading
        Operationalization Numeric
        Value Domain
        Property
        3
        draft Units of measure
        prsb03-dataelement-13827
        Id prsb03-dataelement-13827 (2020‑12‑18 18:58:12)
        Description The units of measure for systolic blood pressure
        Operationalization UCUM code
        Value Domain
        Property
        max length
        10
        folder draft Site
        prsb03-dataelement-13829
        link
        Id prsb03-dataelement-13829 (2020‑12‑18 19:10:44)
        Description The anatomical site at which the blood pressure is taken

        Properties

        FHIR MedicationStatement.dosage.site
        Relationship
        draft Coded value
        prsb03-dataelement-13830
        Id prsb03-dataelement-13830 (2020‑12‑18 19:11:37)
        Concept inherits from draft prsb03-dataelement-13657 (2020‑09‑08 20:33:18)
        Description The coded value for site
        Rationale MedicationStatement.dosage.site
        Operationalization SNOMED CT: - <442083009 | Anatomical or acquired body structure (body structure) |

        Value Domain
        draft Free text
        prsb03-dataelement-13831
        Id prsb03-dataelement-13831 (2020‑12‑18 19:11:37)
        Concept inherits from draft prsb03-dataelement-13658 (2020‑09‑08 20:35:42)
        Description Free text field to be used when code is not available
        Relationship
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        cancelled Site
        prsb03-dataelement-13828
        Id prsb03-dataelement-13828 (2020‑12‑18 18:59:29) 0.1
        Concept inherits from cancelled prsb03-dataelement-13204 (2020‑06‑24 17:51:17)
        Description The anatomical site at which the medication is administered.

        Properties

        FHIR MedicationStatement.dosage.site
        Relationship
        Operationalization TextCoded text - constraint: SiteOfMedicationAdministration.



        Any valid site for the administration of a medication.



        Constraint binding: [SNOMED-CT]subset= SiteOfMedicationAdministration
        Value Domain
        folder draft Diastolic blood pressure
        prsb03-dataelement-13867
        link
        Id prsb03-dataelement-13867 (2021‑01‑27 18:37:13)
        draft Coded value
        prsb03-dataelement-13868
        Id prsb03-dataelement-13868 (2021‑01‑27 18:38:53)
        Description The coded value for diastolic blood pressure.
        Operationalization SNOMED CT :- <<271650006 |Diastolic blood pressure (observable entity)|

        Value Domain
        draft Value
        prsb03-dataelement-13869
        Id prsb03-dataelement-13869 (2021‑01‑27 18:42:21)
        Description The value of the diastolic blood pressure reading
        Operationalization Numeric
        Value Domain
        Property
        3
        draft Units of measure
        prsb03-dataelement-13870
        Id prsb03-dataelement-13870 (2021‑01‑27 18:45:53)
        Description The units of measure for the diastolic blood pressure
        Relationship
        Operationalization UCUM code
        Value Domain
        Property
        max length
        10
        folder draft Site
        prsb03-dataelement-13871
        link
        Id prsb03-dataelement-13871 (2021‑01‑27 18:49:54)
        Description The anatomical site at where the blood pressure is taken

        Properties

        FHIR MedicationStatement.dosage.site
        Relationship
        draft Coded value
        prsb03-dataelement-13872
        Id prsb03-dataelement-13872 (2021‑01‑27 18:51:09)
        Concept inherits from draft prsb03-dataelement-13657 (2020‑09‑08 20:33:18)
        Description The coded value for site
        Rationale MedicationStatement.dosage.site
        Operationalization SNOMED CT: - <442083009 | Anatomical or acquired body structure (body structure) |

        Value Domain
        draft Free text
        prsb03-dataelement-13873
        Id prsb03-dataelement-13873 (2021‑01‑27 18:51:09)
        Concept inherits from draft prsb03-dataelement-13658 (2020‑09‑08 20:35:42)
        Description Free text field to be used when code is not available
        Relationship
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        folder draft Heart rate
        prsb03-dataelement-13859
        link
        Id prsb03-dataelement-13859 (2021‑01‑27 17:25:40)
        Description The beat of the heart as felt through the walls of a peripheral artery measured in bpm
        draft Coded value
        prsb03-dataelement-13970
        Id prsb03-dataelement-13970 (2021‑02‑09 14:55:17)
        Description The coded value for heart rate
        Operationalization SNOMED CT : - 364075005 | Heart rate (observable entity) |
        Value Domain
        draft Value
        prsb03-dataelement-13971
        Id prsb03-dataelement-13971 (2021‑02‑09 14:58:01)
        Description The numeric value of heart rate
        Operationalization Numeric
        Value Domain
        Property
        3
        draft Units of measure
        prsb03-dataelement-13972
        Id prsb03-dataelement-13972 (2021‑02‑09 15:39:37)
        Description The units of measure for heart rate
        Operationalization UCUM code
        Value Domain
        folder draft Temperature
        prsb03-dataelement-14235
        link
        Id prsb03-dataelement-14235 (2021‑02‑26 16:04:10)
        Description The measurement of the person's temperature in Celsius (OC)
        draft Coded value
        prsb03-dataelement-14236
        Id prsb03-dataelement-14236 (2021‑02‑26 16:12:14)
        Description The coded value for tempreture
        Operationalization SNOMED CT : -<<386725007 |Body temperature (observable entity)|

        Value Domain
        draft Value
        prsb03-dataelement-14237
        Id prsb03-dataelement-14237 (2021‑02‑26 16:12:47)
        Description The value of the person tempreture
        Operationalization Numeric
        Value Domain
        Property
        min include
        1 2
        draft Units of measure
        prsb03-dataelement-14238
        Id prsb03-dataelement-14238 (2021‑02‑26 16:38:31)
        Description The units of measure for the persons tempreture
        Operationalization UCUM code
        Value Domain
        folder draft Oxygen saturation
        prsb03-dataelement-14239
        link
        Id prsb03-dataelement-14239 (2021‑02‑26 16:51:57)
        Description The measurement of oxygen within the blood (expressed as a percentage of 100)
        draft Coded value
        prsb03-dataelement-14240
        Id prsb03-dataelement-14240 (2021‑02‑26 16:54:49)
        Description The coded value for Oxygen saturation
        Operationalization SNOMED CT: - 431314004 |Peripheral oxygen saturation (observable entity)|
        Value Domain
        draft Value
        prsb03-dataelement-14241
        Id prsb03-dataelement-14241 (2021‑02‑26 17:00:58)
        Description The value for the persons oxygen saturation
        Operationalization Numeric
        Value Domain
        Property
        3
        draft Units of measure
        prsb03-dataelement-14242
        Id prsb03-dataelement-14242 (2021‑02‑26 17:02:06)
        Description The units of measure for oxygen saturation
        Operationalization UCUM code
        Value Domain
        Property
        max length
        3
        folder draft Pain score
        prsb03-dataelement-14243
        link
        Id prsb03-dataelement-14243 (2021‑02‑26 18:29:57)
        Description The pain score for the person
        draft Coded value
        prsb03-dataelement-14244
        Id prsb03-dataelement-14244 (2021‑02‑26 18:46:05)
        Description The coded value for pain score
        Operationalization SNOMED CT : - 225908003 | Pain score (observable entity) |
        Value Domain
        draft Value
        prsb03-dataelement-14245
        Id prsb03-dataelement-14245 (2021‑02‑26 18:47:15)
        Description The value for the pain score
        Operationalization Numeric
        Value Domain
        draft Units of measure
        prsb03-dataelement-14246
        Id prsb03-dataelement-14246 (2021‑02‑26 18:50:11)
        Description The units of measure for pain score
        Operationalization UCUM
        Value Domain
        folder draft Level of conciousness
        prsb03-dataelement-14247
        link
        Id prsb03-dataelement-14247 (2021‑02‑26 18:57:42)
        Description Person's level of arousal and awareness
        cancelled 
        prsb03-dataelement-14250
        Id prsb03-dataelement-14250 (2021‑03‑01 16:27:28)
        draft Coded value
        prsb03-dataelement-14249
        Id prsb03-dataelement-14249 (2021‑03‑01 16:01:37)
        Description

        Coded value for level of consciousness

        Operationalization SNOMED CT : -  1104441000000107 | Alert Confusion Voice Pain Unresponsive scale score (observable entity) |

        Value Domain
        draft Value
        prsb03-dataelement-14251
        Id prsb03-dataelement-14251 (2021‑03‑02 13:15:32)
        Description Value of the level of consciousness
        Operationalization Numeric
        Value Domain
        draft Units of measure
        prsb03-dataelement-14252
        Id prsb03-dataelement-14252 (2021‑03‑02 13:22:41)
        Description Unit of measure for level of consciousness
        Operationalization UCUM
        Value Domain
        folder draft Respiratory rate
        prsb03-dataelement-14248
        link
        Id prsb03-dataelement-14248 (2021‑02‑26 18:58:54)
        Description Number of breaths you take per minute
        draft Coded value
        prsb03-dataelement-14254
        Id prsb03-dataelement-14254 (2021‑03‑05 15:12:15)
        Description Coded value for respiratory rate
        Operationalization


        SNOMED CT : - 86290005 | Respiratory rate (observable entity) |
        Value Domain
        draft Value
        prsb03-dataelement-14255
        Id prsb03-dataelement-14255 (2021‑03‑05 15:14:26)
        Description Value for respiratory rate
        Operationalization Numeric
        Value Domain
        draft Unit of measure
        prsb03-dataelement-14256
        Id prsb03-dataelement-14256 (2021‑03‑05 15:24:38)
        Description Unit of measure of respiratory rate
        Operationalization

        UCUM code
        Value Domain
        folder draft Air or Oxygen
        prsb03-dataelement-14257
        link
        Id prsb03-dataelement-14257 (2021‑03‑08 14:18:44)
        Description If the person requires Air or Oxygen
        draft Coded value
        prsb03-dataelement-14258
        Id prsb03-dataelement-14258 (2021‑03‑08 14:23:18)
        Description The coded value for Air or Oxygen
        Operationalization SNOMED CT: - 722742002 |Breathing room air| OR 371825009 |Patient on oxygen| OR 315041000 | High concentration oxygen therapy (procedure) | OR 9999016 | High flow oxygen therapy (procedure) |
        Value Domain
        draft Value
        prsb03-dataelement-14259
        Id prsb03-dataelement-14259 (2021‑03‑08 15:05:33)
        Description The value for air or oxygen
        Operationalization Free text
        Value Domain
        Property
        10
        draft Units of measure
        prsb03-dataelement-14260
        Id prsb03-dataelement-14260 (2021‑03‑08 15:09:50)
        Description The unit of measure for the air or oxygen value
        Operationalization UCUM
        Value Domain
        Property
        max length
        10
        folder draft National early warning score (NEWS 2)
        prsb03-dataelement-13861
        link
        Id prsb03-dataelement-13861 (2021‑01‑27 17:39:06)
        Description
        The NEWS is based on a simple aggregate scoring system in which a score is allocated to physiological measurements, already recorded in routine practice, when patients present to, or are being monitored in hospital
        draft Coded value total score
        prsb03-dataelement-13862
        Id prsb03-dataelement-13862 (2021‑01‑27 17:39:43)
        Description The coded value for NEWS 2 total score
        Operationalization SNOMED CT : - 1104051000000101 | Royal College of Physicians National Early Warning Score 2 total score (observable entity) |
        Value Domain
        draft Value for total score
        prsb03-dataelement-13863
        Id prsb03-dataelement-13863 (2021‑01‑27 17:40:34)
        Description The actual NEWS 2 score.
        Operationalization Numeric
        Value Domain
        draft Coded value subscore
        prsb03-dataelement-13864
        Id prsb03-dataelement-13864 (2021‑01‑27 17:42:03)
        Description Coded value for the subscore
        Operationalization SNOMED CT : - 1104301000000104 | Royal College of Physicians National Early Warning Score 2 - respiration rate score (observable entity) |

                                   1104351000000103 | Royal College of Physicians National Early Warning Score 2 - pulse score (observable entity) |

                                   1104311000000102 | Royal College of Physicians National Early Warning Score 2 - oxygen saturation scale 1 score (observable entity) |

                                   1104331000000105 | Royal College of Physicians National Early Warning Score 2 - air or oxygen score (observable entity) |

                                   1104371000000107 | Royal College of Physicians National Early Warning Score 2 - temperature score (observable entity) |

                                   1104341000000101 | Royal College of Physicians National Early Warning Score 2 - systolic blood pressure score (observable entity) |

                                   1104361000000100 | Royal College of Physicians National Early Warning Score 2 - consciousness score (observable entity) |



        Value Domain
        draft Subscore
        prsb03-dataelement-13865
        Id prsb03-dataelement-13865 (2021‑01‑27 17:43:11)
        Description Subscore from each NEWS2 observation
        Operationalization Numeric
        Value Domain
        folder draft Person completing record
        prsb03-dataelement-12124
        link
        Id prsb03-dataelement-12124 (2019‑05‑31 15:59:54)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        draft Name
        prsb03-dataelement-12125
        Id prsb03-dataelement-12125 (2019‑05‑31 16:00:31)
        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
        draft Role
        prsb03-dataelement-12126
        Id prsb03-dataelement-12126 (2019‑05‑31 16:00:31)
        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
        draft Grade
        prsb03-dataelement-12127
        Id prsb03-dataelement-12127 (2019‑05‑31 16:00:31)
        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
        draft Specialty
        prsb03-dataelement-12128
        Id prsb03-dataelement-12128 (2019‑05‑31 16:00:31)
        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
        folder draft Organisation
        prsb03-dataelement-12129
        Id prsb03-dataelement-12129 (2019‑05‑31 16:00:31)
        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
        draft Professional identifier
        prsb03-dataelement-12130
        Id prsb03-dataelement-12130 (2019‑05‑31 16:00:31)
        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
        draft Date completed
        prsb03-dataelement-12131
        Id prsb03-dataelement-12131 (2019‑05‑31 16:00:31)
        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
        draft Contact details
        prsb03-dataelement-12132
        Id prsb03-dataelement-12132 (2019‑05‑31 16:00:31)
        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
        cancelled Person completing record
        prsb03-dataelement-10957
        Id prsb03-dataelement-10957 (2019‑05‑18 21:11:34) 0.1
        Description This is the person recording the examination.

        Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
        Relationship
        Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
        Value Domain
        draft Vital signs
        prsb03-dataelement-10459
        Id prsb03-dataelement-10459 (2018‑10‑31)
        Description The record of essential physiological measurements, e.g., heart rate, blood pressure, temperature, pulse, respiratory rate, SpO2, level of consciousness etc. Use of Early Warning Score (which may be computed) chart where appropriate.
        Value Domain
        draft Mental health examination
        prsb03-dataelement-10465
        Id prsb03-dataelement-10465 (2018‑10‑31)
        Description The record of findings from mental health examinations and, where appropriate, the type of the examination
        Value Domain
        draft Head and neck examination
        prsb03-dataelement-10466
        Id prsb03-dataelement-10466 (2018‑10‑31)
        Description The record of findings from the head and neck examination.
        Value Domain
        draft Oral examination
        prsb03-dataelement-10467
        Id prsb03-dataelement-10467 (2018‑10‑31)
        Description The record of findings from the oral examination.
        Value Domain
        draft Cardiovascular examination
        prsb03-dataelement-10468
        Id prsb03-dataelement-10468 (2018‑10‑31)
        Description The record of findings from the cardiovascular system examination.
        Value Domain
        draft Respiratory examination
        prsb03-dataelement-10469
        Id prsb03-dataelement-10469 (2018‑10‑31)
        Description The record of findings from the respiratory system examination.
        Value Domain
        draft Obstetric and Gynaecology examination (including abdominal and uterine palpation)
        prsb03-dataelement-10470
        Id prsb03-dataelement-10470 (2018‑10‑31)
        Description The record of findings from the obstetric examination e.g. abdominal uterine palpation, striations or Linea Nigra and whether she has previous operative scars, such as previous caesarean section. To include the record of findings from the vaginal examination, including FGM, presentation, moulding, membranes, observation of liquor and general cervical observations and contractions (including the strength, length and frequency), uterus size etc.
        Value Domain
        draft Neurological system examination
        prsb03-dataelement-10471
        Id prsb03-dataelement-10471 (2018‑10‑31)
        Description The record of findings from the neurological system examination.
        Value Domain
        draft Musculoskeletal examination
        prsb03-dataelement-10472
        Id prsb03-dataelement-10472 (2018‑10‑31)
        Description The record of findings from the musculoskeletal examination
        Value Domain
        draft Dermatology examination
        prsb03-dataelement-10473
        Id prsb03-dataelement-10473 (2018‑10‑31)
        Description The record of findings from the examination of the skin
        Value Domain
        draft Abdomen examination
        prsb03-dataelement-10474
        Id prsb03-dataelement-10474 (2018‑10‑31)
        Description The record of findings from the abdominal examination.
        Value Domain
        draft Genitourinary examination
        prsb03-dataelement-10475
        Id prsb03-dataelement-10475 (2018‑10‑31)
        Description The record of findings from the genitourinary examination.
        Value Domain
        draft Comments
        prsb03-dataelement-10476
        Id prsb03-dataelement-10476 (2018‑10‑31)
        Description Any further comments relating to the examination.
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        folder draft Fetal Examinations
        prsb03-dataelement-10477
        Id prsb03-dataelement-10477 (2018‑10‑31)
        Description To be recorded one per fetus
        folder draft Pregnancy status
        prsb03-dataelement-10814
        link
        Id prsb03-dataelement-10814 (2019‑03‑20 18:49:35)
        Description Pregnancy status of the person.
        draft Date
        prsb03-dataelement-10812
        Id prsb03-dataelement-10812 (2019‑03‑20 18:44:37)
        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
        cancelled Performing Professional
        prsb03-dataelement-10854
        Id prsb03-dataelement-10854 (2019‑03‑27 17:25:51) 0.1
        Description Details of the professional performing the observation (including name and role).
        Relationship
        Operationalization Free text
        Value Domain
        folder draft Location
        prsb03-dataelement-10855
        link
        Id prsb03-dataelement-10855 (2019‑03‑27 17:27:01)
        Description The location where the pregnancy state details were recorded.
        Relationship
        draft Coded value
        prsb03-dataelement-13531
        Id prsb03-dataelement-13531 (2020‑09‑04 16:13:24)
        Description The coded value for location.
        Operationalization NHS data dictionary: - Organisation data service
        Value Domain
        Property
        min length max length
        3 5
        draft Free text
        prsb03-dataelement-13532
        Id prsb03-dataelement-13532 (2020‑09‑04 16:14:54)
        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
        draft Pregnancy state
        prsb03-dataelement-10815
        Id prsb03-dataelement-10815 (2019‑03‑20 18:51:02)
        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
        draft Expected delivery date
        prsb03-dataelement-10813
        Id prsb03-dataelement-10813 (2019‑03‑20 18:45:38)
        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
        folder draft Performing professional
        prsb03-dataelement-13533
        link
        Id prsb03-dataelement-13533 (2020‑09‑04 16:31:41)
        Description The professional who observed the pregnancy
        Relationship
        draft Name
        prsb03-dataelement-13534
        Id prsb03-dataelement-13534 (2020‑09‑04 16:32:32)
        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
        draft Role
        prsb03-dataelement-13535
        Id prsb03-dataelement-13535 (2020‑09‑04 16:32:32)
        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
        draft Grade
        prsb03-dataelement-13536
        Id prsb03-dataelement-13536 (2020‑09‑04 16:32:32)
        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
        draft Speciality
        prsb03-dataelement-13537
        Id prsb03-dataelement-13537 (2020‑09‑04 16:32:32)
        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
        draft Professional identifier
        prsb03-dataelement-13538
        Id prsb03-dataelement-13538 (2020‑09‑04 16:32:32)
        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
        folder draft Organisation
        prsb03-dataelement-13539
        link
        Id prsb03-dataelement-13539 (2020‑09‑04 16:32:32)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        draft Coded value
        prsb03-dataelement-13540
        Id prsb03-dataelement-13540 (2020‑09‑04 16:32:32)
        Concept inherits from draft prsb03-dataelement-13521 (2020‑09‑04 13:43:41)
        Description The coded value for location
        Rationale Practitioner.PractitionerRole.organisation.Name
        Operationalization NHS data dictionary: - Organisation data service
        Value Domain
        Property
        min length max length
        3 7
        draft Free text
        prsb03-dataelement-13541
        Id prsb03-dataelement-13541 (2020‑09‑04 16:32:32)
        Concept inherits from draft prsb03-dataelement-13522 (2020‑09‑04 13:45:47)
        Description Free text field to be used if no code is available
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        draft Contact details
        prsb03-dataelement-13542
        Id prsb03-dataelement-13542 (2020‑09‑04 16:32:32)
        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
        folder draft Person completing record
        prsb03-dataelement-13543
        link
        Id prsb03-dataelement-13543 (2020‑09‑04 16:32:51)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        draft Name
        prsb03-dataelement-13544
        Id prsb03-dataelement-13544 (2020‑09‑04 16:33:48)
        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
        draft Role
        prsb03-dataelement-13545
        Id prsb03-dataelement-13545 (2020‑09‑04 16:33:48)
        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
        draft Grade
        prsb03-dataelement-13546
        Id prsb03-dataelement-13546 (2020‑09‑04 16:33:48)
        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
        draft Specialty
        prsb03-dataelement-13547
        Id prsb03-dataelement-13547 (2020‑09‑04 16:33:48)
        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
        folder draft Organisation
        prsb03-dataelement-13548
        link
        Id prsb03-dataelement-13548 (2020‑09‑04 16:33:48)
        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
        draft Coded value
        prsb03-dataelement-13549
        Id prsb03-dataelement-13549 (2020‑09‑04 16:33:48)
        Concept inherits from draft prsb03-dataelement-13523 (2020‑09‑04 13:52:48)
        Description The coded value for location
        Rationale Composition.author.Practitioner.PractitionerRole.organisation.Name
        Operationalization NHS data dictionary : - Organisation data service
        Value Domain
        Property
        min length max length
        3 7
        draft Free text
        prsb03-dataelement-13550
        Id prsb03-dataelement-13550 (2020‑09‑04 16:33:48)
        Concept inherits from draft prsb03-dataelement-13524 (2020‑09‑04 13:54:04)
        Description Free text field to be used if no code is available
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        draft Professional identifier
        prsb03-dataelement-13551
        Id prsb03-dataelement-13551 (2020‑09‑04 16:33:48)
        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
        draft Date completed
        prsb03-dataelement-13552
        Id prsb03-dataelement-13552 (2020‑09‑04 16:33:48)
        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
        draft Contact details
        prsb03-dataelement-13553
        Id prsb03-dataelement-13553 (2020‑09‑04 16:33:48)
        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
        draft Maternity Personalised Care Plan
        prsb03-dataelement-10839
        Id prsb03-dataelement-10839 (2019‑03‑26 18:24:07)
        Concept inherits from draft prsb03-dataelement-10484 (2018‑10‑31)
        Description Personalised care plan details to include the data and plan details
        Value Domain
        folder cancelled Previous pregnancies
        prsb03-dataelement-10827
        link
        Id prsb03-dataelement-10827 (2019‑03‑21 15:29:15)
        Description Details of women's previous pregnancies
        cancelled Date
        prsb03-dataelement-10829
        Id prsb03-dataelement-10829 (2019‑03‑21 15:30:52)
        Concept inherits from draft prsb03-dataelement-10490 (2018‑10‑31)
        Description The date on which the pregnancy outcome/delivery/birth details were recorded
        Value Domain
        cancelled Date and Time of Delivery
        prsb03-dataelement-10836
        Id prsb03-dataelement-10836 (2019‑03‑22 17:08:48)
        Concept inherits from draft prsb03-dataelement-10511 (2018‑10‑31)
        Description The date and time of the delivery of the baby
        Value Domain
        cancelled Location
        prsb03-dataelement-10830
        Id prsb03-dataelement-10830 (2019‑03‑21 15:31:36)
        Concept inherits from draft prsb03-dataelement-10491 (2018‑10‑31)
        Description The location where the pregnancy outcome/delivery/birth details was recorded
        Value Domain
        cancelled Performing Professional
        prsb03-dataelement-10831
        Id prsb03-dataelement-10831 (2019‑03‑21 15:32:29)
        Concept inherits from draft prsb03-dataelement-10492 (2018‑10‑31)
        Description Details of the professional recording the pregnancy outcome/delivery/birth details (including name and role).
        Value Domain
        cancelled Pregnancy Outcome
        prsb03-dataelement-10828
        Id prsb03-dataelement-10828 (2019‑03‑21 15:29:59)
        Concept inherits from draft prsb03-dataelement-10493 (2018‑10‑31)
        Description The pregnancy outcome of each fetus
        Value Domain
        cancelled Complications from previous pregnancy
        prsb03-dataelement-10832
        Id prsb03-dataelement-10832 (2019‑03‑21 15:33:45)
        Description Any complications in previous pregnancies e.g. blood transfusion
        Value Domain
        folder cancelled Investigation requests and results
        prsb03-dataelement-10833
        link
        Id prsb03-dataelement-10833 (2019‑03‑21 15:44:47)
        Description Details of a person's requests and results
        folder cancelled Investigation requested
        prsb03-dataelement-10834
        Id prsb03-dataelement-10834 (2019‑03‑21 15:45:23)
        Concept inherits from draft prsb03-dataelement-10733 (2019‑02‑08 16:22:42)
        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)
        folder cancelled Status of pregnancy
        prsb03-dataelement-10805
        link
        Id prsb03-dataelement-10805 (2019‑03‑20 18:41:51)
        Relationship
        hl7ips-dataelement-37 - 2017‑12‑19 11:44:59
        cancelled Pregnancy Description
        prsb03-dataelement-10806
        Id prsb03-dataelement-10806 (2019‑03‑20 18:42:49)
        Concept inherits from hl7ips-dataelement-225 (2018‑07‑02 13:40:29)
        Value Domain
        folder cancelled Structured Description
        prsb03-dataelement-10807
        link
        Id prsb03-dataelement-10807 (2019‑03‑20 18:42:49)
        Concept inherits from hl7ips-dataelement-168 (2017‑12‑25 09:39:11)
        cancelled Date of Observation
        prsb03-dataelement-10808
        Id prsb03-dataelement-10808 (2019‑03‑20 18:42:49)
        Concept inherits from hl7ips-dataelement-211 (2017‑12‑31 12:55:02)
        Value Domain
        Property
        Timestamp precision
        at least day, month and year
        cancelled Pregnancy State
        prsb03-dataelement-10809
        Id prsb03-dataelement-10809 (2019‑03‑20 18:42:49)
        Concept inherits from hl7ips-dataelement-212 (2017‑12‑31 12:55:33)
        Value Domain
        cancelled Expected delivery date
        prsb03-dataelement-10810
        Id prsb03-dataelement-10810 (2019‑03‑20 18:42:49)
        Concept inherits from hl7ips-dataelement-213 (2017‑12‑31 12:56:56)
        Value Domain
        Property
        Timestamp precision
        at least day, month and year
        cancelled Specialist Contact
        prsb03-dataelement-10811
        Id prsb03-dataelement-10811 (2019‑03‑20 18:42:49)
        Concept inherits from hl7ips-dataelement-200 (2017‑12‑25 20:58:56)

        Properties

        Data Type Healthcare Provider
        Value Domain
        folder draft Assessments
        prsb03-dataelement-262
        link
        Id prsb03-dataelement-262 (2018‑10‑31)
        Description Details of the person's assessments
        folder draft Assessments record entry
        prsb03-dataelement-11664
        link
        Id prsb03-dataelement-11664 (2019‑05‑30 19:29:51)
        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.
        draft Assessment scale
        prsb03-dataelement-12962
        Id prsb03-dataelement-12962 (2019‑11‑20 15:46:29)
        Description Assessment scale used, e.g. New York Heart Failure, Activities of Daily Living (ADL)
        Operationalization Free Text. Content could include scale name, date and time of assessment and values recorded, including overall score. Format of assessment would be determined locally and may be tabular.
        Value Domain
        draft Date
        prsb03-dataelement-10763
        Id prsb03-dataelement-10763 (2019‑03‑18 13:51:22)
        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
        folder draft Location
        prsb03-dataelement-10764
        link
        Id prsb03-dataelement-10764 (2019‑03‑18 13:51:59)
        Description The location where the assessment was done.
        Relationship
        Operationalization ODS code or free text.
        draft Coded value
        prsb03-dataelement-13570
        Id prsb03-dataelement-13570 (2020‑09‑07 15:40:22)
        Description The coded value for location
        Operationalization NHS data dictionary: - Organisation data service
        Value Domain
        Property
        min length max length
        3 5
        draft Free text
        prsb03-dataelement-13571
        Id prsb03-dataelement-13571 (2020‑09‑07 15:41:51)
        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
        cancelled Performing professional
        prsb03-dataelement-10765
        Id prsb03-dataelement-10765 (2019‑03‑18 13:52:36)
        Description Details of the professional performing the assessment (including name and role).
        Relationship
        Value Domain
        draft Assessment type
        prsb03-dataelement-10822
        Id prsb03-dataelement-10822 (2019‑03‑21 12:55:22)
        Description The type of the assessment e.g. social care needs assessment.
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        draft Assessment summary
        prsb03-dataelement-10754
        Id prsb03-dataelement-10754 (2019‑03‑07 18:21:12)
        Description The summary of the assessment
        Operationalization Free text
        Value Domain
        Property
        max length
        250
        folder draft Structured assessment
        prsb03-dataelement-10655
        link
        Id prsb03-dataelement-10655 (2018‑11‑13 12:15:56)
        Description Details of the structured assessment.
        cancelled Date
        prsb03-dataelement-10165
        Id prsb03-dataelement-10165 (2018‑10‑31)
        Description The date on which the structured assessment was done.
        Operationalization Date/time
        Value Domain
        cancelled Location
        prsb03-dataelement-10167
        Id prsb03-dataelement-10167 (2018‑10‑31)
        Description The date the structured assessment was done.
        Operationalization ODS site code or free text.
        Value Domain
        cancelled Performing professional
        prsb03-dataelement-10168
        Id prsb03-dataelement-10168 (2018‑10‑31)
        Description Details of the professional performing the assessment scale.
        Operationalization Free text
        Value Domain
        folder cancelled Performing professional
        prsb03-dataelement-12390
        link
        Id prsb03-dataelement-12390 (2019‑06‑03 16:03:07)
        Description The professional who did the structured assessment.
        Relationship
        cancelled Name
        prsb03-dataelement-12391
        Id prsb03-dataelement-12391 (2019‑06‑03 16:03:28)
        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
        cancelled Role
        prsb03-dataelement-12392
        Id prsb03-dataelement-12392 (2019‑06‑03 16:03:28)
        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
        cancelled Grade
        prsb03-dataelement-12393
        Id prsb03-dataelement-12393 (2019‑06‑03 16:03:28)
        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
        cancelled Speciality
        prsb03-dataelement-12394
        Id prsb03-dataelement-12394 (2019‑06‑03 16:03:28)
        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
        cancelled Professional identifier
        prsb03-dataelement-12395
        Id prsb03-dataelement-12395 (2019‑06‑03 16:03:28)
        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
        folder cancelled Organisation
        prsb03-dataelement-12396
        Id prsb03-dataelement-12396 (2019‑06‑03 16:03:28)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        cancelled Contact details
        prsb03-dataelement-12397
        Id prsb03-dataelement-12397 (2019‑06‑03 16:03:28)
        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
        draft Structured assessment name
        prsb03-dataelement-11751
        Id prsb03-dataelement-11751 (2019‑05‑31 13:52:26)
        Description Structured assessment name e.g. New York Heart Failure, Glasgow Coma scale, Activities of Daily Living (ADL) etc.
        Operationalization SNOMED CT
        Value Domain
        draft Assessment score
        prsb03-dataelement-10162
        Id prsb03-dataelement-10162 (2018‑10‑31)
        Description The structured assessment score.
        Operationalization Free text.
        Value Domain
        draft Assessment value
        prsb03-dataelement-10163
        Id prsb03-dataelement-10163 (2018‑10‑31)
        Description The structured assessment value.
        Operationalization Numeric
        Value Domain
        draft Global score
        prsb03-dataelement-10166
        Id prsb03-dataelement-10166 (2018‑10‑31)
        Description The total global score from the assessment.
        Operationalization Free text
        Value Domain
        draft Subscale score
        prsb03-dataelement-10169
        Id prsb03-dataelement-10169 (2018‑10‑31)
        Description The subscale score of the structured assessment.
        Operationalization Free text.
        Value Domain
        draft Subscale value
        prsb03-dataelement-10170
        Id prsb03-dataelement-10170 (2018‑10‑31)
        Description The subscale value of the structured assessment.
        Operationalization Numeric
        Value Domain
        folder cancelled Person completing record
        prsb03-dataelement-11761
        link
        Id prsb03-dataelement-11761 (2019‑05‑31 14:09:42)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        cancelled Name
        prsb03-dataelement-11762
        Id prsb03-dataelement-11762 (2019‑05‑31 14:10:49)
        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
        cancelled Role
        prsb03-dataelement-11763
        Id prsb03-dataelement-11763 (2019‑05‑31 14:10:49)
        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
        cancelled Grade
        prsb03-dataelement-11764
        Id prsb03-dataelement-11764 (2019‑05‑31 14:10:49)
        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
        cancelled Specialty
        prsb03-dataelement-11765
        Id prsb03-dataelement-11765 (2019‑05‑31 14:10:49)
        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
        folder cancelled Organisation
        prsb03-dataelement-11766
        Id prsb03-dataelement-11766 (2019‑05‑31 14:10:49)
        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
        cancelled Professional identifier
        prsb03-dataelement-11767
        Id prsb03-dataelement-11767 (2019‑05‑31 14:10:49)
        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
        cancelled Date completed
        prsb03-dataelement-11768
        Id prsb03-dataelement-11768 (2019‑05‑31 14:10:49)
        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
        cancelled Contact details
        prsb03-dataelement-11769
        Id prsb03-dataelement-11769 (2019‑05‑31 14:10:49)
        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
        cancelled Person completing record
        prsb03-dataelement-10962
        Id prsb03-dataelement-10962 (2019‑05‑18 21:30:43)
        Concept inherits from cancelled prsb03-dataelement-10860 (2019‑03‑27 17:46:45)
        Description This is the person recording the individual requirement.

        Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
        Relationship
        Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
        Value Domain
        folder draft Performing professional
        prsb03-dataelement-12382
        link
        Id prsb03-dataelement-12382 (2019‑06‑03 16:02:23)
        Description The professional who did the assessment.
        Relationship
        draft Name
        prsb03-dataelement-12383
        Id prsb03-dataelement-12383 (2019‑06‑03 16:02:46)
        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
        draft Role
        prsb03-dataelement-12384
        Id prsb03-dataelement-12384 (2019‑06‑03 16:02:46)
        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
        draft Grade
        prsb03-dataelement-12385
        Id prsb03-dataelement-12385 (2019‑06‑03 16:02:46)
        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
        draft Speciality
        prsb03-dataelement-12386
        Id prsb03-dataelement-12386 (2019‑06‑03 16:02:46)
        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
        draft Professional identifier
        prsb03-dataelement-12387
        Id prsb03-dataelement-12387 (2019‑06‑03 16:02:46)
        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
        folder draft Organisation
        prsb03-dataelement-12388
        Id prsb03-dataelement-12388 (2019‑06‑03 16:02:46)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        draft Contact details
        prsb03-dataelement-12389
        Id prsb03-dataelement-12389 (2019‑06‑03 16:02:46)
        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
        folder draft Person completing record
        prsb03-dataelement-11752
        link
        Id prsb03-dataelement-11752 (2019‑05‑31 14:08:29)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        draft Name
        prsb03-dataelement-11753
        Id prsb03-dataelement-11753 (2019‑05‑31 14:08:52)
        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
        draft Role
        prsb03-dataelement-11754
        Id prsb03-dataelement-11754 (2019‑05‑31 14:08:52)
        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
        draft Grade
        prsb03-dataelement-11755
        Id prsb03-dataelement-11755 (2019‑05‑31 14:08:52)
        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
        draft Specialty
        prsb03-dataelement-11756
        Id prsb03-dataelement-11756 (2019‑05‑31 14:08:52)
        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
        folder draft Organisation
        prsb03-dataelement-11757
        Id prsb03-dataelement-11757 (2019‑05‑31 14:08:52)
        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
        draft Professional identifier
        prsb03-dataelement-11758
        Id prsb03-dataelement-11758 (2019‑05‑31 14:08:52)
        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
        draft Date completed
        prsb03-dataelement-11759
        Id prsb03-dataelement-11759 (2019‑05‑31 14:08:52)
        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
        draft Contact details
        prsb03-dataelement-11760
        Id prsb03-dataelement-11760 (2019‑05‑31 14:08:52)
        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
        draft Comment
        prsb03-dataelement-10164
        Id prsb03-dataelement-10164 (2018‑10‑31)
        Description Supporting text may be given regarding the assessment.
        Operationalization Free text
        Value Domain
        cancelled Schwangerschaft
        prsb03-dataelement-10803
        Id prsb03-dataelement-10803 (2019‑03‑20 18:13:39)
        Concept inherits from asic-dataelement-26 (2018‑05‑14 16:24:44)
        Description Achtung: Schwangere Patientinnen sind vom ASIC Use Case ausgeschlossen.

        Properties

        Verwendung Ausschlusskriterium

        Umgang mit Missing Values Einschluss

        Relationship
        mide-dataelement-416 - 2018‑07‑30 10:16:40
        Terminology Asscociation This concept is represented by code "82810-3" (Pregnancy status) from code system 2.16.840.1.113883.6.1 LOINC)
        Value Domain
        Example
        Pregnant
        77386006
        Example
        Not pregnant
        60001007
        cancelled Formulation
        prsb03-dataelement-10749
        Id prsb03-dataelement-10749 (2019‑03‑07 14:50:29)
        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
        folder cancelled Mental capacity assessment
        prsb03-dataelement-10757
        Id prsb03-dataelement-10757 (2019‑03‑08 12:47:59)
        Concept inherits from draft prsb03-dataelement-10424 (2018‑10‑31)
        Description Details of the persons mental capacity assessment
        cancelled Person completing record
        prsb03-dataelement-10958
        Id prsb03-dataelement-10958 (2019‑05‑18 21:12:38)
        Description This is the person recording the assessment. Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
        Relationship
        Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
        Value Domain
        cancelled Clinical summary
        prsb03-dataelement-10750
        Id prsb03-dataelement-10750 (2019‑03‑07 17:13:57) Not needed
        Concept inherits from draft prsb03-dataelement-10147 (2018‑10‑31)
        Description Summary of the encounter. Where possible, very brief. This may include interpretation of findings and results; differential diagnoses, opinion and specific action(s). Planned actions will be recorded under ‘plan’.
        Operationalization Free text
        Value Domain
        folder draft Formulation
        prsb03-dataelement-11666
        link
        Id prsb03-dataelement-11666 (2019‑05‑30 20:43:07)
        Description Details of the person's formulation.
        folder draft Formulation record entry
        prsb03-dataelement-11667
        link
        Id prsb03-dataelement-11667 (2019‑05‑30 20:44:32)
        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.
        draft Date
        prsb03-dataelement-11669
        Id prsb03-dataelement-11669 (2019‑05‑30 20:47:42)
        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
        folder draft Location
        prsb03-dataelement-11670
        link
        Id prsb03-dataelement-11670 (2019‑05‑30 20:48:26)
        Description The location where the formulation was made.
        Operationalization NHS data dictionary: - Organisation data service
        draft Coded value
        prsb03-dataelement-13572
        Id prsb03-dataelement-13572 (2020‑09‑07 15:43:58)
        Description The coded value for location
        Operationalization NHS data dictionary: - Organisation data service
        Value Domain
        Property
        min length max length
        3 5
        draft Free text
        prsb03-dataelement-13573
        Id prsb03-dataelement-13573 (2020‑09‑07 15:44:39)
        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
        folder draft Performing professional
        prsb03-dataelement-11671
        link
        Id prsb03-dataelement-11671 (2019‑05‑30 20:49:15)
        Description The professional who made the formulation.
        Relationship
        draft Name
        prsb03-dataelement-11672
        Id prsb03-dataelement-11672 (2019‑05‑30 20:49:34)
        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
        draft Role
        prsb03-dataelement-11673
        Id prsb03-dataelement-11673 (2019‑05‑30 20:49:34)
        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
        draft Grade
        prsb03-dataelement-11674
        Id prsb03-dataelement-11674 (2019‑05‑30 20:49:34)
        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
        draft Speciality
        prsb03-dataelement-11675
        Id prsb03-dataelement-11675 (2019‑05‑30 20:49:34)
        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
        draft Professional identifier
        prsb03-dataelement-11676
        Id prsb03-dataelement-11676 (2019‑05‑30 20:49:34)
        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
        folder draft Organisation
        prsb03-dataelement-11677
        Id prsb03-dataelement-11677 (2019‑05‑30 20:49:34)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        draft Contact details
        prsb03-dataelement-11678
        Id prsb03-dataelement-11678 (2019‑05‑30 20:49:34)
        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
        draft Formulation
        prsb03-dataelement-11668
        Id prsb03-dataelement-11668 (2019‑05‑30 20:46:15)
        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
        folder cancelled Person completing record
        prsb03-dataelement-11679
        link
        Id prsb03-dataelement-11679 (2019‑05‑30 20:49:49) 0.1
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        cancelled Name
        prsb03-dataelement-11680
        Id prsb03-dataelement-11680 (2019‑05‑30 20:50:13) 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
        cancelled Role
        prsb03-dataelement-11681
        Id prsb03-dataelement-11681 (2019‑05‑30 20:50:13) 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
        cancelled Grade
        prsb03-dataelement-11682
        Id prsb03-dataelement-11682 (2019‑05‑30 20:50:13) 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
        cancelled Specialty
        prsb03-dataelement-11683
        Id prsb03-dataelement-11683 (2019‑05‑30 20:50:13) 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
        folder cancelled Organisation
        prsb03-dataelement-11684
        Id prsb03-dataelement-11684 (2019‑05‑30 20:50:13) 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
        cancelled Professional identifier
        prsb03-dataelement-11685
        Id prsb03-dataelement-11685 (2019‑05‑30 20:50:13) 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
        cancelled Date completed
        prsb03-dataelement-11686
        Id prsb03-dataelement-11686 (2019‑05‑30 20:50:13) 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
        cancelled Contact details
        prsb03-dataelement-11687
        Id prsb03-dataelement-11687 (2019‑05‑30 20:50:13) 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
        folder draft Person completing record
        prsb03-dataelement-14411
        link
        Id prsb03-dataelement-14411 (2021‑08‑04 19:05:02)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        draft Name
        prsb03-dataelement-14412
        Id prsb03-dataelement-14412 (2021‑08‑04 19:06:56)
        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
        draft Role
        prsb03-dataelement-14413
        Id prsb03-dataelement-14413 (2021‑08‑04 19:06:56)
        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
        draft Grade
        prsb03-dataelement-14414
        Id prsb03-dataelement-14414 (2021‑08‑04 19:06:56)
        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
        draft Specialty
        prsb03-dataelement-14415
        Id prsb03-dataelement-14415 (2021‑08‑04 19:06:56)
        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
        folder draft Organisation
        prsb03-dataelement-14416
        link
        Id prsb03-dataelement-14416 (2021‑08‑04 19:06:56)
        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
        draft Coded value
        prsb03-dataelement-14417
        Id prsb03-dataelement-14417 (2021‑08‑04 19:06:56)
        Concept inherits from draft prsb03-dataelement-13523 (2020‑09‑04 13:52:48)
        Description The coded value for location
        Rationale Composition.author.Practitioner.PractitionerRole.organisation.Name
        Operationalization NHS data dictionary : - Organisation data service
        Value Domain
        Property
        min length max length
        3 7
        draft Free text
        prsb03-dataelement-14418
        Id prsb03-dataelement-14418 (2021‑08‑04 19:06:56)
        Concept inherits from draft prsb03-dataelement-13524 (2020‑09‑04 13:54:04)
        Description Free text field to be used if no code is available
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        draft Professional identifier
        prsb03-dataelement-14419
        Id prsb03-dataelement-14419 (2021‑08‑04 19:06:56)
        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
        draft Date completed
        prsb03-dataelement-14420
        Id prsb03-dataelement-14420 (2021‑08‑04 19:06:56)
        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
        draft Contact details
        prsb03-dataelement-14421
        Id prsb03-dataelement-14421 (2021‑08‑04 19:06:56)
        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
        cancelled Pregnancy State
        prsb03-dataelement-10804
        Id prsb03-dataelement-10804 (2019‑03‑20 18:16:49)
        Concept inherits from hl7ips-dataelement-212 (2017‑12‑31 12:55:33)
        Value Domain
        folder draft Risks
        prsb03-dataelement-276
        link
        Id prsb03-dataelement-276 (2018‑10‑31)
        Description Details of any risks related to the person.
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Risks
        prsb03-dataelement-14460
        link
        Id prsb03-dataelement-14460 (2021‑08‑26 21:26:19)
        Description Details of the persons risks

        Properties

        FHIR Composition.text
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Start date of risk
        prsb03-dataelement-14461
        Id prsb03-dataelement-14461 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11893 (2019‑05‑31 14:50:40)
        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
        prsb03-dataelement-14462
        Id prsb03-dataelement-14462 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11894 (2019‑05‑31 14:51:05)
        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
        prsb03-dataelement-14463
        Id prsb03-dataelement-14463 (2021‑08‑26 21:27:13)
        Description The risk to the person or others, this include's any risk the person might cause to them self or to others. e.g. suicide, self harm
        Relationship
        Operationalization SNOMED CT: - <281694009 |Finding of at risk (finding)|

        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Risk type
        prsb03-dataelement-14485
        Id prsb03-dataelement-14485 (2021‑08‑26 21:33:03)
        Description The type of risk being recorded e.g. self, to others, from others, risk of accidents, risk of infection and other risks
        Operationalization Free text
        Value Domain
        Property
        max length
        30
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Location
        prsb03-dataelement-14464
        link
        Id prsb03-dataelement-14464 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11895 (2019‑05‑31 14:51:50)
        Description The location where the risk was identified.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-14465
        Id prsb03-dataelement-14465 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-13586 (2020‑09‑08 12:08:47)
        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 0 times
         
        draft Free text
        prsb03-dataelement-14466
        Id prsb03-dataelement-14466 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-13587 (2020‑09‑08 12:09:57)
        Description Free text field to be used if no code is available
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Performing professional
        prsb03-dataelement-14467
        link
        Id prsb03-dataelement-14467 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11896 (2019‑05‑31 14:52:35)
        Description The professional who identified the risk.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-14468
        Id prsb03-dataelement-14468 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11897 (2019‑05‑31 14:52:54)
        Description The name of the professional.
        Rationale Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Role
        prsb03-dataelement-14469
        Id prsb03-dataelement-14469 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11898 (2019‑05‑31 14:52:54)
        Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
        Rationale Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobroletype
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Grade
        prsb03-dataelement-14470
        Id prsb03-dataelement-14470 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11899 (2019‑05‑31 14:52:54)
        Description The grade of the professional.
        Rationale PractitionerRole.code
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Speciality
        prsb03-dataelement-14471
        Id prsb03-dataelement-14471 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11900 (2019‑05‑31 14:52:54)
        Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary - Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Professional identifier
        prsb03-dataelement-14472
        Id prsb03-dataelement-14472 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11901 (2019‑05‑31 14:52:54)
        Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary : - Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Organisation
        prsb03-dataelement-14473
        Id prsb03-dataelement-14473 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11902 (2019‑05‑31 14:52:54)
        Description The name of the organisation the professional works for.
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Contact details
        prsb03-dataelement-14474
        Id prsb03-dataelement-14474 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11903 (2019‑05‑31 14:52:54)
        Description Contact details of the professional
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary - UK phone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Person completing record
        prsb03-dataelement-14475
        link
        Id prsb03-dataelement-14475 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11904 (2019‑05‑31 14:53:05)
        Description Details of the person completing the record.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-14476
        Id prsb03-dataelement-14476 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11905 (2019‑05‑31 14:53:43)
        Description The name of the person completing the record.
        Relationship
        Rationale Composition.author.Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Role
        prsb03-dataelement-14477
        Id prsb03-dataelement-14477 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11906 (2019‑05‑31 14:53:43)
        Description The organisational role of the person completing record.

        Properties

        FHIR PractitionerRole.code of the practitioner completing the record
        Relationship
        Rationale Composition.author.Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobrole
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Grade
        prsb03-dataelement-14478
        Id prsb03-dataelement-14478 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11907 (2019‑05‑31 14:53:43)
        Description The grade of the person completing the record.
        Relationship
        Rationale PractitionerRole.code
        Operationalization Free text.
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Specialty
        prsb03-dataelement-14479
        Id prsb03-dataelement-14479 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11908 (2019‑05‑31 14:53:43)
        Description The main specialty of the person completing the record.

        Properties

        FHIR PractitionerRole.specialty
        Relationship
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary :- Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Organisation
        prsb03-dataelement-14480
        Id prsb03-dataelement-14480 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11909 (2019‑05‑31 14:53:43)
        Description The organisation the person completing the record works for.
        Relationship
        Operationalization NHS data dictionary : - Organisation data service
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Professional identifier
        prsb03-dataelement-14481
        Id prsb03-dataelement-14481 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11910 (2019‑05‑31 14:53:43)
        Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

        Properties

        FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
        Relationship
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary :- Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Date completed
        prsb03-dataelement-14482
        Id prsb03-dataelement-14482 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11911 (2019‑05‑31 14:53:43)
        Description The date and time the record was completed.
        Relationship
        Rationale Composition.date
        Operationalization Date and time.
        Value Domain
        Property
        Timestamp precision
        at least day, month and year, hour and minute
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Contact details
        prsb03-dataelement-14483
        Id prsb03-dataelement-14483 (2021‑08‑26 21:27:13)
        Concept inherits from draft prsb03-dataelement-11912 (2019‑05‑31 14:53:43)
        Description Contact details of the person completing the record.

        Properties

        FHIR PractitionerRole.telecom
        Relationship
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary : - UK telephone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited 0 times
         
        cancelled Date of self harm
        prsb03-dataelement-14484
        Id prsb03-dataelement-14484 (2021‑08‑26 21:27:13) 0.1
        Concept inherits from cancelled prsb03-dataelement-10823 (2019‑03‑21 13:34:44)
        Value Domain
        cancelled Performing Professional
        prsb03-dataelement-10181
        Id prsb03-dataelement-10181 (2018‑10‑31)
        Description Details of the professional recording the risk (including name and role).
        Value Domain
        cancelled Person completing record
        prsb03-dataelement-10967
        Id prsb03-dataelement-10967 (2019‑05‑20 16:32:57)
        Description This is the person recording the risk. Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
        Relationship
        Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
        Value Domain
        folder draft Risks to self
        prsb03-dataelement-10176
        link
        Id prsb03-dataelement-10176 (2018‑10‑31)
        Description Details of the persons risk to self

        Properties

        FHIR Composition.text
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Start date of risk
        prsb03-dataelement-11893
        Id prsb03-dataelement-11893 (2019‑05‑31 14:50:40)
        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
        prsb03-dataelement-11894
        Id prsb03-dataelement-11894 (2019‑05‑31 14:51:05)
        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
        prsb03-dataelement-13579
        Id prsb03-dataelement-13579 (2020‑09‑08 11:10:38)
        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 one transaction, 0 templates, inherited 0 times
         
        folder draft Location
        prsb03-dataelement-11895
        link
        Id prsb03-dataelement-11895 (2019‑05‑31 14:51:50)
        Description The location where the risk was identified.
        Relationship
        target Used by one transaction, 0 templates, inherited once
         
        draft Coded value
        prsb03-dataelement-13586
        Id prsb03-dataelement-13586 (2020‑09‑08 12:08:47)
        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
        prsb03-dataelement-13587
        Id prsb03-dataelement-13587 (2020‑09‑08 12:09:57)
        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 Performing professional
        prsb03-dataelement-11896
        link
        Id prsb03-dataelement-11896 (2019‑05‑31 14:52:35)
        Description The professional who identified the risk.
        Relationship
        target Used by one transaction, 0 templates, inherited once
         
        draft Name
        prsb03-dataelement-11897
        Id prsb03-dataelement-11897 (2019‑05‑31 14:52:54)
        Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
        Description The name of the professional.
        Rationale Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited once
         
        draft Role
        prsb03-dataelement-11898
        Id prsb03-dataelement-11898 (2019‑05‑31 14:52:54)
        Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
        Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
        Rationale Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobroletype
        Value Domain
        target Used by one transaction, 0 templates, inherited once
         
        draft Grade
        prsb03-dataelement-11899
        Id prsb03-dataelement-11899 (2019‑05‑31 14:52:54)
        Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
        Description The grade of the professional.
        Rationale PractitionerRole.code
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited once
         
        draft Speciality
        prsb03-dataelement-11900
        Id prsb03-dataelement-11900 (2019‑05‑31 14:52:54)
        Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
        Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary - Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited once
         
        draft Professional identifier
        prsb03-dataelement-11901
        Id prsb03-dataelement-11901 (2019‑05‑31 14:52:54)
        Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
        Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary : - Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited once
         
        folder draft Organisation
        prsb03-dataelement-11902
        Id prsb03-dataelement-11902 (2019‑05‑31 14:52:54)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        target Used by one transaction, 0 templates, inherited once
         
        draft Contact details
        prsb03-dataelement-11903
        Id prsb03-dataelement-11903 (2019‑05‑31 14:52:54)
        Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
        Description Contact details of the professional
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary - UK phone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited once
         
        folder draft Person completing record
        prsb03-dataelement-11904
        link
        Id prsb03-dataelement-11904 (2019‑05‑31 14:53:05)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        target Used by one transaction, 0 templates, inherited once
         
        draft Name
        prsb03-dataelement-11905
        Id prsb03-dataelement-11905 (2019‑05‑31 14:53:43)
        Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
        Description The name of the person completing the record.
        Relationship
        Rationale Composition.author.Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited once
         
        draft Role
        prsb03-dataelement-11906
        Id prsb03-dataelement-11906 (2019‑05‑31 14:53:43)
        Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
        Description The organisational role of the person completing record.

        Properties

        FHIR PractitionerRole.code of the practitioner completing the record
        Relationship
        Rationale Composition.author.Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobrole
        Value Domain
        target Used by one transaction, 0 templates, inherited once
         
        draft Grade
        prsb03-dataelement-11907
        Id prsb03-dataelement-11907 (2019‑05‑31 14:53:43)
        Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
        Description The grade of the person completing the record.
        Relationship
        Rationale PractitionerRole.code
        Operationalization Free text.
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited once
         
        draft Specialty
        prsb03-dataelement-11908
        Id prsb03-dataelement-11908 (2019‑05‑31 14:53:43)
        Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
        Description The main specialty of the person completing the record.

        Properties

        FHIR PractitionerRole.specialty
        Relationship
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary :- Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited once
         
        folder draft Organisation
        prsb03-dataelement-11909
        Id prsb03-dataelement-11909 (2019‑05‑31 14:53:43)
        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 one transaction, 0 templates, inherited once
         
        draft Professional identifier
        prsb03-dataelement-11910
        Id prsb03-dataelement-11910 (2019‑05‑31 14:53:43)
        Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
        Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

        Properties

        FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
        Relationship
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary :- Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited once
         
        draft Date completed
        prsb03-dataelement-11911
        Id prsb03-dataelement-11911 (2019‑05‑31 14:53:43)
        Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
        Description The date and time the record was completed.
        Relationship
        Rationale Composition.date
        Operationalization Date and time.
        Value Domain
        Property
        Timestamp precision
        at least day, month and year, hour and minute
        target Used by one transaction, 0 templates, inherited once
         
        draft Contact details
        prsb03-dataelement-11912
        Id prsb03-dataelement-11912 (2019‑05‑31 14:53:43)
        Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
        Description Contact details of the person completing the record.

        Properties

        FHIR PractitionerRole.telecom
        Relationship
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary : - UK telephone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited once
         
        cancelled Date of self harm
        prsb03-dataelement-10823
        Id prsb03-dataelement-10823 (2019‑03‑21 13:34:44)
        Value Domain
        target Used by 0 transactions, 0 templates, inherited once
         
        folder draft Risks to others
        prsb03-dataelement-10177
        link
        Id prsb03-dataelement-10177 (2018‑10‑31)
        Description Details of the person's risk to others

        Properties

        FHIR Composition.text
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Start date of risk
        prsb03-dataelement-11913
        Id prsb03-dataelement-11913 (2019‑05‑31 14:54:14)
        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
        prsb03-dataelement-11914
        Id prsb03-dataelement-11914 (2019‑05‑31 14:54:38)
        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
        prsb03-dataelement-13580
        Id prsb03-dataelement-13580 (2020‑09‑08 11:21:20)
        Description Risks to professionals or others.
        Operationalization SNOMED CT: - <<391155006 |At risk of harming others (finding)|

        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Location
        prsb03-dataelement-11915
        link
        Id prsb03-dataelement-11915 (2019‑05‑31 14:55:04)
        Description The location where the risk to others was identified.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-13588
        Id prsb03-dataelement-13588 (2020‑09‑08 12:15:45)
        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
        prsb03-dataelement-13589
        Id prsb03-dataelement-13589 (2020‑09‑08 12:17:17)
        Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
        Description Free text field to be used if no code is available
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Performing professional
        prsb03-dataelement-11916
        link
        Id prsb03-dataelement-11916 (2019‑05‑31 14:55:39)
        Description The professional who identifies the risk to others.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-11917
        Id prsb03-dataelement-11917 (2019‑05‑31 14:55:55)
        Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
        Description The name of the professional.
        Rationale Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Role
        prsb03-dataelement-11918
        Id prsb03-dataelement-11918 (2019‑05‑31 14:55:55)
        Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
        Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
        Rationale Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobroletype
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Grade
        prsb03-dataelement-11919
        Id prsb03-dataelement-11919 (2019‑05‑31 14:55:55)
        Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
        Description The grade of the professional.
        Rationale PractitionerRole.code
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Speciality
        prsb03-dataelement-11920
        Id prsb03-dataelement-11920 (2019‑05‑31 14:55:55)
        Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
        Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary - Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Professional identifier
        prsb03-dataelement-11921
        Id prsb03-dataelement-11921 (2019‑05‑31 14:55:55)
        Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
        Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary : - Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Organisation
        prsb03-dataelement-11922
        Id prsb03-dataelement-11922 (2019‑05‑31 14:55:55)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Contact details
        prsb03-dataelement-11923
        Id prsb03-dataelement-11923 (2019‑05‑31 14:55:55)
        Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
        Description Contact details of the professional
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary - UK phone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Person completing record
        prsb03-dataelement-11924
        link
        Id prsb03-dataelement-11924 (2019‑05‑31 14:56:46)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-11925
        Id prsb03-dataelement-11925 (2019‑05‑31 14:57:11)
        Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
        Description The name of the person completing the record.
        Relationship
        Rationale Composition.author.Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Role
        prsb03-dataelement-11926
        Id prsb03-dataelement-11926 (2019‑05‑31 14:57:11)
        Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
        Description The organisational role of the person completing record.

        Properties

        FHIR PractitionerRole.code of the practitioner completing the record
        Relationship
        Rationale Composition.author.Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobrole
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Grade
        prsb03-dataelement-11927
        Id prsb03-dataelement-11927 (2019‑05‑31 14:57:11)
        Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
        Description The grade of the person completing the record.
        Relationship
        Rationale PractitionerRole.code
        Operationalization Free text.
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Specialty
        prsb03-dataelement-11928
        Id prsb03-dataelement-11928 (2019‑05‑31 14:57:11)
        Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
        Description The main specialty of the person completing the record.

        Properties

        FHIR PractitionerRole.specialty
        Relationship
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary :- Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Organisation
        prsb03-dataelement-11929
        Id prsb03-dataelement-11929 (2019‑05‑31 14:57:11)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Professional identifier
        prsb03-dataelement-11930
        Id prsb03-dataelement-11930 (2019‑05‑31 14:57:11)
        Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
        Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

        Properties

        FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
        Relationship
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary :- Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Date completed
        prsb03-dataelement-11931
        Id prsb03-dataelement-11931 (2019‑05‑31 14:57:11)
        Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
        Description The date and time the record was completed.
        Relationship
        Rationale Composition.date
        Operationalization Date and time.
        Value Domain
        Property
        Timestamp precision
        at least day, month and year, hour and minute
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Contact details
        prsb03-dataelement-11932
        Id prsb03-dataelement-11932 (2019‑05‑31 14:57:11)
        Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
        Description Contact details of the person completing the record.

        Properties

        FHIR PractitionerRole.telecom
        Relationship
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary : - UK telephone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Risk from others
        prsb03-dataelement-10178
        link
        Id prsb03-dataelement-10178 (2018‑10‑31)
        Description Risks to the person from an identified individual e.g. family member etc.

        Properties

        FHIR Composition.text
        Operationalization Free Text.
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Start date of risk
        prsb03-dataelement-11933
        Id prsb03-dataelement-11933 (2019‑05‑31 14:58:12)
        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
        prsb03-dataelement-11934
        Id prsb03-dataelement-11934 (2019‑05‑31 14:58:38)
        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
        prsb03-dataelement-13581
        Id prsb03-dataelement-13581 (2020‑09‑08 11:37:50)
        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 one transaction, 0 templates, inherited 0 times
         
        folder draft Location
        prsb03-dataelement-11935
        link
        Id prsb03-dataelement-11935 (2019‑05‑31 14:59:06)
        Description The location where the risk from others was identified.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-13590
        Id prsb03-dataelement-13590 (2020‑09‑08 12:21:08)
        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
        prsb03-dataelement-13591
        Id prsb03-dataelement-13591 (2020‑09‑08 12:22:47)
        Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
        Description Free text field to be used if no code is available
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Performing professional
        prsb03-dataelement-11936
        link
        Id prsb03-dataelement-11936 (2019‑05‑31 14:59:33)
        Description The professional who identified the risk from others.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-11937
        Id prsb03-dataelement-11937 (2019‑05‑31 14:59:53)
        Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
        Description The name of the professional.
        Rationale Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Role
        prsb03-dataelement-11938
        Id prsb03-dataelement-11938 (2019‑05‑31 14:59:53)
        Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
        Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
        Rationale Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobroletype
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Grade
        prsb03-dataelement-11939
        Id prsb03-dataelement-11939 (2019‑05‑31 14:59:53)
        Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
        Description The grade of the professional.
        Rationale PractitionerRole.code
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Speciality
        prsb03-dataelement-11940
        Id prsb03-dataelement-11940 (2019‑05‑31 14:59:53)
        Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
        Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary - Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Professional identifier
        prsb03-dataelement-11941
        Id prsb03-dataelement-11941 (2019‑05‑31 14:59:53)
        Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
        Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary : - Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Organisation
        prsb03-dataelement-11942
        Id prsb03-dataelement-11942 (2019‑05‑31 14:59:53)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Contact details
        prsb03-dataelement-11943
        Id prsb03-dataelement-11943 (2019‑05‑31 14:59:53)
        Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
        Description Contact details of the professional
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary - UK phone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Person completing record
        prsb03-dataelement-11944
        link
        Id prsb03-dataelement-11944 (2019‑05‑31 15:00:03)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-11945
        Id prsb03-dataelement-11945 (2019‑05‑31 15:00:27)
        Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
        Description The name of the person completing the record.
        Relationship
        Rationale Composition.author.Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Role
        prsb03-dataelement-11946
        Id prsb03-dataelement-11946 (2019‑05‑31 15:00:27)
        Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
        Description The organisational role of the person completing record.

        Properties

        FHIR PractitionerRole.code of the practitioner completing the record
        Relationship
        Rationale Composition.author.Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobrole
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Grade
        prsb03-dataelement-11947
        Id prsb03-dataelement-11947 (2019‑05‑31 15:00:27)
        Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
        Description The grade of the person completing the record.
        Relationship
        Rationale PractitionerRole.code
        Operationalization Free text.
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Specialty
        prsb03-dataelement-11948
        Id prsb03-dataelement-11948 (2019‑05‑31 15:00:27)
        Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
        Description The main specialty of the person completing the record.

        Properties

        FHIR PractitionerRole.specialty
        Relationship
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary :- Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Organisation
        prsb03-dataelement-11949
        Id prsb03-dataelement-11949 (2019‑05‑31 15:00:27)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Professional identifier
        prsb03-dataelement-11950
        Id prsb03-dataelement-11950 (2019‑05‑31 15:00:27)
        Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
        Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

        Properties

        FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
        Relationship
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary :- Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Date completed
        prsb03-dataelement-11951
        Id prsb03-dataelement-11951 (2019‑05‑31 15:00:27)
        Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
        Description The date and time the record was completed.
        Relationship
        Rationale Composition.date
        Operationalization Date and time.
        Value Domain
        Property
        Timestamp precision
        at least day, month and year, hour and minute
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Contact details
        prsb03-dataelement-11952
        Id prsb03-dataelement-11952 (2019‑05‑31 15:00:27)
        Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
        Description Contact details of the person completing the record.

        Properties

        FHIR PractitionerRole.telecom
        Relationship
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary : - UK telephone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Risk of accidents
        prsb03-dataelement-10751
        link
        Id prsb03-dataelement-10751 (2019‑03‑07 17:19:00)
        Description Details of the risks the person poses to themselves from accidents.
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Start date of risk
        prsb03-dataelement-11953
        Id prsb03-dataelement-11953 (2019‑05‑31 15:00:58)
        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
        prsb03-dataelement-11954
        Id prsb03-dataelement-11954 (2019‑05‑31 15:01:29)
        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
        prsb03-dataelement-13582
        Id prsb03-dataelement-13582 (2020‑09‑08 11:57:25)
        Description Risks the person poses to themselves from accidents.
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Location
        prsb03-dataelement-11955
        link
        Id prsb03-dataelement-11955 (2019‑05‑31 15:01:51)
        Description The location where the risk of accidents was identified.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-13592
        Id prsb03-dataelement-13592 (2020‑09‑08 12:24:12)
        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
        prsb03-dataelement-13593
        Id prsb03-dataelement-13593 (2020‑09‑08 12:25:18)
        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 Performing professional
        prsb03-dataelement-11956
        link
        Id prsb03-dataelement-11956 (2019‑05‑31 15:02:24)
        Description The professional who identified the risk of accidents.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-11957
        Id prsb03-dataelement-11957 (2019‑05‑31 15:02:41)
        Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
        Description The name of the professional.
        Rationale Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited once
         
        draft Role
        prsb03-dataelement-11958
        Id prsb03-dataelement-11958 (2019‑05‑31 15:02:41)
        Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
        Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
        Rationale Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobroletype
        Value Domain
        target Used by one transaction, 0 templates, inherited once
         
        draft Grade
        prsb03-dataelement-11959
        Id prsb03-dataelement-11959 (2019‑05‑31 15:02:41)
        Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
        Description The grade of the professional.
        Rationale PractitionerRole.code
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited once
         
        draft Speciality
        prsb03-dataelement-11960
        Id prsb03-dataelement-11960 (2019‑05‑31 15:02:41)
        Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
        Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary - Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited once
         
        draft Professional identifier
        prsb03-dataelement-11961
        Id prsb03-dataelement-11961 (2019‑05‑31 15:02:41)
        Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
        Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary : - Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited once
         
        folder draft Organisation
        prsb03-dataelement-11962
        Id prsb03-dataelement-11962 (2019‑05‑31 15:02:41)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        target Used by one transaction, 0 templates, inherited once
         
        draft Contact details
        prsb03-dataelement-11963
        Id prsb03-dataelement-11963 (2019‑05‑31 15:02:41)
        Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
        Description Contact details of the professional
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary - UK phone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited once
         
        folder draft Person completing record
        prsb03-dataelement-11964
        link
        Id prsb03-dataelement-11964 (2019‑05‑31 15:02:51)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-11965
        Id prsb03-dataelement-11965 (2019‑05‑31 15:03:12)
        Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
        Description The name of the person completing the record.
        Relationship
        Rationale Composition.author.Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Role
        prsb03-dataelement-11966
        Id prsb03-dataelement-11966 (2019‑05‑31 15:03:12)
        Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
        Description The organisational role of the person completing record.

        Properties

        FHIR PractitionerRole.code of the practitioner completing the record
        Relationship
        Rationale Composition.author.Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobrole
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Grade
        prsb03-dataelement-11967
        Id prsb03-dataelement-11967 (2019‑05‑31 15:03:12)
        Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
        Description The grade of the person completing the record.
        Relationship
        Rationale PractitionerRole.code
        Operationalization Free text.
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Specialty
        prsb03-dataelement-11968
        Id prsb03-dataelement-11968 (2019‑05‑31 15:03:12)
        Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
        Description The main specialty of the person completing the record.

        Properties

        FHIR PractitionerRole.specialty
        Relationship
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary :- Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Organisation
        prsb03-dataelement-11969
        Id prsb03-dataelement-11969 (2019‑05‑31 15:03:12)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Professional identifier
        prsb03-dataelement-11970
        Id prsb03-dataelement-11970 (2019‑05‑31 15:03:12)
        Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
        Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

        Properties

        FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
        Relationship
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary :- Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Date completed
        prsb03-dataelement-11971
        Id prsb03-dataelement-11971 (2019‑05‑31 15:03:12)
        Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
        Description The date and time the record was completed.
        Relationship
        Rationale Composition.date
        Operationalization Date and time.
        Value Domain
        Property
        Timestamp precision
        at least day, month and year, hour and minute
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Contact details
        prsb03-dataelement-11972
        Id prsb03-dataelement-11972 (2019‑05‑31 15:03:12)
        Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
        Description Contact details of the person completing the record.

        Properties

        FHIR PractitionerRole.telecom
        Relationship
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary : - UK telephone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Other risks
        prsb03-dataelement-10802
        link
        Id prsb03-dataelement-10802 (2019‑03‑20 14:23:40)
        Description Details of other risks, factors or behaviours relating to the person.
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Start date of risk
        prsb03-dataelement-11973
        Id prsb03-dataelement-11973 (2019‑05‑31 15:03:41)
        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
        prsb03-dataelement-11974
        Id prsb03-dataelement-11974 (2019‑05‑31 15:04:10)
        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
        prsb03-dataelement-13583
        Id prsb03-dataelement-13583 (2020‑09‑08 12:01:56)
        Description Other risks, factors or behaviours relating to the person.
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Location
        prsb03-dataelement-11975
        link
        Id prsb03-dataelement-11975 (2019‑05‑31 15:04:35)
        Description The location where the other risks were identified.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-13594
        Id prsb03-dataelement-13594 (2020‑09‑08 12:26:43)
        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
        prsb03-dataelement-13595
        Id prsb03-dataelement-13595 (2020‑09‑08 12:27:58)
        Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
        Description Free text field to be used if no code is available
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Performing professional
        prsb03-dataelement-11976
        link
        Id prsb03-dataelement-11976 (2019‑05‑31 15:05:03)
        Description The professional who identified the other risks.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-11977
        Id prsb03-dataelement-11977 (2019‑05‑31 15:05:19)
        Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
        Description The name of the professional.
        Rationale Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Role
        prsb03-dataelement-11978
        Id prsb03-dataelement-11978 (2019‑05‑31 15:05:19)
        Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
        Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
        Rationale Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobroletype
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Grade
        prsb03-dataelement-11979
        Id prsb03-dataelement-11979 (2019‑05‑31 15:05:19)
        Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
        Description The grade of the professional.
        Rationale PractitionerRole.code
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Speciality
        prsb03-dataelement-11980
        Id prsb03-dataelement-11980 (2019‑05‑31 15:05:19)
        Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
        Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary - Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Professional identifier
        prsb03-dataelement-11981
        Id prsb03-dataelement-11981 (2019‑05‑31 15:05:19)
        Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
        Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary : - Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Organisation
        prsb03-dataelement-11982
        Id prsb03-dataelement-11982 (2019‑05‑31 15:05:19)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Contact details
        prsb03-dataelement-11983
        Id prsb03-dataelement-11983 (2019‑05‑31 15:05:19)
        Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
        Description Contact details of the professional
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary - UK phone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Person completing record
        prsb03-dataelement-11984
        link
        Id prsb03-dataelement-11984 (2019‑05‑31 15:05:29)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-11985
        Id prsb03-dataelement-11985 (2019‑05‑31 15:05:47)
        Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
        Description The name of the person completing the record.
        Relationship
        Rationale Composition.author.Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Role
        prsb03-dataelement-11986
        Id prsb03-dataelement-11986 (2019‑05‑31 15:05:47)
        Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
        Description The organisational role of the person completing record.

        Properties

        FHIR PractitionerRole.code of the practitioner completing the record
        Relationship
        Rationale Composition.author.Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobrole
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Grade
        prsb03-dataelement-11987
        Id prsb03-dataelement-11987 (2019‑05‑31 15:05:47)
        Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
        Description The grade of the person completing the record.
        Relationship
        Rationale PractitionerRole.code
        Operationalization Free text.
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Specialty
        prsb03-dataelement-11988
        Id prsb03-dataelement-11988 (2019‑05‑31 15:05:47)
        Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
        Description The main specialty of the person completing the record.

        Properties

        FHIR PractitionerRole.specialty
        Relationship
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary :- Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Organisation
        prsb03-dataelement-11989
        Id prsb03-dataelement-11989 (2019‑05‑31 15:05:47)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Professional identifier
        prsb03-dataelement-11990
        Id prsb03-dataelement-11990 (2019‑05‑31 15:05:47)
        Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
        Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

        Properties

        FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
        Relationship
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary :- Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Date completed
        prsb03-dataelement-11991
        Id prsb03-dataelement-11991 (2019‑05‑31 15:05:47)
        Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
        Description The date and time the record was completed.
        Relationship
        Rationale Composition.date
        Operationalization Date and time.
        Value Domain
        Property
        Timestamp precision
        at least day, month and year, hour and minute
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Contact details
        prsb03-dataelement-11992
        Id prsb03-dataelement-11992 (2019‑05‑31 15:05:47)
        Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
        Description Contact details of the person completing the record.

        Properties

        FHIR PractitionerRole.telecom
        Relationship
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary : - UK telephone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Infection risk
        prsb03-dataelement-12479
        link
        Id prsb03-dataelement-12479 (2019‑06‑27 15:22:39)
        Description Details of any known infection of the person for which special handling might be required
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Start date of risk
        prsb03-dataelement-10179
        Id 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 5 times
         
        draft End date of risk
        prsb03-dataelement-10801
        Id 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 5 times
         
        draft Infection risk
        prsb03-dataelement-13596
        Id prsb03-dataelement-13596 (2020‑09‑08 15:58:56)
        Description Any known infection of the person for which special handling might be required
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Location
        prsb03-dataelement-10180
        link
        Id prsb03-dataelement-10180 (2018‑10‑31)
        Description The location where the risk was identified.
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-13584
        Id prsb03-dataelement-13584 (2020‑09‑08 12:05:13)
        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
        prsb03-dataelement-13585
        Id prsb03-dataelement-13585 (2020‑09‑08 12:06:42)
        Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
        Description Free text field to be used if no code is available
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Performing professional
        prsb03-dataelement-13597
        link
        Id prsb03-dataelement-13597 (2020‑09‑08 16:01:11)
        Description The professional who identified the risk of infections.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-13598
        Id prsb03-dataelement-13598 (2020‑09‑08 16:02:57)
        Concept inherits from draft prsb03-dataelement-11957 (2019‑05‑31 15:02:41)
        Description The name of the professional.
        Rationale Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Role
        prsb03-dataelement-13599
        Id prsb03-dataelement-13599 (2020‑09‑08 16:02:57)
        Concept inherits from draft prsb03-dataelement-11958 (2019‑05‑31 15:02:41)
        Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
        Rationale Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobroletype
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Grade
        prsb03-dataelement-13600
        Id prsb03-dataelement-13600 (2020‑09‑08 16:02:57)
        Concept inherits from draft prsb03-dataelement-11959 (2019‑05‑31 15:02:41)
        Description The grade of the professional.
        Rationale PractitionerRole.code
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Speciality
        prsb03-dataelement-13601
        Id prsb03-dataelement-13601 (2020‑09‑08 16:02:57)
        Concept inherits from draft prsb03-dataelement-11960 (2019‑05‑31 15:02:41)
        Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary - Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Professional identifier
        prsb03-dataelement-13602
        Id prsb03-dataelement-13602 (2020‑09‑08 16:02:57)
        Concept inherits from draft prsb03-dataelement-11961 (2019‑05‑31 15:02:41)
        Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary : - Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Organisation
        prsb03-dataelement-13603
        Id prsb03-dataelement-13603 (2020‑09‑08 16:02:57)
        Concept inherits from draft prsb03-dataelement-11962 (2019‑05‑31 15:02:41)
        Description The name of the organisation the professional works for.
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Contact details
        prsb03-dataelement-13604
        Id prsb03-dataelement-13604 (2020‑09‑08 16:02:57)
        Concept inherits from draft prsb03-dataelement-11963 (2019‑05‑31 15:02:41)
        Description Contact details of the professional
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary - UK phone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Person completing record
        prsb03-dataelement-13605
        link
        Id prsb03-dataelement-13605 (2020‑09‑08 16:04:28)
        Concept inherits from draft prsb03-dataelement-13035 (2020‑04‑28 19:33:13)
        Description A record of the details of the person that entered the reasonable adjustment and the date on which it was entered.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-13606
        Id prsb03-dataelement-13606 (2020‑09‑08 16:05:09)
        Concept inherits from draft prsb03-dataelement-13036 (2020‑04‑28 19:33:40)
        Description The name of the person completing the record.
        Relationship
        Rationale Composition.author.Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Role
        prsb03-dataelement-13607
        Id prsb03-dataelement-13607 (2020‑09‑08 16:05:09)
        Concept inherits from draft prsb03-dataelement-13037 (2020‑04‑28 19:33:40)
        Description The organisational role of the person completing record.

        Properties

        FHIR PractitionerRole.code of the practitioner completing the record
        Relationship
        Rationale Composition.author.Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobrole
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Grade
        prsb03-dataelement-13608
        Id prsb03-dataelement-13608 (2020‑09‑08 16:05:09)
        Concept inherits from draft prsb03-dataelement-13038 (2020‑04‑28 19:33:40)
        Description The grade of the person completing the record.
        Relationship
        Rationale PractitionerRole.code
        Operationalization Free text.
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Specialty
        prsb03-dataelement-13609
        Id prsb03-dataelement-13609 (2020‑09‑08 16:05:09)
        Concept inherits from draft prsb03-dataelement-13039 (2020‑04‑28 19:33:40)
        Description The main specialty of the person completing the record.

        Properties

        FHIR PractitionerRole.specialty
        Relationship
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary :- Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Organisation
        prsb03-dataelement-13610
        Id prsb03-dataelement-13610 (2020‑09‑08 16:05:09)
        Concept inherits from draft prsb03-dataelement-13040 (2020‑04‑28 19:33:40)
        Description The organisation the person completing the record works for.
        Relationship
        Operationalization NHS data dictionary : - Organisation data service
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Professional identifier
        prsb03-dataelement-13611
        Id prsb03-dataelement-13611 (2020‑09‑08 16:05:09)
        Concept inherits from draft prsb03-dataelement-13041 (2020‑04‑28 19:33:40)
        Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

        Properties

        FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
        Relationship
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary :- Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Date completed
        prsb03-dataelement-13612
        Id prsb03-dataelement-13612 (2020‑09‑08 16:05:09)
        Concept inherits from draft prsb03-dataelement-13042 (2020‑04‑28 19:33:40)
        Description The date and time the record was completed.
        Relationship
        Rationale Composition.date
        Operationalization Date and time.
        Value Domain
        Property
        Timestamp precision
        at least day, month and year, hour and minute
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Contact details
        prsb03-dataelement-13613
        Id prsb03-dataelement-13613 (2020‑09‑08 16:05:09)
        Concept inherits from draft prsb03-dataelement-13043 (2020‑04‑28 19:33:40)
        Description Contact details of the person completing the record.

        Properties

        FHIR PractitionerRole.telecom
        Relationship
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary : - UK telephone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited 0 times
         
        cancelled Person completing record
        prsb03-dataelement-10959
        Id prsb03-dataelement-10959 (2019‑05‑18 21:13:52) 0.1
        Concept inherits from cancelled prsb03-dataelement-10860 (2019‑03‑27 17:46:45)
        Description This is the person recording the individual requirement.

        Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
        Relationship
        Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
        Value Domain
        cancelled Other risk behaviours
        prsb03-dataelement-10752
        Id prsb03-dataelement-10752 (2019‑03‑07 17:21:05) 0.1
        Value Domain
        cancelled Factors affecting risk
        prsb03-dataelement-10753
        Id prsb03-dataelement-10753 (2019‑03‑07 17:21:36) 0.1
        Value Domain
        folder draft Allergies and adverse reactions
        prsb03-dataelement-282
        link
        Id prsb03-dataelement-282 (2018‑10‑31)
        Description Allergies and adverse reactions
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Allergies and adverse reactions record entry
        prsb03-dataelement-10657
        link
        Id prsb03-dataelement-10657 (2018‑11‑13 12:23:03)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Type of reaction
        prsb03-dataelement-10186
        Id prsb03-dataelement-10186 (2018‑10‑31)
        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 one transaction, 0 templates, inherited 0 times
         
        folder draft Causative agent
        prsb03-dataelement-10182
        link
        Id prsb03-dataelement-10182 (2018‑10‑31)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-13441
        Id prsb03-dataelement-13441 (2020‑08‑19 14:12:48)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Free text
        prsb03-dataelement-13442
        Id prsb03-dataelement-13442 (2020‑08‑19 15:33:40)
        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 Reaction details cluster
        prsb03-dataelement-10658
        link
        Id prsb03-dataelement-10658 (2018‑11‑13 12:29:25)
        Description Details of the reaction.
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Date
        prsb03-dataelement-10190
        Id prsb03-dataelement-10190 (2018‑10‑31)
        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 one transaction, 0 templates, inherited 0 times
         
        folder draft Location
        prsb03-dataelement-10846
        link
        Id prsb03-dataelement-10846 (2019‑03‑27 17:04:11)
        Description Details of where the allergy was identified. Linked to the date of the diagnosis by the professional.
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-13439
        Id prsb03-dataelement-13439 (2020‑08‑19 13:58:37)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Free text
        prsb03-dataelement-13440
        Id prsb03-dataelement-13440 (2020‑08‑19 14:02:39)
        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
         
        cancelled Performing professional
        prsb03-dataelement-10847
        Id prsb03-dataelement-10847 (2019‑03‑27 17:08:07)
        Description Details of the professional recording the allergy (including name and role).
        Value Domain
        cancelled Person completing record
        prsb03-dataelement-10968
        Id prsb03-dataelement-10968 (2019‑05‑20 18:12:21)
        Description This is the person recording the allergies or adverse reactions.

        Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
        Relationship
        Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
        Value Domain
        folder draft Substance
        prsb03-dataelement-11665
        link
        Id prsb03-dataelement-11665 (2019‑05‑30 20:17:32)
        Description The substance, or a class of substances, that is considered to be responsible for the adverse reaction.
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-13554
        Id prsb03-dataelement-13554 (2020‑09‑04 16:44:48)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Free text
        prsb03-dataelement-13555
        Id prsb03-dataelement-13555 (2020‑09‑04 16:45:54)
        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 Description of reaction
        prsb03-dataelement-10183
        link
        Id prsb03-dataelement-10183 (2018‑10‑31)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-13556
        Id prsb03-dataelement-13556 (2020‑09‑04 16:48:37)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Free text
        prsb03-dataelement-13557
        Id prsb03-dataelement-13557 (2020‑09‑04 16:51:03)
        Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
        Description Free text field to be used if no code is available
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Onset date
        prsb03-dataelement-13844
        Id prsb03-dataelement-13844 (2020‑12‑29 22:44:39)
        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 one transaction, 0 templates, inherited 0 times
         
        folder draft Severity
        prsb03-dataelement-10184
        link
        Id prsb03-dataelement-10184 (2018‑10‑31)
        Description A description of the severity of the reaction.

        Properties

        FHIR AllergyIntolerance.reaction.severity
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-13558
        Id prsb03-dataelement-13558 (2020‑09‑04 17:43:42)
        Description The coded value for severity
        Rationale AllergyIntolerance.reaction.severity
        Operationalization FHIR value set : - Severity
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Free text
        prsb03-dataelement-13559
        Id prsb03-dataelement-13559 (2020‑09‑04 17:48:53)
        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 Certainty
        prsb03-dataelement-10185
        link
        Id prsb03-dataelement-10185 (2018‑10‑31)
        Description A description of the certainty that the stated causative agent caused the allergic or adverse reaction.

        Properties

        FHIR AllergyIntolerance.verificationStatus
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-13560
        Id prsb03-dataelement-13560 (2020‑09‑04 17:52:26)
        Description The coded value for certainty.
        Rationale AllergyIntolerance.verificationStatus
        Operationalization FHIR value set : - Certainty
        Value Domain
        target Used by one transaction, 0 templates, inherited once
         
        draft Free text
        prsb03-dataelement-13561
        Id prsb03-dataelement-13561 (2020‑09‑04 17:55:21)
        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 Route of exposure
        prsb03-dataelement-13856
        link
        Id prsb03-dataelement-13856 (2021‑01‑18 18:45:19)
        Description The route the person was exposed to the substance
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Coded value
        prsb03-dataelement-13857
        Id prsb03-dataelement-13857 (2021‑01‑18 18:50:12)
        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 one transaction, 0 templates, inherited once
         
        draft Free text
        prsb03-dataelement-13858
        Id prsb03-dataelement-13858 (2021‑01‑18 18:55:02)
        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 once
         
        draft Comment
        prsb03-dataelement-10189
        Id prsb03-dataelement-10189 (2018‑10‑31)
        Description Any additional comment or clarification about the adverse reaction.
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Evidence
        prsb03-dataelement-10187
        Id prsb03-dataelement-10187 (2018‑10‑31)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Date first experienced
        prsb03-dataelement-10188
        Id prsb03-dataelement-10188 (2018‑10‑31)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Allergy end date
        prsb03-dataelement-14253
        Id prsb03-dataelement-14253 (2021‑03‑04 13:29:34)
        Description The date the allergy was diagnosed as ended
        Operationalization Date and time 
        Value Domain
        Property
        Timestamp precision
        at least year
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Comment
        prsb03-dataelement-14273
        Id prsb03-dataelement-14273 (2021‑04‑09 11:01:11)
        Description Any further comments on the person's allergies or adverse reactions.
        Operationalization Free text
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        cancelled Probability of recurrence
        prsb03-dataelement-10191
        Id prsb03-dataelement-10191 (2018‑10‑31) 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
        folder draft Performing professional
        prsb03-dataelement-12010
        link
        Id prsb03-dataelement-12010 (2019‑05‑31 15:23:59)
        Description The professional who identified the reaction.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-12011
        Id prsb03-dataelement-12011 (2019‑05‑31 15:24:24)
        Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
        Description The name of the professional.
        Rationale Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Role
        prsb03-dataelement-12012
        Id prsb03-dataelement-12012 (2019‑05‑31 15:24:24)
        Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
        Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
        Rationale Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobroletype
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Grade
        prsb03-dataelement-12013
        Id prsb03-dataelement-12013 (2019‑05‑31 15:24:24)
        Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
        Description The grade of the professional.
        Rationale PractitionerRole.code
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Speciality
        prsb03-dataelement-12014
        Id prsb03-dataelement-12014 (2019‑05‑31 15:24:24)
        Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
        Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary - Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Professional identifier
        prsb03-dataelement-12015
        Id prsb03-dataelement-12015 (2019‑05‑31 15:24:24)
        Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
        Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary : - Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Organisation
        prsb03-dataelement-12016
        Id prsb03-dataelement-12016 (2019‑05‑31 15:24:24)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Contact details
        prsb03-dataelement-12017
        Id prsb03-dataelement-12017 (2019‑05‑31 15:24:24)
        Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
        Description Contact details of the professional
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary - UK phone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Person completing record
        prsb03-dataelement-12018
        link
        Id prsb03-dataelement-12018 (2019‑05‑31 15:24:36)
        Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
        Description Details of the person completing the record.
        Relationship
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Name
        prsb03-dataelement-12019
        Id prsb03-dataelement-12019 (2019‑05‑31 15:24:56)
        Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
        Description The name of the person completing the record.
        Relationship
        Rationale Composition.author.Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Role
        prsb03-dataelement-12020
        Id prsb03-dataelement-12020 (2019‑05‑31 15:24:56)
        Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
        Description The organisational role of the person completing record.

        Properties

        FHIR PractitionerRole.code of the practitioner completing the record
        Relationship
        Rationale Composition.author.Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobrole
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Grade
        prsb03-dataelement-12021
        Id prsb03-dataelement-12021 (2019‑05‑31 15:24:56)
        Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
        Description The grade of the person completing the record.
        Relationship
        Rationale PractitionerRole.code
        Operationalization Free text.
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Specialty
        prsb03-dataelement-12022
        Id prsb03-dataelement-12022 (2019‑05‑31 15:24:56)
        Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
        Description The main specialty of the person completing the record.

        Properties

        FHIR PractitionerRole.specialty
        Relationship
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary :- Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited 0 times
         
        folder draft Organisation
        prsb03-dataelement-12023
        Id prsb03-dataelement-12023 (2019‑05‑31 15:24:56)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Professional identifier
        prsb03-dataelement-12024
        Id prsb03-dataelement-12024 (2019‑05‑31 15:24:56)
        Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
        Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

        Properties

        FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
        Relationship
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary :- Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Date completed
        prsb03-dataelement-12025
        Id prsb03-dataelement-12025 (2019‑05‑31 15:24:56)
        Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
        Description The date and time the record was completed.
        Relationship
        Rationale Composition.date
        Operationalization Date and time.
        Value Domain
        Property
        Timestamp precision
        at least day, month and year, hour and minute
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Contact details
        prsb03-dataelement-12026
        Id prsb03-dataelement-12026 (2019‑05‑31 15:24:56)
        Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
        Description Contact details of the person completing the record.

        Properties

        FHIR PractitionerRole.telecom
        Relationship
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary : - UK telephone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited 0 times
         
        rejected Person completing record
        prsb03-dataelement-10960
        Id prsb03-dataelement-10960 (2019‑05‑18 21:15:23)
        Concept inherits from cancelled prsb03-dataelement-10860 (2019‑03‑27 17:46:45)
        Description This is the person recording the individual requirement.

        Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
        Relationship
        Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
        Value Domain
        folder draft Medications and medical devices
        prsb03-dataelement-636
        link
        Id prsb03-dataelement-636 (2018‑10‑31)
        Description Medications and medical devices
        target Used by one transaction, 0 templates, inherited once
         
        folder draft Medication administration record entry
        prsb03-dataelement-12483
        link
        Id prsb03-dataelement-12483 (2019‑07‑03 12:24:36)
        Description Each entry holds details of medications administered
        target Used by 0 transactions, 0 templates, inherited once
         
        folder draft Medication name
        prsb03-dataelement-12484
        link
        Id prsb03-dataelement-12484 (2019‑07‑03 12:27:06)
        Concept inherits from draft prsb03-dataelement-10536 (2018‑10‑31)
        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 0 transactions, 0 templates, inherited once
         
        draft Coded value
        prsb03-dataelement-13663
        Id prsb03-dataelement-13663 (2020‑09‑08 21:49:56)
        Concept inherits from draft prsb03-dataelement-13622 (2020‑09‑08 19:15:21)
        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
        draft Free text
        prsb03-dataelement-13664
        Id prsb03-dataelement-13664 (2020‑09‑08 21:49:56)
        Concept inherits from draft prsb03-dataelement-13623 (2020‑09‑08 19:17:39)
        Description Free text field to be used if no code is available
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        folder draft Route
        prsb03-dataelement-12485
        link
        Id prsb03-dataelement-12485 (2019‑07‑03 12:28:40)
        Concept inherits from draft prsb03-dataelement-10538 (2018‑10‑31)
        Description The route by which the medication is administered e.g. oral, IM, IV

        Properties

        FHIR MedicationStatement.dosage.route
        target Used by 0 transactions, 0 templates, inherited once
         
        draft Coded value
        prsb03-dataelement-13661
        Id prsb03-dataelement-13661 (2020‑09‑08 21:47:04)
        Concept inherits from draft prsb03-dataelement-13655 (2020‑09‑08 20:30:38)
        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
        draft Free text
        prsb03-dataelement-13662
        Id prsb03-dataelement-13662 (2020‑09‑08 21:47:04)
        Concept inherits from draft prsb03-dataelement-13656 (2020‑09‑08 20:31:40)
        Description Free text field to be used if no code is available
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        draft Dose administered
        prsb03-dataelement-12487
        Id prsb03-dataelement-12487 (2019‑07‑03 12:35:08)
        Description The quantity and units of medication administered
        Operationalization Free text. The quantity and units administered
        Value Domain
        target Used by 0 transactions, 0 templates, inherited once
         
        draft Administration date and time
        prsb03-dataelement-12486
        Id prsb03-dataelement-12486 (2019‑07‑03 12:28:41)
        Description The date and time when the medication was administered.
        Operationalization Date and time
        Value Domain
        Property
        Timestamp precision
        at least day, month and year
        target Used by 0 transactions, 0 templates, inherited once
         
        folder draft Medication item entry
        prsb03-dataelement-10663
        link
        Id prsb03-dataelement-10663 (2018‑11‑13 15:56:21)
        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 one transaction, 0 templates, inherited 2 times
         
        folder draft Medication item cluster
        prsb03-dataelement-10664
        link
        Id prsb03-dataelement-10664 (2018‑11‑13 16:25:51)
        Description Medication item cluster
        target Used by one transaction, 0 templates, inherited 2 times
         
        draft Date
        prsb03-dataelement-10843
        Id prsb03-dataelement-10843 (2019‑03‑27 16:59:52)
        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 one transaction, 0 templates, inherited 3 times
         
        folder draft Location
        prsb03-dataelement-10844
        link
        Id prsb03-dataelement-10844 (2019‑03‑27 17:01:20)
        Description The location where the medication or the medical device was prescribed.
        target Used by one transaction, 0 templates, inherited 3 times
         
        draft Coded value
        prsb03-dataelement-13620
        Id prsb03-dataelement-13620 (2020‑09‑08 19:05:36)
        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
        prsb03-dataelement-13621
        Id prsb03-dataelement-13621 (2020‑09‑08 19:07:01)
        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
         
        cancelled Performing professional
        prsb03-dataelement-10845
        Id prsb03-dataelement-10845 (2019‑03‑27 17:01:47) 0.1
        Description Details of the professional prescribing the medication or medical device.
        Value Domain
        target Used by 0 transactions, 0 templates, inherited 3 times
         
        folder draft Performing professional
        prsb03-dataelement-12002
        link
        Id prsb03-dataelement-12002 (2019‑05‑31 15:12:28)
        Description The professional who prescribed the medication or medical device.
        Relationship
        target Used by one transaction, 0 templates, inherited 3 times
         
        draft Name
        prsb03-dataelement-12003
        Id prsb03-dataelement-12003 (2019‑05‑31 15:12:48)
        Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
        Description The name of the professional.
        Rationale Practitioner.name
        Operationalization Free text.
        Value Domain
        Property
        max length
        70
        target Used by one transaction, 0 templates, inherited 3 times
         
        draft Role
        prsb03-dataelement-12004
        Id prsb03-dataelement-12004 (2019‑05‑31 15:12:48)
        Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
        Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
        Rationale Practitioner.PractitionerRole.code
        Operationalization FHIR value set :- SDSjobroletype
        Value Domain
        target Used by one transaction, 0 templates, inherited 3 times
         
        draft Grade
        prsb03-dataelement-12005
        Id prsb03-dataelement-12005 (2019‑05‑31 15:12:48)
        Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
        Description The grade of the professional.
        Rationale PractitionerRole.code
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by one transaction, 0 templates, inherited 3 times
         
        draft Speciality
        prsb03-dataelement-12006
        Id prsb03-dataelement-12006 (2019‑05‑31 15:12:48)
        Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
        Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
        Rationale PractitionerRole.speciality
        Operationalization NHS data dictionary - Activity treatment function code
        Value Domain
        Property
        max length
        3
        target Used by one transaction, 0 templates, inherited 3 times
         
        draft Professional identifier
        prsb03-dataelement-12007
        Id prsb03-dataelement-12007 (2019‑05‑31 15:12:48)
        Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
        Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
        Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
        Operationalization NHS data dictionary : - Professional registration identifier
        Value Domain
        Property
        max length
        32
        target Used by one transaction, 0 templates, inherited 3 times
         
        folder draft Organisation
        prsb03-dataelement-12008
        Id prsb03-dataelement-12008 (2019‑05‑31 15:12:48)
        Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
        Description The name of the organisation the professional works for.
        target Used by one transaction, 0 templates, inherited 3 times
         
        draft Contact details
        prsb03-dataelement-12009
        Id prsb03-dataelement-12009 (2019‑05‑31 15:12:48)
        Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
        Description Contact details of the professional
        Rationale Practitioner.telecom

        PractitionerRole.telecom

        Organisation.telcom
        Operationalization NHS data dictionary - UK phone number
        Value Domain
        Property
        max length
        35
        target Used by one transaction, 0 templates, inherited 3 times
         
        draft Medication prescribed by
        prsb03-dataelement-14316
        Id prsb03-dataelement-14316 (2021‑06‑24 17:56:04)
        Description The type of organisation responsible for authorising and issuing the medication e.g. GP
        Operationalization FHIR value set : - Medication prescribing agency
        Value Domain
        folder draft Medication name
        prsb03-dataelement-10536
        link
        Id prsb03-dataelement-10536 (2018‑10‑31)
        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 one transaction, 0 templates, inherited 5 times
         
        draft Coded value
        prsb03-dataelement-13622
        Id prsb03-dataelement-13622 (2020‑09‑08 19:15:21)
        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 one transaction, 0 templates, inherited once
         
        draft Free text
        prsb03-dataelement-13623
        Id prsb03-dataelement-13623 (2020‑09‑08 19:17:39)
        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 Medication trade family
        prsb03-dataelement-14283
        link
        Id prsb03-dataelement-14283 (2021‑06‑10 14:11:02)
        Description The trade family or brand of the medication prescribed.
        draft Coded value
        prsb03-dataelement-14320
        Id prsb03-dataelement-14320 (2021‑06‑25 11:17:10)
        Description The coded value for medication trade family or brand.
        Operationalization SNOMED CT: - 999000641000001107 | National Health Service dictionary of medicines and devices trade family group simple reference set (foundation metadata concept) |
        Value Domain
        draft Free text
        prsb03-dataelement-14321
        Id prsb03-dataelement-14321 (2021‑06‑25 11:18:32)
        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
        folder draft Form
        prsb03-dataelement-10537
        link
        Id prsb03-dataelement-10537 (2018‑10‑31)
        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 one transaction, 0 templates, inherited 4 times
         
        draft Coded value
        prsb03-dataelement-13624
        Id prsb03-dataelement-13624 (2020‑09‑08 19:32:29)
        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 one transaction, 0 templates, inherited 0 times
         
        draft Free text
        prsb03-dataelement-13625
        Id prsb03-dataelement-13625 (2020‑09‑08 19:33:34)
        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 Quantity supplied
        prsb03-dataelement-10539
        link
        Id prsb03-dataelement-10539 (2018‑10‑31)
        Description The quantity of the medication (e.g. tablets, inhalers, etc.) provided to the person. This may be dispensed by the pharmacy or on the ward. Record in a structured format i.e. value and a unit

        Properties

        FHIR MedicationStatement.quantityDispensed (Amount of medication to supply per dispense) quantity (as a valueQuantity) - Mandatory quantityText (as a valueString) - Mandatory
        Operationalization Free text
        target Used by 0 transactions, 0 templates, inherited 3 times
         
        draft Value
        prsb03-dataelement-14271
        Id prsb03-dataelement-14271 (2021‑03‑31 16:58:30)
        Description The value of the quantity supplied
        Operationalization Enumerated value
        Value Domain
        draft Unit of measure
        prsb03-dataelement-14272
        Id prsb03-dataelement-14272 (2021‑03‑31 16:59:56)
        Description Unit of measure of quantity supplied
        Relationship
        Operationalization UCUM code
        Value Domain
        draft Date supplied
        prsb03-dataelement-13792
        Id prsb03-dataelement-13792 (2020‑10‑22 18:56:07)
        Description The date/time the medication was supplied.
        Operationalization Date and time
        Value Domain
        Property
        Timestamp precision
        at least day, month and year, hour and minute
        folder draft Route
        prsb03-dataelement-10538
        link
        Id prsb03-dataelement-10538 (2018‑10‑31)
        Description The route by which the medication is administered e.g. oral, IM, IV

        Properties

        FHIR MedicationStatement.dosage.route
        target Used by one transaction, 0 templates, inherited 5 times
         
        draft Coded value
        prsb03-dataelement-13655
        Id prsb03-dataelement-13655 (2020‑09‑08 20:30:38)
        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 one transaction, 0 templates, inherited once
         
        draft Free text
        prsb03-dataelement-13656
        Id prsb03-dataelement-13656 (2020‑09‑08 20:31:40)
        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 Site
        prsb03-dataelement-10540
        link
        Id prsb03-dataelement-10540 (2018‑10‑31)
        Description The anatomical site at which the medication is to be administered.

        Properties

        FHIR MedicationStatement.dosage.site
        target Used by one transaction, 0 templates, inherited 3 times
         
        draft Coded value
        prsb03-dataelement-13657
        Id prsb03-dataelement-13657 (2020‑09‑08 20:33:18)
        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 one transaction, 0 templates, inherited 2 times
         
        draft Free text
        prsb03-dataelement-13658
        Id prsb03-dataelement-13658 (2020‑09‑08 20:35:42)
        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 one transaction, 0 templates, inherited 3 times
         
        folder draft Method
        prsb03-dataelement-10541
        link
        Id prsb03-dataelement-10541 (2018‑10‑31)
        Description The technique or method by which the medication is to be administered.

        Properties

        FHIR MedicationStatement.dosage.method
        target Used by one transaction, 0 templates, inherited 3 times
         
        draft Coded value
        prsb03-dataelement-13845
        Id prsb03-dataelement-13845 (2020‑12‑29 23:05:59)
        Description The coded value for method
        Rationale MedicationStatement.dosage.method
        Operationalization SNOMED CT : - ^999000041000001103 | ePrescribing method simple reference set (foundation metadata concept) |
        Value Domain
        target Used by one transaction, 0 templates, inherited 0 times
         
        draft Free text
        prsb03-dataelement-13846
        Id prsb03-dataelement-13846 (2020‑12‑29 23:07:37)
        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
         
        draft Supply type
        prsb03-dataelement-13754
        Id prsb03-dataelement-13754 (2020‑09‑29 11:32:50)
        Description A description of the type of supply (e.g. emergency supply, over the counter medication, patient group direction etc)
        Value Domain
        folder cancelled Batch number
        prsb03-dataelement-13752
        Id prsb03-dataelement-13752 (2020‑09‑29 10:51:55) 0.1
        Description The batch number of the medicine
        Operationalization Derived from FMD code/Free text
        folder draft Batch number
        prsb03-dataelement-13789
        link
        Id prsb03-dataelement-13789 (2020‑10‑22 18:25:26)
        Concept inherits from draft prsb03-dataelement-10697 (2018‑12‑04 15:10:59)
        Description The batch number of the product.
        draft Coded value
        prsb03-dataelement-13790
        Id prsb03-dataelement-13790 (2020‑10‑22 18:26:28)
        Concept inherits from draft prsb03-dataelement-13233 (2020‑07‑21 15:15:57)
        Description The coded value for the batch number
        Operationalization FMD code : - Derived from Falsified medicines directive
        Value Domain
        draft Free text
        prsb03-dataelement-13791
        Id prsb03-dataelement-13791 (2020‑10‑22 18:26:28)
        Concept inherits from draft prsb03-dataelement-13234 (2020‑07‑21 15:17:14)
        Description Free text field to be used if no code is available
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        draft Over the counter medication flag
        prsb03-dataelement-13379
        Id prsb03-dataelement-13379 (2020‑08‑10 16:51:27)
        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 one transaction, 0 templates, inherited 0 times
         
        cancelled Dose amount description
        prsb03-dataelement-10542
        Id prsb03-dataelement-10542 (2018‑10‑31) 0.1
        Description A description of the medication single dose amount e.g. "30 mg" or "2 tabs".

        Properties

        FHIR MedicationStatement.dosage.text
        Operationalization Free text
        Value Domain
        target Used by 0 transactions, 0 templates, inherited 4 times
         
        cancelled Dose timing description
        prsb03-dataelement-10543
        Id prsb03-dataelement-10543 (2018‑10‑31) 0.1
        Description A description of the frequency of taking or administration of a medication dose. e.g. "Twice a day", "At 8am, 2pm and 10pm".

        Properties

        FHIR MedicationStatement.dosage.timing [a complex data type that holds lots of timing formats]
        Operationalization Free text
        Value Domain
        target Used by 0 transactions, 0 templates, inherited 4 times
         
        cancelled Parsable dose directions
        prsb03-dataelement-10552
        Id prsb03-dataelement-10552 (2018‑10‑31) 0.1
        Description A parsable 'dose syntax' which carries dose strength, dose timing, dose duration and maximum dose information, e.g. "20-30mg ^4/6h prn [180mg /24h]" = 20 to 30 mgs, up to 4-6 hourly as required. Maximum 180mg in 24 hours. The 'as required reason' e.g. 'for pain' should be carried in the Additional Instruction element. Note that this is generally a symptom and is not the same as the Indication which will usually describe a diagnosis or condition. Where supported, this would generally be used to exchange dosage information between systems, while Structured dose directions are likely to be used only within openEHR-based systems
        Value Domain
        Property
        max length
        150
        target Used by 0 transactions, 0 templates, inherited 3 times
         
        folder draft Structured dose direction cluster
        prsb03-dataelement-11639
        link
        Id prsb03-dataelement-11639 (2019‑05‑30 17:40:22)
        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 one transaction, 0 templates, inherited 3 times
         
        draft Dose type
        prsb03-dataelement-14455
        Id prsb03-dataelement-14455 (2021‑08‑24 20:42:58)
        Description The kind of rate or dose specified 
        Rationale
        MedicationStatement.dosage.doseAndRate.type
        Operationalization Calculated or ordered
        Value Domain
        cancelled Structured dose direction
        prsb03-dataelement-10553
        Id prsb03-dataelement-10553 (2018‑10‑31)
        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.
        Operationalization As per FHIR Dose Syntax Implementation Guidance (NHS Digital): https://developer.nhs.uk/apis/dose-syntax-implementation/
        Value Domain
        target Used by 0 transactions, 0 templates, inherited 3 times
         
        folder draft Structured dose amount
        prsb03-dataelement-10554
        link
        Id prsb03-dataelement-10554 (2018‑10‑31)
        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 one transaction, 0 templates, inherited 3 times
         
        draft Dose
        prsb03-dataelement-14456
        Id prsb03-dataelement-14456 (2021‑08‑24 20:46:05)
        Description Amount of dose medication .Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
        Rationale
        MedicationStatement.dosage.dose[x].doseQuantity or MedicationStatement.dosage.dose[x].doseRange
        Operationalization Numeric
        Value Domain
        draft Rate
        prsb03-dataelement-14457
        Id prsb03-dataelement-14457 (2021‑08‑24 20:50:17)
        Description Amount of medication per unit of time. Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period.
        Rationale MedicationStatement.dosage.doseAndRate.rate[x]
        Operationalization Numeric
        Value Domain
        draft Structured dose timing
        prsb03-dataelement-10555
        Id prsb03-dataelement-10555 (2018‑10‑31)
        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 one transaction, 0 templates, inherited 3 times
         
        draft Dose direction duration
        prsb03-dataelement-10548
        Id prsb03-dataelement-10548 (2018‑10‑31)
        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 one transaction, 0 templates, inherited 3 times
         
        draft Dose directions description
        prsb03-dataelement-10544
        Id prsb03-dataelement-10544 (2018‑10‑31)
        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 one transaction, 0 templates, inherited 4 times
         
        draft Maxdoseperperiod
        prsb03-dataelement-14458
        Id prsb03-dataelement-14458 (2021‑08‑24 21:55:00)
        Description The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours.
        Rationale MedicationStatement.dosage.maxDosePerPeriod
        Operationalization Numeric
        Value Domain
        draft Maxdoseperadministration
        prsb03-dataelement-14459
        Id prsb03-dataelement-14459 (2021‑08‑24 21:57:24)
        Description The maximum total quantity of a therapeutic substance that may be administered to a subject per administration.
        Rationale MedicationStatement.dosage.maxDosePerAdministration
        Operationalization Numeric
        Value Domain
        folder draft Repeat medication
        prsb03-dataelement-14317
        link
        Id prsb03-dataelement-14317 (2021‑06‑24 18:02:17)
        Description Is the medication prescribed to be repeated
        draft Number of repeat prescriptions
        prsb03-dataelement-14318
        Id prsb03-dataelement-14318 (2021‑06‑24 18:04:38)
        Description The number of repeated prescriptions
        Operationalization Numeric
        Value Domain
        draft Review date
        prsb03-dataelement-14319
        Id prsb03-dataelement-14319 (2021‑06‑24 19:16:27)
        Description Date to review the repeat medication prescribed to the person
        Operationalization Date and time
        Value Domain
        Property
        Timestamp precision
        at least day, month and year
        draft Additional instructions
        prsb03-dataelement-10545
        Id prsb03-dataelement-10545 (2018‑10‑31)
        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 one transaction, 0 templates, inherited 3 times
         
        cancelled Request for advice
        prsb03-dataelement-10559
        Id prsb03-dataelement-10559 (2018‑10‑31) 0.1
        Description Request for advice and recommendation about medication
        Operationalization Free text
        Value Domain
        Property
        max length
        150
        target Used by 0 transactions, 0 templates, inherited 3 times
         
        draft Matters identified during discussion
        prsb03-dataelement-13753
        Id prsb03-dataelement-13753 (2020‑09‑29 11:01:13)
        Description Matters identified during the service about the patient's experience of using the medication.
        Operationalization
        Coded text using the following descriptors:
        a. patient reports using the medicine as prescribed
        b. patient reports not using the medicine as prescribed
        c. patient has not started using the medicine
        d. prescriber has stopped new medicine
        e. patient is not using the medicine in line with the directions of the prescriber
        f. patient reports missing a dose in the past 7 days
        g. patient reports need for more information about the medicine
        h. patient reports side effects
        i. patient reports negative feelings about the medicine
        j. patient reports uncertainty on whether the medicine is working
        k. patient reports concern about remembering to take the medicine
        l. patient reports difficulty using the medicine due to its pharmaceutical form/formulation
        i. other - free text option
        Value Domain
        cancelled Person completing record
        prsb03-dataelement-10961
        Id prsb03-dataelement-10961 (2019‑05‑18 21:23:41)
        Description This is the person recording the medication.

        Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
        Relationship
        Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
        Value Domain
        target Used by 0 transactions, 0 templates, inherited 3 times
         
        folder draft Course details cluster
        prsb03-dataelement-10561
        link
        Id prsb03-dataelement-10561 (2018‑10‑31)
        Description Details of the overall course of medication.
        target Used by one transaction, 0 templates, inherited 3 times
         
        draft Course status
        prsb03-dataelement-10666
        Id prsb03-dataelement-10666 (2018‑11‑13 16:47:55)
        Description The status of this prescription.
        Operationalization FHIR value set : - Medication status
          Value Domain
          target Used by one transaction, 0 templates, inherited 3 times
           
          draft Indication
          prsb03-dataelement-10546
          Id prsb03-dataelement-10546 (2018‑10‑31)
          Description Reason for medication being prescribed, where known.

          Properties

          FHIR MedicationStatement.reasonCode
          Operationalization Free text
          Value Domain
          Property
          max length
          150
          target Used by one transaction, 0 templates, inherited 3 times
           
          draft Start date/time
          prsb03-dataelement-10667
          Id prsb03-dataelement-10667 (2018‑11‑13 16:49:22)
          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 one transaction, 0 templates, inherited 3 times
           
          draft End date/time
          prsb03-dataelement-10557
          Id prsb03-dataelement-10557 (2018‑10‑31)
          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 one transaction, 0 templates, inherited 3 times
           
          draft Link to indication record
          prsb03-dataelement-10668
          Id prsb03-dataelement-10668 (2018‑11‑13 16:59:09)
          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 one transaction, 0 templates, inherited 3 times
           
          draft Comment/recommendation
          prsb03-dataelement-10547
          Id prsb03-dataelement-10547 (2018‑10‑31)
          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 one transaction, 0 templates, inherited 3 times
           
          folder draft Medication change summary cluster
          prsb03-dataelement-10568
          link
          Id prsb03-dataelement-10568 (2018‑10‑31)
          Description Records the changes made to medication.
          target Used by one transaction, 0 templates, inherited 3 times
           
          draft Status
          prsb03-dataelement-10669
          Id prsb03-dataelement-10669 (2018‑11‑13 17:00:50)
          Description The nature of any change made to the medication.
          Operationalization FHIR value set : Medication status
            Value Domain
            target Used by one transaction, 0 templates, inherited 3 times
             
            draft Indication
            prsb03-dataelement-10670
            Id prsb03-dataelement-10670 (2018‑11‑13 17:02:07)
            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 one transaction, 0 templates, inherited 3 times
             
            draft Date of change
            prsb03-dataelement-10671
            Id prsb03-dataelement-10671 (2018‑11‑13 17:03:03)
            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 one transaction, 0 templates, inherited 3 times
             
            draft Description of amendment
            prsb03-dataelement-10672
            Id prsb03-dataelement-10672 (2018‑11‑13 17:03:42)
            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 one transaction, 0 templates, inherited 3 times
             
            draft Total dose daily quantity
            prsb03-dataelement-10665
            Id prsb03-dataelement-10665 (2018‑11‑13 16:44:41)
            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 one transaction, 0 templates, inherited 3 times
             
            draft Anticipatory medicines/equipment
            prsb03-dataelement-14023
            Id prsb03-dataelement-14023 (2021‑02‑15 17:36:45)
            Concept inherits from draft prsb03-dataelement-10370 (2018‑10‑31)
            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
            folder draft Person completing record
            prsb03-dataelement-11993
            link
            Id prsb03-dataelement-11993 (2019‑05‑31 15:11:27)
            Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
            Description Details of the person completing the record.
            Relationship
            target Used by one transaction, 0 templates, inherited 3 times
             
            draft Name
            prsb03-dataelement-11994
            Id prsb03-dataelement-11994 (2019‑05‑31 15:12:02)
            Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
            Description The name of the person completing the record.
            Relationship
            Rationale Composition.author.Practitioner.name
            Operationalization Free text.
            Value Domain
            Property
            max length
            70
            target Used by one transaction, 0 templates, inherited 3 times
             
            draft Role
            prsb03-dataelement-11995
            Id prsb03-dataelement-11995 (2019‑05‑31 15:12:02)
            Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
            Description The organisational role of the person completing record.

            Properties

            FHIR PractitionerRole.code of the practitioner completing the record
            Relationship
            Rationale Composition.author.Practitioner.PractitionerRole.code
            Operationalization FHIR value set :- SDSjobrole
            Value Domain
            target Used by one transaction, 0 templates, inherited 3 times
             
            draft Grade
            prsb03-dataelement-11996
            Id prsb03-dataelement-11996 (2019‑05‑31 15:12:02)
            Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
            Description The grade of the person completing the record.
            Relationship
            Rationale PractitionerRole.code
            Operationalization Free text.
            Value Domain
            Property
            max length
            150
            target Used by one transaction, 0 templates, inherited 3 times
             
            draft Specialty
            prsb03-dataelement-11997
            Id prsb03-dataelement-11997 (2019‑05‑31 15:12:02)
            Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
            Description The main specialty of the person completing the record.

            Properties

            FHIR PractitionerRole.specialty
            Relationship
            Rationale PractitionerRole.speciality
            Operationalization NHS data dictionary :- Activity treatment function code
            Value Domain
            Property
            max length
            3
            target Used by one transaction, 0 templates, inherited 3 times
             
            folder draft Organisation
            prsb03-dataelement-11998
            Id prsb03-dataelement-11998 (2019‑05‑31 15:12:02)
            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 one transaction, 0 templates, inherited 3 times
             
            draft Professional identifier
            prsb03-dataelement-11999
            Id prsb03-dataelement-11999 (2019‑05‑31 15:12:02)
            Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
            Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

            Properties

            FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
            Relationship
            Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
            Operationalization NHS data dictionary :- Professional registration identifier
            Value Domain
            Property
            max length
            32
            target Used by one transaction, 0 templates, inherited 3 times
             
            draft Date completed
            prsb03-dataelement-12000
            Id prsb03-dataelement-12000 (2019‑05‑31 15:12:02)
            Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
            Description The date and time the record was completed.
            Relationship
            Rationale Composition.date
            Operationalization Date and time.
            Value Domain
            Property
            Timestamp precision
            at least day, month and year, hour and minute
            target Used by one transaction, 0 templates, inherited 3 times
             
            draft Contact details
            prsb03-dataelement-12001
            Id prsb03-dataelement-12001 (2019‑05‑31 15:12:02)
            Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
            Description Contact details of the person completing the record.

            Properties

            FHIR PractitionerRole.telecom
            Relationship
            Rationale Practitioner.telecom

            PractitionerRole.telecom

            Organisation.telcom
            Operationalization NHS data dictionary : - UK telephone number
            Value Domain
            Property
            max length
            35
            target Used by one transaction, 0 templates, inherited 3 times
             
            folder draft Medical devices entry
            prsb03-dataelement-10583
            link
            Id prsb03-dataelement-10583 (2018‑10‑31)
            Description Medical devices
            target Used by one transaction, 0 templates, inherited 2 times
             
            draft Medical device
            prsb03-dataelement-10673
            Id prsb03-dataelement-10673 (2018‑11‑13 17:10:15)
            Description Any medical device that isn't prescribed.
            Operationalization Free text
            Value Domain
            Property
            max length
            150
            target Used by one transaction, 0 templates, inherited 2 times
             
            draft Comments
            prsb03-dataelement-11280
            Id prsb03-dataelement-11280 (2019‑05‑29 17:47:02)
            Description Any information regarding the medical device.
            Operationalization Free text
            Value Domain
            Property
            max length
            150
            target Used by one transaction, 0 templates, inherited 2 times
             
            folder draft Medication discontinued entry
            prsb03-dataelement-10576
            link
            Id prsb03-dataelement-10576 (2018‑10‑31)
            Description Medication discontinued entry
            target Used by one transaction, 0 templates, inherited 2 times
             
            folder draft Name of discontinued medication
            prsb03-dataelement-10577
            link
            Id prsb03-dataelement-10577 (2018‑10‑31)
            Description The name of the medication or medical device being discontinued
            target Used by one transaction, 0 templates, inherited 2 times
             
            draft Coded value
            prsb03-dataelement-13659
            Id prsb03-dataelement-13659 (2020‑09‑08 20:57:52)
            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 one transaction, 0 templates, inherited 0 times
             
            draft Free text
            prsb03-dataelement-13660
            Id prsb03-dataelement-13660 (2020‑09‑08 20:58:40)
            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 one transaction, 0 templates, inherited 0 times
             
            draft Status
            prsb03-dataelement-12472
            Id prsb03-dataelement-12472 (2019‑06‑25 11:42:23)
            Description The status of any change made to the medication. MUST CONTAIN STOPPED.
            Operationalization FHIR value set: - Medication status
            Value Domain
            target Used by one transaction, 0 templates, inherited 2 times
             
            cancelled Status
            prsb03-dataelement-10578
            Id prsb03-dataelement-10578 (2018‑10‑31)
            Description The nature of any change made to the medication.
            Operationalization Free text
            Value Domain
            target Used by 0 transactions, 0 templates, inherited 2 times
             
            draft Indication
            prsb03-dataelement-10579
            Id prsb03-dataelement-10579 (2018‑10‑31)
            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 one transaction, 0 templates, inherited 3 times
             
            draft Date of change
            prsb03-dataelement-10580
            Id prsb03-dataelement-10580 (2018‑10‑31)
            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 one transaction, 0 templates, inherited 2 times
             
            draft Description of amendment
            prsb03-dataelement-10581
            Id prsb03-dataelement-10581 (2018‑10‑31)
            Description A description of any amendment
            Operationalization Free text
            Value Domain
            Property
            max length
            150
            target Used by 0 transactions, 0 templates, inherited 2 times
             
            draft Comment
            prsb03-dataelement-10582
            Id prsb03-dataelement-10582 (2018‑10‑31)
            Description Any additional comment about the discontinuation or amendment.
            Operationalization Free text
            Value Domain
            Property
            max length
            150
            target Used by one transaction, 0 templates, inherited 2 times
             
            folder cancelled Over the counter medication item entry
            prsb03-dataelement-13109
            link
            Id prsb03-dataelement-13109 (2020‑06‑24 16:04:03) 0.1
            Description The details of, and instructions for, over the counter purchased medications that the person is using. All over the counter medications that the person uses regularly that are not prescribed by a medical professional. These may or may not be required for the treatment and management of their health condition(s). Examples include analgesics for pain relief (brufen tablets); topical anaesthetics (voltarol gel); vitamin and mineral supplements (folic acid and calcium); herbal medicines (St Johns Wort). Include details of reason for use, dose amount, frequency, start date and duration of medication.
            folder cancelled Medication name
            prsb03-dataelement-13200
            Id prsb03-dataelement-13200 (2020‑06‑24 17:45:11) 0.1
            Concept inherits from draft prsb03-dataelement-10536 (2018‑10‑31)
            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)
            cancelled Indication
            prsb03-dataelement-13201
            Id prsb03-dataelement-13201 (2020‑06‑24 17:46:45) 0.1
            Description Reason for medication being taken, where known.

            Properties

            FHIR MedicationStatement.reasonCode
            Relationship
            Operationalization A free text or Coded text term giving the clinical indication or reason for ordering the medication. Coded terms are preferable.
            Value Domain
            folder cancelled Form
            prsb03-dataelement-13202
            Id prsb03-dataelement-13202 (2020‑06‑24 17:49:30) 0.1
            Concept inherits from draft prsb03-dataelement-10537 (2018‑10‑31)
            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
            folder cancelled Route
            prsb03-dataelement-13203
            Id prsb03-dataelement-13203 (2020‑06‑24 17:50:25) 0.1
            Concept inherits from draft prsb03-dataelement-10538 (2018‑10‑31)
            Description The route by which the medication is administered e.g. oral, IM, IV

            Properties

            FHIR MedicationStatement.dosage.route
            cancelled Site
            prsb03-dataelement-13204
            Id prsb03-dataelement-13204 (2020‑06‑24 17:51:17) 0.1
            Description The anatomical site at which the medication is administered.

            Properties

            FHIR MedicationStatement.dosage.site
            Relationship
            Operationalization TextCoded text - constraint: SiteOfMedicationAdministration.



            Any valid site for the administration of a medication.



            Constraint binding: [SNOMED-CT]subset= SiteOfMedicationAdministration
            Value Domain
            target Used by 0 transactions, 0 templates, inherited once
             
            cancelled Method
            prsb03-dataelement-13205
            Id prsb03-dataelement-13205 (2020‑06‑24 17:53:03) 0.1
            Description The technique or method by which the medication is administered.

            Properties

            FHIR MedicationStatement.dosage.method
            Relationship
            Operationalization Free text
            Value Domain
            cancelled Dose directions description
            prsb03-dataelement-13206
            Id prsb03-dataelement-13206 (2020‑06‑24 17:54:29) 0.1
            Concept inherits from draft prsb03-dataelement-10544 (2018‑10‑31)
            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
            cancelled Dose amount description
            prsb03-dataelement-13207
            Id prsb03-dataelement-13207 (2020‑06‑24 17:55:24) 0.1
            Concept inherits from cancelled prsb03-dataelement-10542 (2018‑10‑31)
            Description A description of the medication single dose amount e.g. "30 mg" or "2 tabs".

            Properties

            FHIR MedicationStatement.dosage.text
            Operationalization Free text
            Value Domain
            cancelled Dose timing description
            prsb03-dataelement-13208
            Id prsb03-dataelement-13208 (2020‑06‑24 17:56:17) 0.1
            Concept inherits from cancelled prsb03-dataelement-10543 (2018‑10‑31)
            Description A description of the frequency of taking or administration of a medication dose. e.g. "Twice a day", "At 8am, 2pm and 10pm".

            Properties

            FHIR MedicationStatement.dosage.timing [a complex data type that holds lots of timing formats]
            Operationalization Free text
            Value Domain
            folder cancelled Person completing record
            prsb03-dataelement-13210
            link
            Id prsb03-dataelement-13210 (2020‑06‑24 18:00:25) 0.1
            Description A record of the details of the person that entered the information about the over the counter medications, and the date on which it was entered.
            Relationship
            cancelled Name
            prsb03-dataelement-13211
            Id prsb03-dataelement-13211 (2020‑06‑24 18:01:03) 0.1
            Concept inherits from draft prsb03-dataelement-13192 (2020‑06‑24 17:27:59)
            Description The name of the person completing the record.
            Relationship
            Rationale Composition.author.Practitioner.name
            Operationalization Free text.
            Value Domain
            Property
            max length
            70
            cancelled Role
            prsb03-dataelement-13212
            Id prsb03-dataelement-13212 (2020‑06‑24 18:01:03) 0.1
            Concept inherits from draft prsb03-dataelement-13193 (2020‑06‑24 17:27:59)
            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
            cancelled Grade
            prsb03-dataelement-13213
            Id prsb03-dataelement-13213 (2020‑06‑24 18:01:03) 0.1
            Concept inherits from draft prsb03-dataelement-13194 (2020‑06‑24 17:27:59)
            Description The grade of the person completing the record.
            Relationship
            Rationale PractitionerRole.code
            Operationalization Free text.
            Value Domain
            Property
            max length
            150
            cancelled Specialty
            prsb03-dataelement-13214
            Id prsb03-dataelement-13214 (2020‑06‑24 18:01:03) 0.1
            Concept inherits from draft prsb03-dataelement-13195 (2020‑06‑24 17:27:59)
            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
            folder cancelled Organisation
            prsb03-dataelement-13215
            Id prsb03-dataelement-13215 (2020‑06‑24 18:01:03) 0.1
            Concept inherits from draft prsb03-dataelement-13196 (2020‑06‑24 17:27:59)
            Description The organisation the person completing the record works for.
            Relationship
            Operationalization NHS data dictionary : - Organisation data service
            cancelled Professional identifier
            prsb03-dataelement-13216
            Id prsb03-dataelement-13216 (2020‑06‑24 18:01:03) 0.1
            Concept inherits from draft prsb03-dataelement-13197 (2020‑06‑24 17:27:59)
            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
            cancelled Date completed
            prsb03-dataelement-13217
            Id prsb03-dataelement-13217 (2020‑06‑24 18:01:03) 0.1
            Concept inherits from draft prsb03-dataelement-13198 (2020‑06‑24 17:27:59)
            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
            cancelled Contact details
            prsb03-dataelement-13218
            Id prsb03-dataelement-13218 (2020‑06‑24 18:01:03) 0.1
            Concept inherits from draft prsb03-dataelement-13199 (2020‑06‑24 17:27:59)
            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
            cancelled Person completing record
            prsb03-dataelement-13209
            Id prsb03-dataelement-13209 (2020‑06‑24 17:58:16) 0.1
            Concept inherits from cancelled prsb03-dataelement-10956 (2019‑05‑18 21:09:13)
            Description This is the person recording the investigation request.

            Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
            Relationship
            Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
            Value Domain
            folder cancelled Medication item entry
            prsb03-dataelement-13110
            link
            Id prsb03-dataelement-13110 (2020‑06‑24 16:05:21) 0.1
            Concept inherits from draft prsb03-dataelement-10663 (2018‑11‑13 15:56:21)
            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.
            folder cancelled Medication item cluster
            prsb03-dataelement-13111
            link
            Id prsb03-dataelement-13111 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10664 (2018‑11‑13 16:25:51)
            Description Medication item cluster
            cancelled Date
            prsb03-dataelement-13112
            Id prsb03-dataelement-13112 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10843 (2019‑03‑27 16:59:52)
            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
            folder cancelled Location
            prsb03-dataelement-13113
            Id prsb03-dataelement-13113 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10844 (2019‑03‑27 17:01:20)
            Description The location where the medication or the medical device was prescribed.
            cancelled Performing professional
            prsb03-dataelement-13114
            Id prsb03-dataelement-13114 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from cancelled prsb03-dataelement-10845 (2019‑03‑27 17:01:47)
            Description Details of the professional prescribing the medication or medical device.
            Value Domain
            folder cancelled Performing professional
            prsb03-dataelement-13115
            link
            Id prsb03-dataelement-13115 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-12002 (2019‑05‑31 15:12:28)
            Description The professional who prescribed the medication or medical device.
            Relationship
            cancelled Name
            prsb03-dataelement-13116
            Id prsb03-dataelement-13116 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-12003 (2019‑05‑31 15:12:48)
            Description The name of the professional.
            Rationale Practitioner.name
            Operationalization Free text.
            Value Domain
            Property
            max length
            70
            cancelled Role
            prsb03-dataelement-13117
            Id prsb03-dataelement-13117 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-12004 (2019‑05‑31 15:12:48)
            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
            cancelled Grade
            prsb03-dataelement-13118
            Id prsb03-dataelement-13118 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-12005 (2019‑05‑31 15:12:48)
            Description The grade of the professional.
            Rationale PractitionerRole.code
            Operationalization Free text
            Value Domain
            Property
            max length
            150
            cancelled Speciality
            prsb03-dataelement-13119
            Id prsb03-dataelement-13119 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-12006 (2019‑05‑31 15:12:48)
            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
            cancelled Professional identifier
            prsb03-dataelement-13120
            Id prsb03-dataelement-13120 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-12007 (2019‑05‑31 15:12:48)
            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
            folder cancelled Organisation
            prsb03-dataelement-13121
            Id prsb03-dataelement-13121 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-12008 (2019‑05‑31 15:12:48)
            Description The name of the organisation the professional works for.
            cancelled Contact details
            prsb03-dataelement-13122
            Id prsb03-dataelement-13122 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-12009 (2019‑05‑31 15:12:48)
            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
            folder cancelled Medication name
            prsb03-dataelement-13123
            Id prsb03-dataelement-13123 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10536 (2018‑10‑31)
            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)
            folder cancelled Form
            prsb03-dataelement-13124
            Id prsb03-dataelement-13124 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10537 (2018‑10‑31)
            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
            folder cancelled Quantity supplied
            prsb03-dataelement-13125
            Id prsb03-dataelement-13125 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10539 (2018‑10‑31)
            Description The quantity of the medication (e.g. tablets, inhalers, etc.) provided to the person. This may be dispensed by the pharmacy or on the ward. Record in a structured format i.e. value and a unit

            Properties

            FHIR MedicationStatement.quantityDispensed (Amount of medication to supply per dispense) quantity (as a valueQuantity) - Mandatory quantityText (as a valueString) - Mandatory
            Operationalization Free text
            folder cancelled Route
            prsb03-dataelement-13126
            Id prsb03-dataelement-13126 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10538 (2018‑10‑31)
            Description The route by which the medication is administered e.g. oral, IM, IV

            Properties

            FHIR MedicationStatement.dosage.route
            folder cancelled Site
            prsb03-dataelement-13127
            Id prsb03-dataelement-13127 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10540 (2018‑10‑31)
            Description The anatomical site at which the medication is to be administered.

            Properties

            FHIR MedicationStatement.dosage.site
            folder cancelled Method
            prsb03-dataelement-13128
            Id prsb03-dataelement-13128 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10541 (2018‑10‑31)
            Description The technique or method by which the medication is to be administered.

            Properties

            FHIR MedicationStatement.dosage.method
            cancelled Dose directions description
            prsb03-dataelement-13129
            Id prsb03-dataelement-13129 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10544 (2018‑10‑31)
            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
            cancelled Dose amount description
            prsb03-dataelement-13130
            Id prsb03-dataelement-13130 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from cancelled prsb03-dataelement-10542 (2018‑10‑31)
            Description A description of the medication single dose amount e.g. "30 mg" or "2 tabs".

            Properties

            FHIR MedicationStatement.dosage.text
            Operationalization Free text
            Value Domain
            cancelled Dose timing description
            prsb03-dataelement-13131
            Id prsb03-dataelement-13131 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from cancelled prsb03-dataelement-10543 (2018‑10‑31)
            Description A description of the frequency of taking or administration of a medication dose. e.g. "Twice a day", "At 8am, 2pm and 10pm".

            Properties

            FHIR MedicationStatement.dosage.timing [a complex data type that holds lots of timing formats]
            Operationalization Free text
            Value Domain
            cancelled Parsable dose directions
            prsb03-dataelement-13132
            Id prsb03-dataelement-13132 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from cancelled prsb03-dataelement-10552 (2018‑10‑31)
            Description A parsable 'dose syntax' which carries dose strength, dose timing, dose duration and maximum dose information, e.g. "20-30mg ^4/6h prn [180mg /24h]" = 20 to 30 mgs, up to 4-6 hourly as required. Maximum 180mg in 24 hours. The 'as required reason' e.g. 'for pain' should be carried in the Additional Instruction element. Note that this is generally a symptom and is not the same as the Indication which will usually describe a diagnosis or condition. Where supported, this would generally be used to exchange dosage information between systems, while Structured dose directions are likely to be used only within openEHR-based systems
            Value Domain
            Property
            max length
            150
            folder cancelled Structured dose direction cluster
            prsb03-dataelement-13133
            link
            Id prsb03-dataelement-13133 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-11639 (2019‑05‑30 17:40:22)
            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.
            cancelled Structured dose direction
            prsb03-dataelement-13134
            Id prsb03-dataelement-13134 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from cancelled prsb03-dataelement-10553 (2018‑10‑31)
            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.
            Operationalization As per FHIR Dose Syntax Implementation Guidance (NHS Digital): https://developer.nhs.uk/apis/dose-syntax-implementation/
            Value Domain
            folder cancelled Structured dose amount
            prsb03-dataelement-13135
            Id prsb03-dataelement-13135 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10554 (2018‑10‑31)
            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
            cancelled Structured dose timing
            prsb03-dataelement-13136
            Id prsb03-dataelement-13136 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10555 (2018‑10‑31)
            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
            cancelled Dose direction duration
            prsb03-dataelement-13137
            Id prsb03-dataelement-13137 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10548 (2018‑10‑31)
            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
            cancelled Additional instructions
            prsb03-dataelement-13138
            Id prsb03-dataelement-13138 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10545 (2018‑10‑31)
            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
            cancelled Request for advice
            prsb03-dataelement-13139
            Id prsb03-dataelement-13139 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from cancelled prsb03-dataelement-10559 (2018‑10‑31)
            Description Request for advice and recommendation about medication
            Operationalization Free text
            Value Domain
            Property
            max length
            150
            cancelled Person completing record
            prsb03-dataelement-13140
            Id prsb03-dataelement-13140 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from cancelled prsb03-dataelement-10961 (2019‑05‑18 21:23:41)
            Description This is the person recording the medication.

            Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
            Relationship
            Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
            Value Domain
            folder cancelled Course details cluster
            prsb03-dataelement-13141
            link
            Id prsb03-dataelement-13141 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10561 (2018‑10‑31)
            Description Details of the overall course of medication.
            cancelled Course status
            prsb03-dataelement-13142
            Id prsb03-dataelement-13142 (2020‑06‑24 16:06:14) 0.1
            Concept inherits from draft prsb03-dataelement-10666 (2018‑11‑13 16:47:55)
            Description The status of this prescription.
            Operationalization FHIR value set : - Medication status
              Value Domain
              cancelled Indication
              prsb03-dataelement-13143
              Id prsb03-dataelement-13143 (2020‑06‑24 16:06:14) 0.1
              Concept inherits from draft prsb03-dataelement-10546 (2018‑10‑31)
              Description Reason for medication being prescribed, where known.

              Properties

              FHIR MedicationStatement.reasonCode
              Operationalization Free text
              Value Domain
              Property
              max length
              150
              cancelled Start date/time
              prsb03-dataelement-13144
              Id prsb03-dataelement-13144 (2020‑06‑24 16:06:14) 0.1
              Concept inherits from draft prsb03-dataelement-10667 (2018‑11‑13 16:49:22)
              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
              cancelled End date/time
              prsb03-dataelement-13145
              Id prsb03-dataelement-13145 (2020‑06‑24 16:06:14) 0.1
              Concept inherits from draft prsb03-dataelement-10557 (2018‑10‑31)
              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
              cancelled Link to indication record
              prsb03-dataelement-13146
              Id prsb03-dataelement-13146 (2020‑06‑24 16:06:14) 0.1
              Concept inherits from draft prsb03-dataelement-10668 (2018‑11‑13 16:59:09)
              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
              cancelled Comment/recommendation
              prsb03-dataelement-13147
              Id prsb03-dataelement-13147 (2020‑06‑24 16:06:14) 0.1
              Concept inherits from draft prsb03-dataelement-10547 (2018‑10‑31)
              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
              folder cancelled Medication change summary cluster
              prsb03-dataelement-13148
              link
              Id prsb03-dataelement-13148 (2020‑06‑24 16:06:14) 0.1
              Concept inherits from draft prsb03-dataelement-10568 (2018‑10‑31)
              Description Records the changes made to medication.
              cancelled Status
              prsb03-dataelement-13149
              Id prsb03-dataelement-13149 (2020‑06‑24 16:06:14) 0.1
              Concept inherits from draft prsb03-dataelement-10669 (2018‑11‑13 17:00:50)
              Description The nature of any change made to the medication.
              Operationalization FHIR value set : Medication status
                Value Domain
                cancelled Indication
                prsb03-dataelement-13150
                Id prsb03-dataelement-13150 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-10670 (2018‑11‑13 17:02:07)
                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
                cancelled Date of change
                prsb03-dataelement-13151
                Id prsb03-dataelement-13151 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-10671 (2018‑11‑13 17:03:03)
                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
                cancelled Description of amendment
                prsb03-dataelement-13152
                Id prsb03-dataelement-13152 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-10672 (2018‑11‑13 17:03:42)
                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
                cancelled Total dose daily quantity
                prsb03-dataelement-13153
                Id prsb03-dataelement-13153 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-10665 (2018‑11‑13 16:44:41)
                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
                folder cancelled Person completing record
                prsb03-dataelement-13154
                link
                Id prsb03-dataelement-13154 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-11993 (2019‑05‑31 15:11:27)
                Description Details of the person completing the record.
                Relationship
                cancelled Name
                prsb03-dataelement-13155
                Id prsb03-dataelement-13155 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-11994 (2019‑05‑31 15:12:02)
                Description The name of the person completing the record.
                Relationship
                Rationale Composition.author.Practitioner.name
                Operationalization Free text.
                Value Domain
                Property
                max length
                70
                cancelled Role
                prsb03-dataelement-13156
                Id prsb03-dataelement-13156 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-11995 (2019‑05‑31 15:12:02)
                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
                cancelled Grade
                prsb03-dataelement-13157
                Id prsb03-dataelement-13157 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-11996 (2019‑05‑31 15:12:02)
                Description The grade of the person completing the record.
                Relationship
                Rationale PractitionerRole.code
                Operationalization Free text.
                Value Domain
                Property
                max length
                150
                cancelled Specialty
                prsb03-dataelement-13158
                Id prsb03-dataelement-13158 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-11997 (2019‑05‑31 15:12:02)
                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
                folder cancelled Organisation
                prsb03-dataelement-13159
                Id prsb03-dataelement-13159 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-11998 (2019‑05‑31 15:12:02)
                Description The organisation the person completing the record works for.
                Relationship
                Operationalization NHS data dictionary : - Organisation data service
                cancelled Professional identifier
                prsb03-dataelement-13160
                Id prsb03-dataelement-13160 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-11999 (2019‑05‑31 15:12:02)
                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
                cancelled Date completed
                prsb03-dataelement-13161
                Id prsb03-dataelement-13161 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-12000 (2019‑05‑31 15:12:02)
                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
                cancelled Contact details
                prsb03-dataelement-13162
                Id prsb03-dataelement-13162 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-12001 (2019‑05‑31 15:12:02)
                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
                folder cancelled Medication discontinued entry
                prsb03-dataelement-13163
                link
                Id prsb03-dataelement-13163 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-10576 (2018‑10‑31)
                Description Medication discontinued entry
                folder cancelled Name of discontinued medication
                prsb03-dataelement-13164
                Id prsb03-dataelement-13164 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-10577 (2018‑10‑31)
                Description The name of the medication or medical device being discontinued
                cancelled Status
                prsb03-dataelement-13165
                Id prsb03-dataelement-13165 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-12472 (2019‑06‑25 11:42:23)
                Description The status of any change made to the medication. MUST CONTAIN STOPPED.
                Operationalization FHIR value set: - Medication status
                Value Domain
                cancelled Status
                prsb03-dataelement-13166
                Id prsb03-dataelement-13166 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from cancelled prsb03-dataelement-10578 (2018‑10‑31)
                Description The nature of any change made to the medication.
                Operationalization Free text
                Value Domain
                cancelled Indication
                prsb03-dataelement-13167
                Id prsb03-dataelement-13167 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-10579 (2018‑10‑31)
                Description The clinical indication for any changes in medication status
                Operationalization
                SNOMED CT:- ^1127601000000107 | Healthcare matters simple reference set (foundation metadata concept) |
                Value Domain
                cancelled Date of change
                prsb03-dataelement-13168
                Id prsb03-dataelement-13168 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-10580 (2018‑10‑31)
                Description The date of the discontinuation
                Operationalization Date and time
                Value Domain
                Property
                Timestamp precision
                at least day, month and year, hour and minute
                cancelled Description of amendment
                prsb03-dataelement-13169
                Id prsb03-dataelement-13169 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-10581 (2018‑10‑31)
                Description A description of any amendment
                Operationalization Free text
                Value Domain
                Property
                max length
                150
                cancelled Comment
                prsb03-dataelement-13170
                Id prsb03-dataelement-13170 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-10582 (2018‑10‑31)
                Description Any additional comment about the discontinuation or amendment.
                Operationalization Free text
                Value Domain
                Property
                max length
                150
                folder cancelled Medical devices entry
                prsb03-dataelement-13171
                link
                Id prsb03-dataelement-13171 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-10583 (2018‑10‑31)
                Description Medical devices
                cancelled Medical device
                prsb03-dataelement-13172
                Id prsb03-dataelement-13172 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-10673 (2018‑11‑13 17:10:15)
                Description Any medical device that isn't prescribed.
                Operationalization Free text
                Value Domain
                Property
                max length
                150
                cancelled Comments
                prsb03-dataelement-13173
                Id prsb03-dataelement-13173 (2020‑06‑24 16:06:14) 0.1
                Concept inherits from draft prsb03-dataelement-11280 (2019‑05‑29 17:47:02)
                Description Any information regarding the medical device.
                Operationalization Free text
                Value Domain
                Property
                max length
                150
                folder draft Acute medications
                prsb03-dataelement-12646
                link
                Id prsb03-dataelement-12646 (2019‑11‑19 15:49:41)
                Description This is the sub-section where all acute medications within a specific period are recorded.
                draft Acute medication extraction period
                prsb03-dataelement-12647
                Id prsb03-dataelement-12647 (2019‑11‑19 15:51:07)
                Description Acute medications (For the 12 month period <dd-Mmm-yyyy> to <dd-Mmm-yyyy>)
                Value Domain
                Property
                Timestamp precision
                at least day, month and year
                cancelled 
                prsb03-dataelement-12648
                Id prsb03-dataelement-12648 (2019‑11‑19 17:03:31)
                Value Domain
                folder draft Medication item cluster
                prsb03-dataelement-12649
                link
                Id prsb03-dataelement-12649 (2019‑11‑19 17:03:32)
                Description Medication item cluster
                Relationship
                cancelled Date
                prsb03-dataelement-12650
                Id prsb03-dataelement-12650 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10843 (2019‑03‑27 16:59:52)
                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 0 transactions, 0 templates, inherited once
                 
                folder cancelled Location
                prsb03-dataelement-12651
                Id prsb03-dataelement-12651 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10844 (2019‑03‑27 17:01:20)
                Description The location where the medication or the medical device was prescribed.
                target Used by 0 transactions, 0 templates, inherited once
                 
                cancelled Performing professional
                prsb03-dataelement-12652
                Id prsb03-dataelement-12652 (2019‑11‑19 17:11:10)
                Concept inherits from cancelled prsb03-dataelement-10845 (2019‑03‑27 17:01:47)
                Description Details of the professional prescribing the medication or medical device.
                Value Domain
                target Used by 0 transactions, 0 templates, inherited once
                 
                folder cancelled Performing professional
                prsb03-dataelement-12653
                link
                Id prsb03-dataelement-12653 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-12002 (2019‑05‑31 15:12:28)
                Description The professional who prescribed the medication or medical device.
                Relationship
                target Used by 0 transactions, 0 templates, inherited once
                 
                cancelled Name
                prsb03-dataelement-12654
                Id prsb03-dataelement-12654 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-12003 (2019‑05‑31 15:12:48)
                Description The name of the professional.
                Rationale Practitioner.name
                Operationalization Free text.
                Value Domain
                Property
                max length
                70
                target Used by 0 transactions, 0 templates, inherited once
                 
                cancelled Role
                prsb03-dataelement-12655
                Id prsb03-dataelement-12655 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-12004 (2019‑05‑31 15:12:48)
                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 0 transactions, 0 templates, inherited once
                 
                cancelled Grade
                prsb03-dataelement-12656
                Id prsb03-dataelement-12656 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-12005 (2019‑05‑31 15:12:48)
                Description The grade of the professional.
                Rationale PractitionerRole.code
                Operationalization Free text
                Value Domain
                Property
                max length
                150
                target Used by 0 transactions, 0 templates, inherited once
                 
                cancelled Speciality
                prsb03-dataelement-12657
                Id prsb03-dataelement-12657 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-12006 (2019‑05‑31 15:12:48)
                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 0 transactions, 0 templates, inherited once
                 
                cancelled Professional identifier
                prsb03-dataelement-12658
                Id prsb03-dataelement-12658 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-12007 (2019‑05‑31 15:12:48)
                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 0 transactions, 0 templates, inherited once
                 
                folder cancelled Organisation
                prsb03-dataelement-12659
                Id prsb03-dataelement-12659 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-12008 (2019‑05‑31 15:12:48)
                Description The name of the organisation the professional works for.
                target Used by 0 transactions, 0 templates, inherited once
                 
                cancelled Contact details
                prsb03-dataelement-12660
                Id prsb03-dataelement-12660 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-12009 (2019‑05‑31 15:12:48)
                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 0 transactions, 0 templates, inherited once
                 
                folder draft Medication name
                prsb03-dataelement-12661
                Id prsb03-dataelement-12661 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10536 (2018‑10‑31)
                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 0 transactions, 0 templates, inherited once
                 
                folder draft Form
                prsb03-dataelement-12662
                Id prsb03-dataelement-12662 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10537 (2018‑10‑31)
                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 0 transactions, 0 templates, inherited once
                 
                folder cancelled Quantity supplied
                prsb03-dataelement-12663
                Id prsb03-dataelement-12663 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10539 (2018‑10‑31)
                Description The quantity of the medication (e.g. tablets, inhalers, etc.) provided to the person. This may be dispensed by the pharmacy or on the ward. Record in a structured format i.e. value and a unit

                Properties

                FHIR MedicationStatement.quantityDispensed (Amount of medication to supply per dispense) quantity (as a valueQuantity) - Mandatory quantityText (as a valueString) - Mandatory
                Operationalization Free text
                target Used by 0 transactions, 0 templates, inherited once
                 
                folder draft Route
                prsb03-dataelement-12664
                Id prsb03-dataelement-12664 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10538 (2018‑10‑31)
                Description The route by which the medication is administered e.g. oral, IM, IV

                Properties

                FHIR MedicationStatement.dosage.route
                target Used by 0 transactions, 0 templates, inherited once
                 
                folder draft Site
                prsb03-dataelement-12665
                Id prsb03-dataelement-12665 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10540 (2018‑10‑31)
                Description The anatomical site at which the medication is to be administered.

                Properties

                FHIR MedicationStatement.dosage.site
                target Used by 0 transactions, 0 templates, inherited once
                 
                folder draft Method
                prsb03-dataelement-12666
                Id prsb03-dataelement-12666 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10541 (2018‑10‑31)
                Description The technique or method by which the medication is to be administered.

                Properties

                FHIR MedicationStatement.dosage.method
                target Used by 0 transactions, 0 templates, inherited once
                 
                cancelled Dose directions description
                prsb03-dataelement-12667
                Id prsb03-dataelement-12667 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10544 (2018‑10‑31)
                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 0 transactions, 0 templates, inherited once
                 
                cancelled Dose amount description
                prsb03-dataelement-12668
                Id prsb03-dataelement-12668 (2019‑11‑19 17:11:10)
                Concept inherits from cancelled prsb03-dataelement-10542 (2018‑10‑31)
                Description A description of the medication single dose amount e.g. "30 mg" or "2 tabs".

                Properties

                FHIR MedicationStatement.dosage.text
                Operationalization Free text
                Value Domain
                target Used by 0 transactions, 0 templates, inherited once
                 
                cancelled Dose timing description
                prsb03-dataelement-12669
                Id prsb03-dataelement-12669 (2019‑11‑19 17:11:10)
                Concept inherits from cancelled prsb03-dataelement-10543 (2018‑10‑31)
                Description A description of the frequency of taking or administration of a medication dose. e.g. "Twice a day", "At 8am, 2pm and 10pm".

                Properties

                FHIR MedicationStatement.dosage.timing [a complex data type that holds lots of timing formats]
                Operationalization Free text
                Value Domain
                target Used by 0 transactions, 0 templates, inherited once
                 
                cancelled Parsable dose directions
                prsb03-dataelement-12670
                Id prsb03-dataelement-12670 (2019‑11‑19 17:11:10)
                Concept inherits from cancelled prsb03-dataelement-10552 (2018‑10‑31)
                Description A parsable 'dose syntax' which carries dose strength, dose timing, dose duration and maximum dose information, e.g. "20-30mg ^4/6h prn [180mg /24h]" = 20 to 30 mgs, up to 4-6 hourly as required. Maximum 180mg in 24 hours. The 'as required reason' e.g. 'for pain' should be carried in the Additional Instruction element. Note that this is generally a symptom and is not the same as the Indication which will usually describe a diagnosis or condition. Where supported, this would generally be used to exchange dosage information between systems, while Structured dose directions are likely to be used only within openEHR-based systems
                Value Domain
                Property
                max length
                150
                target Used by 0 transactions, 0 templates, inherited once
                 
                folder draft Structured dose direction cluster
                prsb03-dataelement-12671
                link
                Id prsb03-dataelement-12671 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-11639 (2019‑05‑30 17:40:22)
                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 0 transactions, 0 templates, inherited once
                 
                draft Structured dose direction
                prsb03-dataelement-12672
                Id prsb03-dataelement-12672 (2019‑11‑19 17:11:10)
                Concept inherits from cancelled prsb03-dataelement-10553 (2018‑10‑31)
                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.
                Operationalization As per FHIR Dose Syntax Implementation Guidance (NHS Digital): https://developer.nhs.uk/apis/dose-syntax-implementation/
                Value Domain
                target Used by 0 transactions, 0 templates, inherited once
                 
                folder draft Structured dose amount
                prsb03-dataelement-12673
                Id prsb03-dataelement-12673 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10554 (2018‑10‑31)
                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 0 transactions, 0 templates, inherited once
                 
                draft Structured dose timing
                prsb03-dataelement-12674
                Id prsb03-dataelement-12674 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10555 (2018‑10‑31)
                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 0 transactions, 0 templates, inherited once
                 
                draft Dose direction duration
                prsb03-dataelement-12675
                Id prsb03-dataelement-12675 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10548 (2018‑10‑31)
                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 0 transactions, 0 templates, inherited once
                 
                draft Prescribed quantity
                prsb03-dataelement-12701
                Id prsb03-dataelement-12701 (2019‑11‑19 17:22:14)
                Description Medication quantity prescribed
                Value Domain
                target Used by 0 transactions, 0 templates, inherited once
                 
                draft Authorised date
                prsb03-dataelement-12702
                Id prsb03-dataelement-12702 (2019‑11‑19 17:23:30)
                Concept inherits from cancelled prsb03-dataelement-10558 (2018‑10‑31)
                Description Date prescriber created prescription
                Operationalization Date and Time
                Value Domain
                target Used by 0 transactions, 0 templates, inherited once
                 
                cancelled 
                prsb03-dataelement-12703
                Id prsb03-dataelement-12703 (2019‑11‑19 17:24:54)
                Value Domain
                target Used by 0 transactions, 0 templates, inherited once
                 
                draft Valid from date
                prsb03-dataelement-12704
                Id prsb03-dataelement-12704 (2019‑11‑19 17:24:55)
                Concept inherits from cancelled prsb03-dataelement-10560 (2018‑10‑31)
                Description Date the prescription can be issued from. Valid for 6 months
                Operationalization Date and Time
                Value Domain
                target Used by 0 transactions, 0 templates, inherited once
                 
                draft Indication
                prsb03-dataelement-12705
                Id prsb03-dataelement-12705 (2019‑11‑19 17:26:09)
                Concept inherits from draft prsb03-dataelement-10579 (2018‑10‑31)
                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 0 transactions, 0 templates, inherited once
                 
                draft Additional instructions
                prsb03-dataelement-12676
                Id prsb03-dataelement-12676 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10545 (2018‑10‑31)
                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 0 transactions, 0 templates, inherited once
                 
                draft Request for advice
                prsb03-dataelement-12677
                Id prsb03-dataelement-12677 (2019‑11‑19 17:11:10)
                Concept inherits from cancelled prsb03-dataelement-10559 (2018‑10‑31)
                Description Request for advice and recommendation about medication
                Operationalization Free text
                Value Domain
                Property
                max length
                150
                target Used by 0 transactions, 0 templates, inherited once
                 
                cancelled Person completing record
                prsb03-dataelement-12678
                Id prsb03-dataelement-12678 (2019‑11‑19 17:11:10)
                Concept inherits from cancelled prsb03-dataelement-10961 (2019‑05‑18 21:23:41)
                Description This is the person recording the medication.

                Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
                Relationship
                Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
                Value Domain
                target Used by 0 transactions, 0 templates, inherited once
                 
                folder cancelled Course details cluster
                prsb03-dataelement-12679
                link
                Id prsb03-dataelement-12679 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10561 (2018‑10‑31)
                Description Details of the overall course of medication.
                target Used by 0 transactions, 0 templates, inherited once
                 
                cancelled Course status
                prsb03-dataelement-12680
                Id prsb03-dataelement-12680 (2019‑11‑19 17:11:10)
                Concept inherits from draft prsb03-dataelement-10666 (2018‑11‑13 16:47:55)
                Description The status of this prescription.
                Operationalization FHIR value set : - Medication status
                  Value Domain
                  target Used by 0 transactions, 0 templates, inherited once
                   
                  cancelled Indication
                  prsb03-dataelement-12681
                  Id prsb03-dataelement-12681 (2019‑11‑19 17:11:10)
                  Concept inherits from draft prsb03-dataelement-10546 (2018‑10‑31)
                  Description Reason for medication being prescribed, where known.

                  Properties

                  FHIR MedicationStatement.reasonCode
                  Operationalization Free text
                  Value Domain
                  Property
                  max length
                  150
                  target Used by 0 transactions, 0 templates, inherited once
                   
                  cancelled Start date/time
                  prsb03-dataelement-12682
                  Id prsb03-dataelement-12682 (2019‑11‑19 17:11:10)
                  Concept inherits from draft prsb03-dataelement-10667 (2018‑11‑13 16:49:22)
                  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 0 transactions, 0 templates, inherited once
                   
                  cancelled End date/time
                  prsb03-dataelement-12683
                  Id prsb03-dataelement-12683 (2019‑11‑19 17:11:10)
                  Concept inherits from draft prsb03-dataelement-10557 (2018‑10‑31)
                  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 0 transactions, 0 templates, inherited once
                   
                  cancelled Link to indication record
                  prsb03-dataelement-12684
                  Id prsb03-dataelement-12684 (2019‑11‑19 17:11:10)
                  Concept inherits from draft prsb03-dataelement-10668 (2018‑11‑13 16:59:09)
                  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 0 transactions, 0 templates, inherited once
                   
                  cancelled Comment/recommendation
                  prsb03-dataelement-12685
                  Id prsb03-dataelement-12685 (2019‑11‑19 17:11:10)
                  Concept inherits from draft prsb03-dataelement-10547 (2018‑10‑31)
                  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 0 transactions, 0 templates, inherited once
                   
                  folder cancelled Medication change summary cluster
                  prsb03-dataelement-12686
                  link
                  Id prsb03-dataelement-12686 (2019‑11‑19 17:11:10)
                  Concept inherits from draft prsb03-dataelement-10568 (2018‑10‑31)
                  Description Records the changes made to medication.
                  target Used by 0 transactions, 0 templates, inherited once
                   
                  cancelled Status
                  prsb03-dataelement-12687
                  Id prsb03-dataelement-12687 (2019‑11‑19 17:11:10)
                  Concept inherits from draft prsb03-dataelement-10669 (2018‑11‑13 17:00:50)
                  Description The nature of any change made to the medication.
                  Operationalization FHIR value set : Medication status
                    Value Domain
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    cancelled Indication
                    prsb03-dataelement-12688
                    Id prsb03-dataelement-12688 (2019‑11‑19 17:11:10)
                    Concept inherits from draft prsb03-dataelement-10670 (2018‑11‑13 17:02:07)
                    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 0 transactions, 0 templates, inherited once
                     
                    cancelled Date of change
                    prsb03-dataelement-12689
                    Id prsb03-dataelement-12689 (2019‑11‑19 17:11:10)
                    Concept inherits from draft prsb03-dataelement-10671 (2018‑11‑13 17:03:03)
                    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 0 transactions, 0 templates, inherited once
                     
                    cancelled Description of amendment
                    prsb03-dataelement-12690
                    Id prsb03-dataelement-12690 (2019‑11‑19 17:11:10)
                    Concept inherits from draft prsb03-dataelement-10672 (2018‑11‑13 17:03:42)
                    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 0 transactions, 0 templates, inherited once
                     
                    cancelled Total dose daily quantity
                    prsb03-dataelement-12691
                    Id prsb03-dataelement-12691 (2019‑11‑19 17:11:10)
                    Concept inherits from draft prsb03-dataelement-10665 (2018‑11‑13 16:44:41)
                    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 0 transactions, 0 templates, inherited once
                     
                    folder cancelled Person completing record
                    prsb03-dataelement-12692
                    link
                    Id prsb03-dataelement-12692 (2019‑11‑19 17:11:10)
                    Concept inherits from draft prsb03-dataelement-11993 (2019‑05‑31 15:11:27)
                    Description Details of the person completing the record.
                    Relationship
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    cancelled Name
                    prsb03-dataelement-12693
                    Id prsb03-dataelement-12693 (2019‑11‑19 17:11:10)
                    Concept inherits from draft prsb03-dataelement-11994 (2019‑05‑31 15:12:02)
                    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 0 transactions, 0 templates, inherited once
                     
                    cancelled Role
                    prsb03-dataelement-12694
                    Id prsb03-dataelement-12694 (2019‑11‑19 17:11:10)
                    Concept inherits from draft prsb03-dataelement-11995 (2019‑05‑31 15:12:02)
                    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 0 transactions, 0 templates, inherited once
                     
                    cancelled Grade
                    prsb03-dataelement-12695
                    Id prsb03-dataelement-12695 (2019‑11‑19 17:11:10)
                    Concept inherits from draft prsb03-dataelement-11996 (2019‑05‑31 15:12:02)
                    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 0 transactions, 0 templates, inherited once
                     
                    cancelled Specialty
                    prsb03-dataelement-12696
                    Id prsb03-dataelement-12696 (2019‑11‑19 17:11:10)
                    Concept inherits from draft prsb03-dataelement-11997 (2019‑05‑31 15:12:02)
                    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 0 transactions, 0 templates, inherited once
                     
                    folder cancelled Organisation
                    prsb03-dataelement-12697
                    Id prsb03-dataelement-12697 (2019‑11‑19 17:11:10)
                    Concept inherits from draft prsb03-dataelement-11998 (2019‑05‑31 15:12:02)
                    Description The organisation the person completing the record works for.
                    Relationship
                    Operationalization NHS data dictionary : - Organisation data service
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    cancelled Professional identifier
                    prsb03-dataelement-12698
                    Id prsb03-dataelement-12698 (2019‑11‑19 17:11:10)
                    Concept inherits from draft prsb03-dataelement-11999 (2019‑05‑31 15:12:02)
                    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 0 transactions, 0 templates, inherited once
                     
                    cancelled Date completed
                    prsb03-dataelement-12699
                    Id prsb03-dataelement-12699 (2019‑11‑19 17:11:10)
                    Concept inherits from draft prsb03-dataelement-12000 (2019‑05‑31 15:12:02)
                    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 0 transactions, 0 templates, inherited once
                     
                    cancelled Contact details
                    prsb03-dataelement-12700
                    Id prsb03-dataelement-12700 (2019‑11‑19 17:11:10)
                    Concept inherits from draft prsb03-dataelement-12001 (2019‑05‑31 15:12:02)
                    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 0 transactions, 0 templates, inherited once
                     
                    folder draft Repeat medications
                    prsb03-dataelement-10585
                    link
                    Id prsb03-dataelement-10585 (2018‑10‑31)
                    Description This is the sub-section where all repeat medications within a specific period are recorded
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    folder draft Medication item cluster
                    prsb03-dataelement-12706
                    link
                    Id prsb03-dataelement-12706 (2019‑11‑19 17:33:23)
                    Description Medication item cluster
                    Relationship
                    cancelled Date
                    prsb03-dataelement-12707
                    Id prsb03-dataelement-12707 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12650 (2019‑11‑19 17:11:10)
                    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 0 transactions, 0 templates, inherited once
                     
                    folder cancelled Location
                    prsb03-dataelement-12708
                    Id prsb03-dataelement-12708 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12651 (2019‑11‑19 17:11:10)
                    Description The location where the medication or the medical device was prescribed.
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    cancelled Performing professional
                    prsb03-dataelement-12709
                    Id prsb03-dataelement-12709 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12652 (2019‑11‑19 17:11:10)
                    Description Details of the professional prescribing the medication or medical device.
                    Value Domain
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    folder cancelled Performing professional
                    prsb03-dataelement-12710
                    link
                    Id prsb03-dataelement-12710 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12653 (2019‑11‑19 17:11:10)
                    Description The professional who prescribed the medication or medical device.
                    Relationship
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    cancelled Name
                    prsb03-dataelement-12711
                    Id prsb03-dataelement-12711 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12654 (2019‑11‑19 17:11:10)
                    Description The name of the professional.
                    Rationale Practitioner.name
                    Operationalization Free text.
                    Value Domain
                    Property
                    max length
                    70
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    cancelled Role
                    prsb03-dataelement-12712
                    Id prsb03-dataelement-12712 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12655 (2019‑11‑19 17:11:10)
                    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 0 transactions, 0 templates, inherited once
                     
                    cancelled Grade
                    prsb03-dataelement-12713
                    Id prsb03-dataelement-12713 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12656 (2019‑11‑19 17:11:10)
                    Description The grade of the professional.
                    Rationale PractitionerRole.code
                    Operationalization Free text
                    Value Domain
                    Property
                    max length
                    150
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    cancelled Speciality
                    prsb03-dataelement-12714
                    Id prsb03-dataelement-12714 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12657 (2019‑11‑19 17:11:10)
                    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 0 transactions, 0 templates, inherited once
                     
                    cancelled Professional identifier
                    prsb03-dataelement-12715
                    Id prsb03-dataelement-12715 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12658 (2019‑11‑19 17:11:10)
                    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 0 transactions, 0 templates, inherited once
                     
                    folder cancelled Organisation
                    prsb03-dataelement-12716
                    Id prsb03-dataelement-12716 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12659 (2019‑11‑19 17:11:10)
                    Description The name of the organisation the professional works for.
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    cancelled Contact details
                    prsb03-dataelement-12717
                    Id prsb03-dataelement-12717 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12660 (2019‑11‑19 17:11:10)
                    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 0 transactions, 0 templates, inherited once
                     
                    folder draft Medication name
                    prsb03-dataelement-12718
                    Id prsb03-dataelement-12718 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12661 (2019‑11‑19 17:11:10)
                    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 0 transactions, 0 templates, inherited once
                     
                    folder draft Form
                    prsb03-dataelement-12719
                    Id prsb03-dataelement-12719 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12662 (2019‑11‑19 17:11:10)
                    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 0 transactions, 0 templates, inherited once
                     
                    folder cancelled Quantity supplied
                    prsb03-dataelement-12720
                    Id prsb03-dataelement-12720 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12663 (2019‑11‑19 17:11:10)
                    Description The quantity of the medication (e.g. tablets, inhalers, etc.) provided to the person. This may be dispensed by the pharmacy or on the ward. Record in a structured format i.e. value and a unit

                    Properties

                    FHIR MedicationStatement.quantityDispensed (Amount of medication to supply per dispense) quantity (as a valueQuantity) - Mandatory quantityText (as a valueString) - Mandatory
                    Operationalization Free text
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    folder draft Route
                    prsb03-dataelement-12721
                    Id prsb03-dataelement-12721 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12664 (2019‑11‑19 17:11:10)
                    Description The route by which the medication is administered e.g. oral, IM, IV

                    Properties

                    FHIR MedicationStatement.dosage.route
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    folder draft Site
                    prsb03-dataelement-12722
                    Id prsb03-dataelement-12722 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12665 (2019‑11‑19 17:11:10)
                    Description The anatomical site at which the medication is to be administered.

                    Properties

                    FHIR MedicationStatement.dosage.site
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    folder draft Method
                    prsb03-dataelement-12723
                    Id prsb03-dataelement-12723 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12666 (2019‑11‑19 17:11:10)
                    Description The technique or method by which the medication is to be administered.

                    Properties

                    FHIR MedicationStatement.dosage.method
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    cancelled Dose directions description
                    prsb03-dataelement-12724
                    Id prsb03-dataelement-12724 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12667 (2019‑11‑19 17:11:10)
                    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 0 transactions, 0 templates, inherited once
                     
                    cancelled Dose amount description
                    prsb03-dataelement-12725
                    Id prsb03-dataelement-12725 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12668 (2019‑11‑19 17:11:10)
                    Description A description of the medication single dose amount e.g. "30 mg" or "2 tabs".

                    Properties

                    FHIR MedicationStatement.dosage.text
                    Operationalization Free text
                    Value Domain
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    cancelled Dose timing description
                    prsb03-dataelement-12726
                    Id prsb03-dataelement-12726 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12669 (2019‑11‑19 17:11:10)
                    Description A description of the frequency of taking or administration of a medication dose. e.g. "Twice a day", "At 8am, 2pm and 10pm".

                    Properties

                    FHIR MedicationStatement.dosage.timing [a complex data type that holds lots of timing formats]
                    Operationalization Free text
                    Value Domain
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    cancelled Parsable dose directions
                    prsb03-dataelement-12727
                    Id prsb03-dataelement-12727 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12670 (2019‑11‑19 17:11:10)
                    Description A parsable 'dose syntax' which carries dose strength, dose timing, dose duration and maximum dose information, e.g. "20-30mg ^4/6h prn [180mg /24h]" = 20 to 30 mgs, up to 4-6 hourly as required. Maximum 180mg in 24 hours. The 'as required reason' e.g. 'for pain' should be carried in the Additional Instruction element. Note that this is generally a symptom and is not the same as the Indication which will usually describe a diagnosis or condition. Where supported, this would generally be used to exchange dosage information between systems, while Structured dose directions are likely to be used only within openEHR-based systems
                    Value Domain
                    Property
                    max length
                    150
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    folder draft Structured dose direction cluster
                    prsb03-dataelement-12728
                    link
                    Id prsb03-dataelement-12728 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12671 (2019‑11‑19 17:11:10)
                    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 0 transactions, 0 templates, inherited once
                     
                    draft Structured dose direction
                    prsb03-dataelement-12729
                    Id prsb03-dataelement-12729 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12672 (2019‑11‑19 17:11:10)
                    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.
                    Operationalization As per FHIR Dose Syntax Implementation Guidance (NHS Digital): https://developer.nhs.uk/apis/dose-syntax-implementation/
                    Value Domain
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    folder draft Structured dose amount
                    prsb03-dataelement-12730
                    Id prsb03-dataelement-12730 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12673 (2019‑11‑19 17:11:10)
                    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 0 transactions, 0 templates, inherited once
                     
                    draft Structured dose timing
                    prsb03-dataelement-12731
                    Id prsb03-dataelement-12731 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12674 (2019‑11‑19 17:11:10)
                    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 0 transactions, 0 templates, inherited once
                     
                    draft Dose direction duration
                    prsb03-dataelement-12732
                    Id prsb03-dataelement-12732 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12675 (2019‑11‑19 17:11:10)
                    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 0 transactions, 0 templates, inherited once
                     
                    draft Prescribed quantity
                    prsb03-dataelement-12733
                    Id prsb03-dataelement-12733 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12701 (2019‑11‑19 17:22:14)
                    Description Medication quantity prescribed
                    Value Domain
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    draft Date started
                    prsb03-dataelement-12763
                    Id prsb03-dataelement-12763 (2019‑11‑19 17:40:42)
                    Description This is when the medication was first prescribed.
                    Value Domain
                    Property
                    Timestamp precision
                    at least day, month and year
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    draft Authorised date
                    prsb03-dataelement-12734
                    Id prsb03-dataelement-12734 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12702 (2019‑11‑19 17:23:30)
                    Description Date prescriber created prescription
                    Operationalization Date and Time
                    Value Domain
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    cancelled 
                    prsb03-dataelement-12735
                    Id prsb03-dataelement-12735 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12703 (2019‑11‑19 17:24:54)
                    Value Domain
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    draft Valid from date
                    prsb03-dataelement-12736
                    Id prsb03-dataelement-12736 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12704 (2019‑11‑19 17:24:55)
                    Description Date the prescription can be issued from. Valid for 6 months
                    Operationalization Date and Time
                    Value Domain
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    draft Number of issues permissable
                    prsb03-dataelement-12764
                    Id prsb03-dataelement-12764 (2019‑11‑19 17:41:55)
                    Description The number of repeat issues permissible
                    Value Domain
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    draft Number of issues made
                    prsb03-dataelement-12765
                    Id prsb03-dataelement-12765 (2019‑11‑19 17:43:17)
                    Description The number of repeats already issued
                    Value Domain
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    draft Valid to date
                    prsb03-dataelement-12766
                    Id prsb03-dataelement-12766 (2019‑11‑19 17:44:06)
                    Description Date the prescription is valid to
                    Value Domain
                    Property
                    Timestamp precision
                    at least day, month and year
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    draft Indication
                    prsb03-dataelement-12737
                    Id prsb03-dataelement-12737 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12705 (2019‑11‑19 17:26:09)
                    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 0 transactions, 0 templates, inherited once
                     
                    draft Additional instructions
                    prsb03-dataelement-12738
                    Id prsb03-dataelement-12738 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12676 (2019‑11‑19 17:11:10)
                    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 0 transactions, 0 templates, inherited once
                     
                    draft Request for advice
                    prsb03-dataelement-12739
                    Id prsb03-dataelement-12739 (2019‑11‑19 17:33:50)
                    Concept inherits from draft prsb03-dataelement-12677 (2019‑11‑19 17:11:10)
                    Description Request for advice and recommendation about medication
                    Operationalization Free text
                    Value Domain
                    Property
                    max length
                    150
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    draft Request dispensed
                    prsb03-dataelement-12767
                    Id prsb03-dataelement-12767 (2019‑11‑19 17:45:17)
                    Description This is an indicator as to whether the item will be repeat dispensed by pharmacy
                    Operationalization Repeat dispense by pharmacy, not repeat dispense by pharmacy.
                    Value Domain
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    cancelled Person completing record
                    prsb03-dataelement-12740
                    Id prsb03-dataelement-12740 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12678 (2019‑11‑19 17:11:10)
                    Description This is the person recording the medication.

                    Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
                    Relationship
                    Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
                    Value Domain
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    folder cancelled Course details cluster
                    prsb03-dataelement-12741
                    link
                    Id prsb03-dataelement-12741 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12679 (2019‑11‑19 17:11:10)
                    Description Details of the overall course of medication.
                    target Used by 0 transactions, 0 templates, inherited once
                     
                    cancelled Course status
                    prsb03-dataelement-12742
                    Id prsb03-dataelement-12742 (2019‑11‑19 17:33:50)
                    Concept inherits from cancelled prsb03-dataelement-12680 (2019‑11‑19 17:11:10)
                    Description The status of this prescription.
                    Operationalization FHIR value set : - Medication status
                      Value Domain
                      target Used by 0 transactions, 0 templates, inherited once
                       
                      cancelled Indication
                      prsb03-dataelement-12743
                      Id prsb03-dataelement-12743 (2019‑11‑19 17:33:50)
                      Concept inherits from cancelled prsb03-dataelement-12681 (2019‑11‑19 17:11:10)
                      Description Reason for medication being prescribed, where known.

                      Properties

                      FHIR MedicationStatement.reasonCode
                      Operationalization Free text
                      Value Domain
                      Property
                      max length
                      150
                      target Used by 0 transactions, 0 templates, inherited once
                       
                      cancelled Start date/time
                      prsb03-dataelement-12744
                      Id prsb03-dataelement-12744 (2019‑11‑19 17:33:50)
                      Concept inherits from cancelled prsb03-dataelement-12682 (2019‑11‑19 17:11:10)
                      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 0 transactions, 0 templates, inherited once
                       
                      cancelled End date/time
                      prsb03-dataelement-12745
                      Id prsb03-dataelement-12745 (2019‑11‑19 17:33:50)
                      Concept inherits from cancelled prsb03-dataelement-12683 (2019‑11‑19 17:11:10)
                      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 0 transactions, 0 templates, inherited once
                       
                      cancelled Link to indication record
                      prsb03-dataelement-12746
                      Id prsb03-dataelement-12746 (2019‑11‑19 17:33:50)
                      Concept inherits from cancelled prsb03-dataelement-12684 (2019‑11‑19 17:11:10)
                      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 0 transactions, 0 templates, inherited once
                       
                      cancelled Comment/recommendation
                      prsb03-dataelement-12747
                      Id prsb03-dataelement-12747 (2019‑11‑19 17:33:50)
                      Concept inherits from cancelled prsb03-dataelement-12685 (2019‑11‑19 17:11:10)
                      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 0 transactions, 0 templates, inherited once
                       
                      folder cancelled Medication change summary cluster
                      prsb03-dataelement-12748
                      link
                      Id prsb03-dataelement-12748 (2019‑11‑19 17:33:50)
                      Concept inherits from cancelled prsb03-dataelement-12686 (2019‑11‑19 17:11:10)
                      Description Records the changes made to medication.
                      target Used by 0 transactions, 0 templates, inherited once
                       
                      cancelled Status
                      prsb03-dataelement-12749
                      Id prsb03-dataelement-12749 (2019‑11‑19 17:33:50)
                      Concept inherits from cancelled prsb03-dataelement-12687 (2019‑11‑19 17:11:10)
                      Description The nature of any change made to the medication.
                      Operationalization FHIR value set : Medication status
                        Value Domain
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Indication
                        prsb03-dataelement-12750
                        Id prsb03-dataelement-12750 (2019‑11‑19 17:33:50)
                        Concept inherits from cancelled prsb03-dataelement-12688 (2019‑11‑19 17:11:10)
                        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 0 transactions, 0 templates, inherited once
                         
                        cancelled Date of change
                        prsb03-dataelement-12751
                        Id prsb03-dataelement-12751 (2019‑11‑19 17:33:50)
                        Concept inherits from cancelled prsb03-dataelement-12689 (2019‑11‑19 17:11:10)
                        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 0 transactions, 0 templates, inherited once
                         
                        cancelled Description of amendment
                        prsb03-dataelement-12752
                        Id prsb03-dataelement-12752 (2019‑11‑19 17:33:50)
                        Concept inherits from cancelled prsb03-dataelement-12690 (2019‑11‑19 17:11:10)
                        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 0 transactions, 0 templates, inherited once
                         
                        cancelled Total dose daily quantity
                        prsb03-dataelement-12753
                        Id prsb03-dataelement-12753 (2019‑11‑19 17:33:50)
                        Concept inherits from cancelled prsb03-dataelement-12691 (2019‑11‑19 17:11:10)
                        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 0 transactions, 0 templates, inherited once
                         
                        folder cancelled Person completing record
                        prsb03-dataelement-12754
                        link
                        Id prsb03-dataelement-12754 (2019‑11‑19 17:33:50)
                        Concept inherits from cancelled prsb03-dataelement-12692 (2019‑11‑19 17:11:10)
                        Description Details of the person completing the record.
                        Relationship
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Name
                        prsb03-dataelement-12755
                        Id prsb03-dataelement-12755 (2019‑11‑19 17:33:50)
                        Concept inherits from cancelled prsb03-dataelement-12693 (2019‑11‑19 17:11:10)
                        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 0 transactions, 0 templates, inherited once
                         
                        cancelled Role
                        prsb03-dataelement-12756
                        Id prsb03-dataelement-12756 (2019‑11‑19 17:33:50)
                        Concept inherits from cancelled prsb03-dataelement-12694 (2019‑11‑19 17:11:10)
                        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 0 transactions, 0 templates, inherited once
                         
                        cancelled Grade
                        prsb03-dataelement-12757
                        Id prsb03-dataelement-12757 (2019‑11‑19 17:33:50)
                        Concept inherits from cancelled prsb03-dataelement-12695 (2019‑11‑19 17:11:10)
                        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 0 transactions, 0 templates, inherited once
                         
                        cancelled Specialty
                        prsb03-dataelement-12758
                        Id prsb03-dataelement-12758 (2019‑11‑19 17:33:50)
                        Concept inherits from cancelled prsb03-dataelement-12696 (2019‑11‑19 17:11:10)
                        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 0 transactions, 0 templates, inherited once
                         
                        folder cancelled Organisation
                        prsb03-dataelement-12759
                        Id prsb03-dataelement-12759 (2019‑11‑19 17:33:50)
                        Concept inherits from cancelled prsb03-dataelement-12697 (2019‑11‑19 17:11:10)
                        Description The organisation the person completing the record works for.
                        Relationship
                        Operationalization NHS data dictionary : - Organisation data service
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Professional identifier
                        prsb03-dataelement-12760
                        Id prsb03-dataelement-12760 (2019‑11‑19 17:33:50)
                        Concept inherits from cancelled prsb03-dataelement-12698 (2019‑11‑19 17:11:10)
                        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 0 transactions, 0 templates, inherited once
                         
                        cancelled Date completed
                        prsb03-dataelement-12761
                        Id prsb03-dataelement-12761 (2019‑11‑19 17:33:50)
                        Concept inherits from cancelled prsb03-dataelement-12699 (2019‑11‑19 17:11:10)
                        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 0 transactions, 0 templates, inherited once
                         
                        cancelled Contact details
                        prsb03-dataelement-12762
                        Id prsb03-dataelement-12762 (2019‑11‑19 17:33:50)
                        Concept inherits from cancelled prsb03-dataelement-12700 (2019‑11‑19 17:11:10)
                        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 0 transactions, 0 templates, inherited once
                         
                        folder draft Discontinued medications
                        prsb03-dataelement-12768
                        link
                        Id prsb03-dataelement-12768 (2019‑11‑19 17:50:19)
                        Description This is the sub-section where all discontinued repeat medications are recorded.
                        draft Discontinued medication extraction period
                        prsb03-dataelement-12769
                        Id prsb03-dataelement-12769 (2019‑11‑19 17:51:54)
                        Description Date range of discontinued medications
                        Operationalization Discontinued Medications (For the <X> month period <dd-Mmm-yyyy> to <dd-Mmm-yyyy>)
                        Value Domain
                        Property
                        Timestamp precision
                        at least day, month and year
                        folder draft Medication item cluster
                        prsb03-dataelement-12770
                        link
                        Id prsb03-dataelement-12770 (2019‑11‑19 17:56:27)
                        Description Medication item cluster
                        Relationship
                        cancelled Date
                        prsb03-dataelement-12832
                        Id prsb03-dataelement-12832 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12707 (2019‑11‑19 17:33:50)
                        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 0 transactions, 0 templates, inherited once
                         
                        folder cancelled Location
                        prsb03-dataelement-12833
                        Id prsb03-dataelement-12833 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12708 (2019‑11‑19 17:33:50)
                        Description The location where the medication or the medical device was prescribed.
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Performing professional
                        prsb03-dataelement-12834
                        Id prsb03-dataelement-12834 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12709 (2019‑11‑19 17:33:50)
                        Description Details of the professional prescribing the medication or medical device.
                        Value Domain
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        folder cancelled Performing professional
                        prsb03-dataelement-12835
                        link
                        Id prsb03-dataelement-12835 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12710 (2019‑11‑19 17:33:50)
                        Description The professional who prescribed the medication or medical device.
                        Relationship
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Name
                        prsb03-dataelement-12836
                        Id prsb03-dataelement-12836 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12711 (2019‑11‑19 17:33:50)
                        Description The name of the professional.
                        Rationale Practitioner.name
                        Operationalization Free text.
                        Value Domain
                        Property
                        max length
                        70
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Role
                        prsb03-dataelement-12837
                        Id prsb03-dataelement-12837 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12712 (2019‑11‑19 17:33:50)
                        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 0 transactions, 0 templates, inherited once
                         
                        cancelled Grade
                        prsb03-dataelement-12838
                        Id prsb03-dataelement-12838 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12713 (2019‑11‑19 17:33:50)
                        Description The grade of the professional.
                        Rationale PractitionerRole.code
                        Operationalization Free text
                        Value Domain
                        Property
                        max length
                        150
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Speciality
                        prsb03-dataelement-12839
                        Id prsb03-dataelement-12839 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12714 (2019‑11‑19 17:33:50)
                        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 0 transactions, 0 templates, inherited once
                         
                        cancelled Professional identifier
                        prsb03-dataelement-12840
                        Id prsb03-dataelement-12840 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12715 (2019‑11‑19 17:33:50)
                        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 0 transactions, 0 templates, inherited once
                         
                        folder cancelled Organisation
                        prsb03-dataelement-12841
                        Id prsb03-dataelement-12841 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12716 (2019‑11‑19 17:33:50)
                        Description The name of the organisation the professional works for.
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Contact details
                        prsb03-dataelement-12842
                        Id prsb03-dataelement-12842 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12717 (2019‑11‑19 17:33:50)
                        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 0 transactions, 0 templates, inherited once
                         
                        folder draft Medication name
                        prsb03-dataelement-12843
                        Id prsb03-dataelement-12843 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12718 (2019‑11‑19 17:33:50)
                        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 0 transactions, 0 templates, inherited once
                         
                        folder draft Form
                        prsb03-dataelement-12844
                        Id prsb03-dataelement-12844 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12719 (2019‑11‑19 17:33:50)
                        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 0 transactions, 0 templates, inherited once
                         
                        folder cancelled Quantity supplied
                        prsb03-dataelement-12845
                        Id prsb03-dataelement-12845 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12720 (2019‑11‑19 17:33:50)
                        Description The quantity of the medication (e.g. tablets, inhalers, etc.) provided to the person. This may be dispensed by the pharmacy or on the ward. Record in a structured format i.e. value and a unit

                        Properties

                        FHIR MedicationStatement.quantityDispensed (Amount of medication to supply per dispense) quantity (as a valueQuantity) - Mandatory quantityText (as a valueString) - Mandatory
                        Operationalization Free text
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        folder draft Route
                        prsb03-dataelement-12846
                        Id prsb03-dataelement-12846 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12721 (2019‑11‑19 17:33:50)
                        Description The route by which the medication is administered e.g. oral, IM, IV

                        Properties

                        FHIR MedicationStatement.dosage.route
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        folder draft Site
                        prsb03-dataelement-12847
                        Id prsb03-dataelement-12847 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12722 (2019‑11‑19 17:33:50)
                        Description The anatomical site at which the medication is to be administered.

                        Properties

                        FHIR MedicationStatement.dosage.site
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        folder draft Method
                        prsb03-dataelement-12848
                        Id prsb03-dataelement-12848 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12723 (2019‑11‑19 17:33:50)
                        Description The technique or method by which the medication is to be administered.

                        Properties

                        FHIR MedicationStatement.dosage.method
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Dose directions description
                        prsb03-dataelement-12849
                        Id prsb03-dataelement-12849 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12724 (2019‑11‑19 17:33:50)
                        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 0 transactions, 0 templates, inherited once
                         
                        cancelled Dose amount description
                        prsb03-dataelement-12850
                        Id prsb03-dataelement-12850 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12725 (2019‑11‑19 17:33:50)
                        Description A description of the medication single dose amount e.g. "30 mg" or "2 tabs".

                        Properties

                        FHIR MedicationStatement.dosage.text
                        Operationalization Free text
                        Value Domain
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Dose timing description
                        prsb03-dataelement-12851
                        Id prsb03-dataelement-12851 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12726 (2019‑11‑19 17:33:50)
                        Description A description of the frequency of taking or administration of a medication dose. e.g. "Twice a day", "At 8am, 2pm and 10pm".

                        Properties

                        FHIR MedicationStatement.dosage.timing [a complex data type that holds lots of timing formats]
                        Operationalization Free text
                        Value Domain
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Parsable dose directions
                        prsb03-dataelement-12852
                        Id prsb03-dataelement-12852 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12727 (2019‑11‑19 17:33:50)
                        Description A parsable 'dose syntax' which carries dose strength, dose timing, dose duration and maximum dose information, e.g. "20-30mg ^4/6h prn [180mg /24h]" = 20 to 30 mgs, up to 4-6 hourly as required. Maximum 180mg in 24 hours. The 'as required reason' e.g. 'for pain' should be carried in the Additional Instruction element. Note that this is generally a symptom and is not the same as the Indication which will usually describe a diagnosis or condition. Where supported, this would generally be used to exchange dosage information between systems, while Structured dose directions are likely to be used only within openEHR-based systems
                        Value Domain
                        Property
                        max length
                        150
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        folder draft Structured dose direction cluster
                        prsb03-dataelement-12853
                        link
                        Id prsb03-dataelement-12853 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12728 (2019‑11‑19 17:33:50)
                        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 0 transactions, 0 templates, inherited once
                         
                        draft Structured dose direction
                        prsb03-dataelement-12854
                        Id prsb03-dataelement-12854 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12729 (2019‑11‑19 17:33:50)
                        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.
                        Operationalization As per FHIR Dose Syntax Implementation Guidance (NHS Digital): https://developer.nhs.uk/apis/dose-syntax-implementation/
                        Value Domain
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        folder draft Structured dose amount
                        prsb03-dataelement-12855
                        Id prsb03-dataelement-12855 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12730 (2019‑11‑19 17:33:50)
                        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 0 transactions, 0 templates, inherited once
                         
                        draft Structured dose timing
                        prsb03-dataelement-12856
                        Id prsb03-dataelement-12856 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12731 (2019‑11‑19 17:33:50)
                        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 0 transactions, 0 templates, inherited once
                         
                        draft Dose direction duration
                        prsb03-dataelement-12857
                        Id prsb03-dataelement-12857 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12732 (2019‑11‑19 17:33:50)
                        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 0 transactions, 0 templates, inherited once
                         
                        draft Prescribed quantity
                        prsb03-dataelement-12858
                        Id prsb03-dataelement-12858 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12733 (2019‑11‑19 17:33:50)
                        Description Medication quantity prescribed
                        Value Domain
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        draft Date started
                        prsb03-dataelement-12859
                        Id prsb03-dataelement-12859 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12763 (2019‑11‑19 17:40:42)
                        Description This is when the medication was first prescribed.
                        Value Domain
                        Property
                        Timestamp precision
                        at least day, month and year
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        draft Date discontinued
                        prsb03-dataelement-12893
                        Id prsb03-dataelement-12893 (2019‑11‑19 18:02:44)
                        Description This is when the medication was stopped.
                        Operationalization Date/time
                        Value Domain
                        Property
                        Timestamp precision
                        at least day, month and year
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Authorised date
                        prsb03-dataelement-12860
                        Id prsb03-dataelement-12860 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12734 (2019‑11‑19 17:33:50)
                        Description Date prescriber created prescription
                        Operationalization Date and Time
                        Value Domain
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled 
                        prsb03-dataelement-12861
                        Id prsb03-dataelement-12861 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12735 (2019‑11‑19 17:33:50)
                        Value Domain
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Valid from date
                        prsb03-dataelement-12862
                        Id prsb03-dataelement-12862 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12736 (2019‑11‑19 17:33:50)
                        Description Date the prescription can be issued from. Valid for 6 months
                        Operationalization Date and Time
                        Value Domain
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Number of issues permissable
                        prsb03-dataelement-12863
                        Id prsb03-dataelement-12863 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12764 (2019‑11‑19 17:41:55)
                        Description The number of repeat issues permissible
                        Value Domain
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Number of issues made
                        prsb03-dataelement-12864
                        Id prsb03-dataelement-12864 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12765 (2019‑11‑19 17:43:17)
                        Description The number of repeats already issued
                        Value Domain
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Valid to date
                        prsb03-dataelement-12865
                        Id prsb03-dataelement-12865 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12766 (2019‑11‑19 17:44:06)
                        Description Date the prescription is valid to
                        Value Domain
                        Property
                        Timestamp precision
                        at least day, month and year
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        draft Indication
                        prsb03-dataelement-12866
                        Id prsb03-dataelement-12866 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12737 (2019‑11‑19 17:33:50)
                        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 0 transactions, 0 templates, inherited once
                         
                        draft Reason for discontinuation
                        prsb03-dataelement-12894
                        Id prsb03-dataelement-12894 (2019‑11‑19 18:10:11)
                        Description Reason medication was discontinued
                        Operationalization Free text
                        Value Domain
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        draft Additional instructions
                        prsb03-dataelement-12867
                        Id prsb03-dataelement-12867 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12738 (2019‑11‑19 17:33:50)
                        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 0 transactions, 0 templates, inherited once
                         
                        cancelled Request for advice
                        prsb03-dataelement-12868
                        Id prsb03-dataelement-12868 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12739 (2019‑11‑19 17:33:50)
                        Description Request for advice and recommendation about medication
                        Operationalization Free text
                        Value Domain
                        Property
                        max length
                        150
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Request dispensed
                        prsb03-dataelement-12869
                        Id prsb03-dataelement-12869 (2019‑11‑19 17:57:19)
                        Concept inherits from draft prsb03-dataelement-12767 (2019‑11‑19 17:45:17)
                        Description This is an indicator as to whether the item will be repeat dispensed by pharmacy
                        Operationalization Repeat dispense by pharmacy, not repeat dispense by pharmacy.
                        Value Domain
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Person completing record
                        prsb03-dataelement-12870
                        Id prsb03-dataelement-12870 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12740 (2019‑11‑19 17:33:50)
                        Description This is the person recording the medication.

                        Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
                        Relationship
                        Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
                        Value Domain
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        folder cancelled Course details cluster
                        prsb03-dataelement-12871
                        link
                        Id prsb03-dataelement-12871 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12741 (2019‑11‑19 17:33:50)
                        Description Details of the overall course of medication.
                        target Used by 0 transactions, 0 templates, inherited once
                         
                        cancelled Course status
                        prsb03-dataelement-12872
                        Id prsb03-dataelement-12872 (2019‑11‑19 17:57:19)
                        Concept inherits from cancelled prsb03-dataelement-12742 (2019‑11‑19 17:33:50)
                        Description The status of this prescription.
                        Operationalization FHIR value set : - Medication status
                          Value Domain
                          target Used by 0 transactions, 0 templates, inherited once
                           
                          cancelled Indication
                          prsb03-dataelement-12873
                          Id prsb03-dataelement-12873 (2019‑11‑19 17:57:19)
                          Concept inherits from cancelled prsb03-dataelement-12743 (2019‑11‑19 17:33:50)
                          Description Reason for medication being prescribed, where known.

                          Properties

                          FHIR MedicationStatement.reasonCode
                          Operationalization Free text
                          Value Domain
                          Property
                          max length
                          150
                          target Used by 0 transactions, 0 templates, inherited once
                           
                          cancelled Start date/time
                          prsb03-dataelement-12874
                          Id prsb03-dataelement-12874 (2019‑11‑19 17:57:19)
                          Concept inherits from cancelled prsb03-dataelement-12744 (2019‑11‑19 17:33:50)
                          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 0 transactions, 0 templates, inherited once
                           
                          cancelled End date/time
                          prsb03-dataelement-12875
                          Id prsb03-dataelement-12875 (2019‑11‑19 17:57:19)
                          Concept inherits from cancelled prsb03-dataelement-12745 (2019‑11‑19 17:33:50)
                          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 0 transactions, 0 templates, inherited once
                           
                          cancelled Link to indication record
                          prsb03-dataelement-12876
                          Id prsb03-dataelement-12876 (2019‑11‑19 17:57:19)
                          Concept inherits from cancelled prsb03-dataelement-12746 (2019‑11‑19 17:33:50)
                          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 0 transactions, 0 templates, inherited once
                           
                          cancelled Comment/recommendation
                          prsb03-dataelement-12877
                          Id prsb03-dataelement-12877 (2019‑11‑19 17:57:19)
                          Concept inherits from cancelled prsb03-dataelement-12747 (2019‑11‑19 17:33:50)
                          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 0 transactions, 0 templates, inherited once
                           
                          folder cancelled Medication change summary cluster
                          prsb03-dataelement-12878
                          link
                          Id prsb03-dataelement-12878 (2019‑11‑19 17:57:19)
                          Concept inherits from cancelled prsb03-dataelement-12748 (2019‑11‑19 17:33:50)
                          Description Records the changes made to medication.
                          target Used by 0 transactions, 0 templates, inherited once
                           
                          cancelled Status
                          prsb03-dataelement-12879
                          Id prsb03-dataelement-12879 (2019‑11‑19 17:57:19)
                          Concept inherits from cancelled prsb03-dataelement-12749 (2019‑11‑19 17:33:50)
                          Description The nature of any change made to the medication.
                          Operationalization FHIR value set : Medication status
                            Value Domain
                            target Used by 0 transactions, 0 templates, inherited once
                             
                            cancelled Indication
                            prsb03-dataelement-12880
                            Id prsb03-dataelement-12880 (2019‑11‑19 17:57:19)
                            Concept inherits from cancelled prsb03-dataelement-12750 (2019‑11‑19 17:33:50)
                            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 0 transactions, 0 templates, inherited once
                             
                            cancelled Date of change
                            prsb03-dataelement-12881
                            Id prsb03-dataelement-12881 (2019‑11‑19 17:57:19)
                            Concept inherits from cancelled prsb03-dataelement-12751 (2019‑11‑19 17:33:50)
                            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 0 transactions, 0 templates, inherited once
                             
                            cancelled Description of amendment
                            prsb03-dataelement-12882
                            Id prsb03-dataelement-12882 (2019‑11‑19 17:57:19)
                            Concept inherits from cancelled prsb03-dataelement-12752 (2019‑11‑19 17:33:50)
                            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 0 transactions, 0 templates, inherited once
                             
                            cancelled Total dose daily quantity
                            prsb03-dataelement-12883
                            Id prsb03-dataelement-12883 (2019‑11‑19 17:57:19)
                            Concept inherits from cancelled prsb03-dataelement-12753 (2019‑11‑19 17:33:50)
                            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 0 transactions, 0 templates, inherited once
                             
                            folder cancelled Person completing record
                            prsb03-dataelement-12884
                            link
                            Id prsb03-dataelement-12884 (2019‑11‑19 17:57:19)
                            Concept inherits from cancelled prsb03-dataelement-12754 (2019‑11‑19 17:33:50)
                            Description Details of the person completing the record.
                            Relationship
                            target Used by 0 transactions, 0 templates, inherited once
                             
                            cancelled Name
                            prsb03-dataelement-12885
                            Id prsb03-dataelement-12885 (2019‑11‑19 17:57:19)
                            Concept inherits from cancelled prsb03-dataelement-12755 (2019‑11‑19 17:33:50)
                            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 0 transactions, 0 templates, inherited once
                             
                            cancelled Role
                            prsb03-dataelement-12886
                            Id prsb03-dataelement-12886 (2019‑11‑19 17:57:19)
                            Concept inherits from cancelled prsb03-dataelement-12756 (2019‑11‑19 17:33:50)
                            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 0 transactions, 0 templates, inherited once
                             
                            cancelled Grade
                            prsb03-dataelement-12887
                            Id prsb03-dataelement-12887 (2019‑11‑19 17:57:19)
                            Concept inherits from cancelled prsb03-dataelement-12757 (2019‑11‑19 17:33:50)
                            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 0 transactions, 0 templates, inherited once
                             
                            cancelled Specialty
                            prsb03-dataelement-12888
                            Id prsb03-dataelement-12888 (2019‑11‑19 17:57:19)
                            Concept inherits from cancelled prsb03-dataelement-12758 (2019‑11‑19 17:33:50)
                            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 0 transactions, 0 templates, inherited once
                             
                            folder cancelled Organisation
                            prsb03-dataelement-12889
                            Id prsb03-dataelement-12889 (2019‑11‑19 17:57:19)
                            Concept inherits from cancelled prsb03-dataelement-12759 (2019‑11‑19 17:33:50)
                            Description The organisation the person completing the record works for.
                            Relationship
                            Operationalization NHS data dictionary : - Organisation data service
                            target Used by 0 transactions, 0 templates, inherited once
                             
                            cancelled Professional identifier
                            prsb03-dataelement-12890
                            Id prsb03-dataelement-12890 (2019‑11‑19 17:57:19)
                            Concept inherits from cancelled prsb03-dataelement-12760 (2019‑11‑19 17:33:50)
                            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 0 transactions, 0 templates, inherited once
                             
                            cancelled Date completed
                            prsb03-dataelement-12891
                            Id prsb03-dataelement-12891 (2019‑11‑19 17:57:19)
                            Concept inherits from cancelled prsb03-dataelement-12761 (2019‑11‑19 17:33:50)
                            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 0 transactions, 0 templates, inherited once
                             
                            cancelled Contact details
                            prsb03-dataelement-12892
                            Id prsb03-dataelement-12892 (2019‑11‑19 17:57:19)
                            Concept inherits from cancelled prsb03-dataelement-12762 (2019‑11‑19 17:33:50)
                            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 0 transactions, 0 templates, inherited once
                             
                            folder draft Prescribed elsewhere
                            prsb03-dataelement-12895
                            link
                            Id prsb03-dataelement-12895 (2019‑11‑20 12:01:16)
                            Description Prescribed elsewhere: Medication managed by another organisation
                            Relationship
                            folder draft Medication item cluster
                            prsb03-dataelement-12896
                            link
                            Id prsb03-dataelement-12896 (2019‑11‑20 12:12:23)
                            Description Medication item cluster
                            Relationship
                            cancelled Date
                            prsb03-dataelement-12897
                            Id prsb03-dataelement-12897 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12832 (2019‑11‑19 17:57:19)
                            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
                            folder cancelled Location
                            prsb03-dataelement-12898
                            Id prsb03-dataelement-12898 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12833 (2019‑11‑19 17:57:19)
                            Description The location where the medication or the medical device was prescribed.
                            cancelled Performing professional
                            prsb03-dataelement-12899
                            Id prsb03-dataelement-12899 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12834 (2019‑11‑19 17:57:19)
                            Description Details of the professional prescribing the medication or medical device.
                            Value Domain
                            folder cancelled Performing professional
                            prsb03-dataelement-12900
                            link
                            Id prsb03-dataelement-12900 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12835 (2019‑11‑19 17:57:19)
                            Description The professional who prescribed the medication or medical device.
                            Relationship
                            cancelled Name
                            prsb03-dataelement-12901
                            Id prsb03-dataelement-12901 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12836 (2019‑11‑19 17:57:19)
                            Description The name of the professional.
                            Rationale Practitioner.name
                            Operationalization Free text.
                            Value Domain
                            Property
                            max length
                            70
                            cancelled Role
                            prsb03-dataelement-12902
                            Id prsb03-dataelement-12902 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12837 (2019‑11‑19 17:57:19)
                            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
                            cancelled Grade
                            prsb03-dataelement-12903
                            Id prsb03-dataelement-12903 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12838 (2019‑11‑19 17:57:19)
                            Description The grade of the professional.
                            Rationale PractitionerRole.code
                            Operationalization Free text
                            Value Domain
                            Property
                            max length
                            150
                            cancelled Speciality
                            prsb03-dataelement-12904
                            Id prsb03-dataelement-12904 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12839 (2019‑11‑19 17:57:19)
                            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
                            cancelled Professional identifier
                            prsb03-dataelement-12905
                            Id prsb03-dataelement-12905 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12840 (2019‑11‑19 17:57:19)
                            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
                            folder cancelled Organisation
                            prsb03-dataelement-12906
                            Id prsb03-dataelement-12906 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12841 (2019‑11‑19 17:57:19)
                            Description The name of the organisation the professional works for.
                            cancelled Contact details
                            prsb03-dataelement-12907
                            Id prsb03-dataelement-12907 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12842 (2019‑11‑19 17:57:19)
                            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
                            folder draft Medication name
                            prsb03-dataelement-12908
                            Id prsb03-dataelement-12908 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12843 (2019‑11‑19 17:57:19)
                            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)
                            folder draft Form
                            prsb03-dataelement-12909
                            Id prsb03-dataelement-12909 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12844 (2019‑11‑19 17:57:19)
                            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
                            folder cancelled Quantity supplied
                            prsb03-dataelement-12910
                            Id prsb03-dataelement-12910 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12845 (2019‑11‑19 17:57:19)
                            Description The quantity of the medication (e.g. tablets, inhalers, etc.) provided to the person. This may be dispensed by the pharmacy or on the ward. Record in a structured format i.e. value and a unit

                            Properties

                            FHIR MedicationStatement.quantityDispensed (Amount of medication to supply per dispense) quantity (as a valueQuantity) - Mandatory quantityText (as a valueString) - Mandatory
                            Operationalization Free text
                            folder draft Route
                            prsb03-dataelement-12911
                            Id prsb03-dataelement-12911 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12846 (2019‑11‑19 17:57:19)
                            Description The route by which the medication is administered e.g. oral, IM, IV

                            Properties

                            FHIR MedicationStatement.dosage.route
                            folder draft Site
                            prsb03-dataelement-12912
                            Id prsb03-dataelement-12912 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12847 (2019‑11‑19 17:57:19)
                            Description The anatomical site at which the medication is to be administered.

                            Properties

                            FHIR MedicationStatement.dosage.site
                            folder draft Method
                            prsb03-dataelement-12913
                            Id prsb03-dataelement-12913 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12848 (2019‑11‑19 17:57:19)
                            Description The technique or method by which the medication is to be administered.

                            Properties

                            FHIR MedicationStatement.dosage.method
                            cancelled Dose directions description
                            prsb03-dataelement-12914
                            Id prsb03-dataelement-12914 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12849 (2019‑11‑19 17:57:19)
                            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
                            cancelled Dose amount description
                            prsb03-dataelement-12915
                            Id prsb03-dataelement-12915 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12850 (2019‑11‑19 17:57:19)
                            Description A description of the medication single dose amount e.g. "30 mg" or "2 tabs".

                            Properties

                            FHIR MedicationStatement.dosage.text
                            Operationalization Free text
                            Value Domain
                            cancelled Dose timing description
                            prsb03-dataelement-12916
                            Id prsb03-dataelement-12916 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12851 (2019‑11‑19 17:57:19)
                            Description A description of the frequency of taking or administration of a medication dose. e.g. "Twice a day", "At 8am, 2pm and 10pm".

                            Properties

                            FHIR MedicationStatement.dosage.timing [a complex data type that holds lots of timing formats]
                            Operationalization Free text
                            Value Domain
                            cancelled Parsable dose directions
                            prsb03-dataelement-12917
                            Id prsb03-dataelement-12917 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12852 (2019‑11‑19 17:57:19)
                            Description A parsable 'dose syntax' which carries dose strength, dose timing, dose duration and maximum dose information, e.g. "20-30mg ^4/6h prn [180mg /24h]" = 20 to 30 mgs, up to 4-6 hourly as required. Maximum 180mg in 24 hours. The 'as required reason' e.g. 'for pain' should be carried in the Additional Instruction element. Note that this is generally a symptom and is not the same as the Indication which will usually describe a diagnosis or condition. Where supported, this would generally be used to exchange dosage information between systems, while Structured dose directions are likely to be used only within openEHR-based systems
                            Value Domain
                            Property
                            max length
                            150
                            folder draft Structured dose direction cluster
                            prsb03-dataelement-12918
                            link
                            Id prsb03-dataelement-12918 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12853 (2019‑11‑19 17:57:19)
                            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.
                            draft Structured dose direction
                            prsb03-dataelement-12919
                            Id prsb03-dataelement-12919 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12854 (2019‑11‑19 17:57:19)
                            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.
                            Operationalization As per FHIR Dose Syntax Implementation Guidance (NHS Digital): https://developer.nhs.uk/apis/dose-syntax-implementation/
                            Value Domain
                            folder draft Structured dose amount
                            prsb03-dataelement-12920
                            Id prsb03-dataelement-12920 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12855 (2019‑11‑19 17:57:19)
                            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
                            draft Structured dose timing
                            prsb03-dataelement-12921
                            Id prsb03-dataelement-12921 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12856 (2019‑11‑19 17:57:19)
                            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
                            draft Dose direction duration
                            prsb03-dataelement-12922
                            Id prsb03-dataelement-12922 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12857 (2019‑11‑19 17:57:19)
                            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
                            cancelled Prescribed quantity
                            prsb03-dataelement-12923
                            Id prsb03-dataelement-12923 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12858 (2019‑11‑19 17:57:19)
                            Description Medication quantity prescribed
                            Value Domain
                            draft Date started
                            prsb03-dataelement-12924
                            Id prsb03-dataelement-12924 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12859 (2019‑11‑19 17:57:19)
                            Description This is when the medication was first prescribed.
                            Value Domain
                            Property
                            Timestamp precision
                            at least day, month and year
                            cancelled Date discontinued
                            prsb03-dataelement-12925
                            Id prsb03-dataelement-12925 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12893 (2019‑11‑19 18:02:44)
                            Description This is when the medication was stopped.
                            Operationalization Date/time
                            Value Domain
                            Property
                            Timestamp precision
                            at least day, month and year
                            cancelled Authorised date
                            prsb03-dataelement-12926
                            Id prsb03-dataelement-12926 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12860 (2019‑11‑19 17:57:19)
                            Description Date prescriber created prescription
                            Operationalization Date and Time
                            Value Domain
                            cancelled 
                            prsb03-dataelement-12927
                            Id prsb03-dataelement-12927 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12861 (2019‑11‑19 17:57:19)
                            Value Domain
                            cancelled Valid from date
                            prsb03-dataelement-12928
                            Id prsb03-dataelement-12928 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12862 (2019‑11‑19 17:57:19)
                            Description Date the prescription can be issued from. Valid for 6 months
                            Operationalization Date and Time
                            Value Domain
                            cancelled Number of issues permissable
                            prsb03-dataelement-12929
                            Id prsb03-dataelement-12929 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12863 (2019‑11‑19 17:57:19)
                            Description The number of repeat issues permissible
                            Value Domain
                            cancelled Number of issues made
                            prsb03-dataelement-12930
                            Id prsb03-dataelement-12930 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12864 (2019‑11‑19 17:57:19)
                            Description The number of repeats already issued
                            Value Domain
                            cancelled Valid to date
                            prsb03-dataelement-12931
                            Id prsb03-dataelement-12931 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12865 (2019‑11‑19 17:57:19)
                            Description Date the prescription is valid to
                            Value Domain
                            Property
                            Timestamp precision
                            at least day, month and year
                            draft Indication
                            prsb03-dataelement-12932
                            Id prsb03-dataelement-12932 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12866 (2019‑11‑19 17:57:19)
                            Description The clinical indication for any changes in medication status
                            Operationalization
                            SNOMED CT:- ^1127601000000107 | Healthcare matters simple reference set (foundation metadata concept) |
                            Value Domain
                            cancelled Reason for discontinuation
                            prsb03-dataelement-12933
                            Id prsb03-dataelement-12933 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12894 (2019‑11‑19 18:10:11)
                            Description Reason medication was discontinued
                            Operationalization Free text
                            Value Domain
                            draft Additional instructions
                            prsb03-dataelement-12934
                            Id prsb03-dataelement-12934 (2019‑11‑20 12:13:29)
                            Concept inherits from draft prsb03-dataelement-12867 (2019‑11‑19 17:57:19)
                            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
                            draft Comment/recommendation
                            prsb03-dataelement-12960
                            Id prsb03-dataelement-12960 (2019‑11‑20 12:24:31)
                            Description Suggestions about duration and/or review, ongoing monitoring requirements, advice on starting, discontinuing or changing medication.
                            Operationalization Free text
                            Value Domain
                            draft Organisation
                            prsb03-dataelement-12961
                            Id prsb03-dataelement-12961 (2019‑11‑20 12:25:46)
                            Description Prescribing organisation
                            Operationalization ODS code
                            Value Domain
                            cancelled Request for advice
                            prsb03-dataelement-12935
                            Id prsb03-dataelement-12935 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12868 (2019‑11‑19 17:57:19)
                            Description Request for advice and recommendation about medication
                            Operationalization Free text
                            Value Domain
                            Property
                            max length
                            150
                            cancelled Request dispensed
                            prsb03-dataelement-12936
                            Id prsb03-dataelement-12936 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12869 (2019‑11‑19 17:57:19)
                            Description This is an indicator as to whether the item will be repeat dispensed by pharmacy
                            Operationalization Repeat dispense by pharmacy, not repeat dispense by pharmacy.
                            Value Domain
                            cancelled Person completing record
                            prsb03-dataelement-12937
                            Id prsb03-dataelement-12937 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12870 (2019‑11‑19 17:57:19)
                            Description This is the person recording the medication.

                            Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
                            Relationship
                            Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
                            Value Domain
                            folder cancelled Course details cluster
                            prsb03-dataelement-12938
                            link
                            Id prsb03-dataelement-12938 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12871 (2019‑11‑19 17:57:19)
                            Description Details of the overall course of medication.
                            cancelled Course status
                            prsb03-dataelement-12939
                            Id prsb03-dataelement-12939 (2019‑11‑20 12:13:29)
                            Concept inherits from cancelled prsb03-dataelement-12872 (2019‑11‑19 17:57:19)
                            Description The status of this prescription.
                            Operationalization FHIR value set : - Medication status
                              Value Domain
                              cancelled Indication
                              prsb03-dataelement-12940
                              Id prsb03-dataelement-12940 (2019‑11‑20 12:13:29)
                              Concept inherits from cancelled prsb03-dataelement-12873 (2019‑11‑19 17:57:19)
                              Description Reason for medication being prescribed, where known.

                              Properties

                              FHIR MedicationStatement.reasonCode
                              Operationalization Free text
                              Value Domain
                              Property
                              max length
                              150
                              cancelled Start date/time
                              prsb03-dataelement-12941
                              Id prsb03-dataelement-12941 (2019‑11‑20 12:13:29)
                              Concept inherits from cancelled prsb03-dataelement-12874 (2019‑11‑19 17:57:19)
                              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
                              cancelled End date/time
                              prsb03-dataelement-12942
                              Id prsb03-dataelement-12942 (2019‑11‑20 12:13:29)
                              Concept inherits from cancelled prsb03-dataelement-12875 (2019‑11‑19 17:57:19)
                              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
                              cancelled Link to indication record
                              prsb03-dataelement-12943
                              Id prsb03-dataelement-12943 (2019‑11‑20 12:13:29)
                              Concept inherits from cancelled prsb03-dataelement-12876 (2019‑11‑19 17:57:19)
                              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
                              cancelled Comment/recommendation
                              prsb03-dataelement-12944
                              Id prsb03-dataelement-12944 (2019‑11‑20 12:13:29)
                              Concept inherits from cancelled prsb03-dataelement-12877 (2019‑11‑19 17:57:19)
                              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
                              folder cancelled Medication change summary cluster
                              prsb03-dataelement-12945
                              link
                              Id prsb03-dataelement-12945 (2019‑11‑20 12:13:29)
                              Concept inherits from cancelled prsb03-dataelement-12878 (2019‑11‑19 17:57:19)
                              Description Records the changes made to medication.
                              cancelled Status
                              prsb03-dataelement-12946
                              Id prsb03-dataelement-12946 (2019‑11‑20 12:13:29)
                              Concept inherits from cancelled prsb03-dataelement-12879 (2019‑11‑19 17:57:19)
                              Description The nature of any change made to the medication.
                              Operationalization FHIR value set : Medication status
                                Value Domain
                                cancelled Indication
                                prsb03-dataelement-12947
                                Id prsb03-dataelement-12947 (2019‑11‑20 12:13:29)
                                Concept inherits from cancelled prsb03-dataelement-12880 (2019‑11‑19 17:57:19)
                                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
                                cancelled Date of change
                                prsb03-dataelement-12948
                                Id prsb03-dataelement-12948 (2019‑11‑20 12:13:29)
                                Concept inherits from cancelled prsb03-dataelement-12881 (2019‑11‑19 17:57:19)
                                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
                                cancelled Description of amendment
                                prsb03-dataelement-12949
                                Id prsb03-dataelement-12949 (2019‑11‑20 12:13:29)
                                Concept inherits from cancelled prsb03-dataelement-12882 (2019‑11‑19 17:57:19)
                                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
                                cancelled Total dose daily quantity
                                prsb03-dataelement-12950
                                Id prsb03-dataelement-12950 (2019‑11‑20 12:13:29)
                                Concept inherits from cancelled prsb03-dataelement-12883 (2019‑11‑19 17:57:19)
                                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
                                folder cancelled Person completing record
                                prsb03-dataelement-12951
                                link
                                Id prsb03-dataelement-12951 (2019‑11‑20 12:13:29)
                                Concept inherits from cancelled prsb03-dataelement-12884 (2019‑11‑19 17:57:19)
                                Description Details of the person completing the record.
                                Relationship
                                cancelled Name
                                prsb03-dataelement-12952
                                Id prsb03-dataelement-12952 (2019‑11‑20 12:13:29)
                                Concept inherits from cancelled prsb03-dataelement-12885 (2019‑11‑19 17:57:19)
                                Description The name of the person completing the record.
                                Relationship
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                cancelled Role
                                prsb03-dataelement-12953
                                Id prsb03-dataelement-12953 (2019‑11‑20 12:13:29)
                                Concept inherits from cancelled prsb03-dataelement-12886 (2019‑11‑19 17:57:19)
                                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
                                cancelled Grade
                                prsb03-dataelement-12954
                                Id prsb03-dataelement-12954 (2019‑11‑20 12:13:29)
                                Concept inherits from cancelled prsb03-dataelement-12887 (2019‑11‑19 17:57:19)
                                Description The grade of the person completing the record.
                                Relationship
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                cancelled Specialty
                                prsb03-dataelement-12955
                                Id prsb03-dataelement-12955 (2019‑11‑20 12:13:29)
                                Concept inherits from cancelled prsb03-dataelement-12888 (2019‑11‑19 17:57:19)
                                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
                                folder cancelled Organisation
                                prsb03-dataelement-12956
                                Id prsb03-dataelement-12956 (2019‑11‑20 12:13:29)
                                Concept inherits from cancelled prsb03-dataelement-12889 (2019‑11‑19 17:57:19)
                                Description The organisation the person completing the record works for.
                                Relationship
                                Operationalization NHS data dictionary : - Organisation data service
                                cancelled Professional identifier
                                prsb03-dataelement-12957
                                Id prsb03-dataelement-12957 (2019‑11‑20 12:13:29)
                                Concept inherits from cancelled prsb03-dataelement-12890 (2019‑11‑19 17:57:19)
                                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
                                cancelled Date completed
                                prsb03-dataelement-12958
                                Id prsb03-dataelement-12958 (2019‑11‑20 12:13:29)
                                Concept inherits from cancelled prsb03-dataelement-12891 (2019‑11‑19 17:57:19)
                                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
                                cancelled Contact details
                                prsb03-dataelement-12959
                                Id prsb03-dataelement-12959 (2019‑11‑20 12:13:29)
                                Concept inherits from cancelled prsb03-dataelement-12892 (2019‑11‑19 17:57:19)
                                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
                                cancelled Performing Professional
                                prsb03-dataelement-10549
                                Id prsb03-dataelement-10549 (2018‑10‑31) 0.1
                                Description Details of the professional administering the Medication (including name and role)
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                cancelled Location
                                prsb03-dataelement-10550
                                Id prsb03-dataelement-10550 (2018‑10‑31) 0.1
                                Description Details of where the Medication was administered
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                cancelled Date
                                prsb03-dataelement-10551
                                Id prsb03-dataelement-10551 (2018‑10‑31) 0.1
                                Description The date on which the Medication was administered
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                cancelled Start date/time
                                prsb03-dataelement-10556
                                Id prsb03-dataelement-10556 (2018‑10‑31) 0.1
                                Description The date and/or time that the medication course should begin.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                cancelled Authorised date
                                prsb03-dataelement-10558
                                Id prsb03-dataelement-10558 (2018‑10‑31) 0.1
                                Description Date prescriber created prescription
                                Operationalization Date and Time
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                cancelled Valid from date
                                prsb03-dataelement-10560
                                Id prsb03-dataelement-10560 (2018‑10‑31) 0.1
                                Description Date the prescription can be issued from. Valid for 6 months
                                Operationalization Date and Time
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder cancelled For medications that have been changed
                                prsb03-dataelement-10607
                                Id prsb03-dataelement-10607 (2018‑10‑31) 0.1
                                Description i.e. additions, amendments and discontinued, in addition to the above, also record: is the sub-section where all current repeat medications are recorded.
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                folder cancelled •Prescribed elsewhere
                                prsb03-dataelement-10629
                                Id prsb03-dataelement-10629 (2018‑10‑31) 0.1
                                Description Prescribed elsewhere: Medication managed by another organisation
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                folder draft Equipment and adaptations
                                prsb03-dataelement-12969
                                link
                                Id prsb03-dataelement-12969 (2020‑04‑06 18:25:26)
                                Description Details of equipment/asset (or modifications) that the Local Authority has provided to the patient.
                                folder draft Equipment record entry
                                prsb03-dataelement-12970
                                link
                                Id prsb03-dataelement-12970 (2020‑04‑06 18:27:46)
                                Description This is a equipment record entry. There may be 1 to many record entries under a section.
                                folder draft Equipment name
                                prsb03-dataelement-12971
                                link
                                Id prsb03-dataelement-12971 (2020‑04‑06 19:22:47)
                                Description The name of the equipment (e.g. 'Keysafe', 'Handrail' 'Lifeline Alarm', etc.)
                                draft Coded value
                                prsb03-dataelement-13780
                                Id prsb03-dataelement-13780 (2020‑10‑21 16:01:39)
                                Description The coded value for equipment name
                                Operationalization SNOMED CT
                                Value Domain
                                draft Free text
                                prsb03-dataelement-13782
                                Id prsb03-dataelement-13782 (2020‑10‑21 16:08:03)
                                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
                                cancelled Free text
                                prsb03-dataelement-13781
                                Id prsb03-dataelement-13781 (2020‑10‑21 16:02:39) 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
                                draft Date
                                prsb03-dataelement-13066
                                Id prsb03-dataelement-13066 (2020‑05‑18 17:47:43)
                                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
                                draft Comment
                                prsb03-dataelement-12972
                                Id prsb03-dataelement-12972 (2020‑04‑06 19:25:30)
                                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
                                folder draft Clinical Review of Systems
                                prsb03-dataelement-314
                                link
                                Id prsb03-dataelement-314 (2018‑10‑31)
                                Description Information gathered on symptoms related to physiological systems.
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Clinical review of systems
                                prsb03-dataelement-10214
                                Id prsb03-dataelement-10214 (2018‑10‑31)
                                Description The clinical review of systems. This is the record of the review of systems as volunteered by the patient or their representative or carer.  The record of clinical information gathered in responses to questions to the patient about specific symptoms from various physiological systems, including food intake (increasing/decreasing) weight change, swallowing difficulties etc. 

                                Properties

                                FHIR Observation.category Observation.code Observation.valueCodeabelConcept Observation.subject
                                Operationalization SNOMED CT: - 415300000 |Review of systems (procedure)|
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                folder draft Information and advice given
                                prsb03-dataelement-315
                                link
                                Id prsb03-dataelement-315 (2018‑10‑31)
                                Description Information and advice given
                                draft Information and advice given
                                prsb03-dataelement-10215
                                Id prsb03-dataelement-10215 (2018‑10‑31)
                                notice There is an open issue with this item:
                                Description

                                The oral or written information or advice given to the patient, carer, other authorised representative, care professional or other third party. May include advice about actions related to medicines or other ongoing care activities on an ‘information prescription'. State here if there are concerns about the extent to which the patient and/or carer understand the information provided about diagnosis, prognosis and treatment.

                                Properties

                                FHIR Free text only
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                draft Date
                                prsb03-dataelement-10216
                                Id prsb03-dataelement-10216 (2018‑10‑31)
                                Description The date on which the information and advice was given.
                                Value Domain
                                draft Location
                                prsb03-dataelement-10217
                                Id prsb03-dataelement-10217 (2018‑10‑31)
                                Description Details of where the information and advice was given.
                                Value Domain
                                draft Performing Professional
                                prsb03-dataelement-10218
                                Id prsb03-dataelement-10218 (2018‑10‑31)
                                Description Details of the professional giving the information and advice (including name and role).
                                Value Domain
                                folder draft Contact for further information
                                prsb03-dataelement-329
                                link
                                Id prsb03-dataelement-329 (2018‑10‑31)
                                Description Contact for further information
                                folder draft Contact for further information record entry
                                prsb03-dataelement-10659
                                link
                                Id prsb03-dataelement-10659 (2018‑11‑13 13:14:13)
                                Description This is a Contact for further information record entry. There may be 1 to many record entries under a section. Each record entry is made up of a number of elements or data items.
                                draft Contact for further information
                                prsb03-dataelement-10229
                                Id prsb03-dataelement-10229 (2018‑10‑31)
                                Description The contact details of whom to contact for information regarding this attendance. The contact details may be for an individual or team (for example a phone number for the emergency department administrator).
                                Operationalization Free text
                                Value Domain
                                folder draft Distribution list
                                prsb03-dataelement-330
                                link
                                Id prsb03-dataelement-330 (2018‑10‑31)
                                Description Distribution list
                                folder draft Distribution list record entry
                                prsb03-dataelement-10660
                                link
                                Id prsb03-dataelement-10660 (2018‑11‑13 13:21:33)
                                Description This is a Distribution list 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.
                                draft Name
                                prsb03-dataelement-10230
                                Id prsb03-dataelement-10230 (2018‑10‑31)
                                Description The name of the person the communication is to be sent to, this can be a person or professional.

                                Properties

                                FHIR Practitioner.name Patient ..... RelatedPerson.....
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                70
                                draft Role
                                prsb03-dataelement-10231
                                Id prsb03-dataelement-10231 (2018‑10‑31)
                                Description If the communication is being sent to either a named individual, or to a non-named person with a specific role, then this is the role of the recipient.

                                Role may be entered as the communication is being created, or sourced from the hospital system. This may be a role defined in the National Workforce data set (see the NHS Data Dictionary Job Role Code).

                                Properties

                                FHIR PractitionerRole.code
                                Operationalization FHIR value set : - SDSjobrole
                                Value Domain
                                draft Grade
                                prsb03-dataelement-10232
                                Id prsb03-dataelement-10232 (2018‑10‑31)
                                Description The grade of the recipient, if known by the sending institution, otherwise omitted.

                                Properties

                                FHIR PractitionerRole.code
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                draft Organisation name
                                prsb03-dataelement-10233
                                Id prsb03-dataelement-10233 (2018‑10‑31)
                                Description The name of the organisation the recipient is representing or the organisation named as the receiving organisation.

                                An identifier for the organisation will be sent alongside the name, but may not displayed on rendered document.

                                Properties

                                FHIR Organization.name Organization.identifier
                                Operationalization NHS data dictionary : - Organisation code
                                Value Domain
                                Property
                                min length max length
                                3 5
                                draft Team
                                prsb03-dataelement-10234
                                Id prsb03-dataelement-10234 (2018‑10‑31)
                                Description Team that the recipient belongs to in the context of receiving this message, or the team acting as the recipient.

                                Properties

                                FHIR Organization.name
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                folder cancelled Relationship
                                prsb03-dataelement-10235
                                Id prsb03-dataelement-10235 (2018‑10‑31) 0.1
                                Description The relationship of the receiver to the person for example, carer or parent

                                Properties

                                FHIR RelatedPerson.relationship
                                draft Relationship
                                prsb03-dataelement-13793
                                Id prsb03-dataelement-13793 (2020‑11‑02 15:35:45)
                                Description The relationship of the receiver to the person for example, carer or parent
                                Relationship
                                Operationalization FHIR value set : - Related person
                                Value Domain
                                folder draft Birth Details
                                prsb03-dataelement-336
                                link
                                Id prsb03-dataelement-336 (2018‑10‑31)
                                Description Birth Details
                                draft APGAR score
                                prsb03-dataelement-10236
                                Id prsb03-dataelement-10236 (2018‑10‑31)
                                Description A set of observations made on the baby following birth to check adaptation to life outside the womb. This includes 1 minute, 5 minutes and 10 minutes
                                Value Domain
                                draft Birth Order
                                prsb03-dataelement-10237
                                Id prsb03-dataelement-10237 (2018‑10‑31)
                                Description The sequence in which this baby was born (one of one, one of two etc.)
                                Value Domain
                                draft Birth weight
                                prsb03-dataelement-10238
                                Id prsb03-dataelement-10238 (2018‑10‑31)
                                Description Numeric value for weight at birth.
                                Value Domain
                                draft Date & Time of birth
                                prsb03-dataelement-10239
                                Id prsb03-dataelement-10239 (2018‑10‑31)
                                Description The date and time of birth of the baby.
                                Value Domain
                                draft Delivery place type
                                prsb03-dataelement-10240
                                Id prsb03-dataelement-10240 (2018‑10‑31)
                                Description The type of place in which the baby was born (e.g. Private health facility, domestic address, NHS hospital, midwifery led unit etc. )
                                Value Domain
                                draft Fetal Problems Diagnosed Before Birth
                                prsb03-dataelement-10241
                                Id prsb03-dataelement-10241 (2018‑10‑31)
                                Description Problems with the fetus diagnosed with screening or ultrasound. e.g. Down syndrome, congenital heart disease etc.
                                Value Domain
                                draft Length of gestation
                                prsb03-dataelement-10242
                                Id prsb03-dataelement-10242 (2018‑10‑31)
                                Description Gestational age in weeks and days (usually equivalent to length of pregnancy).
                                Value Domain
                                draft Location of birth
                                prsb03-dataelement-10243
                                Id prsb03-dataelement-10243 (2018‑10‑31)
                                Description The place of birth (including the address and organisation name where relevant).
                                Value Domain
                                draft Maternal problems in pregnancy
                                prsb03-dataelement-10244
                                Id prsb03-dataelement-10244 (2018‑10‑31)
                                Description Maternal medical conditions or infectious diseases arising in pregnancy which may have an impact on the fetus, e.g. gestational diabetes, rubella etc.
                                Value Domain
                                draft Multiple Birth
                                prsb03-dataelement-10245
                                Id prsb03-dataelement-10245 (2018‑10‑31)
                                Description Where the baby is one of a multiple birth, to include the total number of offspring and to include whether the baby is identical to one of the siblings.
                                Value Domain
                                draft Neonatal resuscitation
                                prsb03-dataelement-10246
                                Id prsb03-dataelement-10246 (2018‑10‑31)
                                Description Details of neonatal resuscitation measures required, e.g. chest compression, oxygen mask etc.
                                Value Domain
                                draft Physical problems detected at birth
                                prsb03-dataelement-10247
                                Id prsb03-dataelement-10247 (2018‑10‑31)
                                Description Physical problems identified with the baby at, or shortly after, birth. E.g. cleft lip/palate, extensive bruising, cephalohematoma etc.
                                Value Domain
                                draft Name
                                prsb03-dataelement-10248
                                Id prsb03-dataelement-10248 (2018‑10‑31)
                                Description The given name as recorded by the midwife
                                Value Domain
                                draft NHS Number
                                prsb03-dataelement-10249
                                Id prsb03-dataelement-10249 (2018‑10‑31)
                                Description The unique identifier for a woman within the NHS in England and Wales.
                                Value Domain
                                draft Baby Identifier
                                prsb03-dataelement-10250
                                Id prsb03-dataelement-10250 (2018‑10‑31)
                                Description Baby identifier details
                                Value Domain
                                draft Gender
                                prsb03-dataelement-10251
                                Id prsb03-dataelement-10251 (2018‑10‑31)
                                Description The person’s phenotypic sex. Determines how the person will be treated clinically.
                                Value Domain
                                draft Birth Outcome
                                prsb03-dataelement-10252
                                Id prsb03-dataelement-10252 (2018‑10‑31)
                                Description The birth outcome of each fetus
                                Value Domain
                                draft Rhesus Status
                                prsb03-dataelement-10253
                                Id prsb03-dataelement-10253 (2018‑10‑31)
                                Description An indication of whether the fetus has or does not have the rhesus factor (or Rh D antigen) on the surface of their red blood cells, using the Rh System.
                                Value Domain
                                draft Congenital Abnormalities
                                prsb03-dataelement-10254
                                Id prsb03-dataelement-10254 (2018‑10‑31)
                                Description (Yes no field) as per NHSDD and recorded on Birth Notification
                                Value Domain
                                draft Investigations Requested
                                prsb03-dataelement-10255
                                Id prsb03-dataelement-10255 (2018‑10‑31)
                                Description To include any investigations requested including post mortem investigations)
                                Value Domain
                                draft Problems during delivery
                                prsb03-dataelement-10256
                                Id prsb03-dataelement-10256 (2018‑10‑31)
                                Description Problems experienced by the baby during delivery e.g. cord prolapse, meconium aspiration, fetal distress etc.
                                Value Domain
                                draft Put To Breast
                                prsb03-dataelement-10257
                                Id prsb03-dataelement-10257 (2018‑10‑31)
                                Description Whether or not the baby was put to the breast.
                                Value Domain
                                draft Spontaneous Respiration
                                prsb03-dataelement-10258
                                Id prsb03-dataelement-10258 (2018‑10‑31)
                                Description Details of neonatal resuscitation measures required, e.g. chest compression, oxygen mask etc.
                                Value Domain
                                draft Type of delivery
                                prsb03-dataelement-10259
                                Id prsb03-dataelement-10259 (2018‑10‑31)
                                Description Type of delivery for the baby, e.g. Vacuum extraction, breech extraction, elective caesarean section etc.
                                Value Domain
                                draft Types of delivery (attempted)
                                prsb03-dataelement-10260
                                Id prsb03-dataelement-10260 (2018‑10‑31)
                                Description The type(s) of delivery for the baby that was attempted, but was not the final delivery method.
                                Value Domain
                                folder draft Demographic History
                                prsb03-dataelement-361
                                link
                                Id prsb03-dataelement-361 (2018‑10‑31)
                                Description Demographic History
                                draft Date of birth
                                prsb03-dataelement-10261
                                Id prsb03-dataelement-10261 (2018‑10‑31)
                                Description History of date of birth changes.
                                Value Domain
                                draft Gender
                                prsb03-dataelement-10262
                                Id prsb03-dataelement-10262 (2018‑10‑31)
                                Description History of gender change.
                                Value Domain
                                draft Patient address
                                prsb03-dataelement-10263
                                Id prsb03-dataelement-10263 (2018‑10‑31)
                                Description History of Patient’s usual place of residence.
                                Value Domain
                                draft Patient name
                                prsb03-dataelement-10264
                                Id prsb03-dataelement-10264 (2018‑10‑31)
                                Description Any previous names, aliases and preferred name. This will normally be given by a Patient Demographics Service (PDS) patient trace, or the name of the patient held on the local Patient Administration System (PAS).
                                Value Domain
                                draft Patient telephone number
                                prsb03-dataelement-10265
                                Id prsb03-dataelement-10265 (2018‑10‑31)
                                Description History of Telephone contact details of the patient. To include, e.g., mobile, work and home number if available.
                                Value Domain
                                folder draft Developmental Skills
                                prsb03-dataelement-366
                                link
                                Id prsb03-dataelement-366 (2018‑10‑31)
                                Description Developmental Skills
                                draft Date first achieved
                                prsb03-dataelement-10267
                                Id prsb03-dataelement-10267 (2018‑10‑31)
                                Description The date the developmental skill was first achieved (developmental first) as reported by the parent. This is primarily for parent reporting as part of parent child health record at the time the skill is acquired.
                                Value Domain
                                draft Date of enquiry
                                prsb03-dataelement-10268
                                Id prsb03-dataelement-10268 (2018‑10‑31)
                                Description The date the parent or carer was asked by a health professional about the developmental skill (milestone).
                                Value Domain
                                draft Date of observation
                                prsb03-dataelement-10269
                                Id prsb03-dataelement-10269 (2018‑10‑31)
                                Description The date a health professional observed or tested a developmental skill (milestone).
                                Value Domain
                                draft Health and care professional
                                prsb03-dataelement-10852
                                Id prsb03-dataelement-10852 (2019‑03‑27 17:20:36)
                                Description The name and designation of the professional recording the developmental skills.

                                Properties

                                FHIR Encounter.participant
                                Relationship
                                Operationalization Text
                                Value Domain
                                draft Location
                                prsb03-dataelement-10853
                                Id prsb03-dataelement-10853 (2019‑03‑27 17:22:18)
                                Description The location where the developmental skills were recorded.
                                Relationship
                                Value Domain
                                draft Developmental Skill
                                prsb03-dataelement-10270
                                Id prsb03-dataelement-10270 (2018‑10‑31)
                                Description The name of the developmental skill (e.g. Walks independently, smiles, finger feeds etc.).
                                Value Domain
                                draft Result of enquiry
                                prsb03-dataelement-10271
                                Id prsb03-dataelement-10271 (2018‑10‑31)
                                Description Whether the developmental skill was achieved, not achieved or equivocal.
                                Value Domain
                                draft Result of observation
                                prsb03-dataelement-10272
                                Id prsb03-dataelement-10272 (2018‑10‑31)
                                Description Whether the developmental skill was achieved, not achieved or equivocal.
                                Value Domain
                                draft Comments
                                prsb03-dataelement-10266
                                Id prsb03-dataelement-10266 (2018‑10‑31)
                                Description Supporting text may be given regarding the developmental skill.
                                Value Domain
                                folder draft Educational History
                                prsb03-dataelement-373
                                link
                                Id prsb03-dataelement-373 (2018‑10‑31)
                                Description Educational History
                                draft Educational Assessment
                                prsb03-dataelement-10273
                                Id prsb03-dataelement-10273 (2018‑10‑31)
                                Description The outcome of an educational assessment.
                                Value Domain
                                draft Educational establishment
                                prsb03-dataelement-10274
                                Id prsb03-dataelement-10274 (2018‑10‑31)
                                Description Name of Educational establishment.
                                Value Domain
                                draft Type of Educational establishment
                                prsb03-dataelement-10275
                                Id prsb03-dataelement-10275 (2018‑10‑31)
                                Description Phase/Type of Education establishment.
                                Value Domain
                                draft Type of Special Educational Need
                                prsb03-dataelement-10276
                                Id prsb03-dataelement-10276 (2018‑10‑31)
                                Description The type of special educational needs for the child.
                                Value Domain
                                draft Year From
                                prsb03-dataelement-10277
                                Id prsb03-dataelement-10277 (2018‑10‑31)
                                Description The year the child attended the school from.
                                Value Domain
                                draft Year To
                                prsb03-dataelement-10278
                                Id prsb03-dataelement-10278 (2018‑10‑31)
                                Description The year the child left the school.
                                Value Domain
                                folder draft Feeding Status
                                prsb03-dataelement-392
                                link
                                Id prsb03-dataelement-392 (2018‑10‑31)
                                Description Feeding Status
                                draft Date
                                prsb03-dataelement-10292
                                Id prsb03-dataelement-10292 (2018‑10‑31)
                                Description The date the feeding status was recorded.
                                Value Domain
                                draft Date breast milk feeding stopped
                                prsb03-dataelement-10293
                                Id prsb03-dataelement-10293 (2018‑10‑31)
                                Description Date of last breast milk feed to the nearest month and year.
                                Value Domain
                                draft Feeding concerns
                                prsb03-dataelement-10294
                                Id prsb03-dataelement-10294 (2018‑10‑31)
                                Description A record of any concerns about the baby’s feeding.
                                Value Domain
                                draft Feeding method
                                prsb03-dataelement-10295
                                Id prsb03-dataelement-10295 (2018‑10‑31)
                                Description A record of the predominant feeding method for the baby, e.g., breast fed, bottle/cup fed, gastrostomy, nasogastric feeds etc.
                                Value Domain
                                draft First milk feed
                                prsb03-dataelement-10296
                                Id prsb03-dataelement-10296 (2018‑10‑31)
                                Description Whether or not the baby's first feed was breast milk.
                                Value Domain
                                draft Introduction of solids
                                prsb03-dataelement-10297
                                Id prsb03-dataelement-10297 (2018‑10‑31)
                                Description Whether the baby has been introduced to solid foods at the time seen.
                                Value Domain
                                draft Milk feeding status of the baby
                                prsb03-dataelement-10298
                                Id prsb03-dataelement-10298 (2018‑10‑31)
                                Description Whether the baby is totally breast milk fed, partially breast milk fed or not breast milk fed. To be recorded each time a baby has contact with a health professional.
                                Value Domain
                                folder draft Health and Wellbeing Assessment and Reviews
                                prsb03-dataelement-399
                                link
                                Id prsb03-dataelement-399 (2018‑10‑31)
                                Description Health and Wellbeing Assessment and Reviews
                                draft Date
                                prsb03-dataelement-10299
                                Id prsb03-dataelement-10299 (2018‑10‑31)
                                Description The date the feeding status was recorded.
                                Value Domain
                                draft Post Birth Review
                                prsb03-dataelement-10300
                                Id prsb03-dataelement-10300 (2018‑10‑31)
                                Description This details those checks and assessments done on the baby prior to leaving hospital that do not make up the NIPE screening
                                Value Domain
                                draft New Baby Review
                                prsb03-dataelement-10301
                                Id prsb03-dataelement-10301 (2018‑10‑31)
                                Description The details captured as part of the New Baby Review
                                Value Domain
                                draft 6-8 Week Health Visitor Review
                                prsb03-dataelement-10302
                                Id prsb03-dataelement-10302 (2018‑10‑31)
                                Description The details captured as part of the 6-8 Heath Visitor Review
                                Value Domain
                                draft 1 Year Review
                                prsb03-dataelement-10303
                                Id prsb03-dataelement-10303 (2018‑10‑31)
                                Description The details captured as part of the 1 Year Review
                                Value Domain
                                draft 2-2 1/2 Year Health and Development Review
                                prsb03-dataelement-10304
                                Id prsb03-dataelement-10304 (2018‑10‑31)
                                Description The details captured as part of the 2- 2 1/2 Health and Development Review
                                Value Domain
                                draft School Entry Review
                                prsb03-dataelement-10305
                                Id prsb03-dataelement-10305 (2018‑10‑31)
                                Description The details captured as part of the school entry review including the outcome of the hearing and screening check
                                Value Domain
                                draft Ad-Hoc Health Review
                                prsb03-dataelement-10306
                                Id prsb03-dataelement-10306 (2018‑10‑31)
                                Description The details captured as part of any ad-hoc Health Review undertaken
                                Value Domain
                                folder draft Immunisations
                                prsb03-dataelement-407
                                link
                                Id prsb03-dataelement-407 (2018‑10‑31)
                                Description Immunisations
                                draft Batch number
                                prsb03-dataelement-10307
                                Id prsb03-dataelement-10307 (2018‑10‑31)
                                Description The batch number of the vaccine.
                                Value Domain
                                draft Date
                                prsb03-dataelement-10308
                                Id prsb03-dataelement-10308 (2018‑10‑31)
                                Description The date on which the Immunisation was administered.
                                Value Domain
                                draft Dose Amount
                                prsb03-dataelement-10309
                                Id prsb03-dataelement-10309 (2018‑10‑31)
                                Description Amount of vaccine administered.
                                Value Domain
                                draft Dose sequence
                                prsb03-dataelement-10310
                                Id prsb03-dataelement-10310 (2018‑10‑31)
                                Description Nominal position in a series of vaccines.
                                Value Domain
                                draft Indication
                                prsb03-dataelement-10311
                                Id prsb03-dataelement-10311 (2018‑10‑31)
                                Description The clinical indication or reason for administering the immunisation
                                Value Domain
                                draft Location
                                prsb03-dataelement-10312
                                Id prsb03-dataelement-10312 (2018‑10‑31)
                                Description Details of where the immunisation was performed.
                                Value Domain
                                draft Manufacturer
                                prsb03-dataelement-10313
                                Id prsb03-dataelement-10313 (2018‑10‑31)
                                Description The vaccine manufacturer.
                                Value Domain
                                draft Name of immunisation
                                prsb03-dataelement-10314
                                Id prsb03-dataelement-10314 (2018‑10‑31)
                                Description Which immunisation has been administered (SNOMED CT code – list of available immunisations).
                                Value Domain
                                draft Outcome status
                                prsb03-dataelement-10315
                                Id prsb03-dataelement-10315 (2018‑10‑31)
                                Description Whether the vaccine was administered or not, including the reason why
                                Value Domain
                                draft Performing Professional
                                prsb03-dataelement-10316
                                Id prsb03-dataelement-10316 (2018‑10‑31)
                                Description Details of the professional performing the immunisation (including name and role)
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Reported
                                prsb03-dataelement-10317
                                Id prsb03-dataelement-10317 (2018‑10‑31)
                                Description A flag to indicate the information was reported to a healthcare professional
                                Value Domain
                                draft Route
                                prsb03-dataelement-10318
                                Id prsb03-dataelement-10318 (2018‑10‑31)
                                Description How vaccine entered the body.
                                Value Domain
                                draft Site
                                prsb03-dataelement-10319
                                Id prsb03-dataelement-10319 (2018‑10‑31)
                                Description Body site vaccine was administered into.
                                Value Domain
                                draft Vaccine product
                                prsb03-dataelement-10320
                                Id prsb03-dataelement-10320 (2018‑10‑31)
                                Description Vaccine product administered.
                                Value Domain
                                folder draft Measurements
                                prsb03-dataelement-421
                                link
                                Id prsb03-dataelement-421 (2018‑10‑31)
                                Description Measurements
                                draft BMI Centile
                                prsb03-dataelement-10321
                                Id prsb03-dataelement-10321 (2018‑10‑31)
                                Description Child BMI centile calculated using the height/weight/gender and age of the child.
                                Value Domain
                                draft Date
                                prsb03-dataelement-10322
                                Id prsb03-dataelement-10322 (2018‑10‑31)
                                Description The date on which the measurement was recorded.
                                Value Domain
                                draft Head Circumference
                                prsb03-dataelement-10323
                                Id prsb03-dataelement-10323 (2018‑10‑31)
                                Description Numeric value for the head circumference
                                Value Domain
                                draft Height/Length
                                prsb03-dataelement-10324
                                Id prsb03-dataelement-10324 (2018‑10‑31)
                                Description Numeric value for the body length.
                                Value Domain
                                draft Location
                                prsb03-dataelement-10325
                                Id prsb03-dataelement-10325 (2018‑10‑31)
                                Description The location where the measurement was recorded.
                                Value Domain
                                draft Performing Professional
                                prsb03-dataelement-10326
                                Id prsb03-dataelement-10326 (2018‑10‑31)
                                Description Details of the professional performing the measurement (including name and role).
                                Value Domain
                                draft Weight
                                prsb03-dataelement-10327
                                Id prsb03-dataelement-10327 (2018‑10‑31)
                                Description Numeric value for weight.
                                Value Domain
                                folder draft National Screening Programme
                                prsb03-dataelement-428
                                link
                                Id prsb03-dataelement-428 (2018‑10‑31)
                                Description National Screening Programme
                                draft Newborn Blood Spot Screening
                                prsb03-dataelement-10328
                                Id prsb03-dataelement-10328 (2018‑10‑31)
                                Description The details captured as part of the NBS programme which screens for sickle cell disease (SCD), cystic fibrosis (CF), congenital hypothyroidism (CHT) and inherited metabolic diseases (IMDs).
                                Value Domain
                                folder cancelled National screening programmes
                                prsb03-dataelement-14557
                                Id prsb03-dataelement-14557 (2021‑09‑08 14:50:56)
                                Description Placeholder
                                draft Newborn Hearing Screening
                                prsb03-dataelement-10329
                                Id prsb03-dataelement-10329 (2018‑10‑31)
                                Description The details captured as part of the NHSP programme which offers 2 types of test for babies:

                                •automated otoacoustic emission (AOAE)

                                •automated auditory brainstem response (AABR)

                                Value Domain
                                draft Newborn and Infant Physical Examination (72 hours)
                                prsb03-dataelement-10330
                                Id prsb03-dataelement-10330 (2018‑10‑31)
                                Description The details captured as part of the NIPE programme which tests babies within 72 hours of birth for conditions relating to their:

                                •heart

                                •hips

                                •eyes

                                •testes

                                Value Domain
                                draft Newborn and Infant Physical Examination (6-8 Weeks)
                                prsb03-dataelement-10331
                                Id prsb03-dataelement-10331 (2018‑10‑31)
                                Description The details captured as part of the NIPE programme which tests babies again at 6-8 weeks for conditions relating to their:

                                •heart

                                •hips

                                •eyes

                                •testes
                                Value Domain
                                draft National screening programme
                                prsb03-dataelement-10332
                                Id prsb03-dataelement-10332 (2018‑10‑31)
                                Description The overarching screening programme. e.g.

                                - NHS Fetal Anomaly Screening Programme

                                - NHS Infectious Diseases in Pregnancy Screening Programme

                                - NHS Sickle Cell and Thalassaemia Screening Programme

                                Value Domain
                                draft Specific test performed
                                prsb03-dataelement-10333
                                Id prsb03-dataelement-10333 (2018‑10‑31)
                                Description The specific screening test performed, e.g. Combined test, Quadruple test, HIV, Syphilis etc.

                                This may include site and laterality where applicable

                                Value Domain
                                draft Screening test outcome
                                prsb03-dataelement-10334
                                Id prsb03-dataelement-10334 (2018‑10‑31)
                                Description The overall outcome of the screening test (this may include the status e.g. declined, deferred etc.).
                                Value Domain
                                draft Comments
                                prsb03-dataelement-10335
                                Id prsb03-dataelement-10335 (2018‑10‑31)
                                Description Supporting text may be given regarding the screening test, outcome and actions taken.
                                Value Domain
                                draft •National antenatel screening programme
                                prsb03-dataelement-10336
                                link
                                Id prsb03-dataelement-10336 (2018‑10‑31)
                                draft NHS Fetal Anomaly Screening Programme - Down’s, Edwards’ and Patau’s Syndromes.
                                prsb03-dataelement-10337
                                Id prsb03-dataelement-10337 (2018‑10‑31)
                                Description The details captured as part of the NHS Fetal Anomaly Screening Programme which screens for Down’s, Edwards’ and Patau’s syndromes
                                Value Domain
                                draft NHS Fetal Anomaly Screening Programme - Structural Anomalies
                                prsb03-dataelement-10338
                                Id prsb03-dataelement-10338 (2018‑10‑31)
                                Description The details captured as part of the NHS Fetal Anomaly Screening Programme which screens for fetal anomalies
                                Value Domain
                                draft NHS Infectious Diseases in Pregnancy Screening Programme
                                prsb03-dataelement-10339
                                Id prsb03-dataelement-10339 (2018‑10‑31)
                                Description The details captured as part of the NHS Infectious Diseases in Pregnancy Screening Programme which screens for Hepatitis B, HIV and Syphilis via a blood test

                                Chlamydia for under 25s and Hepatitis C can be recorded here as required
                                Value Domain
                                draft NHS Sickle Cell and Thalassaemia Screening Programme
                                prsb03-dataelement-10340
                                Id prsb03-dataelement-10340 (2018‑10‑31)
                                Description The details captured as part of the NHS Sickle Cell and Thalassaemia Screening Programme which screens to find out if the woman is a carrier of the sickle cell or thalassaemia gene and therefore likely to pass it on to the baby. This may also be applicable to the baby's father if the woman is identified as a carrier of a haemoglobin disease.
                                Value Domain
                                draft NHS Diabetic Eye Screening Programme
                                prsb03-dataelement-10341
                                Id prsb03-dataelement-10341 (2018‑10‑31)
                                Description The details captured as part of the NHS Diabetic Eye Screening Programme which is offered to women with diabetes in pregnancy
                                Value Domain
                                folder draft Parent/Guardian/Personal Comment
                                prsb03-dataelement-442
                                link
                                Id prsb03-dataelement-442 (2018‑10‑31)
                                Description Parent/Guardian/Personal Comment
                                draft Date
                                prsb03-dataelement-10342
                                Id prsb03-dataelement-10342 (2018‑10‑31)
                                Description Date the comment was entered and shared
                                Value Domain
                                draft Who
                                prsb03-dataelement-10343
                                Id prsb03-dataelement-10343 (2018‑10‑31)
                                Description Who recorded the comment and what relationship they are to the child
                                Value Domain
                                draft Parent / guardian or personal comment
                                prsb03-dataelement-10344
                                Id prsb03-dataelement-10344 (2018‑10‑31)
                                Description Free text comment made by the parent / guardian of the child, or the child themselves
                                Value Domain
                                folder draft Plan and requested actions
                                prsb03-dataelement-535
                                link
                                Id prsb03-dataelement-535 (2018‑10‑31)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Plan and requested actions record entry
                                prsb03-dataelement-10661
                                link
                                Id prsb03-dataelement-10661 (2018‑11‑13 13:38:58)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                draft Date
                                prsb03-dataelement-10445
                                Id prsb03-dataelement-10445 (2018‑10‑31)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                cancelled Performing Professional
                                prsb03-dataelement-10446
                                Id prsb03-dataelement-10446 (2018‑10‑31)
                                Description Details of the professional making the plan and requested actions.
                                Value Domain
                                folder draft Performing professional
                                prsb03-dataelement-12167
                                link
                                Id prsb03-dataelement-12167 (2019‑05‑31 16:13:42)
                                Description The professional who prepared the plan and requested actions.
                                Relationship
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Name
                                prsb03-dataelement-12168
                                Id prsb03-dataelement-12168 (2019‑05‑31 16:14:03)
                                Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Role
                                prsb03-dataelement-12169
                                Id prsb03-dataelement-12169 (2019‑05‑31 16:14:03)
                                Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
                                Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
                                Rationale Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSjobroletype
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Grade
                                prsb03-dataelement-12170
                                Id prsb03-dataelement-12170 (2019‑05‑31 16:14:03)
                                Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Speciality
                                prsb03-dataelement-12171
                                Id prsb03-dataelement-12171 (2019‑05‑31 16:14:03)
                                Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary - Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-12172
                                Id prsb03-dataelement-12172 (2019‑05‑31 16:14:03)
                                Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
                                Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary : - Professional registration identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-12173
                                Id prsb03-dataelement-12173 (2019‑05‑31 16:14:03)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Contact details
                                prsb03-dataelement-12174
                                Id prsb03-dataelement-12174 (2019‑05‑31 16:14:03)
                                Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
                                Description Contact details of the professional
                                Rationale Practitioner.telecom

                                PractitionerRole.telecom

                                Organisation.telcom
                                Operationalization NHS data dictionary - UK phone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Location
                                prsb03-dataelement-10842
                                link
                                Id prsb03-dataelement-10842 (2019‑03‑27 16:46:10)
                                Description The location where the plan and requested actions were prepared.
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Coded value
                                prsb03-dataelement-13684
                                Id prsb03-dataelement-13684 (2020‑09‑09 13:11:31)
                                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
                                prsb03-dataelement-13685
                                Id prsb03-dataelement-13685 (2020‑09‑09 13:12:37)
                                Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
                                Description Free text field to be used if no code is available
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Actions
                                prsb03-dataelement-10435
                                Id prsb03-dataelement-10435 (2018‑10‑31)
                                Description Including planned investigations, procedures, Interventions and treatment for a patient’s identified conditions and priorities. For each action the following should be identified: a) person responsible - name and designation / department / hospital / patient etc or role (eg GP) responsible for carrying out the proposed action, and where action should take place.b) status - requested, planned or completed. c) When action requested for - requested date, time, or period - as relevant. d) suggested strategies - suggested strategies for potential problems. e) outcome expectations, including patient’s expectations.
                                Operationalization Free text
                                Value Domain
                                draft Actions for professionals
                                prsb03-dataelement-10436
                                Id prsb03-dataelement-10436 (2018‑10‑31)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                draft Actions for person or their carer
                                prsb03-dataelement-10437
                                Id prsb03-dataelement-10437 (2018‑10‑31)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                draft Agreed with the person or their legitimate representative
                                prsb03-dataelement-10438
                                Id prsb03-dataelement-10438 (2018‑10‑31)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                draft Outcome of plan and requested actions
                                prsb03-dataelement-10950
                                Id prsb03-dataelement-10950 (2019‑05‑16 17:36:54)
                                Description The details of the outcome of the plan and requested actions.
                                Operationalization Free text.
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Person completing record
                                prsb03-dataelement-12175
                                link
                                Id prsb03-dataelement-12175 (2019‑05‑31 16:15:12)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Name
                                prsb03-dataelement-12176
                                Id prsb03-dataelement-12176 (2019‑05‑31 16:15:32)
                                Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
                                Description The name of the person completing the record.
                                Relationship
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Role
                                prsb03-dataelement-12177
                                Id prsb03-dataelement-12177 (2019‑05‑31 16:15:32)
                                Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
                                Description The organisational role of the person completing record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Relationship
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSjobrole
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Grade
                                prsb03-dataelement-12178
                                Id prsb03-dataelement-12178 (2019‑05‑31 16:15:32)
                                Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
                                Description The grade of the person completing the record.
                                Relationship
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Specialty
                                prsb03-dataelement-12179
                                Id prsb03-dataelement-12179 (2019‑05‑31 16:15:32)
                                Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Relationship
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-12180
                                Id prsb03-dataelement-12180 (2019‑05‑31 16:15:32)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-12181
                                Id prsb03-dataelement-12181 (2019‑05‑31 16:15:32)
                                Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
                                Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

                                Properties

                                FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
                                Relationship
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Date completed
                                prsb03-dataelement-12182
                                Id prsb03-dataelement-12182 (2019‑05‑31 16:15:32)
                                Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
                                Description The date and time the record was completed.
                                Relationship
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Contact details
                                prsb03-dataelement-12183
                                Id prsb03-dataelement-12183 (2019‑05‑31 16:15:32)
                                Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
                                Description Contact details of the person completing the record.

                                Properties

                                FHIR PractitionerRole.telecom
                                Relationship
                                Rationale Practitioner.telecom

                                PractitionerRole.telecom

                                Organisation.telcom
                                Operationalization NHS data dictionary : - UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Care planning arrangements
                                prsb03-dataelement-10439
                                Id prsb03-dataelement-10439 (2018‑10‑31)
                                Description Record if CPA (Care Programme Approach) documentation is available and how and where it can be accessed; care and treatment plan in Wales and Scotland. In Wales this is superseded by the Mental Health Measure 2010.
                                Operationalization Free text
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                cancelled Special monitoring required
                                prsb03-dataelement-10440
                                Id prsb03-dataelement-10440 (2018‑10‑31) 0.1
                                Description Eg neuro-obs, 02 saturation etc
                                Value Domain
                                cancelled Aims and limitations of treatment and special instructions
                                prsb03-dataelement-10441
                                Id prsb03-dataelement-10441 (2018‑10‑31) 0.1
                                Description The current aim of treatment including limitations to treatment and communications issues, eg, not for ITU
                                Value Domain
                                cancelled Escalation plan
                                prsb03-dataelement-10442
                                Id prsb03-dataelement-10442 (2018‑10‑31) 0.1
                                Description Who needs to be contacted in the event of significant problems or patient deterioration include, eg seniority/name/ contact details of person to be called
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Investigations requested
                                prsb03-dataelement-10443
                                Id prsb03-dataelement-10443 (2018‑10‑31)
                                Description This includes a name or description of the investigation requested and the date requested.
                                Operationalization Free text
                                Value Domain
                                draft Procedures requested
                                prsb03-dataelement-10444
                                Id prsb03-dataelement-10444 (2018‑10‑31)
                                Description These are the diagnostic or therapeutic procedures that have actually been requested (and the date requested).
                                Operationalization Free text
                                Value Domain
                                folder draft Person completing record
                                prsb03-dataelement-12605
                                link
                                Id prsb03-dataelement-12605 (2019‑11‑14 12:34:50)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                draft Name
                                prsb03-dataelement-12606
                                Id prsb03-dataelement-12606 (2019‑11‑14 12:35:42)
                                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
                                draft Role
                                prsb03-dataelement-12607
                                Id prsb03-dataelement-12607 (2019‑11‑14 12:35:42)
                                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
                                draft Grade
                                prsb03-dataelement-12608
                                Id prsb03-dataelement-12608 (2019‑11‑14 12:35:42)
                                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
                                draft Specialty
                                prsb03-dataelement-12609
                                Id prsb03-dataelement-12609 (2019‑11‑14 12:35:42)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12610
                                Id prsb03-dataelement-12610 (2019‑11‑14 12:35:42)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12611
                                Id prsb03-dataelement-12611 (2019‑11‑14 12:35:42)
                                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
                                draft Date completed
                                prsb03-dataelement-12612
                                Id prsb03-dataelement-12612 (2019‑11‑14 12:35:42)
                                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
                                draft Contact details
                                prsb03-dataelement-12613
                                Id prsb03-dataelement-12613 (2019‑11‑14 12:35:42)
                                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
                                folder draft Senior Reviewing Clinician
                                prsb03-dataelement-12614
                                link
                                Id prsb03-dataelement-12614 (2019‑11‑14 17:14:10)
                                Concept inherits from draft prsb03-dataelement-327 (2018‑10‑31)
                                Description Senior Reviewing Clinician
                                draft Name
                                prsb03-dataelement-12615
                                Id prsb03-dataelement-12615 (2019‑11‑14 17:14:36)
                                Concept inherits from draft prsb03-dataelement-10227 (2018‑10‑31)
                                Description The name of the senior clinician responsible for reviewing the patient treatment and discharge plan.
                                Operationalization The person name as held on the source system. Where possible this should be broken down into its constituent parts (prefix, given name, family name, suffix).
                                Value Domain
                                draft Role
                                prsb03-dataelement-14279
                                Id prsb03-dataelement-14279 (2021‑05‑05 15:22:04)
                                Concept inherits from draft prsb03-dataelement-12186 (2019‑05‑31 16:19:35)
                                Description The role the professional has in relation to the person.
                                Relationship
                                Operationalization FHIR value set : - sdsjobrole
                                Value Domain
                                cancelled Professional identifier
                                prsb03-dataelement-12616
                                Id prsb03-dataelement-12616 (2019‑11‑14 17:14:36) 0.1
                                Concept inherits from draft prsb03-dataelement-10228 (2018‑10‑31)
                                Description The unique identifier issued by the regulatory body e.g., GMC number, HCPC number etc.
                                Operationalization The professional identifier type and the identifier itself as held on the source system. An identifier for the person completing the record will be sent (but may not be displayed in the rendered message).
                                Value Domain
                                folder cancelled Mental health
                                prsb03-dataelement-10790
                                link
                                Id prsb03-dataelement-10790 (2019‑03‑19 18:14:47) 0.1
                                Description Details of information relating to a person's mental health and social care
                                cancelled Care planning arrangements
                                prsb03-dataelement-10791
                                Id prsb03-dataelement-10791 (2019‑03‑19 18:17:47) 0.1
                                Concept inherits from draft prsb03-dataelement-10439 (2018‑10‑31)
                                Description Record if CPA (Care Programme Approach) documentation is available and how and where it can be accessed; care and treatment plan in Wales and Scotland. In Wales this is superseded by the Mental Health Measure 2010.
                                Operationalization Free text
                                Value Domain
                                cancelled Escalation plan
                                prsb03-dataelement-10792
                                Id prsb03-dataelement-10792 (2019‑03‑19 18:18:19) 0.1
                                Concept inherits from cancelled prsb03-dataelement-10442 (2018‑10‑31)
                                Description Who needs to be contacted in the event of significant problems or patient deterioration include, eg seniority/name/ contact details of person to be called
                                Value Domain
                                cancelled Formulation
                                prsb03-dataelement-10793
                                Id prsb03-dataelement-10793 (2019‑03‑19 18:19:23) 0.1
                                Concept inherits from draft prsb03-dataelement-10148 (2018‑10‑31)
                                Description An account, shared by a therapist and person, of the personal meaning and origins of a person’s difficulties. This is viewed in the context of multiple factors including relationships, social circumstances and life events and will indicate the most helpful way forward.
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                folder cancelled Mental health act or equivalent status
                                prsb03-dataelement-10794
                                Id prsb03-dataelement-10794 (2019‑03‑19 18:20:35) 0.1
                                Concept inherits from draft prsb03-dataelement-10427 (2018‑10‑31)
                                Description Details of the persons mental health act record
                                folder cancelled Mental capacity assessment
                                prsb03-dataelement-10795
                                Id prsb03-dataelement-10795 (2019‑03‑19 18:21:26) 0.1
                                Concept inherits from draft prsb03-dataelement-10424 (2018‑10‑31)
                                Description Details of the persons mental capacity assessment
                                folder cancelled Deprivation of Liberty Safeguards or equivalent
                                prsb03-dataelement-10796
                                Id prsb03-dataelement-10796 (2019‑03‑19 18:23:37) 0.1
                                Concept inherits from draft prsb03-dataelement-10426 (2018‑10‑31)
                                Description Details of the person's Deprivation of Liberty Safeguards (DoLS) or equivalent
                                cancelled Treatments and interventions and changes made to treatments.
                                prsb03-dataelement-10826
                                Id prsb03-dataelement-10826 (2019‑03‑21 14:22:11) 0.1
                                Concept inherits from draft prsb03-dataelement-10149 (2018‑10‑31)
                                Description The relevant treatments and interventions which the patient received during the inpatient stay. Include psychological therapies. All medications should be recorded under the medications section.
                                Operationalization Free text
                                Value Domain
                                folder draft Person and carer concerns expectations and wishes
                                prsb03-dataelement-292
                                link
                                Id prsb03-dataelement-292 (2018‑10‑31)
                                Description Person and carer concerns, expectations and wishes
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Date
                                prsb03-dataelement-10193
                                Id prsb03-dataelement-10193 (2018‑10‑31)
                                Description The date on which the concerns, wishes or goals of the person were recorded
                                Value Domain
                                draft Location
                                prsb03-dataelement-10856
                                Id prsb03-dataelement-10856 (2019‑03‑27 17:32:49)
                                Description The location where the concerns, expectations and wishes were recorded.
                                Relationship
                                Value Domain
                                draft Person and carer concerns, expectations and wishes
                                prsb03-dataelement-10192
                                Id prsb03-dataelement-10192 (2018‑10‑31)
                                Description Description of the concerns, wishes or goals of the person in relation to their care, as expressed by the person, their representative or carer. Record who has expressed these (patient or carer/ representative on behalf of the patient).Where the person lacks capacity this may include their representative's concerns, expectations or wishes. 

                                Properties

                                FHIR Observation.category Observation.code Observation.valueCodeabelConcept Observation.subject Observation.comment
                                Operationalization Free Text
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Person completing record
                                prsb03-dataelement-13740
                                link
                                Id prsb03-dataelement-13740 (2020‑09‑25 16:27:48)
                                Concept inherits from draft prsb03-dataelement-13052 (2020‑04‑28 19:36:14)
                                Description
                                A record of the details of the person that entered the impairment and the date on which it was entered.
                                Relationship
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Name
                                prsb03-dataelement-13741
                                Id prsb03-dataelement-13741 (2020‑09‑25 16:28:39)
                                Concept inherits from draft prsb03-dataelement-13053 (2020‑04‑28 19:36:38)
                                Description The name of the person completing the record.
                                Relationship
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Role
                                prsb03-dataelement-13742
                                Id prsb03-dataelement-13742 (2020‑09‑25 16:28:39)
                                Concept inherits from draft prsb03-dataelement-13054 (2020‑04‑28 19:36:38)
                                Description The organisational role of the person completing record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Relationship
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSjobrole
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Grade
                                prsb03-dataelement-13743
                                Id prsb03-dataelement-13743 (2020‑09‑25 16:28:39)
                                Concept inherits from draft prsb03-dataelement-13055 (2020‑04‑28 19:36:38)
                                Description The grade of the person completing the record.
                                Relationship
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Specialty
                                prsb03-dataelement-13744
                                Id prsb03-dataelement-13744 (2020‑09‑25 16:28:39)
                                Concept inherits from draft prsb03-dataelement-13056 (2020‑04‑28 19:36:38)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Relationship
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-13745
                                Id prsb03-dataelement-13745 (2020‑09‑25 16:28:39)
                                Concept inherits from draft prsb03-dataelement-13057 (2020‑04‑28 19:36:38)
                                Description The organisation the person completing the record works for.
                                Relationship
                                Operationalization NHS data dictionary : - Organisation data service
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-13746
                                Id prsb03-dataelement-13746 (2020‑09‑25 16:28:39)
                                Concept inherits from draft prsb03-dataelement-13058 (2020‑04‑28 19:36:38)
                                Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

                                Properties

                                FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
                                Relationship
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Date completed
                                prsb03-dataelement-13747
                                Id prsb03-dataelement-13747 (2020‑09‑25 16:28:39)
                                Concept inherits from draft prsb03-dataelement-13059 (2020‑04‑28 19:36:38)
                                Description The date and time the record was completed.
                                Relationship
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Contact details
                                prsb03-dataelement-13748
                                Id prsb03-dataelement-13748 (2020‑09‑25 16:28:39)
                                Concept inherits from draft prsb03-dataelement-13060 (2020‑04‑28 19:36:38)
                                Description Contact details of the person completing the record.

                                Properties

                                FHIR PractitionerRole.telecom
                                Relationship
                                Rationale Practitioner.telecom

                                PractitionerRole.telecom

                                Organisation.telcom
                                Operationalization NHS data dictionary : - UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                cancelled Person completing record
                                prsb03-dataelement-10857
                                Id prsb03-dataelement-10857 (2019‑03‑27 17:34:07) 0.1
                                Description This is the person recording the concerns, wished and expectations.

                                Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details.
                                Relationship
                                Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
                                Value Domain
                                cancelled Maternity Care Plan Type
                                prsb03-dataelement-10194
                                Id prsb03-dataelement-10194 (2018‑10‑31) 0.1
                                Description The stage of maternity to which the care plan applies e.g. antenatal
                                Value Domain
                                cancelled Planned delivery setting
                                prsb03-dataelement-10195
                                Id prsb03-dataelement-10195 (2018‑10‑31) 0.1
                                Description The planned delivery setting where the pregnant woman plans to have her baby as designated by the Care Professional in consultation with the woman
                                Value Domain
                                cancelled Reason for change of planned delivery setting
                                prsb03-dataelement-10196
                                Id prsb03-dataelement-10196 (2018‑10‑31) 0.1
                                Description The reason why the planned delivery setting has changed
                                Value Domain
                                draft Advance statement
                                prsb03-dataelement-10197
                                Id prsb03-dataelement-10197 (2018‑10‑31)
                                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. Include the location of the document if known.
                                Operationalization Coded text and/or text. A record of the presence of an advance statement using the following SNOMED CT concept from the National Information Standard (SCCI1580): SNOMED CT: 816281000000101. Has advance statement (Mental Capacity Act 2005). The content of the advance statement should also be included as text or attached as a document where available.
                                Value Domain
                                cancelled Preferred place of care
                                prsb03-dataelement-10198
                                Id prsb03-dataelement-10198 (2018‑10‑31) 0.1
                                Description The preferences that a person has identified as their preferred place to receive care.
                                Operationalization A record of the preferences that a person has identified as their preferred place to receive care. Free Text
                                Value Domain
                                cancelled Preferred place of death
                                prsb03-dataelement-10199
                                Id prsb03-dataelement-10199 (2018‑10‑31) 0.1
                                Description The preferences that a person has identified as their preferred place to die.
                                Operationalization End of life care plan use case only. Preferences will be identified as 1st/2nd choice etc as given by the person. Each recorded preference should include the name of the place that the person has identified. It may also include coded values from the National Information Standard (SCCI1580), together with the associated text: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 preference517131000000106

                                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 0 transactions, 0 templates, inherited once
                                 
                                folder draft Care and support plan
                                prsb03-dataelement-508
                                link
                                Id prsb03-dataelement-508 (2018‑10‑31)
                                Description This records the decisions reached during conversation between the individual and health and care professional about future plans and also records progress.
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Strengths
                                prsb03-dataelement-10419
                                link
                                Id prsb03-dataelement-10419 (2018‑10‑31)
                                Description Any strengths and assets the person has relating to their goals and hopes about their health and well-being.
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Coded value
                                prsb03-dataelement-14369
                                Id prsb03-dataelement-14369 (2021‑07‑06 12:13:33)
                                Description The coded value associated with the person's strengths.  Could be derived from the assessment of the person e.g. 300738008 |Able to participate in leisure activities (finding)|
                                Operationalization SNOMED CT : - 1127601000000107 | Healthcare matters simple reference set (foundation metadata concept) |
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Free text
                                prsb03-dataelement-14370
                                Id prsb03-dataelement-14370 (2021‑07‑06 12:21:31)
                                Description Any supplementary or personalised information that relates to the person's strengths.
                                Operationalization Free text
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Needs, concerns or problems
                                prsb03-dataelement-10414
                                link
                                Id prsb03-dataelement-10414 (2018‑10‑31)
                                Description Details of the person needs, concerns or problems
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Coded value
                                prsb03-dataelement-14371
                                Id prsb03-dataelement-14371 (2021‑07‑06 12:32:19)
                                Description The coded value associated with the person's needs, concerns or problems.
                                Operationalization SNOMED CT : -  ^1127581000000103 |Health issues simple reference set|
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Free text
                                prsb03-dataelement-14372
                                Id prsb03-dataelement-14372 (2021‑07‑06 12:35:50)
                                Description
                                Any supplementary or personalised information that relates to the person's needs, concerns and problems.
                                Operationalization Free text 
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder cancelled Needs, concerns or problems
                                prsb03-dataelement-14281
                                Id prsb03-dataelement-14281 (2021‑06‑09 17:44:24) 0.1
                                Description Needs, concerns or problems the person has that relating to their health and well-being. May be linked to the problem list from the person’s record to avoid duplication. May include biological, psychological and social needs, concerns or problems. May include e.g. financial concerns over debt. SNOMED CT Tag: - 225343006 | Assessment of needs (procedure) |
                                cancelled Concerns
                                prsb03-dataelement-14312
                                Id prsb03-dataelement-14312 (2021‑06‑22 11:26:32) 0.1
                                Description Concerns relating to the person's health and well-being. May include biological, psychological, social concerns e.g. financial concerns over debt, dependants 
                                Operationalization SNOMED CT : -  ^1127581000000103 |Health issues simple reference set|
                                Value Domain
                                cancelled Problems
                                prsb03-dataelement-14313
                                Id prsb03-dataelement-14313 (2021‑06‑22 11:27:03) 0.1
                                Description Problems relating to their person's health and well-being.
                                Operationalization SNOMED CT : -  ^1127581000000103 |Health issues simple reference set|
                                Value Domain
                                folder draft Goals and hopes
                                prsb03-dataelement-10413
                                link
                                Id prsb03-dataelement-10413 (2018‑10‑31)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                draft Coded value
                                prsb03-dataelement-14373
                                Id prsb03-dataelement-14373 (2021‑07‑06 12:55:16)
                                Description The coded value associated with the person's goals, aim's and hopes. e.g. 999002111000000103 |Occupational therapy goals simple reference set (foundation metadata concept)|
                                Operationalization SNOMED CT : - 413350009|Finding with explicit context|: 246090004|Associated finding|=300798006 |Able to participate in sporting activities (finding)|, 408729009|Finding context|=410518001|Goal|
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Free text
                                prsb03-dataelement-14374
                                Id prsb03-dataelement-14374 (2021‑07‑06 12:59:33)
                                Description Any supplementary and personalised information relating to the person's goals, aims and hopes.
                                Operationalization Free text
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Goal importance score
                                prsb03-dataelement-14399
                                Id prsb03-dataelement-14399 (2021‑07‑07 12:36:16)
                                Description Assessment of the person's motivations to achieve this goal, how important the goal is to the person on a scale of 1-10.
                                Operationalization Numeric scale 1 - 10
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder cancelled Goals and hopes
                                prsb03-dataelement-14282
                                Id prsb03-dataelement-14282 (2021‑06‑09 17:47:32) 0.1
                                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.
                                folder draft Actions and activities
                                prsb03-dataelement-10408
                                link
                                Id prsb03-dataelement-10408 (2018‑10‑31)
                                Description Actions or activities the person or others plan to take to achieve the person's goals and the resources required to do this.

                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft What
                                prsb03-dataelement-10675
                                link
                                Id prsb03-dataelement-10675 (2018‑11‑15 13:33:22)
                                Description What the action is and how it is to be carried out?
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Coded value
                                prsb03-dataelement-14383
                                Id prsb03-dataelement-14383 (2021‑07‑06 15:03:18)
                                Description The coded value for the action.

                                Operationalization SNOMED CT : - << 71388002 |Procedure| OR << 129125009 |Procedure with explicit context|
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Free text
                                prsb03-dataelement-14384
                                Id prsb03-dataelement-14384 (2021‑07‑06 15:05:00)
                                Description Any supplementary and personalised information for the action.
                                Operationalization Free text
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Who
                                prsb03-dataelement-10676
                                link
                                Id prsb03-dataelement-10676 (2018‑11‑15 13:34:04)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                draft Name
                                prsb03-dataelement-14393
                                Id prsb03-dataelement-14393 (2021‑07‑06 16:25:18)
                                Description The name of the professional or person carrying out the proposed action.
                                Relationship
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                70
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Role
                                prsb03-dataelement-14394
                                Id prsb03-dataelement-14394 (2021‑07‑06 16:26:27)
                                Concept inherits from draft prsb03-dataelement-10710 (2018‑12‑04 15:32:09)
                                Description The role of the person providing the service.
                                Operationalization FHIR values set : - sdsjobrole
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Team
                                prsb03-dataelement-14395
                                Id prsb03-dataelement-14395 (2021‑07‑06 16:28:59)
                                Concept inherits from draft prsb03-dataelement-10355 (2018‑10‑31)
                                Description The name of the team.
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                35
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Contact details
                                prsb03-dataelement-14396
                                Id prsb03-dataelement-14396 (2021‑07‑06 16:30:39)
                                Concept inherits from draft prsb03-dataelement-10357 (2018‑10‑31)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                cancelled Person full name
                                prsb03-dataelement-14314
                                Id prsb03-dataelement-14314 (2021‑06‑23 18:02:04) 0.1
                                Concept inherits from draft prsb03-dataelement-13801 (2020‑11‑09 17:03:29)
                                Description The full name of the person in text representation.
                                Rationale Patient.name.text
                                Operationalization NHS data dictionary :- Person full name
                                Value Domain
                                Property
                                max length
                                70
                                cancelled Relationship
                                prsb03-dataelement-14315
                                Id prsb03-dataelement-14315 (2021‑06‑23 18:03:19) 0.1
                                Concept inherits from draft prsb03-dataelement-10346 (2018‑10‑31)
                                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
                                draft When
                                prsb03-dataelement-10677
                                Id prsb03-dataelement-10677 (2018‑11‑15 13:34:38)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                draft Suggested strategies
                                prsb03-dataelement-10678
                                Id prsb03-dataelement-10678 (2018‑11‑15 13:35:19)
                                Description Suggested strategies for potential problems.
                                Operationalization Free text.
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Status
                                prsb03-dataelement-10679
                                link
                                Id prsb03-dataelement-10679 (2018‑11‑15 13:35:57)
                                Description The status of the action or activity e.g. in progress, done, refused
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Coded value
                                prsb03-dataelement-14385
                                Id prsb03-dataelement-14385 (2021‑07‑06 15:23:49)
                                Description The coded value for the person's activity status
                                Operationalization SNOMED CT : - ^999000081000000105 | Care planning action context values simple reference set (foundation metadata concept) |
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Free text
                                prsb03-dataelement-14386
                                Id prsb03-dataelement-14386 (2021‑07‑06 15:25:54)
                                Description Any supplementary or personalised information for the person's activity status
                                Operationalization Free text
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Confidence
                                prsb03-dataelement-10680
                                Id prsb03-dataelement-10680 (2018‑11‑15 13:54:04)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                draft Date last updated
                                prsb03-dataelement-10682
                                Id prsb03-dataelement-10682 (2018‑11‑15 13:55:05)
                                Description Date when action/activity record was last updated
                                Operationalization Date and time
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Review date
                                prsb03-dataelement-10683
                                Id prsb03-dataelement-10683 (2018‑11‑15 13:55:47)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Stage goal
                                prsb03-dataelement-10674
                                link
                                Id prsb03-dataelement-10674 (2018‑11‑15 13:32:26)
                                Description Details of the person's stage goals
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Stage goal
                                prsb03-dataelement-14284
                                link
                                Id prsb03-dataelement-14284 (2021‑06‑10 20:14:27)
                                Description A specific sub-goal that is related to the overall goal as agreed by the person in collaboration with a professional.
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Coded value
                                prsb03-dataelement-14375
                                Id prsb03-dataelement-14375 (2021‑07‑06 13:03:53)
                                Description The coded expression associated with the person's stage goal.
                                Operationalization SNOMED CT : - 413350009|Finding with explicit context|: 246090004|Associated finding|=300798006 |Able to participate in sporting activities (finding)|, 408729009|Finding context|=410518001|Goal|
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Free text
                                prsb03-dataelement-14376
                                Id prsb03-dataelement-14376 (2021‑07‑06 13:07:11)
                                Description Any supplementary or personalised information regarding the person's stage goal.
                                Operationalization Free text
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Outcome
                                prsb03-dataelement-10681
                                link
                                Id prsb03-dataelement-10681 (2018‑11‑15 13:54:34)
                                Description The outcome of the stage goal
                                Operationalization



                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Coded value
                                prsb03-dataelement-14378
                                Id prsb03-dataelement-14378 (2021‑07‑06 13:27:55)
                                Description The coded value for the person's stage goal outcome.
                                Operationalization SNOMED CT: - ^1127601000000107 |Healthcare matters simple reference set (foundation metadata concept)| 
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Free text
                                prsb03-dataelement-14379
                                Id prsb03-dataelement-14379 (2021‑07‑06 13:32:50)
                                Description Any supplementary and personalised information relating to the person's outcome.
                                Operationalization Free text
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Goal status
                                prsb03-dataelement-14377
                                Id prsb03-dataelement-14377 (2021‑07‑06 13:21:38)
                                Description The status associated with the person's stage goal
                                Operationalization SNOMED CT: - ^999000091000000107 | Care planning goal context values simple reference set (foundation metadata concept) |
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Outcomes
                                prsb03-dataelement-10416
                                link
                                Id prsb03-dataelement-10416 (2018‑10‑31)
                                Description Outcomes of each of the person’s goals, aims and targets. Includes comments recorded by the person, date and status.
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Coded value
                                prsb03-dataelement-14380
                                Id prsb03-dataelement-14380 (2021‑07‑06 14:55:09)
                                Description The coded value associated with the person's overall goal outcome
                                Operationalization SNOMED CT: -  ^1127601000000107 |Healthcare matters simple reference set (foundation metadata concept)| 
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                cancelled 
                                prsb03-dataelement-14381
                                Id prsb03-dataelement-14381 (2021‑07‑06 14:58:48) 0.1
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14382
                                Id prsb03-dataelement-14382 (2021‑07‑06 14:58:53)
                                Description Any supplementary and personalised information relating to the person's goal outcome.
                                Operationalization Free text
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Goal status
                                prsb03-dataelement-14400
                                Id prsb03-dataelement-14400 (2021‑07‑07 13:14:58)
                                Description The status associated with the person's overall goal.
                                Relationship
                                Operationalization SNOMED CT: - ^999000091000000107 | Care planning goal context values simple reference set (foundation metadata concept) |
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Agreed with person or legitimate representative
                                prsb03-dataelement-10409
                                link
                                Id prsb03-dataelement-10409 (2018‑10‑31)
                                Description Indicates whether the plan was discussed and agreed with the person or legitimate representative.
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Person or legitimate representative
                                prsb03-dataelement-14322
                                Id prsb03-dataelement-14322 (2021‑06‑29 13:05:22)
                                Description Indicates whether the plan was discussed and agreed with the person or legitimate representative
                                Operationalization Person or legitimate representative 
                                Value Domain
                                target Used by one transaction, 0 templates, inherited once
                                 
                                draft Person full name
                                prsb03-dataelement-14323
                                Id prsb03-dataelement-14323 (2021‑06‑29 13:14:57)
                                Concept inherits from draft prsb03-dataelement-13801 (2020‑11‑09 17:03:29)
                                Description The full name of the person in text representation.
                                Rationale Patient.name.text
                                Operationalization NHS data dictionary :- Person full name
                                Value Domain
                                Property
                                max length
                                70
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Role
                                prsb03-dataelement-14324
                                Id prsb03-dataelement-14324 (2021‑06‑29 13:16:14)
                                Concept inherits from draft prsb03-dataelement-12186 (2019‑05‑31 16:19:35)
                                Description The role the professional has in relation to the person.
                                Relationship
                                Operationalization FHIR value set : - sdsjobrole
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Care funding source
                                prsb03-dataelement-10410
                                link
                                Id prsb03-dataelement-10410 (2018‑10‑31)
                                Description A reference to the funding source and any conditions or limitations associated.
                                target Used by one transaction, 0 templates, inherited once
                                 
                                draft Coded value
                                prsb03-dataelement-14391
                                Id prsb03-dataelement-14391 (2021‑07‑06 16:12:05)
                                Description The organisation code of the care funding source
                                Operationalization NHS data dictionary : - organisation data service
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Free text
                                prsb03-dataelement-14392
                                Id prsb03-dataelement-14392 (2021‑07‑06 16:14:07)
                                Description Any further information for the person's care funding source e.g. self funded
                                Operationalization Free text 
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                cancelled Date last updated
                                prsb03-dataelement-10411
                                Id prsb03-dataelement-10411 (2018‑10‑31)
                                Description Date when action/activity record was last updated
                                Operationalization Date and Time
                                Value Domain
                                draft Date this plan was last updated
                                prsb03-dataelement-10412
                                Id prsb03-dataelement-10412 (2018‑10‑31)
                                Description This is a record of the date that this care and support plan was last updated.
                                Operationalization Date and time
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                target Used by one transaction, 0 templates, inherited once
                                 
                                draft Other care planning documents
                                prsb03-dataelement-10415
                                Id prsb03-dataelement-10415 (2018‑10‑31)
                                Description Reference other care planning documents, including the type, location and date.

                                This may include condition-specific plans, advance care plans, end of life care plan, etc.
                                Operationalization Free text.
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Planned review date/interval
                                prsb03-dataelement-10417
                                Id prsb03-dataelement-10417 (2018‑10‑31)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Responsibility for review
                                prsb03-dataelement-10418
                                link
                                Id prsb03-dataelement-10418 (2018‑10‑31)
                                Description This is a record of who has responsibility for arranging review of this information.
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Name
                                prsb03-dataelement-14345
                                Id prsb03-dataelement-14345 (2021‑07‑01 20:40:34)
                                Concept inherits from draft prsb03-dataelement-10352 (2018‑10‑31)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                draft Role
                                prsb03-dataelement-14346
                                Id prsb03-dataelement-14346 (2021‑07‑01 20:41:35)
                                Concept inherits from draft prsb03-dataelement-10353 (2018‑10‑31)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                draft Contact details
                                prsb03-dataelement-14347
                                Id prsb03-dataelement-14347 (2021‑07‑01 20:42:59)
                                Concept inherits from draft prsb03-dataelement-10357 (2018‑10‑31)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Location
                                prsb03-dataelement-12044
                                link
                                Id prsb03-dataelement-12044 (2019‑05‑31 15:32:03)
                                Description The location where the care and support plan was prepared.
                                Relationship
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Coded value
                                prsb03-dataelement-13665
                                Id prsb03-dataelement-13665 (2020‑09‑08 22:17:08)
                                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
                                prsb03-dataelement-13666
                                Id prsb03-dataelement-13666 (2020‑09‑08 22:18:17)
                                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 Performing professional
                                prsb03-dataelement-12027
                                link
                                Id prsb03-dataelement-12027 (2019‑05‑31 15:30:22)
                                Description The professional who prepared the care and support plan.
                                Relationship
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Name
                                prsb03-dataelement-12028
                                Id prsb03-dataelement-12028 (2019‑05‑31 15:30:50)
                                Concept inherits from draft prsb03-dataelement-11282 (2019‑05‑30 11:57:38)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                target Used by one transaction, 0 templates, inherited 2 times
                                 
                                draft Role
                                prsb03-dataelement-12029
                                Id prsb03-dataelement-12029 (2019‑05‑31 15:30:50)
                                Concept inherits from draft prsb03-dataelement-11283 (2019‑05‑30 11:58:48)
                                Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc
                                Rationale Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSjobroletype
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 2 times
                                 
                                draft Grade
                                prsb03-dataelement-12030
                                Id prsb03-dataelement-12030 (2019‑05‑31 15:30:50)
                                Concept inherits from draft prsb03-dataelement-11288 (2019‑05‑30 12:19:40)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                target Used by one transaction, 0 templates, inherited 2 times
                                 
                                draft Speciality
                                prsb03-dataelement-12031
                                Id prsb03-dataelement-12031 (2019‑05‑31 15:30:50)
                                Concept inherits from draft prsb03-dataelement-11284 (2019‑05‑30 12:01:15)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary - Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                target Used by one transaction, 0 templates, inherited 2 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-12032
                                Id prsb03-dataelement-12032 (2019‑05‑31 15:30:50)
                                Concept inherits from draft prsb03-dataelement-11285 (2019‑05‑30 12:02:46)
                                Description Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary : - Professional registration identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by one transaction, 0 templates, inherited 2 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-12033
                                Id prsb03-dataelement-12033 (2019‑05‑31 15:30:50)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                target Used by one transaction, 0 templates, inherited 2 times
                                 
                                draft Contact details
                                prsb03-dataelement-12034
                                Id prsb03-dataelement-12034 (2019‑05‑31 15:30:50)
                                Concept inherits from draft prsb03-dataelement-11287 (2019‑05‑30 12:18:13)
                                Description Contact details of the professional
                                Rationale Practitioner.telecom

                                PractitionerRole.telecom

                                Organisation.telcom
                                Operationalization NHS data dictionary - UK phone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by one transaction, 0 templates, inherited 2 times
                                 
                                folder draft Person completing record
                                prsb03-dataelement-12035
                                link
                                Id prsb03-dataelement-12035 (2019‑05‑31 15:31:01)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Name
                                prsb03-dataelement-12036
                                Id prsb03-dataelement-12036 (2019‑05‑31 15:31:27)
                                Concept inherits from draft prsb03-dataelement-11290 (2019‑05‑30 12:25:39)
                                Description The name of the person completing the record.
                                Relationship
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Role
                                prsb03-dataelement-12037
                                Id prsb03-dataelement-12037 (2019‑05‑31 15:31:27)
                                Concept inherits from draft prsb03-dataelement-11291 (2019‑05‑30 12:25:39)
                                Description The organisational role of the person completing record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Relationship
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSjobrole
                                Value Domain
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Grade
                                prsb03-dataelement-12038
                                Id prsb03-dataelement-12038 (2019‑05‑31 15:31:27)
                                Concept inherits from draft prsb03-dataelement-11292 (2019‑05‑30 12:25:39)
                                Description The grade of the person completing the record.
                                Relationship
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Specialty
                                prsb03-dataelement-12039
                                Id prsb03-dataelement-12039 (2019‑05‑31 15:31:27)
                                Concept inherits from draft prsb03-dataelement-11293 (2019‑05‑30 12:25:39)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Relationship
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-12040
                                Id prsb03-dataelement-12040 (2019‑05‑31 15:31:27)
                                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 one transaction, 0 templates, inherited 0 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-12041
                                Id prsb03-dataelement-12041 (2019‑05‑31 15:31:27)
                                Concept inherits from draft prsb03-dataelement-11295 (2019‑05‑30 12:25:39)
                                Description Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.

                                Properties

                                FHIR PractitionerRole.Practitioner.identifier (local) Practitioner.identifer (professional)
                                Relationship
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Date completed
                                prsb03-dataelement-12042
                                Id prsb03-dataelement-12042 (2019‑05‑31 15:31:27)
                                Concept inherits from draft prsb03-dataelement-11296 (2019‑05‑30 12:25:39)
                                Description The date and time the record was completed.
                                Relationship
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                draft Contact details
                                prsb03-dataelement-12043
                                Id prsb03-dataelement-12043 (2019‑05‑31 15:31:27)
                                Concept inherits from draft prsb03-dataelement-11297 (2019‑05‑30 12:25:39)
                                Description Contact details of the person completing the record.

                                Properties

                                FHIR PractitionerRole.telecom
                                Relationship
                                Rationale Practitioner.telecom

                                PractitionerRole.telecom

                                Organisation.telcom
                                Operationalization NHS data dictionary : - UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by one transaction, 0 templates, inherited 0 times
                                 
                                cancelled Person completing record
                                prsb03-dataelement-10840
                                Id prsb03-dataelement-10840 (2019‑03‑27 16:19:24)
                                Concept inherits from cancelled prsb03-dataelement-10404 (2018‑10‑31)
                                Description This is the person contributing to an additional supporting plan. Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
                                Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
                                Value Domain
                                folder draft Contingency plans
                                prsb03-dataelement-469
                                link
                                Id prsb03-dataelement-469 (2018‑10‑31)
                                Description These are the things to do and people to contact, should an individual’s health or other circumstances get worse for safety.
                                folder draft Trigger factors
                                prsb03-dataelement-10375
                                link
                                Id prsb03-dataelement-10375 (2018‑10‑31)
                                Description Signs to watch out for that may indicate a significant change in health or other circumstances e.g. feeling agitated
                                draft Coded value
                                prsb03-dataelement-14389
                                Id prsb03-dataelement-14389 (2021‑07‑06 15:58:34)
                                Description The trigger that leads to instigation of a significant change in health or other circumstances.
                                Operationalization SNOMED CT: - ^1127581000000103 | Health issues simple reference set (foundation metadata concept) |
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14390
                                Id prsb03-dataelement-14390 (2021‑07‑06 16:01:56)
                                Description Any free text associated with the person's trigger factor
                                Operationalization Free text
                                Value Domain
                                folder draft Contingency plan name
                                prsb03-dataelement-10371
                                link
                                Id prsb03-dataelement-10371 (2018‑10‑31)
                                Description When the action evaluation needs to be reviewed. 
                                draft Coded value
                                prsb03-dataelement-14387
                                Id prsb03-dataelement-14387 (2021‑07‑06 15:50:58)
                                Description The coded value for the type of care plan
                                Operationalization SNOMED CT: - 999001471000000108 | Care plan type simple reference set (foundation metadata concept) |
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Free text
                                prsb03-dataelement-14388
                                Id prsb03-dataelement-14388 (2021‑07‑06 15:53:06)
                                Description Free text if no coded value is available.
                                Operationalization Free text
                                Value Domain
                                folder draft What should happen
                                prsb03-dataelement-10376
                                link
                                Id prsb03-dataelement-10376 (2018‑10‑31)
                                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.
                                draft Coded value
                                prsb03-dataelement-14403
                                Id prsb03-dataelement-14403 (2021‑07‑07 13:47:54)
                                Description The coded value for what should happen
                                Operationalization
                                SNOMED CT : - << 71388002 |Procedure| OR << 129125009 |Procedure with explicit context|
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14404
                                Id prsb03-dataelement-14404 (2021‑07‑07 13:49:20)
                                Description Any supplementary or personalised information regarding what should happen
                                Operationalization Free text
                                Value Domain
                                folder draft Who should be contacted
                                prsb03-dataelement-10377
                                link
                                Id prsb03-dataelement-10377 (2018‑10‑31)
                                Description Who should be contacted in the event of significant problems or deterioration in health or wellbeing. e.g. name, role and contact details.
                                draft Name
                                prsb03-dataelement-14405
                                Id prsb03-dataelement-14405 (2021‑07‑07 13:56:26)
                                Concept inherits from draft prsb03-dataelement-10352 (2018‑10‑31)
                                Description The name of the professional with responsibility for the care of the person.
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                70
                                draft Role
                                prsb03-dataelement-14406
                                Id prsb03-dataelement-14406 (2021‑07‑07 13:57:48)
                                Concept inherits from draft prsb03-dataelement-10353 (2018‑10‑31)
                                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
                                draft Contact details
                                prsb03-dataelement-14407
                                Id prsb03-dataelement-14407 (2021‑07‑07 13:59:15)
                                Concept inherits from draft prsb03-dataelement-10350 (2018‑10‑31)
                                Description Contact details of the personal contact (e.g. telephone number, email address etc.)
                                Operationalization Free Text
                                Value Domain
                                Property
                                max length
                                70
                                folder draft Agreed with person or legitimate representative
                                prsb03-dataelement-10369
                                link
                                Id prsb03-dataelement-10369 (2018‑10‑31)
                                Description Indicates whether the plan was discussed and agreed with the person or legitimate representative.
                                draft Person or legitimate representative
                                prsb03-dataelement-14339
                                Id prsb03-dataelement-14339 (2021‑07‑01 19:11:12)
                                Concept inherits from draft prsb03-dataelement-14322 (2021‑06‑29 13:05:22)
                                Description Indicates whether the plan was discussed and agreed with the person or legitimate representative
                                Operationalization Person or legitimate representative 
                                Value Domain
                                draft Person full name
                                prsb03-dataelement-14340
                                Id prsb03-dataelement-14340 (2021‑07‑01 19:13:45)
                                Concept inherits from draft prsb03-dataelement-13801 (2020‑11‑09 17:03:29)
                                Description The full name of the person in text representation.
                                Rationale Patient.name.text
                                Operationalization NHS data dictionary :- Person full name
                                Value Domain
                                Property
                                max length
                                70
                                draft Role
                                prsb03-dataelement-14341
                                Id prsb03-dataelement-14341 (2021‑07‑01 19:15:23)
                                Concept inherits from draft prsb03-dataelement-12186 (2019‑05‑31 16:19:35)
                                Description The role the professional has in relation to the person.
                                Relationship
                                Operationalization FHIR value set : - sdsjobrole
                                Value Domain
                                draft Date this plan was last updated
                                prsb03-dataelement-10372
                                Id prsb03-dataelement-10372 (2018‑10‑31)
                                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
                                draft Planned review date/interval
                                prsb03-dataelement-10373
                                Id prsb03-dataelement-10373 (2018‑10‑31)
                                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
                                folder draft Responsibility for review
                                prsb03-dataelement-10374
                                link
                                Id prsb03-dataelement-10374 (2018‑10‑31)
                                Description This is who has responsibility for arranging review of this information.
                                draft Name
                                prsb03-dataelement-14342
                                Id prsb03-dataelement-14342 (2021‑07‑01 19:38:29)
                                Concept inherits from draft prsb03-dataelement-10352 (2018‑10‑31)
                                Description The name of the professional with responsibility for the care of the person.
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                70
                                draft Role
                                prsb03-dataelement-14343
                                Id prsb03-dataelement-14343 (2021‑07‑01 19:39:46)
                                Concept inherits from draft prsb03-dataelement-10353 (2018‑10‑31)
                                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
                                draft Contact details
                                prsb03-dataelement-14344
                                Id prsb03-dataelement-14344 (2021‑07‑01 19:40:59)
                                Concept inherits from draft prsb03-dataelement-10357 (2018‑10‑31)
                                Description Contact details of the professional (e.g. telephone number, email address etc.).
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                35
                                folder draft Coping strategies
                                prsb03-dataelement-13850
                                link
                                Id prsb03-dataelement-13850 (2021‑01‑08 16:37:56)
                                Description Details of coping strategies used
                                draft Coping strategy
                                prsb03-dataelement-13851
                                Id prsb03-dataelement-13851 (2021‑01‑08 16:45:37)
                                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
                                draft Start date
                                prsb03-dataelement-13852
                                Id prsb03-dataelement-13852 (2021‑01‑08 16:47:18)
                                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
                                draft End date
                                prsb03-dataelement-13853
                                Id prsb03-dataelement-13853 (2021‑01‑08 16:48:58)
                                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
                                folder draft Relapse indicators / early warning signs
                                prsb03-dataelement-13854
                                link
                                Id prsb03-dataelement-13854 (2021‑01‑08 16:49:59)
                                Description Details of the relapse indicators for the person. These may also be called 'early warning signs'
                                Operationalization

                                draft Coded value
                                prsb03-dataelement-14401
                                Id prsb03-dataelement-14401 (2021‑07‑07 13:38:10)
                                Description The coded value for relapse indicators/early warning signs
                                Operationalization SNOMED CT : - ^1127601000000107 | Healthcare matters simple reference set (foundation metadata concept) |
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14402
                                Id prsb03-dataelement-14402 (2021‑07‑07 13:42:46)
                                Description Any supplementary or personalised information regarding the relapse indicators/early warning signs
                                Operationalization Free text
                                Value Domain
                                folder draft Advance statement
                                prsb03-dataelement-10777
                                link
                                Id prsb03-dataelement-10777 (2019‑03‑19 17:12:20)
                                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
                                draft Date
                                prsb03-dataelement-12267
                                Id prsb03-dataelement-12267 (2019‑05‑31 16:39:20)
                                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
                                folder draft Location
                                prsb03-dataelement-12268
                                link
                                Id prsb03-dataelement-12268 (2019‑05‑31 16:39:59)
                                Description The location where the advanced statement was made.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-13698
                                Id prsb03-dataelement-13698 (2020‑09‑09 17:14:46)
                                Description The coded value for location
                                Operationalization NHS data dictionary: - Organisation data service
                                Value Domain
                                Property
                                min length max length
                                3 5
                                draft Free text
                                prsb03-dataelement-13699
                                Id prsb03-dataelement-13699 (2020‑09‑09 17:16:21)
                                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
                                folder draft Advance statement
                                prsb03-dataelement-13695
                                link
                                Id prsb03-dataelement-13695 (2020‑09‑09 17:06:33)
                                Description Does the person have an advance statement.
                                draft Coded value
                                prsb03-dataelement-13696
                                Id prsb03-dataelement-13696 (2020‑09‑09 17:09:21)
                                Description The coded value for advance statement
                                Operationalization SNOMED CT: - 816281000000101 | Has advance statement (Mental Capacity Act 2005) (finding) |
                                Value Domain
                                draft Free text
                                prsb03-dataelement-13697
                                Id prsb03-dataelement-13697 (2020‑09‑09 17:10:48)
                                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
                                draft Location of document
                                prsb03-dataelement-13760
                                Id prsb03-dataelement-13760 (2020‑09‑29 14:53:49)
                                Description The location of where the advanced statement is held.
                                Relationship
                                Operationalization Free text or URL
                                Value Domain
                                folder draft Performing professional
                                prsb03-dataelement-12269
                                link
                                Id prsb03-dataelement-12269 (2019‑05‑31 16:40:44)
                                Description The professional who made the advance statement.
                                Relationship
                                draft Name
                                prsb03-dataelement-12270
                                Id prsb03-dataelement-12270 (2019‑05‑31 16:41:01)
                                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
                                draft Role
                                prsb03-dataelement-12271
                                Id prsb03-dataelement-12271 (2019‑05‑31 16:41:01)
                                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
                                draft Grade
                                prsb03-dataelement-12272
                                Id prsb03-dataelement-12272 (2019‑05‑31 16:41:01)
                                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
                                draft Speciality
                                prsb03-dataelement-12273
                                Id prsb03-dataelement-12273 (2019‑05‑31 16:41:01)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12274
                                Id prsb03-dataelement-12274 (2019‑05‑31 16:41:01)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12275
                                Id prsb03-dataelement-12275 (2019‑05‑31 16:41:01)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                draft Contact details
                                prsb03-dataelement-12276
                                Id prsb03-dataelement-12276 (2019‑05‑31 16:41:01)
                                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
                                folder draft Person completing record
                                prsb03-dataelement-12277
                                link
                                Id prsb03-dataelement-12277 (2019‑05‑31 16:41:55)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                draft Name
                                prsb03-dataelement-12278
                                Id prsb03-dataelement-12278 (2019‑05‑31 16:42:15)
                                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
                                draft Role
                                prsb03-dataelement-12279
                                Id prsb03-dataelement-12279 (2019‑05‑31 16:42:15)
                                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
                                draft Grade
                                prsb03-dataelement-12280
                                Id prsb03-dataelement-12280 (2019‑05‑31 16:42:15)
                                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
                                draft Specialty
                                prsb03-dataelement-12281
                                Id prsb03-dataelement-12281 (2019‑05‑31 16:42:15)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12282
                                Id prsb03-dataelement-12282 (2019‑05‑31 16:42:15)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12283
                                Id prsb03-dataelement-12283 (2019‑05‑31 16:42:15)
                                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
                                draft Date completed
                                prsb03-dataelement-12284
                                Id prsb03-dataelement-12284 (2019‑05‑31 16:42:15)
                                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
                                draft Contact details
                                prsb03-dataelement-12285
                                Id prsb03-dataelement-12285 (2019‑05‑31 16:42:15)
                                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
                                draft Anticipatory medicines/equipment
                                prsb03-dataelement-10370
                                Id prsb03-dataelement-10370 (2018‑10‑31)
                                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 0 transactions, 0 templates, inherited once
                                 
                                cancelled Early warning signs
                                prsb03-dataelement-13855
                                Id prsb03-dataelement-13855 (2021‑01‑08 16:56:37) Version 1.1 DCSP
                                Description Details of any early warning signs shown by the person
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Location
                                prsb03-dataelement-12079
                                link
                                Id prsb03-dataelement-12079 (2019‑05‑31 15:39:45)
                                Description The location where the contingency plan was prepared.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-13667
                                Id prsb03-dataelement-13667 (2020‑09‑08 22:19:58)
                                Description The coded value for location
                                Operationalization NHS data dictionary : - Organisation data service
                                Value Domain
                                Property
                                min length max length
                                3 5
                                draft Free text
                                prsb03-dataelement-13668
                                Id prsb03-dataelement-13668 (2020‑09‑08 22:21:39)
                                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
                                rejected Person completing record
                                prsb03-dataelement-10841
                                Id prsb03-dataelement-10841 (2019‑03‑27 16:20:18)
                                Description This is the person contributing to the contingency plan. Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
                                Relationship
                                Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
                                Value Domain
                                folder draft Performing professional
                                prsb03-dataelement-12045
                                link
                                Id prsb03-dataelement-12045 (2019‑05‑31 15:33:20)
                                Description The professional who prepared the contingency plans.
                                Relationship
                                draft Name
                                prsb03-dataelement-12046
                                Id prsb03-dataelement-12046 (2019‑05‑31 15:33:38)
                                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
                                draft Role
                                prsb03-dataelement-12047
                                Id prsb03-dataelement-12047 (2019‑05‑31 15:33:38)
                                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
                                draft Grade
                                prsb03-dataelement-12048
                                Id prsb03-dataelement-12048 (2019‑05‑31 15:33:38)
                                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
                                draft Speciality
                                prsb03-dataelement-12049
                                Id prsb03-dataelement-12049 (2019‑05‑31 15:33:38)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12050
                                Id prsb03-dataelement-12050 (2019‑05‑31 15:33:38)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12051
                                Id prsb03-dataelement-12051 (2019‑05‑31 15:33:38)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                draft Contact details
                                prsb03-dataelement-12052
                                Id prsb03-dataelement-12052 (2019‑05‑31 15:33:38)
                                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
                                folder draft Person completing record
                                prsb03-dataelement-12053
                                link
                                Id prsb03-dataelement-12053 (2019‑05‑31 15:33:49)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                draft Name
                                prsb03-dataelement-12054
                                Id prsb03-dataelement-12054 (2019‑05‑31 15:34:15)
                                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
                                draft Role
                                prsb03-dataelement-12055
                                Id prsb03-dataelement-12055 (2019‑05‑31 15:34:15)
                                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
                                draft Grade
                                prsb03-dataelement-12056
                                Id prsb03-dataelement-12056 (2019‑05‑31 15:34:15)
                                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
                                draft Specialty
                                prsb03-dataelement-12057
                                Id prsb03-dataelement-12057 (2019‑05‑31 15:34:15)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12058
                                Id prsb03-dataelement-12058 (2019‑05‑31 15:34:15)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12059
                                Id prsb03-dataelement-12059 (2019‑05‑31 15:34:15)
                                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
                                draft Date completed
                                prsb03-dataelement-12060
                                Id prsb03-dataelement-12060 (2019‑05‑31 15:34:15)
                                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
                                draft Contact details
                                prsb03-dataelement-12061
                                Id prsb03-dataelement-12061 (2019‑05‑31 15:34:15)
                                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
                                folder cancelled Outstanding Issues
                                prsb03-dataelement-478
                                link
                                Id prsb03-dataelement-478 (2018‑10‑31) 0.1
                                Description Outstanding Issues
                                cancelled Tasks which must be done
                                prsb03-dataelement-10378
                                Id prsb03-dataelement-10378 (2018‑10‑31) 0.1
                                Description Include timescales (appropriate seniority of staff for each task)
                                Value Domain
                                cancelled Tasks to be done if possible
                                prsb03-dataelement-10379
                                Id prsb03-dataelement-10379 (2018‑10‑31) 0.1
                                Description E.g. test review, pre-discharge documents, criteria for discharge, including who may discharge the patient.
                                Value Domain
                                folder cancelled Person handing over
                                prsb03-dataelement-480
                                link
                                Id prsb03-dataelement-480 (2018‑10‑31) 0.1
                                Description Person handing over
                                cancelled Name
                                prsb03-dataelement-10380
                                Id prsb03-dataelement-10380 (2018‑10‑31) 0.1
                                Description The name of the person completing the record, preferably in a structured format.
                                Value Domain
                                cancelled Role
                                prsb03-dataelement-10381
                                Id prsb03-dataelement-10381 (2018‑10‑31) 0.1
                                Description The role the person is playing within the organisation at the time record was updated.
                                Value Domain
                                cancelled Grade
                                prsb03-dataelement-10382
                                Id prsb03-dataelement-10382 (2018‑10‑31) 0.1
                                Description The grade of the person completing the record.
                                Value Domain
                                cancelled Specialty
                                prsb03-dataelement-10383
                                Id prsb03-dataelement-10383 (2018‑10‑31) 0.1
                                Description The main specialty of the person completing the record.
                                Value Domain
                                cancelled Contact details
                                prsb03-dataelement-10384
                                Id prsb03-dataelement-10384 (2018‑10‑31) 0.1
                                Description Contact details of the person completing the record. For example a phone number, email address. Contact details are used to resolve queries about the record entry.
                                Value Domain
                                folder cancelled Person receiving handover
                                prsb03-dataelement-485
                                link
                                Id prsb03-dataelement-485 (2018‑10‑31) 0.1
                                Description Person receiving handover
                                cancelled Name
                                prsb03-dataelement-10385
                                Id prsb03-dataelement-10385 (2018‑10‑31) 0.1
                                Description The name of the person receiving the handover, preferably in a structured format.
                                Value Domain
                                cancelled Role
                                prsb03-dataelement-10386
                                Id prsb03-dataelement-10386 (2018‑10‑31) 0.1
                                Description The role the person is playing within the organisation at the time of handover.
                                Value Domain
                                cancelled Grade
                                prsb03-dataelement-10387
                                Id prsb03-dataelement-10387 (2018‑10‑31) 0.1
                                Description The grade of the person receiving the handover
                                Value Domain
                                cancelled Specialty
                                prsb03-dataelement-10388
                                Id prsb03-dataelement-10388 (2018‑10‑31) 0.1
                                Description The specialty of the person receiving the handover
                                Value Domain
                                cancelled Contact details
                                prsb03-dataelement-10389
                                Id prsb03-dataelement-10389 (2018‑10‑31) 0.1
                                Description Contact details of the person receiving the handover. For example a phone number, email address. Contact details are used to resolve queries about the record entry.
                                Value Domain
                                folder cancelled Handover Details
                                prsb03-dataelement-490
                                link
                                Id prsb03-dataelement-490 (2018‑10‑31) 0.1
                                Description Handover Details
                                cancelled Patient Location
                                prsb03-dataelement-10390
                                Id prsb03-dataelement-10390 (2018‑10‑31) 0.1
                                Description This is the physical location of the patient. For inpatient, e.g., hospital ward, bed, theatre. For ambulatory care, e.g., health centre, clinic. Resources centre, patient's home
                                Value Domain
                                cancelled Planned patient location
                                prsb03-dataelement-10391
                                Id prsb03-dataelement-10391 (2018‑10‑31) 0.1
                                Description If patient is changing location
                                Value Domain
                                cancelled Date of admission
                                prsb03-dataelement-10392
                                Id prsb03-dataelement-10392 (2018‑10‑31) 0.1
                                Description Date patient admitted to hospital
                                Value Domain
                                cancelled Expected date of discharge
                                prsb03-dataelement-10393
                                Id prsb03-dataelement-10393 (2018‑10‑31) 0.1
                                Description The date the patient is currently expected to be discharged from hospital
                                Value Domain
                                cancelled Responsible consultant
                                prsb03-dataelement-10394
                                Id prsb03-dataelement-10394 (2018‑10‑31) 0.1
                                Description The name and designation of the consultant, who has overall responsibility for the patient (may not actually see the patient)
                                Value Domain
                                cancelled Specialty
                                prsb03-dataelement-10395
                                Id prsb03-dataelement-10395 (2018‑10‑31) 0.1
                                Description Specialties designated by royal colleges and faculties. E.g. orthopedics, renal medicine, endocrinology, etc.
                                Value Domain
                                cancelled Service
                                prsb03-dataelement-10396
                                Id prsb03-dataelement-10396 (2018‑10‑31) 0.1
                                Description Subspecialties, treatment functions or services. E.g. hand surgery, back surgery, hand clinic, TIA clinic, falls clinic, speech and language therapy, dialysis, family therapy, pre-admission assessment clinic etc.
                                Value Domain
                                cancelled Date of decision to handover
                                prsb03-dataelement-10397
                                Id prsb03-dataelement-10397 (2018‑10‑31) 0.1
                                Description Date decision made to handover care.
                                Value Domain
                                cancelled New responsible consultant
                                prsb03-dataelement-10398
                                Id prsb03-dataelement-10398 (2018‑10‑31) 0.1
                                Description The name and designation of the consultant who is accepting responsibility for the patient’s inpatient care.
                                Value Domain
                                cancelled Date handover accepted
                                prsb03-dataelement-10399
                                Id prsb03-dataelement-10399 (2018‑10‑31) 0.1
                                Description Date decision made to accept handover of care
                                Value Domain
                                cancelled Reason for handover
                                prsb03-dataelement-10400
                                Id prsb03-dataelement-10400 (2018‑10‑31) 0.1
                                Description A clear statement of the reason for the temporary or permanent handover of care, e.g., low potassium, immediately post-op, unstable medical condition
                                Value Domain
                                cancelled Senior clinical contact
                                prsb03-dataelement-10401
                                Id prsb03-dataelement-10401 (2018‑10‑31) 0.1
                                Description If there is a particular requirement to call a specific person, e.g., consultant, SpR or special intervention team
                                Value Domain
                                folder draft Additional support plans
                                prsb03-dataelement-502
                                link
                                Id prsb03-dataelement-502 (2018‑10‑31)
                                Description Additional support plans
                                folder draft Additional support plan name
                                prsb03-dataelement-10402
                                link
                                Id prsb03-dataelement-10402 (2018‑10‑31)
                                Description The name of the particular additional supporting plan, e.g. dieticians plan, wound management plan, discharge management plan and behaviour support plan.
                                draft Coded value
                                prsb03-dataelement-14397
                                Id prsb03-dataelement-14397 (2021‑07‑06 16:40:30)
                                Concept inherits from draft prsb03-dataelement-14387 (2021‑07‑06 15:50:58)
                                Description The coded value for the type of care plan
                                Operationalization SNOMED CT: - 999001471000000108 | Care plan type simple reference set (foundation metadata concept) |
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14398
                                Id prsb03-dataelement-14398 (2021‑07‑06 16:43:20)
                                Description Free text if no coded value is available
                                Operationalization Free text
                                Value Domain
                                draft Additional support plan content
                                prsb03-dataelement-10403
                                Id prsb03-dataelement-10403 (2018‑10‑31)
                                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
                                cancelled Person completing record
                                prsb03-dataelement-10404
                                Id prsb03-dataelement-10404 (2018‑10‑31)
                                Description This is the person contributing to an additional supporting plan. Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
                                Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Planned review date/interval
                                prsb03-dataelement-10405
                                Id prsb03-dataelement-10405 (2018‑10‑31)
                                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
                                folder draft Responsibility for review
                                prsb03-dataelement-10406
                                link
                                Id prsb03-dataelement-10406 (2018‑10‑31)
                                Description This is a record of who has responsibility for arranging review of this information. Should include their name, role and contact details.
                                draft Name
                                prsb03-dataelement-14348
                                Id prsb03-dataelement-14348 (2021‑07‑01 20:44:51)
                                Concept inherits from draft prsb03-dataelement-10352 (2018‑10‑31)
                                Description The name of the professional with responsibility for the care of the person.
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                70
                                draft Role
                                prsb03-dataelement-14349
                                Id prsb03-dataelement-14349 (2021‑07‑01 20:46:07)
                                Concept inherits from draft prsb03-dataelement-10353 (2018‑10‑31)
                                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
                                draft Contact details
                                prsb03-dataelement-14350
                                Id prsb03-dataelement-14350 (2021‑07‑01 20:49:37)
                                Concept inherits from draft prsb03-dataelement-10357 (2018‑10‑31)
                                Description Contact details of the professional (e.g. telephone number, email address etc.).
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                35
                                draft Date this plan was last updated
                                prsb03-dataelement-10407
                                Id prsb03-dataelement-10407 (2018‑10‑31)
                                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
                                folder draft Location
                                prsb03-dataelement-12080
                                link
                                Id prsb03-dataelement-12080 (2019‑05‑31 15:40:38)
                                Description The location where the additional support plan was prepared.
                                Relationship
                                Operationalization ODS code or free text
                                draft Coded value
                                prsb03-dataelement-13722
                                Id prsb03-dataelement-13722 (2020‑09‑14 13:50:06)
                                Description The coded value for location
                                Operationalization NHS data dictionary:- Organisation data service
                                Value Domain
                                Property
                                min length max length
                                3 5
                                draft Free text
                                prsb03-dataelement-13723
                                Id prsb03-dataelement-13723 (2020‑09‑14 13:52:48)
                                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
                                folder draft Performing professional
                                prsb03-dataelement-12062
                                link
                                Id prsb03-dataelement-12062 (2019‑05‑31 15:36:17)
                                Description The professional who prepared the additional support plan.
                                Relationship
                                draft Name
                                prsb03-dataelement-12063
                                Id prsb03-dataelement-12063 (2019‑05‑31 15:36:35)
                                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
                                draft Role
                                prsb03-dataelement-12064
                                Id prsb03-dataelement-12064 (2019‑05‑31 15:36:35)
                                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
                                draft Grade
                                prsb03-dataelement-12065
                                Id prsb03-dataelement-12065 (2019‑05‑31 15:36:35)
                                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
                                draft Speciality
                                prsb03-dataelement-12066
                                Id prsb03-dataelement-12066 (2019‑05‑31 15:36:35)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12067
                                Id prsb03-dataelement-12067 (2019‑05‑31 15:36:35)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12068
                                Id prsb03-dataelement-12068 (2019‑05‑31 15:36:35)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                draft Contact details
                                prsb03-dataelement-12069
                                Id prsb03-dataelement-12069 (2019‑05‑31 15:36:35)
                                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
                                folder draft Person completing record
                                prsb03-dataelement-12070
                                link
                                Id prsb03-dataelement-12070 (2019‑05‑31 15:36:49)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                draft Name
                                prsb03-dataelement-12071
                                Id prsb03-dataelement-12071 (2019‑05‑31 15:37:13)
                                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
                                draft Role
                                prsb03-dataelement-12072
                                Id prsb03-dataelement-12072 (2019‑05‑31 15:37:13)
                                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
                                draft Grade
                                prsb03-dataelement-12073
                                Id prsb03-dataelement-12073 (2019‑05‑31 15:37:13)
                                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
                                draft Specialty
                                prsb03-dataelement-12074
                                Id prsb03-dataelement-12074 (2019‑05‑31 15:37:13)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12075
                                Id prsb03-dataelement-12075 (2019‑05‑31 15:37:13)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12076
                                Id prsb03-dataelement-12076 (2019‑05‑31 15:37:13)
                                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
                                draft Date completed
                                prsb03-dataelement-12077
                                Id prsb03-dataelement-12077 (2019‑05‑31 15:37:13)
                                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
                                draft Contact details
                                prsb03-dataelement-12078
                                Id prsb03-dataelement-12078 (2019‑05‑31 15:37:13)
                                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
                                folder draft End of life care
                                prsb03-dataelement-10743
                                link
                                Id prsb03-dataelement-10743 (2019‑03‑07 11:06:43)
                                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.
                                cancelled Date
                                prsb03-dataelement-10867
                                Id prsb03-dataelement-10867 (2019‑03‑27 18:37:13) 0.1
                                Description The date the end of life care information was recorded.
                                Relationship
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year
                                cancelled Location
                                prsb03-dataelement-10866
                                Id prsb03-dataelement-10866 (2019‑03‑27 18:36:09) 0.1
                                Description The location where the end of life care information was recorded.
                                Relationship
                                Value Domain
                                cancelled Person completing record
                                prsb03-dataelement-10865
                                Id prsb03-dataelement-10865 (2019‑03‑27 18:35:06) 0.1
                                Description This is the person contributing to the end of life care information. Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
                                Relationship
                                Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
                                Value Domain
                                cancelled Consent for creation of end of life care plan
                                prsb03-dataelement-10769
                                Id prsb03-dataelement-10769 (2019‑03‑19 13:33:24) 0.1
                                Concept inherits from draft prsb03-dataelement-10431 (2018‑10‑31)
                                Description Separate explicit consent is required for creation of an end of life care record. This records how this consent has been granted in order to differentiate between person’s explicit consent, best interest decision, Lasting Power of Attorney decision and withdrawal of consent.
                                Operationalization End of life care plan use case only. This is a record of consent to create an end of life care plan.
                                Value Domain
                                cancelled Date plan was created
                                prsb03-dataelement-10787
                                Id prsb03-dataelement-10787 (2019‑03‑19 17:56:06) 0.1
                                Description This is a record of the date that this end of life care plan was last updated.
                                Value Domain
                                cancelled Planned review date
                                prsb03-dataelement-10770
                                Id prsb03-dataelement-10770 (2019‑03‑19 13:40:30) 0.1
                                Concept inherits from draft prsb03-dataelement-10208 (2018‑10‑31)
                                Description Date the plan is due for review.
                                Operationalization End of life care plan use case only. The date the plan is due for review.
                                Value Domain
                                folder draft Cardio-pulmonary resuscitation (CPR) decision
                                prsb03-dataelement-10771
                                link
                                Id prsb03-dataelement-10771 (2019‑03‑19 13:42:20)
                                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
                                draft Date
                                prsb03-dataelement-12210
                                Id prsb03-dataelement-12210 (2019‑05‑31 16:28:26)
                                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
                                folder draft Location
                                prsb03-dataelement-12211
                                link
                                Id prsb03-dataelement-12211 (2019‑05‑31 16:29:12)
                                Description The location where the cardio-pulmonary resuscitation decision was made.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-13689
                                Id prsb03-dataelement-13689 (2020‑09‑09 16:47:10)
                                Description The coded value for location
                                Operationalization NHS data dictionary: - Organisation data service
                                Value Domain
                                Property
                                min length max length
                                3 5
                                draft Free text
                                prsb03-dataelement-13690
                                Id prsb03-dataelement-13690 (2020‑09‑09 16:48:20)
                                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
                                folder draft Cardio-pulmonary resuscitation (CPR) decision
                                prsb03-dataelement-13686
                                link
                                Id prsb03-dataelement-13686 (2020‑09‑09 16:35:43)
                                Description The cardio-pulmonary resuscitation (CPR) decision.
                                draft Coded value
                                prsb03-dataelement-13687
                                Id prsb03-dataelement-13687 (2020‑09‑09 16:40:50)
                                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
                                draft Free text
                                prsb03-dataelement-13688
                                Id prsb03-dataelement-13688 (2020‑09‑09 16:45:48)
                                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
                                folder draft Awareness of decision
                                prsb03-dataelement-14361
                                link
                                Id prsb03-dataelement-14361 (2021‑07‑05 10:21:31)
                                Description Details of the person's awareness of the CPR decision
                                draft Person's awareness of the decision
                                prsb03-dataelement-14362
                                Id prsb03-dataelement-14362 (2021‑07‑05 10:23:55)
                                Description The awareness of the person of the CPR decision. If the person is not aware, include the reason why.
                                Operationalization Free text
                                Value Domain
                                folder draft Personal contact awareness of decision
                                prsb03-dataelement-14363
                                link
                                Id prsb03-dataelement-14363 (2021‑07‑05 10:25:04)
                                Description The legitimate representative, family member or carer awareness of the CPR decision.
                                draft Awareness of decision
                                prsb03-dataelement-14365
                                Id prsb03-dataelement-14365 (2021‑07‑05 10:45:00)
                                Description The person, their legitimate representative, family member or carer awareness of the CPR decision
                                Operationalization Free text
                                Value Domain
                                draft Role
                                prsb03-dataelement-14364
                                Id prsb03-dataelement-14364 (2021‑07‑05 10:35:40)
                                Concept inherits from draft prsb03-dataelement-10710 (2018‑12‑04 15:32:09)
                                Description The role of the person providing the service.
                                Operationalization FHIR values set : - sdsjobrole
                                Value Domain
                                draft Date for review
                                prsb03-dataelement-13705
                                Id prsb03-dataelement-13705 (2020‑09‑10 12:10:08)
                                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
                                draft Location of document
                                prsb03-dataelement-13706
                                Id prsb03-dataelement-13706 (2020‑09‑10 12:30:14)
                                Description The location of the CPR decision document
                                Operationalization Free text or URL
                                Value Domain
                                folder draft Performing professional
                                prsb03-dataelement-12212
                                link
                                Id prsb03-dataelement-12212 (2019‑05‑31 16:30:12)
                                Description The professional who made the cardio-pulmonary resuscitation decision.
                                Relationship
                                draft Name
                                prsb03-dataelement-12213
                                Id prsb03-dataelement-12213 (2019‑05‑31 16:30:28)
                                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
                                draft Role
                                prsb03-dataelement-12214
                                Id prsb03-dataelement-12214 (2019‑05‑31 16:30:28)
                                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
                                draft Grade
                                prsb03-dataelement-12215
                                Id prsb03-dataelement-12215 (2019‑05‑31 16:30:28)
                                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
                                draft Speciality
                                prsb03-dataelement-12216
                                Id prsb03-dataelement-12216 (2019‑05‑31 16:30:28)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12217
                                Id prsb03-dataelement-12217 (2019‑05‑31 16:30:28)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12218
                                Id prsb03-dataelement-12218 (2019‑05‑31 16:30:28)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                draft Contact details
                                prsb03-dataelement-12219
                                Id prsb03-dataelement-12219 (2019‑05‑31 16:30:28)
                                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
                                folder draft Person completing record
                                prsb03-dataelement-12220
                                link
                                Id prsb03-dataelement-12220 (2019‑05‑31 16:30:40)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                draft Name
                                prsb03-dataelement-12221
                                Id prsb03-dataelement-12221 (2019‑05‑31 16:31:04)
                                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
                                draft Role
                                prsb03-dataelement-12222
                                Id prsb03-dataelement-12222 (2019‑05‑31 16:31:04)
                                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
                                draft Grade
                                prsb03-dataelement-12223
                                Id prsb03-dataelement-12223 (2019‑05‑31 16:31:04)
                                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
                                draft Specialty
                                prsb03-dataelement-12224
                                Id prsb03-dataelement-12224 (2019‑05‑31 16:31:04)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12225
                                Id prsb03-dataelement-12225 (2019‑05‑31 16:31:04)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12226
                                Id prsb03-dataelement-12226 (2019‑05‑31 16:31:04)
                                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
                                draft Date completed
                                prsb03-dataelement-12227
                                Id prsb03-dataelement-12227 (2019‑05‑31 16:31:04)
                                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
                                draft Contact details
                                prsb03-dataelement-12228
                                Id prsb03-dataelement-12228 (2019‑05‑31 16:31:04)
                                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
                                folder draft Person has end of life care record
                                prsb03-dataelement-14351
                                link
                                Id prsb03-dataelement-14351 (2021‑07‑04 19:20:12)
                                Description Does the person have a end of life care record
                                draft Awareness of end of life care record
                                prsb03-dataelement-14353
                                Id prsb03-dataelement-14353 (2021‑07‑04 19:23:09)
                                Description The person, their legitimate representative, family member or carer awareness of the CPR decision
                                Operationalization Free text
                                Value Domain
                                folder draft Person has end of life care record
                                prsb03-dataelement-14352
                                link
                                Id prsb03-dataelement-14352 (2021‑07‑04 19:21:42)
                                Description The awareness of the person of the CPR decision. If the person is not aware, include the reason why.
                                Operationalization Free text
                                cancelled Free text
                                prsb03-dataelement-14355
                                Id prsb03-dataelement-14355 (2021‑07‑04 20:26:14) 0.1
                                Value Domain
                                cancelled Coded value
                                prsb03-dataelement-14354
                                Id prsb03-dataelement-14354 (2021‑07‑04 20:25:01) 0.1
                                Value Domain
                                cancelled Individual requirement
                                prsb03-dataelement-10772
                                Id prsb03-dataelement-10772 (2019‑03‑19 17:03:23)
                                Concept inherits from draft prsb03-dataelement-10060 (2018‑10‑31)
                                Description Individual requirement that a person has. These may be communication, cultural, cognitive or mobility needs.

                                Properties

                                FHIR Patient. nhsCommunications
                                Operationalization Information volunteered by the person or their representative or carer, or known about locally.Text or coded text (SNOMED CT), constrained as specified in SCCI1605.



                                Accessible Information standard

                                Accessible information - communications support refset ^999002121000000109https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/657

                                Accessible information - requires communications professional refset ^999002141000000102https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/660

                                Accessible information - requires specific contact method refset ^999002151000000104https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/658

                                Accessible information - requires specific information format refset ^999002131000000106https://dd4c.hscic.gov.uk/dd4c/publishedmetadatas/intid/659
                                Value Domain
                                cancelled Relevant contacts
                                prsb03-dataelement-10773
                                Id prsb03-dataelement-10773 (2019‑03‑19 17:07:45) 0.1
                                Concept inherits from cancelled prsb03-dataelement-10029 (2018‑10‑31)
                                Description Include the most important contacts including:

                                * Personal contacts e.g., next of kin, in case of emergency contact, lasting power of attorney, dependents, informal carers etc.

                                * Health/care professional contacts e.g., social worker, hospital clinician, care coordinator, key worker, Independent Mental Capacity Advocate (IMCA) etc.

                                Name, relationship, role (if formal role), contact details and availability, e.g. out of hours.

                                Properties

                                FHIR Patient.contact
                                Operationalization Details of relevant contacts, such as carers or family members, as recorded on the local system, or volunteered by the patient. This will be a free text list of relevant contacts.
                                Value Domain
                                cancelled Estimated prognosis
                                prsb03-dataelement-10774
                                Id prsb03-dataelement-10774 (2019‑03‑19 17:09:08)
                                Concept inherits from draft prsb03-dataelement-10202 (2018‑10‑31)
                                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. Also include the date the prognosis was made.
                                Operationalization End of life care plan use case only. The prognosis estimated by a clinician.
                                Value Domain
                                folder draft Estimated prognosis
                                prsb03-dataelement-10745
                                link
                                Id prsb03-dataelement-10745 (2019‑03‑07 11:10:45)
                                Description Details of the persons estimated prognosis
                                Relationship
                                draft Date
                                prsb03-dataelement-12229
                                Id prsb03-dataelement-12229 (2019‑05‑31 16:31:46)
                                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
                                folder draft Location
                                prsb03-dataelement-12230
                                link
                                Id prsb03-dataelement-12230 (2019‑05‑31 16:32:37)
                                Description The location where the estimated prognosis was made.
                                Relationship
                                Operationalization ODS code or free text
                                draft Coded value
                                prsb03-dataelement-13703
                                Id prsb03-dataelement-13703 (2020‑09‑09 17:41:30)
                                Description The coded value for location
                                Operationalization NHS data dictionary: - Organisation data service
                                Value Domain
                                Property
                                min length max length
                                3 5
                                draft Free text
                                prsb03-dataelement-13704
                                Id prsb03-dataelement-13704 (2020‑09‑09 17:42:40)
                                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
                                draft Estimated prognosis
                                prsb03-dataelement-13691
                                Id prsb03-dataelement-13691 (2020‑09‑09 16:49:55)
                                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
                                folder draft Performing professional
                                prsb03-dataelement-12231
                                link
                                Id prsb03-dataelement-12231 (2019‑05‑31 16:33:17)
                                Description The professional who made the estimated prognosis.
                                Relationship
                                draft Name
                                prsb03-dataelement-12232
                                Id prsb03-dataelement-12232 (2019‑05‑31 16:33:33)
                                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
                                draft Role
                                prsb03-dataelement-12233
                                Id prsb03-dataelement-12233 (2019‑05‑31 16:33:33)
                                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
                                draft Grade
                                prsb03-dataelement-12234
                                Id prsb03-dataelement-12234 (2019‑05‑31 16:33:33)
                                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
                                draft Speciality
                                prsb03-dataelement-12235
                                Id prsb03-dataelement-12235 (2019‑05‑31 16:33:33)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12236
                                Id prsb03-dataelement-12236 (2019‑05‑31 16:33:33)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12237
                                Id prsb03-dataelement-12237 (2019‑05‑31 16:33:33)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                draft Contact details
                                prsb03-dataelement-12238
                                Id prsb03-dataelement-12238 (2019‑05‑31 16:33:33)
                                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
                                folder draft Person completing record
                                prsb03-dataelement-12239
                                link
                                Id prsb03-dataelement-12239 (2019‑05‑31 16:33:44)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                draft Name
                                prsb03-dataelement-12240
                                Id prsb03-dataelement-12240 (2019‑05‑31 16:34:04)
                                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
                                draft Role
                                prsb03-dataelement-12241
                                Id prsb03-dataelement-12241 (2019‑05‑31 16:34:04)
                                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
                                draft Grade
                                prsb03-dataelement-12242
                                Id prsb03-dataelement-12242 (2019‑05‑31 16:34:04)
                                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
                                draft Specialty
                                prsb03-dataelement-12243
                                Id prsb03-dataelement-12243 (2019‑05‑31 16:34:04)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12244
                                Id prsb03-dataelement-12244 (2019‑05‑31 16:34:04)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12245
                                Id prsb03-dataelement-12245 (2019‑05‑31 16:34:04)
                                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
                                draft Date completed
                                prsb03-dataelement-12246
                                Id prsb03-dataelement-12246 (2019‑05‑31 16:34:04)
                                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
                                draft Contact details
                                prsb03-dataelement-12247
                                Id prsb03-dataelement-12247 (2019‑05‑31 16:34:04)
                                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
                                folder draft Awareness of prognosis
                                prsb03-dataelement-10775
                                link
                                Id prsb03-dataelement-10775 (2019‑03‑19 17:09:45)
                                Description Details of the persons awareness of prognosis
                                Relationship
                                draft Date
                                prsb03-dataelement-12248
                                Id prsb03-dataelement-12248 (2019‑05‑31 16:35:21)
                                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
                                folder draft Location
                                prsb03-dataelement-12249
                                link
                                Id prsb03-dataelement-12249 (2019‑05‑31 16:36:50)
                                Description The location where the assessment of the level of awareness of the prognosis was made.
                                Relationship
                                Operationalization ODS code and free text
                                draft Coded value
                                prsb03-dataelement-13693
                                Id prsb03-dataelement-13693 (2020‑09‑09 16:57:59)
                                Description The coded value for location
                                Operationalization NHS data dictionary: - Organisation data service
                                Value Domain
                                Property
                                min length max length
                                3 5
                                draft Free text
                                prsb03-dataelement-13694
                                Id prsb03-dataelement-13694 (2020‑09‑09 16:59:05)
                                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
                                draft Awareness of prognosis
                                prsb03-dataelement-13692
                                Id prsb03-dataelement-13692 (2020‑09‑09 16:53:36)
                                Description Description of the level of awareness the person and or their carer/family has regarding their estimated prognosis.
                                Operationalization Free text
                                Value Domain
                                folder draft Performing professional
                                prsb03-dataelement-12250
                                link
                                Id prsb03-dataelement-12250 (2019‑05‑31 16:37:30)
                                Description The professional who made the assessment of the level of awareness of the prognosis.
                                Relationship
                                draft Name
                                prsb03-dataelement-12251
                                Id prsb03-dataelement-12251 (2019‑05‑31 16:37:48)
                                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
                                draft Role
                                prsb03-dataelement-12252
                                Id prsb03-dataelement-12252 (2019‑05‑31 16:37:48)
                                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
                                draft Grade
                                prsb03-dataelement-12253
                                Id prsb03-dataelement-12253 (2019‑05‑31 16:37:48)
                                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
                                draft Speciality
                                prsb03-dataelement-12254
                                Id prsb03-dataelement-12254 (2019‑05‑31 16:37:48)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12255
                                Id prsb03-dataelement-12255 (2019‑05‑31 16:37:48)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12256
                                Id prsb03-dataelement-12256 (2019‑05‑31 16:37:48)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                draft Contact details
                                prsb03-dataelement-12257
                                Id prsb03-dataelement-12257 (2019‑05‑31 16:37:48)
                                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
                                folder draft Person completing record
                                prsb03-dataelement-12258
                                link
                                Id prsb03-dataelement-12258 (2019‑05‑31 16:38:00)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                draft Name
                                prsb03-dataelement-12259
                                Id prsb03-dataelement-12259 (2019‑05‑31 16:38:20)
                                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
                                draft Role
                                prsb03-dataelement-12260
                                Id prsb03-dataelement-12260 (2019‑05‑31 16:38:20)
                                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
                                draft Grade
                                prsb03-dataelement-12261
                                Id prsb03-dataelement-12261 (2019‑05‑31 16:38:20)
                                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
                                draft Specialty
                                prsb03-dataelement-12262
                                Id prsb03-dataelement-12262 (2019‑05‑31 16:38:20)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12263
                                Id prsb03-dataelement-12263 (2019‑05‑31 16:38:20)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12264
                                Id prsb03-dataelement-12264 (2019‑05‑31 16:38:20)
                                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
                                draft Date completed
                                prsb03-dataelement-12265
                                Id prsb03-dataelement-12265 (2019‑05‑31 16:38:20)
                                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
                                draft Contact details
                                prsb03-dataelement-12266
                                Id prsb03-dataelement-12266 (2019‑05‑31 16:38:20)
                                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
                                cancelled Services and care
                                prsb03-dataelement-10776
                                Id prsb03-dataelement-10776 (2019‑03‑19 17:11:22) 0.1
                                Description The description of services and care providing support for person’s health and social wellbeing.
                                Relationship
                                Operationalization

                                This is the free text record of services and care as provided by the person or their representative.

                                Value Domain
                                draft Priorities of care
                                prsb03-dataelement-10201
                                Id prsb03-dataelement-10201 (2018‑10‑31)
                                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
                                folder draft Anticipatory actions
                                prsb03-dataelement-10786
                                link
                                Id prsb03-dataelement-10786 (2019‑03‑19 17:23:36)
                                Description Details of the person's anticipatory actions
                                Relationship
                                draft Date
                                prsb03-dataelement-12286
                                Id prsb03-dataelement-12286 (2019‑05‑31 16:48:34)
                                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
                                folder draft Location
                                prsb03-dataelement-12287
                                link
                                Id prsb03-dataelement-12287 (2019‑05‑31 16:49:03)
                                Description The location where the anticipatory actions were identified.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-13701
                                Id prsb03-dataelement-13701 (2020‑09‑09 17:23:10)
                                Description The coded value for location
                                Operationalization NHS data dictionary: - Organisation data service
                                Value Domain
                                Property
                                min length max length
                                3 5
                                draft Free text
                                prsb03-dataelement-13702
                                Id prsb03-dataelement-13702 (2020‑09‑09 17:24:16)
                                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
                                draft Anticipatory actions
                                prsb03-dataelement-13700
                                Id prsb03-dataelement-13700 (2020‑09‑09 17:17:57)
                                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
                                folder draft Performing professional
                                prsb03-dataelement-12288
                                link
                                Id prsb03-dataelement-12288 (2019‑05‑31 16:49:45)
                                Description The professional who identified the anticipatory actions.
                                Relationship
                                draft Name
                                prsb03-dataelement-12289
                                Id prsb03-dataelement-12289 (2019‑05‑31 16:50:03)
                                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
                                draft Role
                                prsb03-dataelement-12290
                                Id prsb03-dataelement-12290 (2019‑05‑31 16:50:03)
                                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
                                draft Grade
                                prsb03-dataelement-12291
                                Id prsb03-dataelement-12291 (2019‑05‑31 16:50:03)
                                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
                                draft Speciality
                                prsb03-dataelement-12292
                                Id prsb03-dataelement-12292 (2019‑05‑31 16:50:03)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12293
                                Id prsb03-dataelement-12293 (2019‑05‑31 16:50:03)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12294
                                Id prsb03-dataelement-12294 (2019‑05‑31 16:50:03)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                draft Contact details
                                prsb03-dataelement-12295
                                Id prsb03-dataelement-12295 (2019‑05‑31 16:50:03)
                                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
                                folder draft Person completing record
                                prsb03-dataelement-12296
                                link
                                Id prsb03-dataelement-12296 (2019‑05‑31 16:50:15)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                draft Name
                                prsb03-dataelement-12297
                                Id prsb03-dataelement-12297 (2019‑05‑31 16:50:40)
                                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
                                draft Role
                                prsb03-dataelement-12298
                                Id prsb03-dataelement-12298 (2019‑05‑31 16:50:40)
                                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
                                draft Grade
                                prsb03-dataelement-12299
                                Id prsb03-dataelement-12299 (2019‑05‑31 16:50:40)
                                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
                                draft Specialty
                                prsb03-dataelement-12300
                                Id prsb03-dataelement-12300 (2019‑05‑31 16:50:40)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12301
                                Id prsb03-dataelement-12301 (2019‑05‑31 16:50:40)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12302
                                Id prsb03-dataelement-12302 (2019‑05‑31 16:50:40)
                                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
                                draft Date completed
                                prsb03-dataelement-12303
                                Id prsb03-dataelement-12303 (2019‑05‑31 16:50:40)
                                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
                                draft Contact details
                                prsb03-dataelement-12304
                                Id prsb03-dataelement-12304 (2019‑05‑31 16:50:40)
                                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
                                folder draft Anticipatory medicines/equipment
                                prsb03-dataelement-10785
                                link
                                Id prsb03-dataelement-10785 (2019‑03‑19 17:21:30)
                                Description Details of the persons availability or location regarding their anticipatory medicines/equipment.
                                Relationship
                                draft Date
                                prsb03-dataelement-12305
                                Id prsb03-dataelement-12305 (2019‑05‑31 16:52:30)
                                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
                                folder draft Location
                                prsb03-dataelement-12306
                                link
                                Id prsb03-dataelement-12306 (2019‑05‑31 16:53:01)
                                Description The location where the statement regarding anticipatory medicines/equipment was made.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-13708
                                Id prsb03-dataelement-13708 (2020‑09‑10 15:57:43)
                                Description The coded value for location
                                Operationalization NHS data dictionary: - Organisation data service
                                Value Domain
                                Property
                                min length max length
                                3 5
                                draft Free text
                                prsb03-dataelement-13709
                                Id prsb03-dataelement-13709 (2020‑09‑10 15:59:37)
                                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
                                draft Anticipatory medicines/equipment
                                prsb03-dataelement-13707
                                Id prsb03-dataelement-13707 (2020‑09‑10 15:27:00)
                                Description A statement regarding the availability or location of the anticipatory medicines/equipment.
                                Operationalization Free text
                                Value Domain
                                folder draft Performing professional
                                prsb03-dataelement-12307
                                link
                                Id prsb03-dataelement-12307 (2019‑05‑31 16:53:39)
                                Description The professional who made the statement regarding anticipatory medicines/equipment was made.
                                Relationship
                                draft Name
                                prsb03-dataelement-12308
                                Id prsb03-dataelement-12308 (2019‑05‑31 16:53:59)
                                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
                                draft Role
                                prsb03-dataelement-12309
                                Id prsb03-dataelement-12309 (2019‑05‑31 16:53:59)
                                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
                                draft Grade
                                prsb03-dataelement-12310
                                Id prsb03-dataelement-12310 (2019‑05‑31 16:53:59)
                                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
                                draft Speciality
                                prsb03-dataelement-12311
                                Id prsb03-dataelement-12311 (2019‑05‑31 16:53:59)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12312
                                Id prsb03-dataelement-12312 (2019‑05‑31 16:53:59)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12313
                                Id prsb03-dataelement-12313 (2019‑05‑31 16:53:59)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                draft Contact details
                                prsb03-dataelement-12314
                                Id prsb03-dataelement-12314 (2019‑05‑31 16:53:59)
                                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
                                folder draft Person completing record
                                prsb03-dataelement-12315
                                link
                                Id prsb03-dataelement-12315 (2019‑05‑31 16:54:10)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                draft Name
                                prsb03-dataelement-12316
                                Id prsb03-dataelement-12316 (2019‑05‑31 16:54:34)
                                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
                                draft Role
                                prsb03-dataelement-12317
                                Id prsb03-dataelement-12317 (2019‑05‑31 16:54:34)
                                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
                                draft Grade
                                prsb03-dataelement-12318
                                Id prsb03-dataelement-12318 (2019‑05‑31 16:54:34)
                                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
                                draft Specialty
                                prsb03-dataelement-12319
                                Id prsb03-dataelement-12319 (2019‑05‑31 16:54:34)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12320
                                Id prsb03-dataelement-12320 (2019‑05‑31 16:54:34)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12321
                                Id prsb03-dataelement-12321 (2019‑05‑31 16:54:34)
                                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
                                draft Date completed
                                prsb03-dataelement-12322
                                Id prsb03-dataelement-12322 (2019‑05‑31 16:54:34)
                                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
                                draft Contact details
                                prsb03-dataelement-12323
                                Id prsb03-dataelement-12323 (2019‑05‑31 16:54:34)
                                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
                                folder cancelled Advance decision to refuse treatment (ADRT)
                                prsb03-dataelement-10778
                                Id prsb03-dataelement-10778 (2019‑03‑19 17:13:11) 0.1
                                Concept inherits from draft prsb03-dataelement-10428 (2018‑10‑31)
                                Description Details of the person's ADRT status.
                                folder cancelled Lasting power of attorney for health and welfare or court-appointed deputy (or equivalent)
                                prsb03-dataelement-10779
                                Id prsb03-dataelement-10779 (2019‑03‑19 17:13:37) 0.1
                                Concept inherits from draft prsb03-dataelement-10425 (2018‑10‑31)
                                Description Details of the person's LPA record or equivalent
                                folder draft Preferred place of death
                                prsb03-dataelement-10780
                                link
                                Id prsb03-dataelement-10780 (2019‑03‑19 17:14:33)
                                Description Details of the person's preferred place of death
                                Relationship
                                draft Date
                                prsb03-dataelement-12324
                                Id prsb03-dataelement-12324 (2019‑05‑31 16:55:33)
                                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
                                folder draft Location
                                prsb03-dataelement-12325
                                link
                                Id prsb03-dataelement-12325 (2019‑05‑31 16:56:07)
                                Description The location where the preferred place of death was identified.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-13713
                                Id prsb03-dataelement-13713 (2020‑09‑10 16:24:26)
                                Description The coded value for location
                                Operationalization NHS data dictionary: - Organisation data service
                                Value Domain
                                Property
                                min length max length
                                3 5
                                draft Free text
                                prsb03-dataelement-13714
                                Id prsb03-dataelement-13714 (2020‑09‑10 16:25:48)
                                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
                                folder draft Preferred place of death 1st
                                prsb03-dataelement-13710
                                link
                                Id prsb03-dataelement-13710 (2020‑09‑10 16:01:29)
                                Description The preferences that a person has identified as their preferred place to die.
                                draft Name of the place
                                prsb03-dataelement-13711
                                Id 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 0 transactions, 0 templates, inherited once
                                 
                                draft Type of place
                                prsb03-dataelement-13712
                                Id 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 0 transactions, 0 templates, inherited once
                                 
                                folder draft Preferred place of death 2nd
                                prsb03-dataelement-13716
                                link
                                Id prsb03-dataelement-13716 (2020‑09‑10 16:33:13)
                                Description The preferences that a person has identified as their preferred place to die.
                                Relationship
                                draft Name of the place
                                prsb03-dataelement-13717
                                Id prsb03-dataelement-13717 (2020‑09‑10 16:33:46)
                                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
                                draft Type of place
                                prsb03-dataelement-13718
                                Id prsb03-dataelement-13718 (2020‑09‑10 16:33:46)
                                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
                                cancelled Preferred place of death
                                prsb03-dataelement-13715
                                Id prsb03-dataelement-13715 (2020‑09‑10 16:30:08) 0.1
                                Concept inherits from cancelled prsb03-dataelement-10199 (2018‑10‑31)
                                Description The preferences that a person has identified as their preferred place to die.
                                Operationalization End of life care plan use case only. Preferences will be identified as 1st/2nd choice etc as given by the person. Each recorded preference should include the name of the place that the person has identified. It may also include coded values from the National Information Standard (SCCI1580), together with the associated text: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 preference517131000000106

                                Preferred place of death: discussion not appropriate766391000000108

                                Preferred place of death: patient declined discussion517161000000101

                                Preferred place of death: patient undecided
                                Value Domain
                                folder draft Performing professional
                                prsb03-dataelement-12326
                                link
                                Id prsb03-dataelement-12326 (2019‑05‑31 16:56:54)
                                Description The professional who identified the preferred place of death.
                                Relationship
                                draft Name
                                prsb03-dataelement-12327
                                Id prsb03-dataelement-12327 (2019‑05‑31 16:57:14)
                                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
                                draft Role
                                prsb03-dataelement-12328
                                Id prsb03-dataelement-12328 (2019‑05‑31 16:57:14)
                                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
                                draft Grade
                                prsb03-dataelement-12329
                                Id prsb03-dataelement-12329 (2019‑05‑31 16:57:14)
                                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
                                draft Speciality
                                prsb03-dataelement-12330
                                Id prsb03-dataelement-12330 (2019‑05‑31 16:57:14)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12331
                                Id prsb03-dataelement-12331 (2019‑05‑31 16:57:14)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12332
                                Id prsb03-dataelement-12332 (2019‑05‑31 16:57:14)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                draft Contact details
                                prsb03-dataelement-12333
                                Id prsb03-dataelement-12333 (2019‑05‑31 16:57:14)
                                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
                                folder draft Person completing record
                                prsb03-dataelement-12334
                                link
                                Id prsb03-dataelement-12334 (2019‑05‑31 16:57:26)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                draft Name
                                prsb03-dataelement-12335
                                Id prsb03-dataelement-12335 (2019‑05‑31 16:57:52)
                                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
                                draft Role
                                prsb03-dataelement-12336
                                Id prsb03-dataelement-12336 (2019‑05‑31 16:57:52)
                                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
                                draft Grade
                                prsb03-dataelement-12337
                                Id prsb03-dataelement-12337 (2019‑05‑31 16:57:52)
                                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
                                draft Specialty
                                prsb03-dataelement-12338
                                Id prsb03-dataelement-12338 (2019‑05‑31 16:57:52)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12339
                                Id prsb03-dataelement-12339 (2019‑05‑31 16:57:52)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12340
                                Id prsb03-dataelement-12340 (2019‑05‑31 16:57:52)
                                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
                                draft Date completed
                                prsb03-dataelement-12341
                                Id prsb03-dataelement-12341 (2019‑05‑31 16:57:52)
                                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
                                draft Contact details
                                prsb03-dataelement-12342
                                Id prsb03-dataelement-12342 (2019‑05‑31 16:57:52)
                                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
                                folder cancelled Agreed with person or legitimate person's representative
                                prsb03-dataelement-10784
                                link
                                Id prsb03-dataelement-10784 (2019‑03‑19 17:19:34) 0.1
                                Description Indicates whether the person or legitimate representative has agreed the entire plan or individual aspects of treatment, expected outcomes, risks and alternative treatments.
                                Relationship
                                Operationalization A record of the agreement of the decisions made, Free text
                                cancelled Date
                                prsb03-dataelement-12343
                                Id prsb03-dataelement-12343 (2019‑05‑31 16:58:33) 0.1
                                Concept inherits from draft prsb03-dataelement-11688 (2019‑05‑31 11:50:22)
                                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
                                folder cancelled Location
                                prsb03-dataelement-12344
                                Id prsb03-dataelement-12344 (2019‑05‑31 16:59:03) 0.1
                                Concept inherits from draft prsb03-dataelement-11689 (2019‑05‑31 11:51:04)
                                Description The location where the mental capacity assessment was made.
                                folder cancelled Performing professional
                                prsb03-dataelement-12345
                                link
                                Id prsb03-dataelement-12345 (2019‑05‑31 16:59:45) 0.1
                                Concept inherits from draft prsb03-dataelement-11281 (2019‑05‑30 11:53:30)
                                Description The professional who made the mental capacity assessment.
                                cancelled Name
                                prsb03-dataelement-12346
                                Id prsb03-dataelement-12346 (2019‑05‑31 17:00:07) 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
                                cancelled Role
                                prsb03-dataelement-12347
                                Id prsb03-dataelement-12347 (2019‑05‑31 17:00:07) 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
                                cancelled Grade
                                prsb03-dataelement-12348
                                Id prsb03-dataelement-12348 (2019‑05‑31 17:00:07) 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
                                cancelled Speciality
                                prsb03-dataelement-12349
                                Id prsb03-dataelement-12349 (2019‑05‑31 17:00:07) 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
                                cancelled Professional identifier
                                prsb03-dataelement-12350
                                Id prsb03-dataelement-12350 (2019‑05‑31 17:00:07) 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
                                folder cancelled Organisation
                                prsb03-dataelement-12351
                                Id prsb03-dataelement-12351 (2019‑05‑31 17:00:07) 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.
                                cancelled Contact details
                                prsb03-dataelement-12352
                                Id prsb03-dataelement-12352 (2019‑05‑31 17:00:07) 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
                                folder cancelled Person completing record
                                prsb03-dataelement-12353
                                link
                                Id prsb03-dataelement-12353 (2019‑05‑31 17:00:18) 0.1
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                cancelled Name
                                prsb03-dataelement-12354
                                Id prsb03-dataelement-12354 (2019‑05‑31 17:00:42) 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
                                cancelled Role
                                prsb03-dataelement-12355
                                Id prsb03-dataelement-12355 (2019‑05‑31 17:00:42) 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
                                cancelled Grade
                                prsb03-dataelement-12356
                                Id prsb03-dataelement-12356 (2019‑05‑31 17:00:42) 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
                                cancelled Specialty
                                prsb03-dataelement-12357
                                Id prsb03-dataelement-12357 (2019‑05‑31 17:00:42) 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
                                folder cancelled Organisation
                                prsb03-dataelement-12358
                                Id prsb03-dataelement-12358 (2019‑05‑31 17:00:42) 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
                                cancelled Professional identifier
                                prsb03-dataelement-12359
                                Id prsb03-dataelement-12359 (2019‑05‑31 17:00:42) 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
                                cancelled Date completed
                                prsb03-dataelement-12360
                                Id prsb03-dataelement-12360 (2019‑05‑31 17:00:42) 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
                                cancelled Contact details
                                prsb03-dataelement-12361
                                Id prsb03-dataelement-12361 (2019‑05‑31 17:00:42) 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
                                folder draft Preferred place of care
                                prsb03-dataelement-10781
                                link
                                Id prsb03-dataelement-10781 (2019‑03‑19 17:15:36)
                                Description Details of the persons preferred place of care
                                Relationship
                                draft Date
                                prsb03-dataelement-12362
                                Id prsb03-dataelement-12362 (2019‑05‑31 17:01:43)
                                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
                                folder draft Location
                                prsb03-dataelement-12363
                                link
                                Id prsb03-dataelement-12363 (2019‑05‑31 17:02:33)
                                Description The location where the preferred place of care was identified.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-13720
                                Id prsb03-dataelement-13720 (2020‑09‑10 17:00:51)
                                Description The coded value for location
                                Operationalization NHS data dictionary: - Organisation data service
                                Value Domain
                                Property
                                min length max length
                                3 5
                                draft Free text
                                prsb03-dataelement-13721
                                Id prsb03-dataelement-13721 (2020‑09‑10 17:02:59)
                                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
                                draft Preferred place of care
                                prsb03-dataelement-13719
                                Id prsb03-dataelement-13719 (2020‑09‑10 16:56:48)
                                Description The preferences that the person has identified as their preferred place to receive care.
                                Operationalization Free text
                                Value Domain
                                folder draft Performing professional
                                prsb03-dataelement-12364
                                link
                                Id prsb03-dataelement-12364 (2019‑05‑31 17:03:08)
                                Description The professional who identified the preferred place of care.
                                Relationship
                                draft Name
                                prsb03-dataelement-12365
                                Id prsb03-dataelement-12365 (2019‑05‑31 17:03:28)
                                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
                                draft Role
                                prsb03-dataelement-12366
                                Id prsb03-dataelement-12366 (2019‑05‑31 17:03:28)
                                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
                                draft Grade
                                prsb03-dataelement-12367
                                Id prsb03-dataelement-12367 (2019‑05‑31 17:03:28)
                                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
                                draft Speciality
                                prsb03-dataelement-12368
                                Id prsb03-dataelement-12368 (2019‑05‑31 17:03:28)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12369
                                Id prsb03-dataelement-12369 (2019‑05‑31 17:03:28)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12370
                                Id prsb03-dataelement-12370 (2019‑05‑31 17:03:28)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                draft Contact details
                                prsb03-dataelement-12371
                                Id prsb03-dataelement-12371 (2019‑05‑31 17:03:28)
                                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
                                folder draft Person completing record
                                prsb03-dataelement-12372
                                link
                                Id prsb03-dataelement-12372 (2019‑05‑31 17:03:40)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                draft Name
                                prsb03-dataelement-12373
                                Id prsb03-dataelement-12373 (2019‑05‑31 17:04:03)
                                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
                                draft Role
                                prsb03-dataelement-12374
                                Id prsb03-dataelement-12374 (2019‑05‑31 17:04:03)
                                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
                                draft Grade
                                prsb03-dataelement-12375
                                Id prsb03-dataelement-12375 (2019‑05‑31 17:04:03)
                                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
                                draft Specialty
                                prsb03-dataelement-12376
                                Id prsb03-dataelement-12376 (2019‑05‑31 17:04:03)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12377
                                Id prsb03-dataelement-12377 (2019‑05‑31 17:04:03)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12378
                                Id prsb03-dataelement-12378 (2019‑05‑31 17:04:03)
                                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
                                draft Date completed
                                prsb03-dataelement-12379
                                Id prsb03-dataelement-12379 (2019‑05‑31 17:04:03)
                                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
                                draft Contact details
                                prsb03-dataelement-12380
                                Id prsb03-dataelement-12380 (2019‑05‑31 17:04:03)
                                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
                                cancelled Actual place of death
                                prsb03-dataelement-10782
                                Id prsb03-dataelement-10782 (2019‑03‑19 17:17:13) 0.1
                                Concept inherits from draft prsb03-dataelement-10211 (2018‑10‑31)
                                Description The location where the person actually died as recorded on the death certificate. If the person died somewhere other than their preferred place, record the reasons why this happened.
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                cancelled Date of death
                                prsb03-dataelement-10783
                                Id prsb03-dataelement-10783 (2019‑03‑19 17:17:37) 0.1
                                Concept inherits from draft prsb03-dataelement-10213 (2018‑10‑31)
                                Description The date on which a person died or is officially deemed to have died, as recorded on the death certificate.

                                Properties

                                FHIR PDS
                                Operationalization Date and time
                                Value Domain
                                cancelled Date this plan was last updated
                                prsb03-dataelement-10788
                                Id prsb03-dataelement-10788 (2019‑03‑19 18:00:25) 0.1
                                Concept inherits from draft prsb03-dataelement-10412 (2018‑10‑31)
                                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
                                cancelled Person completing record
                                prsb03-dataelement-10789
                                Id prsb03-dataelement-10789 (2019‑03‑19 18:02:49) 0.1
                                Description This is the person contributing to the end of life care plan. Should include their name, role, grade, specialty, organisation, professional identifier, date and time completed, contact details
                                Relationship
                                Operationalization Free text. Name, Role, Grade, Specialty, Organisation, Professional identifier, Date and time completed, Contact details
                                Value Domain
                                cancelled Cardio-pulmonary resuscitation (CPR) decision
                                prsb03-dataelement-10744
                                Id prsb03-dataelement-10744 (2019‑03‑07 11:07:59)
                                Concept inherits from draft prsb03-dataelement-10207 (2018‑10‑31)
                                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.
                                Operationalization A record of the decision made and the location of the documentation. May include the following SNOMED CT concepts from the National Information Standard (SCCI1580):450475007

                                For attempted cardiopulmonary resuscitation450476008

                                Not for attempted cardiopulmonary resuscitation
                                Value Domain
                                folder cancelled Palliative care identification tool
                                prsb03-dataelement-14366
                                link
                                Id prsb03-dataelement-14366 (2021‑07‑05 10:54:28)
                                cancelled Date
                                prsb03-dataelement-14367
                                Id prsb03-dataelement-14367 (2021‑07‑05 10:58:26)
                                Value Domain
                                cancelled Identification tool name
                                prsb03-dataelement-14368
                                Id prsb03-dataelement-14368 (2021‑07‑05 10:59:53)
                                Value Domain
                                folder draft After death
                                prsb03-dataelement-309
                                link
                                Id prsb03-dataelement-309 (2018‑10‑31)
                                Description End of Life
                                draft Certification of death
                                prsb03-dataelement-10209
                                Id prsb03-dataelement-10209 (2018‑10‑31)
                                Description If person is in their last weeks of life, is there a doctor who has seen the person recently who could potentially sign a death certificate? Provide contact details.
                                Operationalization Free text or URL
                                Value Domain
                                Property
                                max length
                                150
                                draft Actions taken in anticipation of death
                                prsb03-dataelement-10210
                                Id prsb03-dataelement-10210 (2018‑10‑31)
                                Description Plan or statement of intent that has been agreed to facilitate certification of death and/or funeral arrangements e.g. anticipatory discussions with coroner to arrange funeral within 24 hours etc.
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                draft Actual place of death
                                prsb03-dataelement-10211
                                Id prsb03-dataelement-10211 (2018‑10‑31)
                                Description The location where the person actually died as recorded on the death certificate. If the person died somewhere other than their preferred place, record the reasons why this happened.
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Cause of death
                                prsb03-dataelement-10212
                                Id prsb03-dataelement-10212 (2018‑10‑31)
                                Description The cause of death as recorded on the death certificate
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                draft Date of death
                                prsb03-dataelement-10213
                                Id prsb03-dataelement-10213 (2018‑10‑31)
                                Description The date on which a person died or is officially deemed to have died, as recorded on the death certificate.

                                Properties

                                FHIR PDS
                                Operationalization Date and time
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                folder draft Crisis Care Plan
                                prsb03-dataelement-300
                                link
                                Id prsb03-dataelement-300 (2018‑10‑31)
                                Description Crisis Care Plan
                                draft Care funding details
                                prsb03-dataelement-10200
                                Id prsb03-dataelement-10200 (2018‑10‑31)
                                Description A record of the funding source and any conditions or limitations associated.
                                Operationalization End of life care plan use case only. Free text.
                                Value Domain
                                draft Estimated prognosis
                                prsb03-dataelement-10202
                                Id prsb03-dataelement-10202 (2018‑10‑31)
                                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. Also include the date the prognosis was made.
                                Operationalization End of life care plan use case only. The prognosis estimated by a clinician.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Awareness of prognosis
                                prsb03-dataelement-10203
                                Id prsb03-dataelement-10203 (2018‑10‑31)
                                Description Description of the level of awareness the person and or their carer/family has regarding their estimated prognosis.
                                Operationalization End of life care plan use case only. The awareness statement made by a clinician.
                                Value Domain
                                draft Anticipatory actions
                                prsb03-dataelement-10204
                                Id prsb03-dataelement-10204 (2018‑10‑31)
                                Description Please provide guidance on specific interventions or actions that may be required or should be avoided in specific situations.
                                Operationalization A statement of anticipatory actions. Usually expressed as: in the event of X do Y.
                                Value Domain
                                draft Anticipatory medicines/equipment
                                prsb03-dataelement-10205
                                Id prsb03-dataelement-10205 (2018‑10‑31)
                                Description Medicines or equipment available in the event of a crisis and their location.
                                Operationalization A statement regarding the availability or location of the anticipatory medicines/equipment.
                                Value Domain
                                draft Agreed with person or legitimate representative
                                prsb03-dataelement-10206
                                Id prsb03-dataelement-10206 (2018‑10‑31)
                                Description Indicates whether the crisis care plan was discussed and agreed with the person or legitimate representative. If agreement cannot be obtained the reason for this should be documented.
                                Operationalization A record of the agreement of the decisions made.
                                Value Domain
                                draft Cardio-pulmonary resuscitation (CPR) decision
                                prsb03-dataelement-10207
                                Id prsb03-dataelement-10207 (2018‑10‑31)
                                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.
                                Operationalization A record of the decision made and the location of the documentation. May include the following SNOMED CT concepts from the National Information Standard (SCCI1580):450475007

                                For attempted cardiopulmonary resuscitation450476008

                                Not for attempted cardiopulmonary resuscitation
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Planned review date
                                prsb03-dataelement-10208
                                Id prsb03-dataelement-10208 (2018‑10‑31)
                                Description Date the plan is due for review.
                                Operationalization End of life care plan use case only. The date the plan is due for review.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                folder draft Personal comment/plan
                                prsb03-dataelement-581
                                link
                                Id prsb03-dataelement-581 (2018‑10‑31)
                                Description Personal comment/plan
                                draft Date
                                prsb03-dataelement-10481
                                Id prsb03-dataelement-10481 (2018‑10‑31)
                                Description The date on which the comment was entered and shared
                                Value Domain
                                draft Person Details
                                prsb03-dataelement-10482
                                Id prsb03-dataelement-10482 (2018‑10‑31)
                                Description Who recorded the comment and what relationship they are to the woman
                                Value Domain
                                draft Personal comment
                                prsb03-dataelement-10483
                                Id prsb03-dataelement-10483 (2018‑10‑31)
                                Description Free text comment recorded by the woman or her representative
                                Value Domain
                                draft Maternity Personalised Care Plan
                                prsb03-dataelement-10484
                                Id prsb03-dataelement-10484 (2018‑10‑31)
                                Description Personalised care plan details to include the data and plan details
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                folder draft Pregnancy episode details
                                prsb03-dataelement-585
                                link
                                Id prsb03-dataelement-585 (2018‑10‑31)
                                Description Pregnancy episode details
                                draft Pregnancy ID
                                prsb03-dataelement-10485
                                Id prsb03-dataelement-10485 (2018‑10‑31)
                                Description Identifier used to tie together data relating to a specific pregnancy, allowing specific contacts and activities carried out (e.g. scans, tests, observations, findings, diagnoses) to be linked back to the booking appointment for that pregnancy
                                Value Domain
                                draft Fetal Identifier
                                prsb03-dataelement-10486
                                Id prsb03-dataelement-10486 (2018‑10‑31)
                                Description Identifier which allows woman babies to be identified in the event of multiple births, and in turn allow specific conditions to be attributed to specific babies and linked to labour/antenatal test details
                                Value Domain
                                draft Maternity Episode Start Date
                                prsb03-dataelement-10487
                                Id prsb03-dataelement-10487 (2018‑10‑31)
                                Description The start date of the maternity episode
                                Value Domain
                                draft Maternity Episode End Date
                                prsb03-dataelement-10488
                                Id prsb03-dataelement-10488 (2018‑10‑31)
                                Description The end date of the maternity episode
                                Value Domain
                                draft Maternity Episode End Reason
                                prsb03-dataelement-10489
                                Id prsb03-dataelement-10489 (2018‑10‑31)
                                Description The reason that the woman was discharged from maternity services.
                                Value Domain
                                folder draft Pregnancy outcome delivery and birth
                                prsb03-dataelement-590
                                link
                                Id prsb03-dataelement-590 (2018‑10‑31)
                                Description Pregnancy outcome delivery and birth
                                draft Date
                                prsb03-dataelement-10490
                                Id prsb03-dataelement-10490 (2018‑10‑31)
                                Description The date on which the pregnancy outcome/delivery/birth details were recorded
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Location
                                prsb03-dataelement-10491
                                Id prsb03-dataelement-10491 (2018‑10‑31)
                                Description The location where the pregnancy outcome/delivery/birth details was recorded
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Performing Professional
                                prsb03-dataelement-10492
                                Id prsb03-dataelement-10492 (2018‑10‑31)
                                Description Details of the professional recording the pregnancy outcome/delivery/birth details (including name and role).
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Pregnancy Outcome
                                prsb03-dataelement-10493
                                Id prsb03-dataelement-10493 (2018‑10‑31)
                                Description The pregnancy outcome of each fetus
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft •Birth
                                prsb03-dataelement-10494
                                link
                                Id prsb03-dataelement-10494 (2018‑10‑31)
                                draft Labour onset method
                                prsb03-dataelement-10495
                                Id prsb03-dataelement-10495 (2018‑10‑31)
                                Description Details of the method by which the process of labour began, or delivery by caesarean section occurred.
                                Value Domain
                                draft Date and time of Established Labour
                                prsb03-dataelement-10496
                                Id prsb03-dataelement-10496 (2018‑10‑31)
                                Description The Date/time when established labour is confirmed - regular painful contractions and progressive cervical dilatation
                                Value Domain
                                draft Date and time Fully Dilated
                                prsb03-dataelement-10497
                                Id prsb03-dataelement-10497 (2018‑10‑31)
                                Description The date and time that the woman is deemed to be fully dilated
                                Value Domain
                                draft Duration of 1st Stage
                                prsb03-dataelement-10498
                                Id prsb03-dataelement-10498 (2018‑10‑31)
                                Description A derived field based on the time of established labour to the time of full dilation
                                Value Domain
                                draft Onset of 2nd Stage of Labour
                                prsb03-dataelement-10499
                                Id prsb03-dataelement-10499 (2018‑10‑31)
                                Description The date and time that the second stage of labour was deemed to start
                                Value Domain
                                draft Date and time pushing commenced
                                prsb03-dataelement-10500
                                Id prsb03-dataelement-10500 (2018‑10‑31)
                                Description The date and time that pushing commenced
                                Value Domain
                                draft Location of birth
                                prsb03-dataelement-10501
                                Id prsb03-dataelement-10501 (2018‑10‑31)
                                Description The place of birth (including the address and organisation name where relevant).
                                Value Domain
                                draft Delivery place type
                                prsb03-dataelement-10502
                                Id prsb03-dataelement-10502 (2018‑10‑31)
                                Description The type of place in which the baby was born (e.g. Private health facility, domestic address, NHS hospital, midwifery led unit etc. )
                                Value Domain
                                draft Birth Attendants
                                prsb03-dataelement-10503
                                Id prsb03-dataelement-10503 (2018‑10‑31)
                                Description People present at the delivery
                                Value Domain
                                draft Ruptured Membranes Date/Time
                                prsb03-dataelement-10504
                                Id prsb03-dataelement-10504 (2018‑10‑31)
                                Description Date/time on which membranes ruptured if spontaneous
                                Value Domain
                                draft Duration of Rupture of Membranes
                                prsb03-dataelement-10505
                                Id prsb03-dataelement-10505 (2018‑10‑31)
                                Description The duration in hours and minutes as derived using the date of rupture versus current date time
                                Value Domain
                                draft Anaesthesia type
                                prsb03-dataelement-10506
                                Id prsb03-dataelement-10506 (2018‑10‑31)
                                Description The specific type of anaesthesia used to carry out the procedure (if applicable)
                                Value Domain
                                draft Pain Relief
                                prsb03-dataelement-10507
                                Id prsb03-dataelement-10507 (2018‑10‑31)
                                Description A record of pain relief used during labour and delivery where not anaesthetic or medication
                                Value Domain
                                draft Delivery Decision Date/Time
                                prsb03-dataelement-10508
                                Id prsb03-dataelement-10508 (2018‑10‑31)
                                Description The date and time of the decision to deliver
                                Value Domain
                                draft Delivery Decision Made by
                                prsb03-dataelement-10509
                                Id prsb03-dataelement-10509 (2018‑10‑31)
                                Description The details of the clinician making the decision to deliver
                                Value Domain
                                draft Reason for delivery decision
                                prsb03-dataelement-10510
                                Id prsb03-dataelement-10510 (2018‑10‑31)
                                Description The details of the reason for the decision to deliver
                                Value Domain
                                draft Date and Time of Delivery
                                prsb03-dataelement-10511
                                Id prsb03-dataelement-10511 (2018‑10‑31)
                                Description The date and time of the delivery of the baby
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Duration of second stage
                                prsb03-dataelement-10512
                                Id prsb03-dataelement-10512 (2018‑10‑31)
                                Description Derived field from the onset of the second stage to the date and time of delivery
                                Value Domain
                                draft Types of delivery (attempted)
                                prsb03-dataelement-10513
                                Id prsb03-dataelement-10513 (2018‑10‑31)
                                Description The type(s) of delivery for the baby that was attempted, but was not the final delivery method
                                Value Domain
                                draft Type of delivery
                                prsb03-dataelement-10514
                                Id prsb03-dataelement-10514 (2018‑10‑31)
                                Description Type of delivery for the baby, e.g. Spontaneous vaginal, vacuum extraction, breech extraction, elective caesarean section etc.
                                Value Domain
                                draft Length of Labour
                                prsb03-dataelement-10515
                                Id prsb03-dataelement-10515 (2018‑10‑31)
                                Description The length of the stages of labour and duration of the rupture of membranes (derived field)
                                Value Domain
                                draft Delayed Cord Clamping/duration
                                prsb03-dataelement-10516
                                Id prsb03-dataelement-10516 (2018‑10‑31)
                                Description Record the duration of which cord clamping occurred
                                Value Domain
                                draft Placenta Delivery Method
                                prsb03-dataelement-10517
                                Id prsb03-dataelement-10517 (2018‑10‑31)
                                Description The method by which the placenta was removed through physiological, active or manual means. Where more than one method is used, the final method should be recorded.
                                Value Domain
                                draft End of Third Stage
                                prsb03-dataelement-10518
                                Id prsb03-dataelement-10518 (2018‑10‑31)
                                Description The date and time of the end of the third stage of labour
                                Value Domain
                                draft Third stage duration
                                prsb03-dataelement-10519
                                Id prsb03-dataelement-10519 (2018‑10‑31)
                                Description The duration of the third stage of labour derived between the start of the third stage and the delivery of the placenta
                                Value Domain
                                draft Examination of Placenta
                                prsb03-dataelement-10520
                                Id prsb03-dataelement-10520 (2018‑10‑31)
                                Description A visual examination of the placenta to check completeness
                                Value Domain
                                draft Placenta Disposal
                                prsb03-dataelement-10521
                                Id prsb03-dataelement-10521 (2018‑10‑31)
                                Description The method by which the placenta was disposed
                                Value Domain
                                draft Placenta sent for histology
                                prsb03-dataelement-10522
                                Id prsb03-dataelement-10522 (2018‑10‑31)
                                Description An indication as to whether the placenta was sent for histology
                                Value Domain
                                draft Umbilical Cord Number of Vessels
                                prsb03-dataelement-10523
                                Id prsb03-dataelement-10523 (2018‑10‑31)
                                Description The number of umbilical cord vessels
                                Value Domain
                                draft Total Blood Loss
                                prsb03-dataelement-10524
                                Id prsb03-dataelement-10524 (2018‑10‑31)
                                Description The total volume of blood loss in mls following delivery
                                Value Domain
                                draft Comments
                                prsb03-dataelement-10525
                                Id prsb03-dataelement-10525 (2018‑10‑31)
                                Description Supporting text may be given covering regarding the outcome of the checks and actions taken.
                                Value Domain
                                folder draft Scan details
                                prsb03-dataelement-626
                                link
                                Id prsb03-dataelement-626 (2018‑10‑31)
                                Description Scan details
                                draft Date
                                prsb03-dataelement-10526
                                Id prsb03-dataelement-10526 (2018‑10‑31)
                                Description The date on which the scan was performed
                                Value Domain
                                draft Performing Professional
                                prsb03-dataelement-10527
                                Id prsb03-dataelement-10527 (2018‑10‑31)
                                Description Details of the professional performing the scan (including name and role)
                                Value Domain
                                draft Location
                                prsb03-dataelement-10528
                                Id prsb03-dataelement-10528 (2018‑10‑31)
                                Description The location where the scan was recorded
                                Value Domain
                                draft Scan
                                prsb03-dataelement-10529
                                Id prsb03-dataelement-10529 (2018‑10‑31)
                                Description The type of scan performed
                                Value Domain
                                draft Scan finding
                                prsb03-dataelement-10530
                                Id prsb03-dataelement-10530 (2018‑10‑31)
                                Description For each pregnancy scan, the finding of the scan (this includes the result value, with unit of observation and reference interval where applicable.
                                Value Domain
                                draft Comment
                                prsb03-dataelement-10531
                                Id prsb03-dataelement-10531 (2018‑10‑31)
                                Description Supporting text may be given regarding the scan
                                Value Domain
                                folder draft Professional comment
                                prsb03-dataelement-632
                                link
                                Id prsb03-dataelement-632 (2018‑10‑31)
                                Description Professional comment
                                draft Date
                                prsb03-dataelement-10532
                                Id prsb03-dataelement-10532 (2018‑10‑31)
                                Description The date on which the professional summary/comment was recorded
                                Value Domain
                                draft Location
                                prsb03-dataelement-10533
                                Id prsb03-dataelement-10533 (2018‑10‑31)
                                Description The location where the professional summary/comment was recorded.
                                Value Domain
                                draft Performing Professional
                                prsb03-dataelement-10534
                                Id prsb03-dataelement-10534 (2018‑10‑31)
                                Description Details of the professional performing the professional summary/comment (including name and role)
                                Value Domain
                                draft Professional summary
                                prsb03-dataelement-10535
                                Id prsb03-dataelement-10535 (2018‑10‑31)
                                Description Summary of the encounter. Where possible, very brief. This may include interpretation of findings and results, opinion and specific action(s). Planned actions will be recorded under ‘plan’
                                Value Domain
                                folder draft Documents (including correspondence, audio and images)
                                prsb03-dataelement-10820
                                link
                                Id prsb03-dataelement-10820 (2019‑03‑20 19:07:55)
                                Description Details about documents related to the person.
                                folder draft Documents
                                prsb03-dataelement-11259
                                link
                                Id prsb03-dataelement-11259 (2019‑05‑29 13:34:07)
                                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.
                                cancelled Author
                                prsb03-dataelement-10938
                                Id prsb03-dataelement-10938 (2019‑05‑16 15:22:35)
                                Description The author of the document.
                                Operationalization Free text
                                Value Domain
                                draft Date
                                prsb03-dataelement-10943
                                Id prsb03-dataelement-10943 (2019‑05‑16 15:34:53)
                                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
                                folder draft Performing professional
                                prsb03-dataelement-12422
                                link
                                Id prsb03-dataelement-12422 (2019‑06‑13 15:09:45)
                                Description The professional who authored the document.
                                Relationship
                                Operationalization Free text.
                                draft Name
                                prsb03-dataelement-12423
                                Id prsb03-dataelement-12423 (2019‑06‑13 15:10:21)
                                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
                                draft Role
                                prsb03-dataelement-12424
                                Id prsb03-dataelement-12424 (2019‑06‑13 15:10:21)
                                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
                                draft Grade
                                prsb03-dataelement-12425
                                Id prsb03-dataelement-12425 (2019‑06‑13 15:10:21)
                                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
                                draft Speciality
                                prsb03-dataelement-12426
                                Id prsb03-dataelement-12426 (2019‑06‑13 15:10:21)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12427
                                Id prsb03-dataelement-12427 (2019‑06‑13 15:10:21)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12428
                                Id prsb03-dataelement-12428 (2019‑06‑13 15:10:21)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                draft Contact details
                                prsb03-dataelement-12429
                                Id prsb03-dataelement-12429 (2019‑06‑13 15:10:21)
                                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
                                draft Documentation location
                                prsb03-dataelement-10946
                                Id prsb03-dataelement-10946 (2019‑05‑16 16:01:41)
                                Description The location of the document
                                Operationalization Free text or URL
                                Value Domain
                                Property
                                max length
                                150
                                draft Confidentiality
                                prsb03-dataelement-10942
                                Id prsb03-dataelement-10942 (2019‑05‑16 15:32:23)
                                Description The code specifying the level of confidentiality of the document.
                                Operationalization

                                FHIR value set : - Confidentiality

                                Value Domain
                                draft Class
                                prsb03-dataelement-10940
                                Id prsb03-dataelement-10940 (2019‑05‑16 15:29:15)
                                Description The document type e.g. report, summary, images, treatment plan, patient preferences, workflow
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Document title
                                prsb03-dataelement-10944
                                Id prsb03-dataelement-10944 (2019‑05‑16 15:58:49)
                                Description The title of the document.
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                draft Document name
                                prsb03-dataelement-10945
                                Id prsb03-dataelement-10945 (2019‑05‑16 16:00:44)
                                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
                                draft Document MIME type
                                prsb03-dataelement-10949
                                Id prsb03-dataelement-10949 (2019‑05‑16 16:57:32)
                                Description MIME type of the document e.g. application, pdf, audio, jpeg
                                Operationalization Free text
                                Value Domain
                                folder draft Person completing record
                                prsb03-dataelement-12430
                                link
                                Id prsb03-dataelement-12430 (2019‑06‑13 15:22:00)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                draft Name
                                prsb03-dataelement-12431
                                Id prsb03-dataelement-12431 (2019‑06‑13 15:22:28)
                                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
                                draft Role
                                prsb03-dataelement-12432
                                Id prsb03-dataelement-12432 (2019‑06‑13 15:22:28)
                                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
                                draft Grade
                                prsb03-dataelement-12433
                                Id prsb03-dataelement-12433 (2019‑06‑13 15:22:28)
                                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
                                draft Specialty
                                prsb03-dataelement-12434
                                Id prsb03-dataelement-12434 (2019‑06‑13 15:22:28)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12435
                                Id prsb03-dataelement-12435 (2019‑06‑13 15:22:28)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12436
                                Id prsb03-dataelement-12436 (2019‑06‑13 15:22:28)
                                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
                                draft Date completed
                                prsb03-dataelement-12437
                                Id prsb03-dataelement-12437 (2019‑06‑13 15:22:28)
                                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
                                draft Contact details
                                prsb03-dataelement-12438
                                Id prsb03-dataelement-12438 (2019‑06‑13 15:22:28)
                                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
                                folder draft Service
                                prsb03-dataelement-11163
                                link
                                Id prsb03-dataelement-11163 (2019‑05‑28 11:31:34)
                                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)|
                                draft Coded value
                                prsb03-dataelement-13749
                                Id prsb03-dataelement-13749 (2020‑09‑25 16:30:31)
                                Description The coded value for service
                                Operationalization SNOMED CT :- 1127531000000102 |Services simple reference set (foundation metadata concept)|
                                Value Domain
                                draft Free text
                                prsb03-dataelement-13750
                                Id prsb03-dataelement-13750 (2020‑09‑25 16:31:24)
                                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
                                draft Comments
                                prsb03-dataelement-10941
                                Id prsb03-dataelement-10941 (2019‑05‑16 15:31:26)
                                Description Comments associated with the document.
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Additional information required for images.
                                prsb03-dataelement-12449
                                link
                                Id prsb03-dataelement-12449 (2019‑06‑19 15:45:51)
                                Description Additional information required for images.
                                draft Image procedure
                                prsb03-dataelement-12450
                                Id prsb03-dataelement-12450 (2019‑06‑19 15:48:03)
                                Description The procedure used to capture the image
                                Operationalization Free text

                                Using DICOM code set https://dicom.innolitics.com/ciods
                                Value Domain
                                draft Image procedure date
                                prsb03-dataelement-12451
                                Id prsb03-dataelement-12451 (2019‑06‑19 15:53:41)
                                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
                                folder draft Performing professional
                                prsb03-dataelement-12452
                                link
                                Id prsb03-dataelement-12452 (2019‑06‑19 15:54:56)
                                Description The professional who performed the image procedure.
                                Relationship
                                draft Name
                                prsb03-dataelement-12453
                                Id prsb03-dataelement-12453 (2019‑06‑19 15:55:27)
                                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
                                draft Role
                                prsb03-dataelement-12454
                                Id prsb03-dataelement-12454 (2019‑06‑19 15:55:27)
                                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
                                draft Grade
                                prsb03-dataelement-12455
                                Id prsb03-dataelement-12455 (2019‑06‑19 15:55:27)
                                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
                                draft Speciality
                                prsb03-dataelement-12456
                                Id prsb03-dataelement-12456 (2019‑06‑19 15:55:27)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12457
                                Id prsb03-dataelement-12457 (2019‑06‑19 15:55:27)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12458
                                Id prsb03-dataelement-12458 (2019‑06‑19 15:55:27)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                draft Contact details
                                prsb03-dataelement-12459
                                Id prsb03-dataelement-12459 (2019‑06‑19 15:55:27)
                                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
                                folder draft Images
                                prsb03-dataelement-11158
                                link
                                Id prsb03-dataelement-11158 (2019‑05‑28 11:19:29)
                                folder cancelled Performing professional
                                prsb03-dataelement-12439
                                link
                                Id prsb03-dataelement-12439 (2019‑06‑13 16:21:27)
                                Concept inherits from draft prsb03-dataelement-11281 (2019‑05‑30 11:53:30)
                                Description The professional who made the mental capacity assessment.
                                cancelled Name
                                prsb03-dataelement-12440
                                Id prsb03-dataelement-12440 (2019‑06‑13 16:21:54)
                                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
                                cancelled Role
                                prsb03-dataelement-12441
                                Id prsb03-dataelement-12441 (2019‑06‑13 16:21:54)
                                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
                                cancelled Grade
                                prsb03-dataelement-12442
                                Id prsb03-dataelement-12442 (2019‑06‑13 16:21:54)
                                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
                                cancelled Speciality
                                prsb03-dataelement-12443
                                Id prsb03-dataelement-12443 (2019‑06‑13 16:21:54)
                                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
                                cancelled Professional identifier
                                prsb03-dataelement-12444
                                Id prsb03-dataelement-12444 (2019‑06‑13 16:21:54)
                                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
                                folder cancelled Organisation
                                prsb03-dataelement-12445
                                Id prsb03-dataelement-12445 (2019‑06‑13 16:21:54)
                                Concept inherits from draft prsb03-dataelement-11286 (2019‑05‑30 12:17:19)
                                Description The name of the organisation the professional works for.
                                cancelled Contact details
                                prsb03-dataelement-12446
                                Id prsb03-dataelement-12446 (2019‑06‑13 16:21:54)
                                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
                                draft Image capture date
                                prsb03-dataelement-11159
                                Id prsb03-dataelement-11159 (2019‑05‑28 11:20:13)
                                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
                                draft Image ID
                                prsb03-dataelement-12460
                                Id prsb03-dataelement-12460 (2019‑06‑19 15:59:56)
                                Description A unique image identifier generated by the system.
                                Operationalization Free text
                                Value Domain
                                draft Image location
                                prsb03-dataelement-12461
                                Id prsb03-dataelement-12461 (2019‑06‑19 16:02:10)
                                Description The URL for the image
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                cancelled mimeType
                                prsb03-dataelement-11162
                                Id prsb03-dataelement-11162 (2019‑05‑28 11:26:27)
                                Description The type of image.
                                Operationalization Free text
                                Value Domain
                                cancelled Imagine capture date
                                prsb03-dataelement-11164
                                Id prsb03-dataelement-11164 (2019‑05‑28 16:35:28)
                                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
                                cancelled Imagine procedure
                                prsb03-dataelement-11165
                                Id prsb03-dataelement-11165 (2019‑05‑28 16:39:02)
                                Description The procedure used to capture the image.
                                Operationalization DICOM code set or free text.
                                Value Domain
                                cancelled Unique id
                                prsb03-dataelement-11166
                                Id prsb03-dataelement-11166 (2019‑05‑28 16:53:10)
                                Description Image generated id.
                                Operationalization Free text.
                                Value Domain
                                draft Format code
                                prsb03-dataelement-11161
                                Id prsb03-dataelement-11161 (2019‑05‑28 11:25:19)
                                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
                                draft Event code list
                                prsb03-dataelement-11160
                                Id prsb03-dataelement-11160 (2019‑05‑28 11:21:24)
                                Description The type of image (acquisition modality) and the anatomical site imaged.
                                Operationalization DICOM code
                                Value Domain
                                folder draft Person completing record
                                prsb03-dataelement-12462
                                link
                                Id prsb03-dataelement-12462 (2019‑06‑19 16:08:39)
                                Concept inherits from draft prsb03-dataelement-11289 (2019‑05‑30 12:24:39)
                                Description Details of the person completing the record.
                                Relationship
                                draft Name
                                prsb03-dataelement-12463
                                Id prsb03-dataelement-12463 (2019‑06‑19 16:09:03)
                                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
                                draft Role
                                prsb03-dataelement-12464
                                Id prsb03-dataelement-12464 (2019‑06‑19 16:09:03)
                                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
                                draft Grade
                                prsb03-dataelement-12465
                                Id prsb03-dataelement-12465 (2019‑06‑19 16:09:03)
                                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
                                draft Specialty
                                prsb03-dataelement-12466
                                Id prsb03-dataelement-12466 (2019‑06‑19 16:09:03)
                                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
                                folder draft Organisation
                                prsb03-dataelement-12467
                                Id prsb03-dataelement-12467 (2019‑06‑19 16:09:03)
                                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
                                draft Professional identifier
                                prsb03-dataelement-12468
                                Id prsb03-dataelement-12468 (2019‑06‑19 16:09:03)
                                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
                                draft Date completed
                                prsb03-dataelement-12469
                                Id prsb03-dataelement-12469 (2019‑06‑19 16:09:03)
                                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
                                draft Contact details
                                prsb03-dataelement-12470
                                Id prsb03-dataelement-12470 (2019‑06‑19 16:09:03)
                                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
                                draft Comments
                                prsb03-dataelement-12471
                                Id prsb03-dataelement-12471 (2019‑06‑19 16:09:28)
                                Description Comments associated with the imaging
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                cancelled Publication author
                                prsb03-dataelement-10947
                                Id prsb03-dataelement-10947 (2019‑05‑16 16:02:55)
                                Description The publication author of the document.
                                Operationalization This attribute contains the sub- attributes: Institution, Person, Role, Specialty, Telecommunication.
                                Value Domain
                                cancelled Date published
                                prsb03-dataelement-10948
                                Id prsb03-dataelement-10948 (2019‑05‑16 16:06:34)
                                Description The date the document is published.
                                Operationalization Date or time
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year
                                cancelled Document status
                                prsb03-dataelement-10939
                                Id prsb03-dataelement-10939 (2019‑05‑16 15:25:04)
                                Description The lifecycle status of the Document
                                Value Domain
                                folder draft Property and equipment
                                prsb03-dataelement-13095
                                link
                                Id prsb03-dataelement-13095 (2020‑06‑22 15:07:43) 0.1
                                Description Possessions the person is taking into hospital with them e.g. clothes, glasses, hearing aids etc.
                                draft Property or equipment
                                prsb03-dataelement-13096
                                Id prsb03-dataelement-13096 (2020‑06‑22 15:14:31) 0.2
                                Description The list of property and equipment the person is taking into hosptial with them.
                                Operationalization Free text
                                Value Domain
                                folder draft Person completing record
                                prsb03-dataelement-13100
                                link
                                Id prsb03-dataelement-13100 (2020‑06‑24 15:58:27)
                                Description A record of the details of the person that entered the property or equipment the resident is taking into hospital, and the date on which it was entered.
                                Relationship
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Name
                                prsb03-dataelement-13101
                                Id prsb03-dataelement-13101 (2020‑06‑24 16:00:08)
                                Concept inherits from draft prsb03-dataelement-13036 (2020‑04‑28 19:33:40)
                                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 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Role
                                prsb03-dataelement-13102
                                Id prsb03-dataelement-13102 (2020‑06‑24 16:00:08)
                                Concept inherits from draft prsb03-dataelement-13037 (2020‑04‑28 19:33:40)
                                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 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Grade
                                prsb03-dataelement-13103
                                Id prsb03-dataelement-13103 (2020‑06‑24 16:00:08)
                                Concept inherits from draft prsb03-dataelement-13038 (2020‑04‑28 19:33:40)
                                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 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Specialty
                                prsb03-dataelement-13104
                                Id prsb03-dataelement-13104 (2020‑06‑24 16:00:08)
                                Concept inherits from draft prsb03-dataelement-13039 (2020‑04‑28 19:33:40)
                                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 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-13105
                                Id prsb03-dataelement-13105 (2020‑06‑24 16:00:08)
                                Concept inherits from draft prsb03-dataelement-13040 (2020‑04‑28 19:33:40)
                                Description The organisation the person completing the record works for.
                                Relationship
                                Operationalization NHS data dictionary : - Organisation data service
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-13106
                                Id prsb03-dataelement-13106 (2020‑06‑24 16:00:08)
                                Concept inherits from draft prsb03-dataelement-13041 (2020‑04‑28 19:33:40)
                                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 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Date completed
                                prsb03-dataelement-13107
                                Id prsb03-dataelement-13107 (2020‑06‑24 16:00:08)
                                Concept inherits from draft prsb03-dataelement-13042 (2020‑04‑28 19:33:40)
                                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 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Contact details
                                prsb03-dataelement-13108
                                Id prsb03-dataelement-13108 (2020‑06‑24 16:00:08)
                                Concept inherits from draft prsb03-dataelement-13043 (2020‑04‑28 19:33:40)
                                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 0 transactions, 0 templates, inherited 2 times
                                 
                                folder cancelled End of life care plan summary
                                prsb03-dataelement-13329
                                link
                                Id prsb03-dataelement-13329 (2020‑08‑06 14:29:38) 0.1
                                Description Record the current end of life care plans that are in place for the person e.g. End of Life Plan; Amber Care Bundle; Gold Standards Framework; Right Care Form
                                cancelled Date
                                prsb03-dataelement-13330
                                Id prsb03-dataelement-13330 (2020‑08‑06 14:36:20) 0.1
                                Description The date the care plan was created.
                                Operationalization Date
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year
                                cancelled Review date
                                prsb03-dataelement-13331
                                Id prsb03-dataelement-13331 (2020‑08‑06 14:39:49) 0.1
                                Description The date the care plan needs to be reviewed
                                Operationalization Date
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year
                                folder draft Assessment notice
                                prsb03-dataelement-13401
                                link
                                Id prsb03-dataelement-13401 (2020‑08‑11 12:18:35) 0.1
                                Description Informs the social services team that an assessment will be required, with expected discharge date if known.
                                draft Issued date and time
                                prsb03-dataelement-13404
                                Id prsb03-dataelement-13404 (2020‑08‑11 12:24:59) 0.1
                                Description The date and time on which the Assessment Notice was given.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year
                                draft Person consultation indicator
                                prsb03-dataelement-13408
                                Id prsb03-dataelement-13408 (2020‑08‑11 12:53:32) 0.1
                                Description Indicates whether or not the patient has been consulted in relation to the Assessment Notice.
                                Operationalization
                                Flag; N: No; Y: Yes
                                Value Domain
                                draft Carer consultation indicator
                                prsb03-dataelement-13407
                                Id prsb03-dataelement-13407 (2020‑08‑11 12:46:33) 0.1
                                Description
                                Indicates whether or not the carer (where applicable) has been consulted in relation to the Assessment Notice.
                                Operationalization
                                N: No; Y: Yes; NKC: No Known Carer
                                Value Domain
                                draft Person consent indicator
                                prsb03-dataelement-13406
                                Id prsb03-dataelement-13406 (2020‑08‑11 12:41:21) 0.1
                                Description Indicates whether or not the patient has consented to the Assessment Notice or lacks the mental capacity to do so.
                                Operationalization
                                N: No; Y: Yes; L: Lacks Mental Capacity
                                Value Domain
                                draft Third party person consent source
                                prsb03-dataelement-13405
                                Id prsb03-dataelement-13405 (2020‑08‑11 12:30:35) 0.1
                                Description A coded value specifying the source of consent where the patient lacks mental capacity and consent has been provided by a third party with the appropriate legal status.
                                Operationalization
                                C: Legal Representative (Carer); O: Legal Representative (Other); B: Best Interest Decision; N/A: Not Applicable
                                Value Domain
                                folder draft NHS CHC Assessment
                                prsb03-dataelement-13403
                                link
                                Id prsb03-dataelement-13403 (2020‑08‑11 12:24:26) 0.1
                                Description NHS Continuing Healthcare Assessment (checklist) entry
                                draft Assessment considered indicator
                                prsb03-dataelement-13409
                                Id prsb03-dataelement-13409 (2020‑08‑11 13:06:02) 0.1
                                Description Indicates whether or not the NHS body has considered providing the patient with NHS Continuing Health Care.
                                Operationalization
                                Flag: - yes/ no; N: No; Y: Yes
                                Value Domain
                                draft Assessment considered result
                                prsb03-dataelement-13410
                                Id prsb03-dataelement-13410 (2020‑08‑11 13:09:09) 0.1
                                Description Used to record the result of a consideration to provide the patient with NHS Continuing Care.
                                Operationalization Free text
                                Value Domain
                                folder draft Discharge notice
                                prsb03-dataelement-13402
                                link
                                Id prsb03-dataelement-13402 (2020‑08‑11 12:23:57) 0.1
                                Description Confirms discharge date to social services
                                draft Issued date and time
                                prsb03-dataelement-13411
                                Id prsb03-dataelement-13411 (2020‑08‑11 13:14:47) 0.1
                                Description The date and time on which the discharge notice was given.
                                Operationalization
                                The date and time on which the discharge notice was given.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year
                                folder draft Withdrawal notice
                                prsb03-dataelement-13412
                                link
                                Id prsb03-dataelement-13412 (2020‑08‑11 13:23:00) 0.1
                                Description To withdraw either or both the assessment notice and/ or the discharge notice
                                draft Issued date and time
                                prsb03-dataelement-13413
                                Id prsb03-dataelement-13413 (2020‑08‑11 13:25:02) 0.1
                                Description The date and time on which the Withdrawal Notice was issued.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year
                                draft Withdrawal type
                                prsb03-dataelement-13416
                                Id prsb03-dataelement-13416 (2020‑08‑11 13:34:37) 0.1
                                Description The type of notice that has been withdrawn.
                                Operationalization
                                1: Assessment Notice; 2: Discharge Notice; 3: Assessment Notice and Discharge Notice
                                Value Domain
                                draft Reason for withdrawal
                                prsb03-dataelement-13415
                                Id prsb03-dataelement-13415 (2020‑08‑11 13:30:35) 0.1
                                Description The reason why the notice has been withdrawn.
                                Operationalization
                                01: Patient is safe to discharge without a needs assessment; 02: Patient is eligible for NHS Continuing Health Care; 03: Proposed care package is inadequate;
                                04: Patient's proposed treatment has been cancelled or postponed; 05: Patient has refused a needs assessment; 06: Patient is resident in another local authority;
                                07: Patient's condition has deteriorated; 08: Patient has died; 09: Patient has transferred to intermediate care; 10: Patient has self- discharged; 11: Patient is making their own arrangements; 12: Notice sent in error; 13: Other
                                Value Domain
                                draft Reason for withdrawal - other
                                prsb03-dataelement-13414
                                Id prsb03-dataelement-13414 (2020‑08‑11 13:28:20) 0.1
                                Description A free format description of the reason why the notice has been withdrawn. To be used when 'Reason For Withdrawal = 'Other’.
                                Operationalization Free text
                                Value Domain
                                folder draft Notice receipt
                                prsb03-dataelement-13417
                                link
                                Id prsb03-dataelement-13417 (2020‑08‑11 13:39:01) 0.1
                                Description Notice receipt, from social services, entry. A receipt notice is issued and sent to the referring organisation to acknowledge that a notice has been received e.g. assessment, discharge, withdrawal.
                                draft Issued date and time
                                prsb03-dataelement-13421
                                Id prsb03-dataelement-13421 (2020‑08‑11 13:53:46) 0.1
                                Description The date and time on which the Notice Receipt was issued.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year
                                draft Notice type
                                prsb03-dataelement-13420
                                Id prsb03-dataelement-13420 (2020‑08‑11 13:48:36) 0.1
                                Description The type of notice that the Notice Receipt relates to.
                                Operationalization
                                1: Assessment Notice; 2: Discharge Notice; 3: Withdrawal Notice (Assessment); 4: Withdrawal Notice (Discharge); 5: Withdrawal Notice (Assessment and Discharge)
                                Value Domain
                                draft Response type
                                prsb03-dataelement-13419
                                Id prsb03-dataelement-13419 (2020‑08‑11 13:45:56) 0.1
                                Description The Notice Receipt response type.
                                Operationalization
                                1: Accept ;2: Reject
                                Value Domain
                                draft Response details
                                prsb03-dataelement-13418
                                Id prsb03-dataelement-13418 (2020‑08‑11 13:43:31) 0.1
                                Description Supporting information for the Notice Receipt, for example the reason why a notice was rejected
                                Operationalization Free text
                                Value Domain
                                folder draft Shared decision making
                                prsb03-dataelement-13875
                                Id prsb03-dataelement-13875 (2021‑02‑01 16:10:46)
                                Description The details of the shared decision making process undertaken.
                                Comment Shared decision making (SDM) is a deliberative practice where individuals and clinicians faced with a decision collaborate to understand and select evidenced based options (such as tests, treatment, management, or support packages and including doing nothing), and where the person is supported to develop their informed preferences.
                                folder draft Shared decision making
                                prsb03-dataelement-13876
                                link
                                Id prsb03-dataelement-13876 (2021‑02‑01 16:13:46)
                                Description The details of the shared decision making process undertaken
                                Comment Shared decision making (SDM) is a deliberative practice where individuals and clinicians faced with a decision collaborate to understand and select evidenced based options (such as tests, treatment, management, or support packages and including doing nothing), and where the person is supported to develop their informed preferences.
                                folder draft Shared decision point
                                prsb03-dataelement-13877
                                link
                                Id prsb03-dataelement-13877 (2021‑02‑01 16:17:30)
                                Description This is a shared decision point 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.
                                folder draft Problem(s) or issue(s)
                                prsb03-dataelement-14096
                                link
                                Id prsb03-dataelement-14096 (2021‑02‑21 15:37:38)
                                Description Problem or issue to which the decision relates, including:
                                • A confirmed diagnosis.
                                • Examination findings.
                                • Outcomes from investigation results.
                                • Other problems or issues.
                                Comment The problem or issue for which a shared decision was made. The problem will typically require an investigation, treatment, procedure or lifestyle intervention or a change to these e.g. starting, stopping, or switching a prescribed medication. Medical problems or issues would include signs, symptoms, a diagnosis, risk factors, examination findings or investigation results, or other issues.

                                folder draft Problem
                                prsb03-dataelement-14408
                                link
                                Id prsb03-dataelement-14408 (2021‑07‑08 18:35:13)
                                Concept inherits from draft prsb03-dataelement-10932 (2019‑04‑30 17:08:40)
                                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
                                draft Coded value
                                prsb03-dataelement-14409
                                Id prsb03-dataelement-14409 (2021‑07‑08 18:36:26)
                                Concept inherits from draft prsb03-dataelement-13244 (2020‑07‑27 18:43:32)
                                Description The coded value for the problem list.
                                Operationalization SNOMED CT : - ^1127581000000103 |Health issues simple reference set|
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14410
                                Id prsb03-dataelement-14410 (2021‑07‑08 18:36:26)
                                Concept inherits from draft prsb03-dataelement-13245 (2020‑07‑27 18:46:30)
                                Description Free text field to be used if no code is available
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                folder cancelled Examination finding
                                prsb03-dataelement-14097
                                link
                                Id prsb03-dataelement-14097 (2021‑02‑21 15:50:24)
                                Description Examination finding relevant to the shared decision.
                                folder cancelled Examination type
                                prsb03-dataelement-14098
                                Id prsb03-dataelement-14098 (2021‑02‑21 16:04:14)
                                Description The examination type
                                folder draft Problem(s) or issue(s)
                                prsb03-dataelement-14067
                                link
                                Id prsb03-dataelement-14067 (2021‑02‑17 12:14:59)
                                Description The problem or issue for which a shared decision was made. The problem will typically require an investigation, treatment, procedure or lifestyle intervention or a change to these e.g. starting, stopping, or switching a prescribed medication. Medical problems or issues would include signs, symptoms, a diagnosis, risk factors, examination findings or investigation results, or other issues.
                                draft Coded value
                                prsb03-dataelement-14068
                                Id prsb03-dataelement-14068 (2021‑02‑17 23:05:28)
                                Description The coded value for the problem or issue.
                                Operationalization SNOMED CT
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14069
                                Id prsb03-dataelement-14069 (2021‑02‑17 23:09:18)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                folder cancelled Diagnosis
                                prsb03-dataelement-14070
                                link
                                Id prsb03-dataelement-14070 (2021‑02‑17 23:13:19) 0.1
                                Description Confirmed diagnosis relevant to the shared decision.
                                cancelled Coded value
                                prsb03-dataelement-14071
                                Id prsb03-dataelement-14071 (2021‑02‑17 23:22:39) 0.1
                                Description The coded value for the confirmed diagnosis.
                                Operationalization SNOMED CT.
                                Value Domain
                                cancelled Free text
                                prsb03-dataelement-14072
                                Id prsb03-dataelement-14072 (2021‑02‑17 23:28:03) 0.1
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Encounter details
                                prsb03-dataelement-14077
                                link
                                Id prsb03-dataelement-14077 (2021‑02‑18 00:03:21)
                                Description Details of the encounter where a shared decision was discussed including a record of:

                                Location and location type
                                Date and time
                                Consultation method
                                Speciality
                                Professionals present
                                Person accompanying patient
                                Use of an interpreter
                                Recording of the conversation
                                draft Specialty
                                prsb03-dataelement-14015
                                Id prsb03-dataelement-14015 (2021‑02‑15 11:07:47)
                                Description The specialty to which the shared decision relates e.g. physiotherapy, oncology, mental health etc
                                Operationalization NHS data dictionary - Activity treatment function code

                                Value Domain
                                Property
                                max length
                                3
                                draft Date and time of encounter
                                prsb03-dataelement-13960
                                Id prsb03-dataelement-13960 (2021‑02‑03 15:40:11)
                                Description Date and time of the encounter where a shared decision was discussed.

                                Properties

                                FHIR Encounter.period
                                Relationship
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                draft Location type
                                prsb03-dataelement-14016
                                Id prsb03-dataelement-14016 (2021‑02‑15 11:19:12)
                                Description The type of location where the encounter in which a shared decision was discussed took place e.g. person's home
                                Comment The General Medical Council guidance on Decision making and consent states in section 27 (GMC, 2020) : "To help patients understand and retain relevant information you should: share it in a place and at a time when they are most likely to understand and retain it."

                                Operationalization NHS data dictionary - Location type

                                Value Domain
                                folder draft Location
                                prsb03-dataelement-13961
                                link
                                Id prsb03-dataelement-13961 (2021‑02‑03 15:52:53)
                                Description The location of the encounter where the shared decision was discussed.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-13962
                                Id prsb03-dataelement-13962 (2021‑02‑03 15:54:29)
                                Description The coded value for location.
                                Relationship
                                Operationalization NHS data dictionary : - Organisation data service code
                                Value Domain
                                Property
                                min length max length
                                3 5
                                draft Free text
                                prsb03-dataelement-13963
                                Id prsb03-dataelement-13963 (2021‑02‑03 15:54:29)
                                Concept inherits from draft prsb03-dataelement-13514 (2020‑09‑03 18:04:13)
                                Description Free text field to be used if no code is available
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                draft Consultation method
                                prsb03-dataelement-14014
                                Id prsb03-dataelement-14014 (2021‑02‑15 10:58:56)
                                Description Consultation method used e.g. face to face, telephone, video consultation
                                Operationalization NHS data dictionary - Consultation medium

                                Value Domain
                                folder draft Person accompanying patient
                                prsb03-dataelement-13964
                                link
                                Id prsb03-dataelement-13964 (2021‑02‑04 09:28:42)
                                Description Identify, where relevant to the shared decision, others accompanying the patient, e.g. parent, relative, friend. Includes: Name, Relationship, role (e.g. informal carer).

                                Properties

                                FHIR Encounter.participant
                                Relationship
                                Comment The General Medical Council (GMC) guidance on Decision making and consent (GMC, 2020) states in section 27 "accommodate a patient’s wishes if they would like anyone else – a relative, partner, friend, carer or advocate – to be involved in discussions and/or help them make decisions."



                                The NICE guideline on Shared Decision Making ( in draft) states in section 1.2.3:



                                "Ask the person if they want to involve family members, friends or advocates (being aware of safeguarding). If so, include them in discussions as a way to help the person:

                                • actively engage in the consultation

                                • explain what is important to them

                                • make decisions about their care

                                • remember information they have been given during discussions."
                                draft Name
                                prsb03-dataelement-14008
                                Id prsb03-dataelement-14008 (2021‑02‑15 10:23:49)
                                Description The name of the person accompanying the patient.
                                Value Domain
                                draft Relationship
                                prsb03-dataelement-14009
                                Id prsb03-dataelement-14009 (2021‑02‑15 10:28:38)
                                Description The relationship the person accompanying the patient has to the person, e.g. father, grandmother, family friend etc.
                                Operationalization FHIR value set : - Related person

                                Value Domain
                                draft Role
                                prsb03-dataelement-14010
                                Id prsb03-dataelement-14010 (2021‑02‑15 10:33:50)
                                Description Additional roles the person accompanying the patient performs on behalf of the patient (e.g. Carer, Next of Kin, Emergency Contact, Dependent, etc.)
                                Operationalization Free text.
                                Value Domain
                                folder draft Professionals present
                                prsb03-dataelement-14011
                                link
                                Id prsb03-dataelement-14011 (2021‑02‑15 10:43:47)
                                Description The name and role of the additional individuals or team members present when the shared decision was made. Including consultant(s), nurse consultant(s), allied health professional(s), social worker(s) etc.
                                Comment The NICE guideline on Shared Decision Making ( in draft) states in section 1.2.5: 



                                "If a person might find it difficult to share in decision making, for example if they have a mental health condition, English is not their first language or they have sensory difficulties, offer to arrange additional support for them if they do not have, or do not want, support from a partner, friend or carer. Support could come from a nurse, social worker, translator or volunteer (for example, an advocate) who can:



                                • help them to understand the resources provided

                                • encourage the person to take an active part in decision making

                                • reassure them that shared decision making will be supported by the healthcare professional they see."

                                draft Name
                                prsb03-dataelement-14012
                                Id prsb03-dataelement-14012 (2021‑02‑15 10:46:55)
                                Description The name of the professional present when the shared decision was made.
                                Operationalization Free text.
                                Value Domain
                                draft Relationsip
                                prsb03-dataelement-14234
                                Id prsb03-dataelement-14234 (2021‑02‑26 01:41:56)
                                Description The relationship the professional present or accompanying the patient has to the person e.g. advocate, friend, etc.
                                Operationalization Free text.
                                Value Domain
                                draft Job title
                                prsb03-dataelement-14013
                                Id prsb03-dataelement-14013 (2021‑02‑15 10:49:05)
                                Description The job title of the professional present when the shared decision was made.
                                Operationalization FHIR values set : - sdsjobrole
                                Value Domain
                                draft Use of an interpreter
                                prsb03-dataelement-13965
                                Id prsb03-dataelement-13965 (2021‑02‑04 09:37:32)
                                Description An indicator to record whether an interpreter was used at a care contact. If yes, records whether a professional interpreter, family member / friend, or other person was used for the purposes of communication. If no, records whether an interpreter was not required or did not attend.
                                Comment The General Medical Council (GMC) guidance on Decision making and consent (GMC, 2020) says in section 27e: "To help patients understand and retain relevant information you should: use an interpreter or translation service if they have difficulty understanding spoken English."
                                Operationalization NHS data dictionary : - Interpreter present at care contact indication code
                                Value Domain
                                folder draft Audio or video recording of the conversation
                                prsb03-dataelement-13966
                                link
                                Id prsb03-dataelement-13966 (2021‑02‑04 09:53:11)
                                Description Audio or video recording of the conversation cluster.
                                Comment The General Medical Council (GMC) guidance on Decision making and consent states in section 27c: "To help patients understand and retain relevant information you should: accommodate a patient’s wishes if they would like to to record the discussion."
                                draft Audio or visual recording made
                                prsb03-dataelement-13967
                                Id prsb03-dataelement-13967 (2021‑02‑04 09:57:03)
                                Description An indicator to record if an audio or video recording was made of the conversation.
                                Operationalization SNOMED CT : - 431315003 |Audio recording of patient interview (procedure)| or 282733006 |Video recording of patient interview (procedure)|.
                                Value Domain
                                draft Consent for audio or video recording of the conversation
                                prsb03-dataelement-13968
                                Id prsb03-dataelement-13968 (2021‑02‑04 10:25:25)
                                Description This is a record of consent for audio or visual recording of the conversation.
                                Comment The General Medical Council (GMC) Making and using video recordings of patients guidance (GMC, 2011) states in section 8 the following:



                                • "make recordings only where you have appropriate consent or other valid authority for doing so."
                                • "ensure that patients are under no pressure to give their consent for the recording to be made."
                                • "And you must not: disclose or use recordings for purposes outside the scope of the original consent without obtaining further consent (except in the circumstances set out [elsewhere in that document]."


                                The GMC guidance on Decision making and consent (GMC, 2020) makes clear that: 'While some interventions require a patient’s signature on a form, for most healthcare decisions you can rely on a patient’s verbal consent, as long as you are satisfied they’ve had the opportunity to consider any relevant information (see paragraph 10) and decided to go ahead. Although a patient can give consent verbally (or non-verbally) you should make sure this is recorded in their notes."
                                Operationalization Free text.
                                Value Domain
                                draft Copy of video or audio recording
                                prsb03-dataelement-13969
                                Id prsb03-dataelement-13969 (2021‑02‑04 10:39:30)
                                Description The conversation recording should be stored as a video/audio multimedia file or as a transcript (free text).
                                Comment The General Medical Council (GMC) guidance on Decision making and consent (GMC, 2020) states the following in section 23:



                                • "If you make a recording as part of a patient’s care you must follow our guidance on Making and using visual and audio recordings of patients. Such recordings form part of the medical record and should be treated in the same way as other records."
                                • "Recordings made by patients are owned by them and do not have to be stored with their medical records."
                                Operationalization Free text or multimedia file.
                                Value Domain
                                folder draft Person completing record
                                prsb03-dataelement-14078
                                link
                                Id prsb03-dataelement-14078 (2021‑02‑18 00:44:21)
                                Concept inherits from draft prsb03-dataelement-13907 (2021‑02‑02 22:27:51)
                                Description Details of the person completing the record.
                                draft Name
                                prsb03-dataelement-14079
                                Id prsb03-dataelement-14079 (2021‑02‑18 00:46:15)
                                Concept inherits from draft prsb03-dataelement-13908 (2021‑02‑02 22:35:30)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                draft Role
                                prsb03-dataelement-14080
                                Id prsb03-dataelement-14080 (2021‑02‑18 00:46:15)
                                Concept inherits from draft prsb03-dataelement-13909 (2021‑02‑02 22:37:50)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                draft Grade
                                prsb03-dataelement-14081
                                Id prsb03-dataelement-14081 (2021‑02‑18 00:46:15)
                                Concept inherits from draft prsb03-dataelement-13910 (2021‑02‑02 22:42:50)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14082
                                Id prsb03-dataelement-14082 (2021‑02‑18 00:46:15)
                                Concept inherits from draft prsb03-dataelement-13911 (2021‑02‑02 22:47:46)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                folder draft Organisation
                                prsb03-dataelement-14083
                                link
                                Id prsb03-dataelement-14083 (2021‑02‑18 00:46:15)
                                Concept inherits from draft prsb03-dataelement-13912 (2021‑02‑02 22:55:15)
                                Description The organisation the person completing the record works for.
                                draft Coded value
                                prsb03-dataelement-14084
                                Id prsb03-dataelement-14084 (2021‑02‑18 00:46:15)
                                Concept inherits from draft prsb03-dataelement-13913 (2021‑02‑02 22:58:31)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14085
                                Id prsb03-dataelement-14085 (2021‑02‑18 00:46:15)
                                Concept inherits from draft prsb03-dataelement-13914 (2021‑02‑02 23:02:16)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Professional identifier
                                prsb03-dataelement-14086
                                Id prsb03-dataelement-14086 (2021‑02‑18 00:46:15)
                                Concept inherits from draft prsb03-dataelement-13915 (2021‑02‑02 23:06:19)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                draft Date completed
                                prsb03-dataelement-14087
                                Id prsb03-dataelement-14087 (2021‑02‑18 00:46:15)
                                Concept inherits from draft prsb03-dataelement-13916 (2021‑02‑02 23:12:04)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                draft Contact details
                                prsb03-dataelement-14088
                                Id prsb03-dataelement-14088 (2021‑02‑18 00:46:15)
                                Concept inherits from draft prsb03-dataelement-13917 (2021‑02‑02 23:16:07)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                draft Additional Information sources / links
                                prsb03-dataelement-14926
                                Id prsb03-dataelement-14926 (2021‑09‑17 13:26:02)
                                Description Location to paste links to external information sources 
                                Copy and paste local Special Patient Notes (SPN's)
                                Value Domain
                                folder draft Supporting the shared decision
                                prsb03-dataelement-14073
                                link
                                Id prsb03-dataelement-14073 (2021‑02‑17 23:43:36)
                                Description A record of the interventions that have supported a shared decision. This includes actions taken before, during and after (or in-between) appointments where a shared decision was discussed. 
                                Comment Other interventions that support shared decision making such as use of an interpreter, recording of the discussion, and person(s) accompanying the patient can be found under encounter details.



                                The NICE guideline on Shared Decision Making ( in draft) states in section 1.2.1:



                                "Offer people interventions that support shared decision making at different stages, including before, during and after discussions with a healthcare professional, so that they are fully involved throughout their care."

                                cancelled In-between appointment interventions
                                prsb03-dataelement-14075
                                Id prsb03-dataelement-14075 (2021‑02‑17 23:57:10)
                                Description xxx
                                Value Domain
                                folder draft Pre-appointment information shared
                                prsb03-dataelement-14066
                                Id prsb03-dataelement-14066 (2021‑02‑17 11:43:19)
                                Description A record of the actions taken to prepare the patient to make a shared decision before the encounter where a shared decision was made. This should include a summary of any resources the person was offered to prepare them for the decision making process.
                                Comment The NICE guideline on Shared Decision Making ( in draft) states in section 1.2.4:



                                "Before an appointment where a decision will be discussed, offer the person access to resources in their preferred format (for example a booklet, flyer or app) to help them prepare for discussing options and making shared decisions. It should encourage them to think about what matters to them and what they hope to gain from the appointment (the 'preparation stage'). Resources could include links to relevant NICE guidance or NICE-endorsed information."



                                In section 1.2.5:



                                "If a person might find it difficult to share in decision making, for example if they have a mental health condition, English is not their first language or they have sensory difficulties, offer to arrange additional support for them if they do not have, or do not want, support from a partner, friend or carer. Support could come from a nurse, social worker, translator or volunteer (for example, an advocate) who can:



                                • help them to understand the resources provided

                                • encourage the person to take an active part in decision making

                                • reassure them that shared decision making will be supported by the healthcare professional they see."



                                Operationalization Free text.
                                folder draft Appointment actions
                                prsb03-dataelement-14074
                                link
                                Id prsb03-dataelement-14074 (2021‑02‑17 23:54:32)
                                Description A record of the actions taken to support shared decision making during the encounter.
                                folder draft Shared decision cluster
                                prsb03-dataelement-14095
                                link
                                Id prsb03-dataelement-14095 (2021‑02‑21 15:14:29)
                                Description A generic shared decision cluster.
                                Comment The following frameworks should be considered as alternative versions for recording the core shared decision making discussion:

                                • Shared decision cluster

                                • Ask 3 questions model cluster
                                • BRA(I)N model cluster
                                • Three talk model cluster
                                To avoid duplication in the record only one of the above needs to be recorded. 
                                folder draft Decision dialogue (deliberation)
                                prsb03-dataelement-14099
                                link
                                Id prsb03-dataelement-14099 (2021‑02‑21 16:43:09)
                                Description A record of the dialogue preceding the decision including the information shared that a person wanted or needed to know in order to make a decision, such as:
                                • Diagnosis & prognosis
                                • Options for further investigation, treatment or management (including the option to take no action).
                                • The potential benefits and risks of each option
                                Comment
                                The General Medical Council guidance on Decision making  (GMC, 2020) and consent states in section 10 that : "You must give patients the information they want or need to make a decision. This will usually include: diagnosis and prognosis, uncertainties about the diagnosis or prognosis, including options for further investigation, options for treating or managing the condition, including the option to take no action, the nature of each option, what would be involved, and the desired outcome, the potential benefits, risks of harm, uncertainties about and likelihood of success for each option, including the option to take no action."



                                The NICE Shared decision making guideline  (in development) states in section 1.2.9: "When offering tests, treatments or other healthcare services:
                                • openly discuss the risks, benefits and consequences of each option, making sure the person knows this includes choosing no treatment, or no change to what they are currently doing (the ‘option talk’ stage)."
                                folder draft Establishing what matters to the person
                                prsb03-dataelement-14101
                                link
                                Id prsb03-dataelement-14101 (2021‑02‑22 13:16:02)
                                Description Details of what was said about: 
                                • Setting the agenda for the discussion.
                                • Establishing shared understanding of the purpose of SDM.
                                • The person's goals, values, hopes, ideas, concerns, and expectations related to the shared decision.
                                • The person's understanding of their diagnosis.
                                Relationship
                                Comment


                                folder draft Agenda setting
                                prsb03-dataelement-14089
                                link
                                Id prsb03-dataelement-14089 (2021‑02‑18 01:44:37)
                                Description A record of the agenda setting process undertaken to support the shared decision. This may include:
                                • Patient talk topic: Identifying what the patient wants to talk about in the encounter.
                                • Clinician talk topic: Identifying what the clinician wants to talk about in the encounter.
                                • Agreeing shared priorities and focus for conversation i.e. the topics that are going to be covered.
                                • Establishing collaboration and engagement: Introducing the nature/purpose of the SDM process.
                                • Declaring the alternative options: Listing of the possible options for treatment, investigation, procedure, or other action; including reasonable alternatives.
                                Comment The NICE guideline on Shared Decision Making ( in draft) states in section 1.2.6:



                                "Agree an ‘agenda’ at the start of each appointment to prioritise together what to discuss. Say how long the appointment will last."
                                draft Patient agenda
                                prsb03-dataelement-14091
                                Id prsb03-dataelement-14091 (2021‑02‑18 01:58:28)
                                Description A record of what the patient said was their agenda (talk topic(s)) for the appointment.
                                Comment This may have been elicited by encouraging the patient use the phrase 'My agenda for today is...'



                                The NICE guideline on Shared Decision Making ( in draft) states in section 1.2.6:



                                "Agree an ‘agenda’ at the start of each appointment to prioritise together what to discuss. Say how long the appointment will last."
                                Operationalization Free text.
                                Value Domain
                                draft Clinician agenda
                                prsb03-dataelement-14090
                                Id prsb03-dataelement-14090 (2021‑02‑18 01:51:20)
                                Description A record of the clinician's stated agenda (talk topic(s)) for the appointment.
                                Comment This may have been communicated to the patient with phrases such as 'My agenda for today is...'



                                The NICE Shared Decision Making guideline (in draft) states in section 1.2.6: 



                                "Agree an ‘agenda’ at the start of each appointment to prioritise together what to discuss. Say how long the appointment will last."
                                Operationalization Free text.
                                Value Domain
                                draft Establishing the conversation
                                prsb03-dataelement-14103
                                Id prsb03-dataelement-14103 (2021‑02‑22 13:16:02)
                                Description A description of what was said to:

                                • Establish collaboration
                                • Declare the alternatives
                                • Purpose and reasons for the SDM conversation.
                                Relationship
                                Operationalization Free text.
                                Value Domain
                                draft Person goals, values, hopes, ideas, concerns, expectations
                                prsb03-dataelement-14102
                                Id prsb03-dataelement-14102 (2021‑02‑22 13:16:02)
                                Description A record to establish what matters to the person in the context of the decision to be made, which may include as appropriate:
                                • Person goals or hopes: These are 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.
                                • Values: The values that the person holds relating to the decision or otherwise. 
                                • Ideas: Opinions, thoughts, or prior knowledge the person has about their diagnosis, prognosis, or options for treatment, investigations, procedures or other areas they feel are relevant.
                                • Concerns: Any worries or fears the person has about their diagnosis (or possible diagnosis) or other areas such as treatment, investigations or procedures that may influence their decision-making or they feel are relevant.
                                • Expectations: Any expectations or wants of the person relating to treatment, investigations, procedures or other courses of action or other areas they feel are relevant. 
                                Relationship
                                Operationalization Free text.
                                Value Domain
                                draft Person understanding of their condition or diagnosis
                                prsb03-dataelement-14304
                                Id prsb03-dataelement-14304 (2021‑06‑13 19:03:06)
                                Description A record of the person's understanding of their diagnosis (or possible diagnosis) or condition. 
                                Operationalization Free text. 
                                Value Domain
                                folder draft Options discussed
                                prsb03-dataelement-14285
                                link
                                Id prsb03-dataelement-14285 (2021‑06‑13 17:21:28)
                                Description Record of the options discussed. Includes:
                                • Option entry
                                • Risks communicated about the option
                                • Benefits communicated about the option
                                folder draft Option entry
                                prsb03-dataelement-14105
                                link
                                Id prsb03-dataelement-14105 (2021‑02‑22 13:16:02)
                                Description Record of the option discussed.
                                Relationship
                                Comment The General Medical Council (GMC) Decision Making and Consent guidance (GMC, 2020) states that when discussing options for treating or managing a condition the clinician involved must include the option to take no action:



                                "Doctors must try to find out what matters to patients so they can share relevant information about the benefits and harms of proposed options and reasonable alternatives, including the option to take no action (Principle 4)."
                                draft Coded value
                                prsb03-dataelement-14106
                                Id prsb03-dataelement-14106 (2021‑02‑22 13:16:02)
                                Description Coded value of the option discussed.
                                Relationship
                                Operationalization SNOMED CT.
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14107
                                Id prsb03-dataelement-14107 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13925 (2021‑02‑03 10:18:29)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                folder draft Risks communication entry
                                prsb03-dataelement-14111
                                link
                                Id prsb03-dataelement-14111 (2021‑02‑22 13:16:02)
                                Description Record of the risks discussed for each option.
                                Relationship
                                Comment The General Medical Council (GMC) Decision Making and Consent guidance (GMC, 2020) states in section 21 that when discussing benefits and harms a clinician should include the following: "Recognised risks of harm that [the clinician] believe[s] anyone in the patient’s position would want to know... the effect of the patient’s individual clinical circumstances on the probability of a benefit or harm occurring...risks of harm and potential benefits that the patient would consider significant for any reason...any risk of serious harm, however unlikely it is to occur...expected harms, including common side effects and what to do if they occur."



                                "It wouldn’t be reasonable to share every possible risk of harm, potential complication or side effect. Instead, you should tailor the discussion to each individual patient, guided by what matters to them, and share information in a way they can understand." (Section 22).
                                draft Coded value
                                prsb03-dataelement-14113
                                Id prsb03-dataelement-14113 (2021‑02‑22 13:16:02)
                                Description Coded value of the risk discussed.
                                Relationship
                                Operationalization SNOMED CT.
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14112
                                Id prsb03-dataelement-14112 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13931 (2021‑02‑03 10:46:20)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Benefits entry
                                prsb03-dataelement-14108
                                link
                                Id prsb03-dataelement-14108 (2021‑02‑22 13:16:02)
                                Description Record of the benefits discussed for each option.
                                Relationship
                                Comment
                                The General Medical Council (GMC) Decision Making and Consent guidance (GMC, 2020) states in section 21: "You must give patients clear, accurate and up-to-date information, based on the best available evidence, about the potential benefits and risks of harm of each option, including the option to take no action."
                                draft Coded value
                                prsb03-dataelement-14109
                                Id prsb03-dataelement-14109 (2021‑02‑22 13:16:02)
                                Description Coded value of the benefit discussed.
                                Relationship
                                Operationalization SNOMED CT.
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14110
                                Id prsb03-dataelement-14110 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13928 (2021‑02‑03 10:35:02)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Decision support tool item entry
                                prsb03-dataelement-13955
                                link
                                Id prsb03-dataelement-13955 (2021‑02‑03 13:43:54)
                                Description Record of any decision support tools used.
                                Comment Examples of patient decision support tools include condition specific decision aids, issue cards, decision boxes, fact boxes, question prompt lists (e.g. BRAN) and generic communication frameworks. Where high-quality situation specific decision support tools do not exist the clinician may need to interpret evidence sources developed for health professionals. This may include decision support tools or materials brought by the patient.



                                The General Medical Council (GMC) Decision making and consent guidance (GMC, 2020) states in section 24: "You should consider using visual or other explanatory aids to support patients to understand their personalised risk, taking account of their individual clinical and personal circumstances, compared with population level risk."
                                draft Decision support tool identifier
                                prsb03-dataelement-14092
                                Id prsb03-dataelement-14092 (2021‑02‑18 02:21:49)
                                Description Any alphanumeric identifier associated with the decision support tool (if applicable). 
                                Operationalization Free text.
                                Value Domain
                                draft Decision support tool name
                                prsb03-dataelement-13956
                                Id prsb03-dataelement-13956 (2021‑02‑03 13:53:18)
                                Description The name of the decision support tool.
                                Operationalization Free text.
                                Value Domain
                                draft Decision support tool type
                                prsb03-dataelement-13957
                                Id prsb03-dataelement-13957 (2021‑02‑03 13:59:31)
                                Description The type of the decision support tool.
                                Comment Examples of patient decision support tools include condition specific decision aids, issue cards, decision boxes, fact boxes, question prompt lists and generic communication frameworks.
                                Operationalization Free text
                                Value Domain
                                draft Decision support tool location
                                prsb03-dataelement-13958
                                Id prsb03-dataelement-13958 (2021‑02‑03 14:14:39)
                                Description The URL for the decision support tool.
                                Operationalization Free text.
                                Value Domain
                                draft Decision support tool MIME type
                                prsb03-dataelement-13959
                                Id prsb03-dataelement-13959 (2021‑02‑03 14:32:12)
                                Description MIME type of the document e.g. application, pdf, website.
                                Operationalization Free text.
                                Value Domain
                                folder draft Recording the decision
                                prsb03-dataelement-14114
                                link
                                Id prsb03-dataelement-14114 (2021‑02‑22 13:16:02)
                                Description Details of the decision made with person. This includes details of the decisions made and agreed timescales for review. NB: What the person said was important to them in coming to the decision is recorded in a separate cluster 'Evaluating the decision'.
                                Relationship
                                Comment
                                The NICE guideline on Shared Decision Making (in draft) states:



                                In section 1.2.13:



                                "Make a joint decision or plan about treatment or care and agree when this will be reviewed (the ‘decision’ or ‘planning’ stage)."



                                In section 1.2.14:



                                "At the end of an appointment, state clearly what decisions have been made to make sure the person agrees with and understands what has been decided, what happens next, what the timescales are, and when it will be reviewed."



                                In section 1.2.15:



                                "When writing up the consultation, record any decisions made along with details of what the person said was important to them in making those decisions."
                                Operationalization Free text.
                                folder draft Decision entry
                                prsb03-dataelement-14191
                                link
                                Id prsb03-dataelement-14191 (2021‑02‑24 15:10:35)
                                Description Record of the decision.
                                Relationship
                                Comment GMC (DMC 50): "You should take a proportionate approach to the level of detail you record. Good medical practice states that you must include the decisions made and actions agreed - and who is making the decisions and agreeing the actions - in the patient's clinical records. This includes the decision to take no action."
                                draft Coded value
                                prsb03-dataelement-14192
                                Id prsb03-dataelement-14192 (2021‑02‑24 15:12:01)
                                Description Coded value of the decision agreed.
                                Relationship
                                Operationalization SNOMED CT.
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14193
                                Id prsb03-dataelement-14193 (2021‑02‑24 15:12:01)
                                Concept inherits from draft prsb03-dataelement-14107 (2021‑02‑22 13:16:02)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Planned review date/interval
                                prsb03-dataelement-14190
                                Id prsb03-dataelement-14190 (2021‑02‑24 15:03:16)
                                Description This is the date/interval when this information will next be reviewed.
                                Comment
                                GMC (DMC 56): "Unless treatment or care begins immediately after a patient has given consent, there will be opportunity for a decision to be reviewed."


                                GMC (DMC 57): "You should review a patient’s decision immediately before providing treatment or care and, if treatment is ongoing, make sure there are clear arrangements
                                in place to review decisions regularly, allowing patients opportunity to ask questions and discuss any concerns. You should also consider regularly reviewing a decision to take no action."


                                GMC (DMC 58): "Reviewing a decision is particularly important: if you haven’t personally had a discussion with the patient because they were initially seen by a colleague, if significant time has passed since the decision was made, if the patient’s condition has changed, if you have reason to believe the patient might have changed their mind, if any aspect of the chosen treatment or care has changed, if new information has become available about the potential benefits or risks of harm of any of the options that might make the patient choose differently."
                                Operationalization Date and time or free text.
                                Value Domain
                                folder draft Evaluating the decision
                                prsb03-dataelement-14228
                                link
                                Id prsb03-dataelement-14228 (2021‑02‑26 00:41:18)
                                Description A record of the perception of the decision and collaborative process from the perspective of the clinician and the patient, including:
                                • A record of whether a mutual agreement reached.
                                • Did the clinician agree with the decision made? If not, what was the reason given to the person for this.
                                • Was the decision made the person's preferred option?
                                • A record of the person's reasons for the choice made.
                                • A record of the person's level of satisfaction with the decision made (including decisional regret). 
                                folder draft Decision related values and preferences
                                prsb03-dataelement-14295
                                link
                                Id prsb03-dataelement-14295 (2021‑06‑13 18:26:19)
                                Description A record of the clinician and person preferences and values that are relevant to the decision-made.
                                folder draft Person decision related values and preferences
                                prsb03-dataelement-14297
                                link
                                Id prsb03-dataelement-14297 (2021‑06‑13 18:33:18)
                                Description A record of the person's values and preferences related to the decision-made.
                                draft Decision made person preference indicator
                                prsb03-dataelement-14300
                                Id prsb03-dataelement-14300 (2021‑06‑13 18:40:42)
                                Description An indicator of whether the decision made was the person's first preference. (Yes or No)
                                Operationalization Code. (Yes or No)
                                Value Domain
                                draft Reason given to person for preference not offered
                                prsb03-dataelement-14299
                                Id prsb03-dataelement-14299 (2021‑06‑13 18:39:37)
                                Description A description of the reasons for why a person's first preference could not be accommodated. 
                                Operationalization Free text.
                                Value Domain
                                folder draft Person preferred option
                                prsb03-dataelement-14298
                                link
                                Id prsb03-dataelement-14298 (2021‑06‑13 18:38:07)
                                Description A record of the person's preferred option.
                                draft Coded value
                                prsb03-dataelement-14307
                                Id prsb03-dataelement-14307 (2021‑06‑13 21:39:19)
                                Description The coded value for the person's preferred option.
                                Operationalization SNOMED CT
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14306
                                Id prsb03-dataelement-14306 (2021‑06‑13 21:36:42)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Person reasons given for preference
                                prsb03-dataelement-14296
                                Id prsb03-dataelement-14296 (2021‑06‑13 18:29:52)
                                Description An account of the reason(s) the person has given for their preference(s).
                                Operationalization Free text.
                                Value Domain
                                folder draft Clinician decision related values and preferences
                                prsb03-dataelement-14301
                                link
                                Id prsb03-dataelement-14301 (2021‑06‑13 18:42:00)
                                Description A record of the clinician's relevant values and preferences that were disclosed during the conversation.
                                Operationalization Free text.
                                draft Clinician agreement with person decision indicator
                                prsb03-dataelement-14303
                                Id prsb03-dataelement-14303 (2021‑06‑13 18:45:08)
                                Description An indicator of whether the clinician agreed with the decision made. (Yes or No).
                                Operationalization Code. (Yes or No).
                                Value Domain
                                draft Reason given to person for disagreement
                                prsb03-dataelement-14302
                                Id prsb03-dataelement-14302 (2021‑06‑13 18:44:30)
                                Description Reason(s) given to the person for the clinician's recommendation/preference(s) where they disagreed with the decision made.
                                Operationalization Free text.
                                Value Domain
                                draft Health literacy evaluation
                                prsb03-dataelement-14229
                                Id prsb03-dataelement-14229 (2021‑02‑26 00:54:20)
                                Description For further information Description of the clinician's assessment of the person's level of health literacy. This should include tools or techniques that were used during the conversation to support health literacy, such as:
                                • 'Teach back' or 'show me' method
                                • 'Chunking and checking'
                                • Readability tools used for any written materials shared
                                • SMOG test or calculator
                                Comment For further information see Health Education England's Health Literacy Toolkit ( HEE, 2018).
                                Operationalization Free text.
                                Value Domain
                                folder draft Decision satisfaction or regret
                                prsb03-dataelement-14231
                                link
                                Id prsb03-dataelement-14231 (2021‑02‑26 01:20:26)
                                Description A record of clinician and patient satisfaction (or regret) relating to the decision. 
                                draft Patient decision satisfaction
                                prsb03-dataelement-14232
                                Id prsb03-dataelement-14232 (2021‑02‑26 01:23:52)
                                Description A record of the person's level of satisfaction (or regret) with the decision made and the reasons for this.
                                Operationalization Free text.
                                Value Domain
                                draft Clinician decision satisfaction
                                prsb03-dataelement-14230
                                Id prsb03-dataelement-14230 (2021‑02‑26 01:15:05)
                                Description A record of whether the clinician agreed with the patient's chosen option and the reasons for this.
                                Operationalization Free text.
                                Value Domain
                                folder draft Information withheld or sharing delayed
                                prsb03-dataelement-14286
                                link
                                Id prsb03-dataelement-14286 (2021‑06‑13 17:55:21)
                                Description A structured record of the information that will be withheld or the sharing of delayed.
                                Comment

                                The General Medical Council (GMC) Decision Making and Consent guidance  (GMC, 2020)  tells of exceptional circumstances where sharing of certain relevant information with the patient withheld or delayed. Where it is delayed the guidance instructs practitioners to record ‘the information [they] still need to share, [their] reasons for not sharing it now, and when it can be shared.’ The guidance also clarifies that ‘in [the] very exceptional circumstances’ where information is withheld because it would cause the patient ‘very serious harm’ legal advice should be sought.  

                                folder draft Information withheld from person
                                prsb03-dataelement-14288
                                link
                                Id prsb03-dataelement-14288 (2021‑06‑13 18:04:33)
                                Description A record of the information withheld from the person.
                                Operationalization

                                The General Medical Council (GMC) Decision Making and Consent guidance  (GMC, 2020)  tells of 'very exceptional circumstances’ where information is withheld because it would cause the patient ‘very serious harm’ legal advice should be sought.  

                                draft Information withheld indicator
                                prsb03-dataelement-14305
                                Id prsb03-dataelement-14305 (2021‑06‑13 21:08:56)
                                Description An indicator of whether information was withheld from the person. Yes or No.
                                Operationalization Code: Yes or No.
                                Value Domain
                                folder cancelled Information withheld indicator
                                prsb03-dataelement-14287
                                Id prsb03-dataelement-14287 (2021‑06‑13 18:01:24)
                                Description An indicator to record that information was withheld from the person. (Yes or No)
                                Operationalization Code (Y/N)
                                draft Reason information withheld
                                prsb03-dataelement-14289
                                Id prsb03-dataelement-14289 (2021‑06‑13 18:06:06)
                                Description A description of the reason the information has been withheld from the person.
                                Operationalization Free text.
                                Value Domain
                                draft Legal advice sought
                                prsb03-dataelement-14292
                                Id prsb03-dataelement-14292 (2021‑06‑13 18:13:55)
                                Description Relevant details of any legal advice sought where information has been withheld from the person. 
                                Operationalization Free text
                                Value Domain
                                folder draft Information sharing delayed
                                prsb03-dataelement-14290
                                link
                                Id prsb03-dataelement-14290 (2021‑06‑13 18:08:09)
                                Description Details of where information sharing with the person has been delayed.
                                Comment

                                The General Medical Council (GMC) Decision Making and Consent guidance  (GMC, 2020)  tells of exceptional circumstances where sharing of certain relevant information with the patient withheld or delayed. Where information sharing is delayed the guidance instructs practitioners to record ‘the information [they] still need to share, [their] reasons for not sharing it now, and when it can be shared.’

                                draft Information still to share
                                prsb03-dataelement-14294
                                Id prsb03-dataelement-14294 (2021‑06‑13 18:16:32)
                                Description Details of the information that still needs to be shared.
                                Operationalization Free text.
                                Value Domain
                                draft Reasons for not sharing the information now
                                prsb03-dataelement-14293
                                Id prsb03-dataelement-14293 (2021‑06‑13 18:15:37)
                                Description An account of the professional's reason(s) for not sharing the information with the person during the encounter
                                Operationalization Free text.
                                Value Domain
                                draft When the information can be shared
                                prsb03-dataelement-14291
                                Id prsb03-dataelement-14291 (2021‑06‑13 18:11:38)
                                Description A explanation of what needs to happens so that the information can be shared.
                                Operationalization Free text.
                                Value Domain
                                folder cancelled Motivational interviewing placeholder
                                prsb03-dataelement-14233
                                Id prsb03-dataelement-14233 (2021‑02‑26 01:29:18) 0.1
                                folder draft Performing professional
                                prsb03-dataelement-14115
                                link
                                Id prsb03-dataelement-14115 (2021‑02‑22 13:16:02)
                                Description The professional who conducted the shared decision making conversation.
                                Relationship
                                draft Organisation
                                prsb03-dataelement-14116
                                Id prsb03-dataelement-14116 (2021‑02‑22 13:16:02)
                                Concept inherits from cancelled prsb03-dataelement-13934 (2021‑02‑03 11:20:19)
                                Description The name of the organisation the professional works for.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Name
                                prsb03-dataelement-14117
                                Id prsb03-dataelement-14117 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13935 (2021‑02‑03 11:20:19)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Role
                                prsb03-dataelement-14118
                                Id prsb03-dataelement-14118 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13936 (2021‑02‑03 11:20:19)
                                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:- SDSjobrolename
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Grade
                                prsb03-dataelement-14119
                                Id prsb03-dataelement-14119 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13937 (2021‑02‑03 11:20:19)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Specialty
                                prsb03-dataelement-14120
                                Id prsb03-dataelement-14120 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13938 (2021‑02‑03 11:20:19)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc.
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Care professional main speciality code
                                Value Domain
                                Property
                                min length max length
                                3 3
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Professional identifier
                                prsb03-dataelement-14121
                                Id prsb03-dataelement-14121 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13939 (2021‑02‑03 11:20:19)
                                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 entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                folder draft Organisation
                                prsb03-dataelement-14122
                                link
                                Id prsb03-dataelement-14122 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13940 (2021‑02‑03 11:20:19)
                                Description The name of the organisation the professional works for.
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Coded value
                                prsb03-dataelement-14123
                                Id prsb03-dataelement-14123 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13941 (2021‑02‑03 11:20:19)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisation identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Free text
                                prsb03-dataelement-14124
                                Id prsb03-dataelement-14124 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13942 (2021‑02‑03 11:20:19)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Contact details
                                prsb03-dataelement-14125
                                Id prsb03-dataelement-14125 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13943 (2021‑02‑03 11:20:19)
                                Description Contact details of the professional.
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                folder draft Person completing record
                                prsb03-dataelement-14126
                                link
                                Id prsb03-dataelement-14126 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13944 (2021‑02‑03 11:48:41)
                                Description Details of the person completing the record.
                                draft Name
                                prsb03-dataelement-14127
                                Id prsb03-dataelement-14127 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13945 (2021‑02‑03 11:49:43)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                draft Role
                                prsb03-dataelement-14128
                                Id prsb03-dataelement-14128 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13946 (2021‑02‑03 11:49:43)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                draft Grade
                                prsb03-dataelement-14129
                                Id prsb03-dataelement-14129 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13947 (2021‑02‑03 11:49:43)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14130
                                Id prsb03-dataelement-14130 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13948 (2021‑02‑03 11:49:43)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                folder draft Organisation
                                prsb03-dataelement-14131
                                link
                                Id prsb03-dataelement-14131 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13949 (2021‑02‑03 11:49:43)
                                Description The organisation the person completing the record works for.
                                draft Coded value
                                prsb03-dataelement-14132
                                Id prsb03-dataelement-14132 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13950 (2021‑02‑03 11:49:43)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14133
                                Id prsb03-dataelement-14133 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13951 (2021‑02‑03 11:49:43)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Professional identifier
                                prsb03-dataelement-14134
                                Id prsb03-dataelement-14134 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13952 (2021‑02‑03 11:49:43)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                draft Date completed
                                prsb03-dataelement-14135
                                Id prsb03-dataelement-14135 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13953 (2021‑02‑03 11:49:43)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                draft Contact details
                                prsb03-dataelement-14136
                                Id prsb03-dataelement-14136 (2021‑02‑22 13:16:02)
                                Concept inherits from draft prsb03-dataelement-13954 (2021‑02‑03 11:49:43)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder cancelled Three talk model cluster
                                prsb03-dataelement-14100
                                link
                                Id prsb03-dataelement-14100 (2021‑02‑21 17:01:11)
                                Description A structured entry in the record for clinicians following the three talk model approach to shared decision making.
                                Relationship
                                folder cancelled Option talk placeholder
                                prsb03-dataelement-14104
                                Id prsb03-dataelement-14104 (2021‑02‑22 13:16:02)
                                Description Details of the option talk with the person (Three talk model).
                                Relationship
                                Comment
                                Overview: The option talk includes a discussion of the options and alternatives and the harms and benefits of these using evidence based risk communication principles.
                                Suggested phrase: "Let's compare the possible options." (Elwyn, 2020)
                                According to Elwyn (2016) the option talk discussion may include the following key aspects: Checking knowledge, listing options, describing options, exploring harms and benefits, providing patient decision support, summarising.



                                The General Medical Council guidance on Decision making (GMC, 2020) and consent states in section 10 that : "You must give patients the information they want or need to make a decision. This will usually include: diagnosis and prognosis, uncertainties about the diagnosis or prognosis, including options for further investigation, options for treating or managing the condition, including the option to take no action, the nature of each option, what would be involved, and the desired outcome, the potential benefits, risks of harm, uncertainties about and likelihood of success for each option, including the option to take no action."



                                The NICE Shared decision making guideline (in development) states in section 1.2.9: "When offering tests, treatments or other healthcare services:
                                • openly discuss the risks, benefits and consequences of each option, making sure the person knows this includes choosing no treatment, or no change to what they are currently doing (the ‘option talk’ stage)."
                                folder draft Ask 3 questions model cluster
                                prsb03-dataelement-14019
                                link
                                Id prsb03-dataelement-14019 (2021‑02‑15 12:25:33)
                                Description A structured entry in the record for use when a shared decision making conversation has been conducted using the 'Ask 3 questions' framework. This patient focused shared decision making tool encourages the patient to ask the following three questions when making decisions about their healthcare:

                                What are my options?

                                What are the pros and cons of each option for me?

                                How do I get support to help me make a decision that is right for me?
                                Comment Ask 3 questions is the patient focused part of the national Shared Decision Making programme. It has been adapted with permission for use in the NHS by the Advancing Quality Alliance (AQuA) from the Making Good Decisions in Collaboration ( MAGIC) improvement programme. AQuA has developed films, posters and other materials for its Ask 3 questions campaign to be seen by patients in advance of clinical encounters, where a decision may need to be made.



                                The framework is based on a set of questions originally tested by Shepherd et al. 2011 in a cross over trial. The questions tested were:



                                What are my options? What are the benefits and harms? How likely are these?



                                In the study, use of these questions was associated with improved scores in the Assessing Communication about Evidence and Patient Preferences (ACEPP) and OPTION (observing patient involvement) scales. 

                                draft Ask 3 questions item entry 1
                                prsb03-dataelement-14020
                                Id prsb03-dataelement-14020 (2021‑02‑15 16:13:27)
                                Description A record of what was discussed following the patient asking the question 'What are my options?' (Ask 3 questions framework).
                                Operationalization Free text.
                                Value Domain
                                draft Ask 3 questions item entry 2
                                prsb03-dataelement-14021
                                Id prsb03-dataelement-14021 (2021‑02‑15 16:31:13)
                                Description
                                A record of what was discussed following the patient asking the question 'What are the pros and cons of each option for me?' (Ask 3 questions framework).
                                Operationalization Free text.
                                Value Domain
                                draft Ask 3 questions item entry 3
                                prsb03-dataelement-14022
                                Id prsb03-dataelement-14022 (2021‑02‑15 16:38:01)
                                Description
                                A record of what was discussed following the patient asking the question ' What are my options?' (Ask 3 questions framework).
                                Operationalization Free text.
                                Value Domain
                                folder draft Performing professional
                                prsb03-dataelement-14024
                                link
                                Id prsb03-dataelement-14024 (2021‑02‑15 17:37:30)
                                Description The professional who conducted the shared decision making conversation (Ask 3 questions framework).
                                Relationship
                                draft Organisation
                                prsb03-dataelement-14045
                                Id prsb03-dataelement-14045 (2021‑02‑15 17:40:29)
                                Concept inherits from cancelled prsb03-dataelement-13902 (2021‑02‑02 18:16:27)
                                Description The name of the organisation the professional works for.
                                Value Domain
                                draft Name
                                prsb03-dataelement-14046
                                Id prsb03-dataelement-14046 (2021‑02‑15 17:40:29)
                                Concept inherits from draft prsb03-dataelement-13897 (2021‑02‑01 20:13:26)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                draft Role
                                prsb03-dataelement-14047
                                Id prsb03-dataelement-14047 (2021‑02‑15 17:40:29)
                                Concept inherits from draft prsb03-dataelement-13898 (2021‑02‑01 20:17:22)
                                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:- SDSjobrolename
                                Value Domain
                                draft Grade
                                prsb03-dataelement-14048
                                Id prsb03-dataelement-14048 (2021‑02‑15 17:40:29)
                                Concept inherits from draft prsb03-dataelement-13899 (2021‑02‑01 20:23:02)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14049
                                Id prsb03-dataelement-14049 (2021‑02‑15 17:40:29)
                                Concept inherits from draft prsb03-dataelement-13900 (2021‑02‑01 20:28:38)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc.
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Care professional main speciality code
                                Value Domain
                                Property
                                min length max length
                                3 3
                                draft Professional identifier
                                prsb03-dataelement-14050
                                Id prsb03-dataelement-14050 (2021‑02‑15 17:40:29)
                                Concept inherits from draft prsb03-dataelement-13901 (2021‑02‑02 18:12:20)
                                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 entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                folder draft Organisation
                                prsb03-dataelement-14051
                                link
                                Id prsb03-dataelement-14051 (2021‑02‑15 17:40:29)
                                Concept inherits from draft prsb03-dataelement-13903 (2021‑02‑02 21:35:36)
                                Description The name of the organisation the professional works for.
                                draft Coded value
                                prsb03-dataelement-14052
                                Id prsb03-dataelement-14052 (2021‑02‑15 17:40:29)
                                Concept inherits from draft prsb03-dataelement-13904 (2021‑02‑02 21:41:22)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisation identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14053
                                Id prsb03-dataelement-14053 (2021‑02‑15 17:40:29)
                                Concept inherits from draft prsb03-dataelement-13905 (2021‑02‑02 21:45:00)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Contact details
                                prsb03-dataelement-14054
                                Id prsb03-dataelement-14054 (2021‑02‑15 17:40:29)
                                Concept inherits from draft prsb03-dataelement-13906 (2021‑02‑02 21:51:13)
                                Description Contact details of the professional.
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder draft Person completing record
                                prsb03-dataelement-14055
                                link
                                Id prsb03-dataelement-14055 (2021‑02‑17 11:34:44)
                                Concept inherits from draft prsb03-dataelement-13907 (2021‑02‑02 22:27:51)
                                Description Details of the person completing the record.
                                draft Name
                                prsb03-dataelement-14056
                                Id prsb03-dataelement-14056 (2021‑02‑17 11:36:42)
                                Concept inherits from draft prsb03-dataelement-13908 (2021‑02‑02 22:35:30)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                draft Role
                                prsb03-dataelement-14057
                                Id prsb03-dataelement-14057 (2021‑02‑17 11:36:42)
                                Concept inherits from draft prsb03-dataelement-13909 (2021‑02‑02 22:37:50)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                draft Grade
                                prsb03-dataelement-14058
                                Id prsb03-dataelement-14058 (2021‑02‑17 11:36:42)
                                Concept inherits from draft prsb03-dataelement-13910 (2021‑02‑02 22:42:50)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14059
                                Id prsb03-dataelement-14059 (2021‑02‑17 11:36:42)
                                Concept inherits from draft prsb03-dataelement-13911 (2021‑02‑02 22:47:46)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                folder draft Organisation
                                prsb03-dataelement-14060
                                link
                                Id prsb03-dataelement-14060 (2021‑02‑17 11:36:42)
                                Concept inherits from draft prsb03-dataelement-13912 (2021‑02‑02 22:55:15)
                                Description The organisation the person completing the record works for.
                                draft Coded value
                                prsb03-dataelement-14061
                                Id prsb03-dataelement-14061 (2021‑02‑17 11:36:42)
                                Concept inherits from draft prsb03-dataelement-13913 (2021‑02‑02 22:58:31)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14062
                                Id prsb03-dataelement-14062 (2021‑02‑17 11:36:42)
                                Concept inherits from draft prsb03-dataelement-13914 (2021‑02‑02 23:02:16)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Professional identifier
                                prsb03-dataelement-14063
                                Id prsb03-dataelement-14063 (2021‑02‑17 11:36:42)
                                Concept inherits from draft prsb03-dataelement-13915 (2021‑02‑02 23:06:19)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                draft Date completed
                                prsb03-dataelement-14064
                                Id prsb03-dataelement-14064 (2021‑02‑17 11:36:42)
                                Concept inherits from draft prsb03-dataelement-13916 (2021‑02‑02 23:12:04)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                draft Contact details
                                prsb03-dataelement-14065
                                Id prsb03-dataelement-14065 (2021‑02‑17 11:36:42)
                                Concept inherits from draft prsb03-dataelement-13917 (2021‑02‑02 23:16:07)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder draft BRA(I)N model Cluster
                                prsb03-dataelement-13879
                                link
                                Id prsb03-dataelement-13879 (2021‑02‑01 16:24:40)
                                Description
                                A structured entry in the record for clinicians following the BRAN or BRAIN approach to shared decision making. The BRAN mnemonic covers the following:
                                B = Benefits
                                R = Risks
                                A = Alternatives
                                N = doing Nothing

                                Alternatively, the BRAIN mnemonic covers the following:
                                B = Benefits
                                R = Risks
                                A = Alternatives
                                I = Intuition
                                N = Next steps (as opposed to 'doing Nothing' in BRAN)
                                Comment The acronym BRAN is a decision support tool endorsed by the Academy of Medical Royal Colleges (AoMRC) for the purpose of structuring shared decision making conversations (BMJ, 2019).



                                The Centre for Collaboration, Motivation, and Innovation has developed a BRAN alternative called BRAIN (CCMI, 2015).
                                folder draft Benefits entry
                                prsb03-dataelement-13880
                                link
                                Id prsb03-dataelement-13880 (2021‑02‑01 16:40:31)
                                Description A record of the benefits discussed as part of the shared decision making conversation (BRAN or BRAIN framework).
                                draft Coded value
                                prsb03-dataelement-13885
                                Id prsb03-dataelement-13885 (2021‑02‑01 18:38:52)
                                Description Coded value of the benefits discussed.
                                Operationalization SNOMED CT.
                                Value Domain
                                draft Free text
                                prsb03-dataelement-13886
                                Id prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 16 times
                                 
                                folder draft Risks entry
                                prsb03-dataelement-13881
                                link
                                Id prsb03-dataelement-13881 (2021‑02‑01 16:44:09)
                                Description A record of the risks discussed as part of the shared decision making conversation (BRAN or BRAIN framework).
                                draft Coded value
                                prsb03-dataelement-13887
                                Id prsb03-dataelement-13887 (2021‑02‑01 18:47:38)
                                Description Coded value of the risks discussed.
                                Operationalization SNOMED CT.
                                Value Domain
                                Choice list
                                Concept List
                                Concept Description
                                draft Free text
                                prsb03-dataelement-13888
                                Id prsb03-dataelement-13888 (2021‑02‑01 18:50:44)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Alternatives entry
                                prsb03-dataelement-13882
                                link
                                Id prsb03-dataelement-13882 (2021‑02‑01 16:47:00)
                                Description A record of the alternatives discussed as part of the shared decision making conversation (BRAN or BRAIN framework).
                                draft Coded value
                                prsb03-dataelement-13889
                                Id prsb03-dataelement-13889 (2021‑02‑01 18:55:16)
                                Description Coded value of the alternatives discussed.
                                Relationship
                                Operationalization SNOMED CT.
                                Value Domain
                                draft Free text
                                prsb03-dataelement-13890
                                Id prsb03-dataelement-13890 (2021‑02‑01 18:59:37)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Intuition entry
                                prsb03-dataelement-13891
                                Id prsb03-dataelement-13891 (2021‑02‑01 19:10:42)
                                Description A record of the person's intuition (BRAIN framework).
                                Comment
                                The Centre for Collaboration, Motivation, and Innovation has developed a BRAN alternative called BRAIN (CCMI, 2015). This model involves the patient first asking the following questions:
                                What is the decision I need to make?
                                How much time do I have to make this decision?
                                Who is involved in making this decision?
                                What are my values that affect this decision?
                                The BRAIN mnemonic covers the following:
                                B = Benefits
                                R = Risks
                                A = Alternatives
                                I = Intuition
                                N = Next steps (as opposed to 'doing Nothing' in BRAN)
                                At the intuition step the patient asks the following question:
                                What do I feel and think about these options? The outcome should be entered into the record here.
                                Operationalization Free text.
                                Value Domain
                                folder cancelled Intuition entry
                                prsb03-dataelement-13883
                                Id prsb03-dataelement-13883 (2021‑02‑01 16:50:05) 0.1
                                Description A record of the person's intuition (BRAIN framework).
                                Comment
                                The Centre for Collaboration, Motivation, and Innovation has developed a BRAN alternative called BRAIN (CCMI, 2016). This model involves the patient first asking the following questions:
                                What is the decision I need to make?
                                How much time do I have to make this decision?
                                Who is involved in making this decision?
                                What are my values that affect this decision?
                                The BRAIN mnemonic covers the following:
                                B = Benefits
                                R = Risks
                                A = Alternatives
                                I = Intuition
                                N = Next steps (as opposed to 'doing Nothing' in BRAN)
                                At the intuition step the patient asks the following question:
                                What do I feel and think about these options? The outcome should be entered into the record here.
                                folder draft Nothing entry
                                prsb03-dataelement-13884
                                link
                                Id prsb03-dataelement-13884 (2021‑02‑01 18:34:45)
                                Description An indicator showing whether the option to do nothing was discussed as part of the shared decision making conversation (BRAN framework).
                                draft Coded value
                                prsb03-dataelement-13892
                                Id prsb03-dataelement-13892 (2021‑02‑01 19:16:02)
                                Description Coded value to indicate whether the option to do nothing was discussed.
                                Operationalization Y = yes ; N = no
                                Value Domain
                                draft Free text
                                prsb03-dataelement-13893
                                Id prsb03-dataelement-13893 (2021‑02‑01 19:21:14)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Next steps entry
                                prsb03-dataelement-13894
                                Id prsb03-dataelement-13894 (2021‑02‑01 19:23:55)
                                Description A record of the next steps considered (BRAIN framework).
                                Comment
                                The Centre for Collaboration, Motivation, and Innovation has developed a BRAN alternative called BRAIN:
                                B = Benefits
                                R = Risks
                                A = Alternatives
                                I = Intuition
                                N = Next steps (as opposed to 'doing Nothing' in BRAN)
                                Examples of questions that the patient may be encouraged to ask at the next steps stage include (CCMI,2015):
                                Do I need to talk to my family?
                                Do I need more time to think my decision through?
                                Do I want more information?
                                Would I like to wait on treatment?
                                Do I want a second opinion?
                                What would I like to do?
                                Value Domain
                                draft Decision entry
                                prsb03-dataelement-13895
                                Id prsb03-dataelement-13895 (2021‑02‑01 19:35:49)
                                Description A record of the decision made (BRAN or BRAIN framework).
                                Comment The General Medical Council (GMC) Decision making and consent guidance (GMC, 2020) states: "You should take a proportionate approach to the level of detail you record. Good medical practice states that you must include the decisions made and actions agreed - and who is making the decisions and agreeing the actions - in the patient's clinical records. This includes decisions to take no action."
                                Operationalization Free text.
                                Value Domain
                                folder draft Performing professional
                                prsb03-dataelement-13896
                                link
                                Id prsb03-dataelement-13896 (2021‑02‑01 19:50:38)
                                Description The professional who conducted the shared decision making conversation (BRAN or BRAIN framework).
                                Relationship
                                cancelled Organisation
                                prsb03-dataelement-13902
                                Id prsb03-dataelement-13902 (2021‑02‑02 18:16:27)
                                Description The name of the organisation the professional works for.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 4 times
                                 
                                draft Name
                                prsb03-dataelement-13897
                                Id prsb03-dataelement-13897 (2021‑02‑01 20:13:26)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                target Used by 0 transactions, 0 templates, inherited 4 times
                                 
                                draft Role
                                prsb03-dataelement-13898
                                Id prsb03-dataelement-13898 (2021‑02‑01 20:17:22)
                                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:- SDSjobrolename
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 4 times
                                 
                                draft Grade
                                prsb03-dataelement-13899
                                Id prsb03-dataelement-13899 (2021‑02‑01 20:23:02)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 4 times
                                 
                                draft Specialty
                                prsb03-dataelement-13900
                                Id prsb03-dataelement-13900 (2021‑02‑01 20:28:38)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc.
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Care professional main speciality code
                                Value Domain
                                Property
                                min length max length
                                3 3
                                target Used by 0 transactions, 0 templates, inherited 4 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-13901
                                Id prsb03-dataelement-13901 (2021‑02‑02 18:12:20)
                                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 entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by 0 transactions, 0 templates, inherited 4 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-13903
                                link
                                Id prsb03-dataelement-13903 (2021‑02‑02 21:35:36)
                                Description The name of the organisation the professional works for.
                                target Used by 0 transactions, 0 templates, inherited 4 times
                                 
                                draft Coded value
                                prsb03-dataelement-13904
                                Id prsb03-dataelement-13904 (2021‑02‑02 21:41:22)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisation identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                target Used by 0 transactions, 0 templates, inherited 4 times
                                 
                                draft Free text
                                prsb03-dataelement-13905
                                Id prsb03-dataelement-13905 (2021‑02‑02 21:45:00)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 4 times
                                 
                                draft Contact details
                                prsb03-dataelement-13906
                                Id prsb03-dataelement-13906 (2021‑02‑02 21:51:13)
                                Description Contact details of the professional.
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by 0 transactions, 0 templates, inherited 4 times
                                 
                                folder draft Person completing record
                                prsb03-dataelement-13907
                                link
                                Id prsb03-dataelement-13907 (2021‑02‑02 22:27:51)
                                Description Details of the person completing the record.
                                target Used by 0 transactions, 0 templates, inherited 7 times
                                 
                                draft Name
                                prsb03-dataelement-13908
                                Id prsb03-dataelement-13908 (2021‑02‑02 22:35:30)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 7 times
                                 
                                draft Role
                                prsb03-dataelement-13909
                                Id prsb03-dataelement-13909 (2021‑02‑02 22:37:50)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                target Used by 0 transactions, 0 templates, inherited 7 times
                                 
                                draft Grade
                                prsb03-dataelement-13910
                                Id prsb03-dataelement-13910 (2021‑02‑02 22:42:50)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 7 times
                                 
                                draft Specialty
                                prsb03-dataelement-13911
                                Id prsb03-dataelement-13911 (2021‑02‑02 22:47:46)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                target Used by 0 transactions, 0 templates, inherited 7 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-13912
                                link
                                Id prsb03-dataelement-13912 (2021‑02‑02 22:55:15)
                                Description The organisation the person completing the record works for.
                                target Used by 0 transactions, 0 templates, inherited 7 times
                                 
                                draft Coded value
                                prsb03-dataelement-13913
                                Id prsb03-dataelement-13913 (2021‑02‑02 22:58:31)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                target Used by 0 transactions, 0 templates, inherited 7 times
                                 
                                draft Free text
                                prsb03-dataelement-13914
                                Id prsb03-dataelement-13914 (2021‑02‑02 23:02:16)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 7 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-13915
                                Id prsb03-dataelement-13915 (2021‑02‑02 23:06:19)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by 0 transactions, 0 templates, inherited 7 times
                                 
                                draft Date completed
                                prsb03-dataelement-13916
                                Id prsb03-dataelement-13916 (2021‑02‑02 23:12:04)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                target Used by 0 transactions, 0 templates, inherited 7 times
                                 
                                draft Contact details
                                prsb03-dataelement-13917
                                Id prsb03-dataelement-13917 (2021‑02‑02 23:16:07)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by 0 transactions, 0 templates, inherited 7 times
                                 
                                folder draft Three-talk model cluster
                                prsb03-dataelement-13918
                                link
                                Id prsb03-dataelement-13918 (2021‑02‑03 09:38:31)
                                Description A structured entry in the record for clinicians following the three talk model approach to shared decision making.
                                folder draft Team talk
                                prsb03-dataelement-13919
                                link
                                Id prsb03-dataelement-13919 (2021‑02‑03 09:46:21)
                                Description Details of the team talk (previously choice talk) with the person (Three talk model).
                                Comment
                                Overview: The team talk (previously choice talk) includes working together, describing choices, offering support and asking about the person's goals.
                                Suggested phrase: "Let's work as a team to make a decision that suits you best." (Elwyn, 2020)
                                A key purpose of the team talk is to make the the person, who by this point recognises that a health issue that requires a decision has been identified, aware that options exist. The team talk can be done face-to-face, by email or letter, telephone or other means and may include the use of patient decision support tools (Elwyn, 2016).



                                The NICE Shared decision making guideline (in development) states in section 1.2.7: "Ensure the person understands they can take part as fully as they want in making choices about their treatment or care (the ‘choice talk' stage of the three-talk model)."
                                draft Goals and hopes
                                prsb03-dataelement-13920
                                Id prsb03-dataelement-13920 (2021‑02‑03 09:51:28)
                                Description The overall goals, hopes, aims or targets that the person has. Including anything that the person wants to achieve that relates to their future health and wellbeing. Each goal may include a description of why it is important to the person. Goals may also be ranked in order of importance or priority to the person.
                                Operationalization Free text.
                                Value Domain
                                draft Information and advice given
                                prsb03-dataelement-13921
                                Id prsb03-dataelement-13921 (2021‑02‑03 09:53:58)
                                Description A description of pertinent aspects, including the information and advice given to the person as part of the team talk. This should include any decision support tools used and where a copy of these can be securely obtained.
                                Comment According to Elwyn (2016) the team talk discussion may include the following aspects: Establishing collaboration, declaring alternatives, justifying deliberation, checking reaction, deferring closure. See references for further information.
                                Operationalization Free text.
                                Value Domain
                                folder draft Option talk
                                prsb03-dataelement-13922
                                link
                                Id prsb03-dataelement-13922 (2021‑02‑03 09:57:39)
                                Description Details of the option talk with the person (Three talk model).
                                Comment
                                Overview: The option talk includes a discussion of the options and alternatives and the harms and benefits of these using evidence based risk communication principles.
                                Suggested phrase: "Let's compare the possible options." (Elwyn, 2020)
                                According to Elwyn (2016) the option talk discussion may include the following key aspects: Checking knowledge, listing options, describing options, exploring harms and benefits, providing patient decision support, summarising.



                                The General Medical Council guidance on Decision making (GMC, 2020) and consent states in section 10 that : "You must give patients the information they want or need to make a decision. This will usually include: diagnosis and prognosis, uncertainties about the diagnosis or prognosis, including options for further investigation, options for treating or managing the condition, including the option to take no action, the nature of each option, what would be involved, and the desired outcome, the potential benefits, risks of harm, uncertainties about and likelihood of success for each option, including the option to take no action."



                                The NICE Shared decision making guideline (in development) states in section 1.2.9: "When offering tests, treatments or other healthcare services:
                                • openly discuss the risks, benefits and consequences of each option, making sure the person knows this includes choosing no treatment, or no change to what they are currently doing (the ‘option talk’ stage)."
                                folder draft Options entry
                                prsb03-dataelement-13923
                                link
                                Id prsb03-dataelement-13923 (2021‑02‑03 10:05:52)
                                Description Record of the options discussed.
                                Comment The General Medical Council (GMC) Decision Making and Consent guidance (GMC, 2020) states that when discussing options for treating or managing a condition the clinician involved must include the option to take no action:



                                "Doctors must try to find out what matters to patients so they can share relevant information about the benefits and harms of proposed options and reasonable alternatives, including the option to take no action (Principle 4)."
                                draft Coded value
                                prsb03-dataelement-13924
                                Id prsb03-dataelement-13924 (2021‑02‑03 10:11:10)
                                Description Coded value of the option discussed.
                                Operationalization SNOMED CT.
                                Value Domain
                                draft Free text
                                prsb03-dataelement-13925
                                Id prsb03-dataelement-13925 (2021‑02‑03 10:18:29)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                folder draft Benefits entry
                                prsb03-dataelement-13926
                                link
                                Id prsb03-dataelement-13926 (2021‑02‑03 10:21:37)
                                Description Record of the benefits discussed for each option.
                                Comment
                                The General Medical Council (GMC) Decision Making and Consent guidance (GMC, 2020) states in section 21: "You must give patients clear, accurate and up-to-date information, based on the best available evidence, about the potential benefits and risks of harm of each option, including the option to take no action."
                                draft Coded value
                                prsb03-dataelement-13927
                                Id prsb03-dataelement-13927 (2021‑02‑03 10:33:02)
                                Description Coded value of the benefit discussed.
                                Operationalization SNOMED CT.
                                Value Domain
                                draft Free text
                                prsb03-dataelement-13928
                                Id prsb03-dataelement-13928 (2021‑02‑03 10:35:02)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                folder draft Risks communication entry
                                prsb03-dataelement-13929
                                link
                                Id prsb03-dataelement-13929 (2021‑02‑03 10:39:01)
                                Description Record of the risks discussed for each option.
                                Comment The General Medical Council (GMC) Decision Making and Consent guidance (GMC, 2020) states in section 21 that when discussing benefits and harms a clinician should include the following: "Recognised risks of harm that [the clinician] believe[s] anyone in the patient’s position would want to know... the effect of the patient’s individual clinical circumstances on the probability of a benefit or harm occurring...risks of harm and potential benefits that the patient would consider significant for any reason...any risk of serious harm, however unlikely it is to occur...expected harms, including common side effects and what to do if they occur."



                                "It wouldn’t be reasonable to share every possible risk of harm, potential complication or side effect. Instead, you should tailor the discussion to each individual patient, guided by what matters to them, and share information in a way they can understand." (Section 22).
                                draft Coded value
                                prsb03-dataelement-13930
                                Id prsb03-dataelement-13930 (2021‑02‑03 10:44:43)
                                Description Coded value of the risk discussed.
                                Operationalization SNOMED CT.
                                Value Domain
                                draft Free text
                                prsb03-dataelement-13931
                                Id prsb03-dataelement-13931 (2021‑02‑03 10:46:20)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Decision talk
                                prsb03-dataelement-13932
                                Id prsb03-dataelement-13932 (2021‑02‑03 11:11:58)
                                Description Details of the decision talk with the person. This includes details of the decisions made, what the person said was important to them in coming to the decision, and agreed timescales for review.
                                Comment
                                Overview: The decision talk aims to establish a person's informed preferences and to make preference based decisions.
                                Suggested phrase: "Tell me what matters most to you for this decision." (Elwyn, 2020)
                                According to Elwyn (2016) the decision talk discussion may include the following key aspects: Focusing on preferences, eliciting and integrating preferences, moving to a decision, offering review.



                                The NICE guideline on Shared Decision Making (in draft) states:



                                In section 1.2.13:



                                "Make a joint decision or plan about treatment or care and agree when this will be reviewed (the ‘decision’ or ‘planning’ stage)."



                                In section 1.2.14:



                                "At the end of an appointment, state clearly what decisions have been made to make sure the person agrees with and understands what has been decided, what happens next, what the timescales are, and when it will be reviewed."



                                In section 1.2.15:



                                "When writing up the consultation, record any decisions made along with details of what the person said was important to them in making those decisions."
                                Operationalization Free text.
                                Value Domain
                                folder draft Performing professional
                                prsb03-dataelement-13933
                                link
                                Id prsb03-dataelement-13933 (2021‑02‑03 11:17:05)
                                Description The professional who conducted the shared decision making conversation (Three talk model).
                                Relationship
                                cancelled Organisation
                                prsb03-dataelement-13934
                                Id prsb03-dataelement-13934 (2021‑02‑03 11:20:19)
                                Concept inherits from cancelled prsb03-dataelement-13902 (2021‑02‑02 18:16:27)
                                Description The name of the organisation the professional works for.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Name
                                prsb03-dataelement-13935
                                Id prsb03-dataelement-13935 (2021‑02‑03 11:20:19)
                                Concept inherits from draft prsb03-dataelement-13897 (2021‑02‑01 20:13:26)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Role
                                prsb03-dataelement-13936
                                Id prsb03-dataelement-13936 (2021‑02‑03 11:20:19)
                                Concept inherits from draft prsb03-dataelement-13898 (2021‑02‑01 20:17:22)
                                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:- SDSjobrolename
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Grade
                                prsb03-dataelement-13937
                                Id prsb03-dataelement-13937 (2021‑02‑03 11:20:19)
                                Concept inherits from draft prsb03-dataelement-13899 (2021‑02‑01 20:23:02)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Specialty
                                prsb03-dataelement-13938
                                Id prsb03-dataelement-13938 (2021‑02‑03 11:20:19)
                                Concept inherits from draft prsb03-dataelement-13900 (2021‑02‑01 20:28:38)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc.
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Care professional main speciality code
                                Value Domain
                                Property
                                min length max length
                                3 3
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-13939
                                Id prsb03-dataelement-13939 (2021‑02‑03 11:20:19)
                                Concept inherits from draft prsb03-dataelement-13901 (2021‑02‑02 18:12:20)
                                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 entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-13940
                                link
                                Id prsb03-dataelement-13940 (2021‑02‑03 11:20:19)
                                Concept inherits from draft prsb03-dataelement-13903 (2021‑02‑02 21:35:36)
                                Description The name of the organisation the professional works for.
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Coded value
                                prsb03-dataelement-13941
                                Id prsb03-dataelement-13941 (2021‑02‑03 11:20:19)
                                Concept inherits from draft prsb03-dataelement-13904 (2021‑02‑02 21:41:22)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisation identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Free text
                                prsb03-dataelement-13942
                                Id prsb03-dataelement-13942 (2021‑02‑03 11:20:19)
                                Concept inherits from draft prsb03-dataelement-13905 (2021‑02‑02 21:45:00)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Contact details
                                prsb03-dataelement-13943
                                Id prsb03-dataelement-13943 (2021‑02‑03 11:20:19)
                                Concept inherits from draft prsb03-dataelement-13906 (2021‑02‑02 21:51:13)
                                Description Contact details of the professional.
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Person completing record
                                prsb03-dataelement-13944
                                link
                                Id prsb03-dataelement-13944 (2021‑02‑03 11:48:41)
                                Concept inherits from draft prsb03-dataelement-13907 (2021‑02‑02 22:27:51)
                                Description Details of the person completing the record.
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Name
                                prsb03-dataelement-13945
                                Id prsb03-dataelement-13945 (2021‑02‑03 11:49:43)
                                Concept inherits from draft prsb03-dataelement-13908 (2021‑02‑02 22:35:30)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Role
                                prsb03-dataelement-13946
                                Id prsb03-dataelement-13946 (2021‑02‑03 11:49:43)
                                Concept inherits from draft prsb03-dataelement-13909 (2021‑02‑02 22:37:50)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Grade
                                prsb03-dataelement-13947
                                Id prsb03-dataelement-13947 (2021‑02‑03 11:49:43)
                                Concept inherits from draft prsb03-dataelement-13910 (2021‑02‑02 22:42:50)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Specialty
                                prsb03-dataelement-13948
                                Id prsb03-dataelement-13948 (2021‑02‑03 11:49:43)
                                Concept inherits from draft prsb03-dataelement-13911 (2021‑02‑02 22:47:46)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                folder draft Organisation
                                prsb03-dataelement-13949
                                link
                                Id prsb03-dataelement-13949 (2021‑02‑03 11:49:43)
                                Concept inherits from draft prsb03-dataelement-13912 (2021‑02‑02 22:55:15)
                                Description The organisation the person completing the record works for.
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Coded value
                                prsb03-dataelement-13950
                                Id prsb03-dataelement-13950 (2021‑02‑03 11:49:43)
                                Concept inherits from draft prsb03-dataelement-13913 (2021‑02‑02 22:58:31)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Free text
                                prsb03-dataelement-13951
                                Id prsb03-dataelement-13951 (2021‑02‑03 11:49:43)
                                Concept inherits from draft prsb03-dataelement-13914 (2021‑02‑02 23:02:16)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Professional identifier
                                prsb03-dataelement-13952
                                Id prsb03-dataelement-13952 (2021‑02‑03 11:49:43)
                                Concept inherits from draft prsb03-dataelement-13915 (2021‑02‑02 23:06:19)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Date completed
                                prsb03-dataelement-13953
                                Id prsb03-dataelement-13953 (2021‑02‑03 11:49:43)
                                Concept inherits from draft prsb03-dataelement-13916 (2021‑02‑02 23:12:04)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Contact details
                                prsb03-dataelement-13954
                                Id prsb03-dataelement-13954 (2021‑02‑03 11:49:43)
                                Concept inherits from draft prsb03-dataelement-13917 (2021‑02‑02 23:16:07)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                folder draft Post-appointment actions
                                prsb03-dataelement-14076
                                link
                                Id prsb03-dataelement-14076 (2021‑02‑17 23:58:44)
                                Description A record of the actions agreed to support the shared decision after the appointment. This should include:

                                Agreed actions for the professional such as those related to further information to be shared, planned investigations, procedures and treatment for a person's identified conditions and priorities.

                                Actions for the person or their carer. For example, following clinician shared printouts summarising the options or decisions made and there may be action for patient to review . Following clinician signposting to relevant online or physical information resources there may be an agreed action for the person to access and review the materials.
                                Comment
                                Kings Fund (2011):



                                "There should be a formal system for documenting:



                                1. the decision 

                                2. the agreed course of action 

                                3. the ongoing roles and responsibilities of each party 

                                4. the risk-sharing agreement.."



                                The NICE Shared Decision Making guideline (in draft) states in section 1.2.16 that after appointments:



                                "Give people resources to help them understand what was discussed and decided in their appointment. This could be a printout summarising the options and decisions or plans made, and links to high-quality online resources (for example, relevant NICE guidelines). Ideally, give people this material to take away, or provide it very soon after the appointment."



                                In 1.2.17:



                                "In secondary or tertiary care, consider asking the person if they would like a letter detailing the information from their appointment to be sent to them and copied to their GP. Letters should be written in line with Academy of Medical Royal Colleges guidance on writing outpatient clinical letters to patients."
                                Operationalization Free text.
                                draft Actions for professionals
                                prsb03-dataelement-14188
                                Id prsb03-dataelement-14188 (2021‑02‑24 14:46:07)
                                Description Agreed actions for the professional including planned investigations, procedures and treatment for a person's identified conditions and priorities.
                                Comment A record of the agreed actions for the professional(s) . May be structured (table), with actions, names, dates, status, location, strategies, or free text.



                                Kings Fund (2011):



                                "There should be a formal system for documenting:



                                1. the decision

                                2. the agreed course of action

                                3. the ongoing roles and responsibilities of each party

                                4. the risk-sharing agreement.."
                                Operationalization Free text.
                                Value Domain
                                draft Actions for person or their carer
                                prsb03-dataelement-14189
                                Id prsb03-dataelement-14189 (2021‑02‑24 14:52:20)
                                Description Agreed actions for the person or their carer. For each action the following should be identified: outcome expectations, including person’s expectations.
                                Comment A record of the planned and requested actions for the person or their carer. May be structured (table), with actions, names, dates, status, location, strategies, or free text.



                                Kings Fund (2011):



                                "There should be a formal system for documenting:



                                1. the decision 

                                2. the agreed course of action 

                                3. the ongoing roles and responsibilities of each party 

                                4. the risk-sharing agreement.."
                                Operationalization Free text.
                                Value Domain
                                folder draft Performance measures
                                prsb03-dataelement-14093
                                link
                                Id prsb03-dataelement-14093 (2021‑02‑18 02:32:03)
                                Description A record of any performance measures used for measuring the effectiveness of shared decision making. e.g. CollaboRATE, Observer OPTION 5, Observer OPTION 12, SDM-Q-9 / SDM-Q-Doc etc.
                                folder draft Performance measure item entry
                                prsb03-dataelement-14157
                                link
                                Id prsb03-dataelement-14157 (2021‑02‑23 23:46:10)
                                Description Generic record of any shared decision performance measuring tools used.
                                Relationship
                                draft Performance measure identifier
                                prsb03-dataelement-14158
                                Id prsb03-dataelement-14158 (2021‑02‑23 23:57:25)
                                Description Any alphanumeric identifier associated with the performance measure (if applicable). 
                                Relationship
                                Operationalization Free text.
                                Value Domain
                                draft Performance measure name
                                prsb03-dataelement-14159
                                Id prsb03-dataelement-14159 (2021‑02‑23 23:57:25)
                                Description The name of the performance measure.
                                Relationship
                                Operationalization Free text.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                draft Performance measure output
                                prsb03-dataelement-14160
                                Id prsb03-dataelement-14160 (2021‑02‑23 23:57:25)
                                Description The output of the performance measure e.g. score or free text.
                                Relationship
                                Operationalization Free text
                                Value Domain
                                draft Performance measure location
                                prsb03-dataelement-14161
                                Id prsb03-dataelement-14161 (2021‑02‑23 23:57:25)
                                Description The URL for the performance measure.
                                Relationship
                                Operationalization Free text.
                                Value Domain
                                draft Performance measure MIME type
                                prsb03-dataelement-14162
                                Id prsb03-dataelement-14162 (2021‑02‑23 23:57:25)
                                Description MIME type of the document e.g. application, pdf, website.
                                Relationship
                                Operationalization Free text.
                                Value Domain
                                folder draft CollaboRATE
                                prsb03-dataelement-14137
                                link
                                Id prsb03-dataelement-14137 (2021‑02‑22 13:24:45)
                                Description CollaboRATE is a patient-reported measure of shared decision making. The tool can be completed following a clinical encounter by patients, their parent(s) or guardian(s), or individuals representing the patient.
                                Comment CollaboRATE has been produced for use in research or as part of routine direct care. It can be used under a Creative Commons Attribution-NonCommerical-NoDerivs 3.0 Unported license. 
                                folder draft CollaboRATE for patients (5 point scale)
                                prsb03-dataelement-14149
                                link
                                Id prsb03-dataelement-14149 (2021‑02‑22 16:44:34)
                                Description A record of the person's CollaboRATE for patients score (5 point scale)
                                Relationship
                                draft Question 1 score
                                prsb03-dataelement-14150
                                Id prsb03-dataelement-14150 (2021‑02‑22 16:45:34)
                                Description Score (0 - 4) for CollaboRATE Q1:

                                Thinking about the appointment you have just had...How much effort was made to help you understand your health issues?
                                Relationship
                                Operationalization Ordinal scale (0 - 4)



                                0 = No effort was made ; 1 = A little effort was made ; 2 = Some effort was made ; 3 = A lot of effort was made ;  4 = Every effort was made

                                Value Domain
                                draft Question 2 score
                                prsb03-dataelement-14151
                                Id prsb03-dataelement-14151 (2021‑02‑22 16:45:34)
                                Description Score (0 - 9) for CollaboRATE Q2:

                                Thinking about the appointment you have just had...How much effort was made to listen to the things that matter most to you about your health issues?
                                Relationship
                                Operationalization Ordinal scale (0 - 4)



                                0 = No effort was made ; 1 = A little effort was made ; 2 = Some effort was made ; 3 = A lot of effort was made ;  4 = Every effort was made

                                Value Domain
                                draft Question 3 score
                                prsb03-dataelement-14152
                                Id prsb03-dataelement-14152 (2021‑02‑22 16:45:34)
                                Description Score (0 - 9) for CollaboRATE Q3:

                                Thinking about the appointment you have just had...How much effort was made to include what matters most to you in choosing what to do next?
                                Relationship
                                Operationalization Ordinal scale (0 - 4)



                                0 = No effort was made ; 1 = A little effort was made ; 2 = Some effort was made ; 3 = A lot of effort was made ;  4 = Every effort was made
                                Value Domain
                                folder draft CollaboRATE for patients (10 point scale)
                                prsb03-dataelement-14142
                                link
                                Id prsb03-dataelement-14142 (2021‑02‑22 14:03:15)
                                Description A record of the person's CollaboRATE for patients score (10 point scale)
                                Relationship
                                draft Question 1 score
                                prsb03-dataelement-14146
                                Id prsb03-dataelement-14146 (2021‑02‑22 14:06:37)
                                Description Score (0 - 9) for CollaboRATE Q1:

                                Thinking about the appointment you have just had...How much effort was made to help you understand your health issues?
                                Relationship
                                Operationalization Ordinal scale (0 - 9)



                                0 = No effort was made ; 9 = Every effort was made

                                Value Domain
                                draft Question 2 score
                                prsb03-dataelement-14147
                                Id prsb03-dataelement-14147 (2021‑02‑22 14:06:37)
                                Description Score (0 - 9) for CollaboRATE Q2:

                                Thinking about the appointment you have just had...How much effort was made to listen to the things that matter most to you about your health issues?
                                Relationship
                                Operationalization Ordinal scale (0 - 9)



                                0 = No effort was made ; 9 = Every effort was made
                                Value Domain
                                draft Question 3 score
                                prsb03-dataelement-14148
                                Id prsb03-dataelement-14148 (2021‑02‑22 14:06:37)
                                Description Score (0 - 9) for CollaboRATE Q3:

                                Thinking about the appointment you have just had...How much effort was made to include what matters most to you in choosing what to do next?
                                Relationship
                                Operationalization Ordinal scale (0 - 9)



                                0 = No effort was made ; 9 = Every effort was made
                                Value Domain
                                folder draft CollaboRATE for parents or guardians (10 point scale)
                                prsb03-dataelement-14138
                                link
                                Id prsb03-dataelement-14138 (2021‑02‑22 13:29:35)
                                Description A record of the person's CollaboRATE for parents or guardians score (10 point scale)
                                draft Question 1 score
                                prsb03-dataelement-14139
                                Id prsb03-dataelement-14139 (2021‑02‑22 13:36:41)
                                Description Score (0 - 9) for CollaboRATE Q1:

                                Thinking about the appointment you have just had...How much effort was made to help you understand your child's health issues?
                                Operationalization Ordinal scale (0 - 9)



                                0 = No effort was made ; 9 = Every effort was made

                                Value Domain
                                draft Question 2 score
                                prsb03-dataelement-14141
                                Id prsb03-dataelement-14141 (2021‑02‑22 13:51:37)
                                Description Score (0 - 9) for CollaboRATE Q2:

                                Thinking about the appointment you have just had...How much effort was made to listen to the things that matter most to you about your child's health issues?
                                Relationship
                                Operationalization Ordinal scale (0 - 9)



                                0 = No effort was made ; 9 = Every effort was made
                                Value Domain
                                draft Question 3 score
                                prsb03-dataelement-14140
                                Id prsb03-dataelement-14140 (2021‑02‑22 13:49:39)
                                Description Score (0 - 9) for CollaboRATE Q3:

                                Thinking about the appointment you have just had...How much effort was made to include what matters most to you in choosing what to do next?
                                Relationship
                                Operationalization Ordinal scale (0 - 9)



                                0 = No effort was made ; 9 = Every effort was made
                                Value Domain
                                folder draft CollaboRATE for individuals acting on behalf of patients (10 point scale)
                                prsb03-dataelement-14153
                                link
                                Id prsb03-dataelement-14153 (2021‑02‑23 23:13:48)
                                Description A record of the person's CollaboRATE for individuals acting on behalf of patients (10 point scale)
                                Relationship
                                draft Question 1 score
                                prsb03-dataelement-14154
                                Id prsb03-dataelement-14154 (2021‑02‑23 23:16:54)
                                Description Score (0 - 9) for CollaboRATE Q1:

                                Thinking about the appointment you have just had...How much effort was made to help you understand the patient's health issues?
                                Relationship
                                Operationalization Ordinal scale (0 - 9)



                                0 = No effort was made ; 9 = Every effort was made

                                Value Domain
                                draft Question 2 score
                                prsb03-dataelement-14155
                                Id prsb03-dataelement-14155 (2021‑02‑23 23:16:54)
                                Description Score (0 - 9) for CollaboRATE Q2:

                                Thinking about the appointment you have just had...How much effort was made to listen to the things that matter most to you about the patient's health issues?
                                Relationship
                                Operationalization Ordinal scale (0 - 9)



                                0 = No effort was made ; 9 = Every effort was made
                                Value Domain
                                draft Question 3 score
                                prsb03-dataelement-14156
                                Id prsb03-dataelement-14156 (2021‑02‑23 23:16:54)
                                Description Score (0 - 9) for CollaboRATE Q3:

                                Thinking about the appointment you have just had...How much effort was made to include what matters most to you in choosing what to do next for the patient?
                                Relationship
                                Operationalization Ordinal scale (0 - 9)



                                0 = No effort was made ; 9 = Every effort was made
                                Value Domain
                                folder draft 9-item shared decision making questionnaire
                                prsb03-dataelement-14163
                                link
                                Id prsb03-dataelement-14163 (2021‑02‑24 00:11:44)
                                Description A digitised version of the 9-item shared decision making questionnaire, which is composed of the SDM-Q-9 (patient-reported) and SDM-Q-Doc (clinician reported) performance measures.
                                Comment The measures were developed for use in research and clinical practice and, according to the authors, should only be applied in the context of  preference sensitive decisions  i.e. where there are several treatment options for a particular disease.

                                folder draft SDM-Q-9
                                prsb03-dataelement-14164
                                link
                                Id prsb03-dataelement-14164 (2021‑02‑24 00:18:07)
                                Description Digitised entry for the SDM-Q-9 performance measure.
                                Comment The SDM-Q-9 is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License

                                draft Health complaint/problem/illness entry
                                prsb03-dataelement-14165
                                Id prsb03-dataelement-14165 (2021‑02‑24 00:21:08)
                                Description Please indicate which health complaint/problem/illness the consultation was about: 
                                Operationalization Free text.
                                Value Domain
                                draft Decision entry
                                prsb03-dataelement-14166
                                Id prsb03-dataelement-14166 (2021‑02‑24 00:23:02)
                                Description Please indicate which decision was made:
                                Operationalization Free text.
                                Value Domain
                                draft Question 1 response
                                prsb03-dataelement-14175
                                Id prsb03-dataelement-14175 (2021‑02‑24 00:53:17)
                                Description For each statement please indicate how much you agree or disagree:

                                My doctor made clear that a decision needs to be made.
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 2 response
                                prsb03-dataelement-14174
                                Id prsb03-dataelement-14174 (2021‑02‑24 00:49:22)
                                Description For each statement please indicate how much you agree or disagree:

                                My doctor wanted to know exactly how I want to be involved in making the decision.
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 3 response
                                prsb03-dataelement-14173
                                Id prsb03-dataelement-14173 (2021‑02‑24 00:47:12)
                                Description For each statement please indicate how much you agree or disagree:

                                My doctor told me that there are different options for treating my medical condition.
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 4 response
                                prsb03-dataelement-14172
                                Id prsb03-dataelement-14172 (2021‑02‑24 00:44:57)
                                Description For each statement please indicate how much you agree or disagree:

                                My doctor precisely explained the advantages and disadvantages of the treatment options.
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 5 response
                                prsb03-dataelement-14171
                                Id prsb03-dataelement-14171 (2021‑02‑24 00:42:32)
                                Description For each statement please indicate how much you agree or disagree:

                                My doctor helped me understand all the information.


                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 6 response
                                prsb03-dataelement-14170
                                Id prsb03-dataelement-14170 (2021‑02‑24 00:39:55)
                                Description For each statement please indicate how much you agree or disagree:

                                My doctor asked me which treatment option I prefer.
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 7 response
                                prsb03-dataelement-14169
                                Id prsb03-dataelement-14169 (2021‑02‑24 00:37:19)
                                Description For each statement please indicate how much you agree or disagree:

                                My doctor and I thoroughly weighed the different treatment options.
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 8 response
                                prsb03-dataelement-14168
                                Id prsb03-dataelement-14168 (2021‑02‑24 00:30:29)
                                Description For each statement please indicate how much you agree or disagree:

                                My doctor and I selected a treatment option together.
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 9 response
                                prsb03-dataelement-14167
                                Id prsb03-dataelement-14167 (2021‑02‑24 00:24:56)
                                Description For each statement please indicate how much you agree or disagree:

                                My doctor and I reached an agreement on how to proceed.
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                folder draft SDM-Q-Doc
                                prsb03-dataelement-14176
                                link
                                Id prsb03-dataelement-14176 (2021‑02‑24 00:56:53)
                                Description Digitised entry for the SDM-Q-Doc performance measure (Physician version).
                                Relationship
                                Comment The SDM-Q-Doc is licensed under the  Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License

                                draft Health complaint/problem/illness entry
                                prsb03-dataelement-14187
                                Id prsb03-dataelement-14187 (2021‑02‑24 00:57:54)
                                Description Please indicate which health complaint/problem/illness the consultation was about: 
                                Relationship
                                Operationalization Free text.
                                Value Domain
                                draft Decision entry
                                prsb03-dataelement-14186
                                Id prsb03-dataelement-14186 (2021‑02‑24 00:57:54)
                                Description Please indicate which decision was made:
                                Relationship
                                Operationalization Free text.
                                Value Domain
                                draft Question 1 response
                                prsb03-dataelement-14177
                                Id prsb03-dataelement-14177 (2021‑02‑24 00:57:54)
                                Description For each statement please indicate how much you agree or disagree:

                                I made clear to my patient that a decision needs to be made.
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 2 response
                                prsb03-dataelement-14178
                                Id prsb03-dataelement-14178 (2021‑02‑24 00:57:54)
                                Description For each statement please indicate how much you agree or disagree:

                                I wanted to know exactly from my patient how he/she wants to be involved in making the decision.
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 3 response
                                prsb03-dataelement-14179
                                Id prsb03-dataelement-14179 (2021‑02‑24 00:57:54)
                                Description For each statement please indicate how much you agree or disagree:

                                I told my patient that there are different options for treating his/her medical condition. 
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 4 response
                                prsb03-dataelement-14180
                                Id prsb03-dataelement-14180 (2021‑02‑24 00:57:54)
                                Description For each statement please indicate how much you agree or disagree:

                                I precisely explained the advantages and disadvantages of the treatment options to my patient.
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 5 response
                                prsb03-dataelement-14181
                                Id prsb03-dataelement-14181 (2021‑02‑24 00:57:54)
                                Description For each statement please indicate how much you agree or disagree:

                                I helped my patient understand all the information.


                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 6 response
                                prsb03-dataelement-14182
                                Id prsb03-dataelement-14182 (2021‑02‑24 00:57:54)
                                Description For each statement please indicate how much you agree or disagree:

                                 I asked my patient which treatment option he/she prefers. 
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 7 response
                                prsb03-dataelement-14183
                                Id prsb03-dataelement-14183 (2021‑02‑24 00:57:54)
                                Description For each statement please indicate how much you agree or disagree:

                                My patient and I thoroughly weighed the different treatment options.
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 8 response
                                prsb03-dataelement-14184
                                Id prsb03-dataelement-14184 (2021‑02‑24 00:57:54)
                                Description For each statement please indicate how much you agree or disagree:

                                My patient and I selected a treatment option together. 
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                draft Question 9 response
                                prsb03-dataelement-14185
                                Id prsb03-dataelement-14185 (2021‑02‑24 00:57:54)
                                Description For each statement please indicate how much you agree or disagree:

                                My patient and I reached an agreement on how to proceed.
                                Relationship
                                Operationalization 1 = completely disagree ; 2 = strongly disagree ; 3 = somewhat disagree ; 4 = somewhat agree ; 5 = strongly agree ; 6 = completely agree
                                Value Domain
                                folder draft Documenting consent
                                prsb03-dataelement-14194
                                link
                                Id prsb03-dataelement-14194 (2021‑02‑25 23:10:18)
                                Description A record of documents recording consent for an intervention.
                                folder draft Consent for procedure record entry
                                prsb03-dataelement-14195
                                link
                                Id prsb03-dataelement-14195 (2021‑02‑25 23:14:06)
                                Description This is a consent for 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
                                cancelled Performance measure name
                                prsb03-dataelement-14205
                                Id prsb03-dataelement-14205 (2021‑02‑25 23:53:24)
                                Concept inherits from draft prsb03-dataelement-14159 (2021‑02‑23 23:57:25)
                                Description The name of the performance measure.
                                Relationship
                                Operationalization Free text.
                                Value Domain
                                draft date
                                prsb03-dataelement-14196
                                Id prsb03-dataelement-14196 (2021‑02‑25 23:18:47)
                                Description The date when consent was taken.
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year
                                folder draft Location
                                prsb03-dataelement-14197
                                link
                                Id prsb03-dataelement-14197 (2021‑02‑25 23:22:58)
                                Description The location where consent was taken.
                                draft Coded value
                                prsb03-dataelement-14198
                                Id prsb03-dataelement-14198 (2021‑02‑25 23:24:04)
                                Description The coded value for location.
                                Operationalization NHS data dictionary : -  Organisation data service code
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14199
                                Id prsb03-dataelement-14199 (2021‑02‑25 23:26:22)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited once
                                 
                                folder draft Consent form type
                                prsb03-dataelement-14200
                                link
                                Id prsb03-dataelement-14200 (2021‑02‑25 23:33:46)
                                Description Record of consent form used.
                                draft Coded value
                                prsb03-dataelement-14201
                                Id prsb03-dataelement-14201 (2021‑02‑25 23:37:05)
                                Description The coded value for the consent form used.
                                Operationalization SNOMED CT : - SNOMED CT: - : 849771000000105 |Obtaining consent using form 1 (patient agreement to investigation or treatment) (procedure)| OR 849781000000107 |Obtaining consent using form 2 (parental agreement to investigation or treatment for a child or young person) (procedure)| OR 849791000000109 |Obtaining consent using form 3 (patient or parental agreement to investigation or treatment) (procedure)| OR 849801000000108 |Obtaining consent using form 4 (adults who are unable to consent to investigation or treatment) (procedure)|
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14202
                                Id prsb03-dataelement-14202 (2021‑02‑25 23:41:17)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Consent form location
                                prsb03-dataelement-14203
                                Id prsb03-dataelement-14203 (2021‑02‑25 23:44:55)
                                Description The URL for the consent form.
                                Operationalization Free text.
                                Value Domain
                                draft Consent form MIME type
                                prsb03-dataelement-14204
                                Id prsb03-dataelement-14204 (2021‑02‑25 23:50:13)
                                Description MIME type of the document e.g. application, pdf, website.
                                Operationalization Free text.
                                Value Domain
                                folder draft Performing professional
                                prsb03-dataelement-14206
                                link
                                Id prsb03-dataelement-14206 (2021‑02‑25 23:56:44)
                                Description The professional who completed the consent form.
                                Relationship
                                draft Organisation
                                prsb03-dataelement-14207
                                Id prsb03-dataelement-14207 (2021‑02‑25 23:57:55)
                                Concept inherits from cancelled prsb03-dataelement-13934 (2021‑02‑03 11:20:19)
                                Description The name of the organisation the professional works for.
                                Value Domain
                                draft Name
                                prsb03-dataelement-14208
                                Id prsb03-dataelement-14208 (2021‑02‑25 23:57:55)
                                Concept inherits from draft prsb03-dataelement-13935 (2021‑02‑03 11:20:19)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                draft Role
                                prsb03-dataelement-14209
                                Id prsb03-dataelement-14209 (2021‑02‑25 23:57:55)
                                Concept inherits from draft prsb03-dataelement-13936 (2021‑02‑03 11:20:19)
                                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:- SDSjobrolename
                                Value Domain
                                draft Grade
                                prsb03-dataelement-14210
                                Id prsb03-dataelement-14210 (2021‑02‑25 23:57:55)
                                Concept inherits from draft prsb03-dataelement-13937 (2021‑02‑03 11:20:19)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14211
                                Id prsb03-dataelement-14211 (2021‑02‑25 23:57:55)
                                Concept inherits from draft prsb03-dataelement-13938 (2021‑02‑03 11:20:19)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc.
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Care professional main speciality code
                                Value Domain
                                Property
                                min length max length
                                3 3
                                draft Professional identifier
                                prsb03-dataelement-14212
                                Id prsb03-dataelement-14212 (2021‑02‑25 23:57:55)
                                Concept inherits from draft prsb03-dataelement-13939 (2021‑02‑03 11:20:19)
                                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 entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                folder draft Organisation
                                prsb03-dataelement-14213
                                link
                                Id prsb03-dataelement-14213 (2021‑02‑25 23:57:55)
                                Concept inherits from draft prsb03-dataelement-13940 (2021‑02‑03 11:20:19)
                                Description The name of the organisation the professional works for.
                                draft Coded value
                                prsb03-dataelement-14214
                                Id prsb03-dataelement-14214 (2021‑02‑25 23:57:55)
                                Concept inherits from draft prsb03-dataelement-13941 (2021‑02‑03 11:20:19)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisation identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14215
                                Id prsb03-dataelement-14215 (2021‑02‑25 23:57:55)
                                Concept inherits from draft prsb03-dataelement-13942 (2021‑02‑03 11:20:19)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Contact details
                                prsb03-dataelement-14216
                                Id prsb03-dataelement-14216 (2021‑02‑25 23:57:55)
                                Concept inherits from draft prsb03-dataelement-13943 (2021‑02‑03 11:20:19)
                                Description Contact details of the professional.
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder draft Person completing record
                                prsb03-dataelement-14217
                                link
                                Id prsb03-dataelement-14217 (2021‑02‑26 00:07:31)
                                Concept inherits from draft prsb03-dataelement-13907 (2021‑02‑02 22:27:51)
                                Description Details of the person completing the record.
                                draft Name
                                prsb03-dataelement-14218
                                Id prsb03-dataelement-14218 (2021‑02‑26 00:08:20)
                                Concept inherits from draft prsb03-dataelement-13908 (2021‑02‑02 22:35:30)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                draft Role
                                prsb03-dataelement-14219
                                Id prsb03-dataelement-14219 (2021‑02‑26 00:08:20)
                                Concept inherits from draft prsb03-dataelement-13909 (2021‑02‑02 22:37:50)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                draft Grade
                                prsb03-dataelement-14220
                                Id prsb03-dataelement-14220 (2021‑02‑26 00:08:20)
                                Concept inherits from draft prsb03-dataelement-13910 (2021‑02‑02 22:42:50)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14221
                                Id prsb03-dataelement-14221 (2021‑02‑26 00:08:20)
                                Concept inherits from draft prsb03-dataelement-13911 (2021‑02‑02 22:47:46)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                folder draft Organisation
                                prsb03-dataelement-14222
                                link
                                Id prsb03-dataelement-14222 (2021‑02‑26 00:08:20)
                                Concept inherits from draft prsb03-dataelement-13912 (2021‑02‑02 22:55:15)
                                Description The organisation the person completing the record works for.
                                draft Coded value
                                prsb03-dataelement-14223
                                Id prsb03-dataelement-14223 (2021‑02‑26 00:08:20)
                                Concept inherits from draft prsb03-dataelement-13913 (2021‑02‑02 22:58:31)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14224
                                Id prsb03-dataelement-14224 (2021‑02‑26 00:08:20)
                                Concept inherits from draft prsb03-dataelement-13914 (2021‑02‑02 23:02:16)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Professional identifier
                                prsb03-dataelement-14225
                                Id prsb03-dataelement-14225 (2021‑02‑26 00:08:20)
                                Concept inherits from draft prsb03-dataelement-13915 (2021‑02‑02 23:06:19)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                draft Date completed
                                prsb03-dataelement-14226
                                Id prsb03-dataelement-14226 (2021‑02‑26 00:08:20)
                                Concept inherits from draft prsb03-dataelement-13916 (2021‑02‑02 23:12:04)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                draft Contact details
                                prsb03-dataelement-14227
                                Id prsb03-dataelement-14227 (2021‑02‑26 00:08:20)
                                Concept inherits from draft prsb03-dataelement-13917 (2021‑02‑02 23:16:07)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder cancelled Agenda Setting
                                prsb03-dataelement-14017
                                Id prsb03-dataelement-14017 (2021‑02‑15 11:52:12)
                                Description xxxxx
                                folder cancelled Generic item to be developed
                                prsb03-dataelement-13878
                                Id prsb03-dataelement-13878 (2021‑02‑01 16:21:59)
                                folder draft Glucose metrics
                                prsb03-dataelement-14425
                                link
                                Id prsb03-dataelement-14425 (2021‑08‑15 14:15:56)
                                Description [Placeholder]
                                folder draft Self monitoring of blood glucose (SMBG) metrics
                                prsb03-dataelement-14426
                                link
                                Id prsb03-dataelement-14426 (2021‑08‑15 14:37:59)
                                Description [Placeholder]
                                draft Mean blood glucose
                                prsb03-dataelement-14442
                                Id prsb03-dataelement-14442 (2021‑08‑15 15:55:29)
                                Description [Placeholder].
                                Value Domain
                                draft Standard deviation
                                prsb03-dataelement-14444
                                Id prsb03-dataelement-14444 (2021‑08‑15 16:14:28)
                                Description [Placeholder]
                                Value Domain
                                draft Average tests per day
                                prsb03-dataelement-14443
                                Id prsb03-dataelement-14443 (2021‑08‑15 15:57:35)
                                Description [Placeholder].
                                Value Domain
                                draft Number of hypoglycaemic episodes
                                prsb03-dataelement-14441
                                Id prsb03-dataelement-14441 (2021‑08‑15 15:53:30)
                                Description [Placeholder].
                                Value Domain
                                folder draft Values-within-goals
                                prsb03-dataelement-14437
                                link
                                Id prsb03-dataelement-14437 (2021‑08‑15 15:38:52)
                                Description [Placeholder]
                                draft Values above goal
                                prsb03-dataelement-14440
                                Id prsb03-dataelement-14440 (2021‑08‑15 15:49:00)
                                Description [Placeholder].
                                Value Domain
                                draft Values within goal
                                prsb03-dataelement-14439
                                Id prsb03-dataelement-14439 (2021‑08‑15 15:47:07)
                                Description [Placeholder].
                                Value Domain
                                draft Values below goal
                                prsb03-dataelement-14438
                                Id prsb03-dataelement-14438 (2021‑08‑15 15:41:09)
                                Description [Placeholder]
                                Value Domain
                                folder draft Continuous glucose monitoring (CGM) metrics
                                prsb03-dataelement-14427
                                link
                                Id prsb03-dataelement-14427 (2021‑08‑15 14:39:35)
                                Description [Placeholder]
                                draft Mean sensor glucose
                                prsb03-dataelement-14428
                                Id prsb03-dataelement-14428 (2021‑08‑15 14:44:54)
                                Description [Placeholder]
                                Value Domain
                                draft Standard deviation
                                prsb03-dataelement-14449
                                Id prsb03-dataelement-14449 (2021‑08‑15 17:39:41)
                                Description [Placeholders]
                                Value Domain
                                folder draft Glycaemic variability indexes
                                prsb03-dataelement-14431
                                link
                                Id prsb03-dataelement-14431 (2021‑08‑15 14:58:21)
                                Description [Placeholder]
                                folder draft Coefficient of variation (%CV)
                                prsb03-dataelement-14436
                                link
                                Id prsb03-dataelement-14436 (2021‑08‑15 15:06:08)
                                Description The coefficient of variation.
                                draft Coded value
                                prsb03-dataelement-14452
                                Id prsb03-dataelement-14452 (2021‑08‑15 18:49:53)
                                Description The coded value for coefficient of variation.
                                Comment There is currently no SNOMED CT code for coefficient of variation (either for generic values or specifically related to mean glucose).
                                Operationalization SNOMED CT.
                                Value Domain
                                draft Value
                                prsb03-dataelement-14451
                                Id prsb03-dataelement-14451 (2021‑08‑15 18:45:08)
                                Description The numerical value of the coefficient of variation.
                                Operationalization Numeric.
                                Value Domain
                                draft Unit of measure
                                prsb03-dataelement-14450
                                Id prsb03-dataelement-14450 (2021‑08‑15 18:27:14)
                                Description The unit of measure for coefficient of variation.
                                Operationalization UCUM code = %
                                Value Domain
                                Property
                                max length
                                10
                                folder draft Data set observation period
                                prsb03-dataelement-14453
                                link
                                Id prsb03-dataelement-14453 (2021‑08‑15 19:29:13)
                                Description [Placeholder].
                                draft End Date
                                prsb03-dataelement-14454
                                Id prsb03-dataelement-14454 (2021‑08‑15 19:34:49)
                                Description The end date and time of the data sample period.
                                Relationship
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                folder draft Calculated estimates of glycated haemoglobin (HbA1c)
                                prsb03-dataelement-14430
                                link
                                Id prsb03-dataelement-14430 (2021‑08‑15 14:53:53)
                                Description [Placeholder]
                                draft Glucose management indicator (GMI)
                                prsb03-dataelement-14435
                                Id prsb03-dataelement-14435 (2021‑08‑15 15:04:56)
                                Description [Placeholder]
                                Value Domain
                                folder draft Times-in-range
                                prsb03-dataelement-14429
                                link
                                Id prsb03-dataelement-14429 (2021‑08‑15 14:52:42)
                                Description [Placeholder]
                                folder draft Time above range (TAR)
                                prsb03-dataelement-14434
                                link
                                Id prsb03-dataelement-14434 (2021‑08‑15 15:03:22)
                                Description [Placeholder]
                                draft TAR level 1
                                prsb03-dataelement-14448
                                Id prsb03-dataelement-14448 (2021‑08‑15 16:44:44)
                                Description [Placeholder].
                                Value Domain
                                draft TAR level 2
                                prsb03-dataelement-14447
                                Id prsb03-dataelement-14447 (2021‑08‑15 16:43:38)
                                Description [Placeholder].
                                Value Domain
                                draft Time in range (TIR)
                                prsb03-dataelement-14433
                                Id prsb03-dataelement-14433 (2021‑08‑15 15:02:18)
                                Description [Placeholder]
                                Value Domain
                                folder draft Time below range (TBR)
                                prsb03-dataelement-14432
                                link
                                Id prsb03-dataelement-14432 (2021‑08‑15 15:00:55)
                                Description [Placeholder]
                                draft TBR level 1
                                prsb03-dataelement-14446
                                Id prsb03-dataelement-14446 (2021‑08‑15 16:40:26)
                                Description [Placeholder]
                                Value Domain
                                draft TBR level 2
                                prsb03-dataelement-14445
                                Id prsb03-dataelement-14445 (2021‑08‑15 16:39:13)
                                Description [Placeholder].
                                Value Domain
                                folder draft National screening programmes
                                prsb03-dataelement-14558
                                link
                                Id prsb03-dataelement-14558 (2021‑09‑08 15:02:38)
                                Description Placeholder
                                folder draft National screening programme record entry
                                prsb03-dataelement-14560
                                link
                                Id prsb03-dataelement-14560 (2021‑09‑08 15:05:41)
                                Description This is a national screening programme 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. 
                                Relationship
                                folder draft Screening offer status
                                prsb03-dataelement-14612
                                link
                                Id prsb03-dataelement-14612 (2021‑09‑08 15:08:37)
                                Description Placeholder
                                Relationship
                                Rationale AllergyIntolerance.type
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Date
                                prsb03-dataelement-14642
                                Id prsb03-dataelement-14642 (2021‑09‑08 15:08:37)
                                Description The date of the screening offer.
                                Relationship
                                Operationalization Date and time
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Screening offer status
                                prsb03-dataelement-14653
                                link
                                Id prsb03-dataelement-14653 (2021‑09‑08 15:08:37)
                                Description The screening offer status for the screening process.
                                Relationship
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Coded value
                                prsb03-dataelement-14686
                                Id prsb03-dataelement-14686 (2021‑09‑08 17:54:20)
                                Description The coded value for the screening offer status for the screening process.
                                Relationship
                                Operationalization SNOMED CT
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Free text
                                prsb03-dataelement-14687
                                Id prsb03-dataelement-14687 (2021‑09‑08 17:54:20)
                                Concept inherits from draft prsb03-dataelement-14685 (2021‑09‑08 17:37:12)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Screening declined
                                prsb03-dataelement-14662
                                link
                                Id prsb03-dataelement-14662 (2021‑09‑08 15:08:37)
                                Description Details of the screening process declined.
                                Relationship
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Coded value
                                prsb03-dataelement-14684
                                Id prsb03-dataelement-14684 (2021‑09‑08 17:31:36)
                                Description The coded value for the details of the screening process declined.
                                Operationalization SNOMED CT
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Free text
                                prsb03-dataelement-14685
                                Id prsb03-dataelement-14685 (2021‑09‑08 17:37:12)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 3 times
                                 
                                draft Comment
                                prsb03-dataelement-14639
                                Id prsb03-dataelement-14639 (2021‑09‑08 15:08:37)
                                Description Any additional comment or clarification about the screening.
                                Relationship
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Performing professional
                                prsb03-dataelement-14623
                                link
                                Id prsb03-dataelement-14623 (2021‑09‑08 15:08:37)
                                Description The professional who made the screening offer.
                                Relationship
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Organisation
                                prsb03-dataelement-14700
                                Id prsb03-dataelement-14700 (2021‑09‑08 18:53:21)
                                Concept inherits from cancelled prsb03-dataelement-13902 (2021‑02‑02 18:16:27)
                                Description The name of the organisation the professional works for.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Name
                                prsb03-dataelement-14701
                                Id prsb03-dataelement-14701 (2021‑09‑08 18:53:21)
                                Concept inherits from draft prsb03-dataelement-13897 (2021‑02‑01 20:13:26)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Role
                                prsb03-dataelement-14702
                                Id prsb03-dataelement-14702 (2021‑09‑08 18:53:21)
                                Concept inherits from draft prsb03-dataelement-13898 (2021‑02‑01 20:17:22)
                                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:- SDSjobrolename
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Grade
                                prsb03-dataelement-14703
                                Id prsb03-dataelement-14703 (2021‑09‑08 18:53:21)
                                Concept inherits from draft prsb03-dataelement-13899 (2021‑02‑01 20:23:02)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Specialty
                                prsb03-dataelement-14704
                                Id prsb03-dataelement-14704 (2021‑09‑08 18:53:21)
                                Concept inherits from draft prsb03-dataelement-13900 (2021‑02‑01 20:28:38)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc.
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Care professional main speciality code
                                Value Domain
                                Property
                                min length max length
                                3 3
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-14705
                                Id prsb03-dataelement-14705 (2021‑09‑08 18:53:21)
                                Concept inherits from draft prsb03-dataelement-13901 (2021‑02‑02 18:12:20)
                                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 entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-14706
                                link
                                Id prsb03-dataelement-14706 (2021‑09‑08 18:53:21)
                                Concept inherits from draft prsb03-dataelement-13903 (2021‑02‑02 21:35:36)
                                Description The name of the organisation the professional works for.
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Coded value
                                prsb03-dataelement-14707
                                Id prsb03-dataelement-14707 (2021‑09‑08 18:53:21)
                                Concept inherits from draft prsb03-dataelement-13904 (2021‑02‑02 21:41:22)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisation identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Free text
                                prsb03-dataelement-14708
                                Id prsb03-dataelement-14708 (2021‑09‑08 18:53:21)
                                Concept inherits from draft prsb03-dataelement-13905 (2021‑02‑02 21:45:00)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Contact details
                                prsb03-dataelement-14709
                                Id prsb03-dataelement-14709 (2021‑09‑08 18:53:21)
                                Concept inherits from draft prsb03-dataelement-13906 (2021‑02‑02 21:51:13)
                                Description Contact details of the professional.
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Person completing record
                                prsb03-dataelement-14645
                                link
                                Id prsb03-dataelement-14645 (2021‑09‑08 15:08:37)
                                Concept inherits from draft prsb03-dataelement-13907 (2021‑02‑02 22:27:51)
                                Description Details of the person completing the record.
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Name
                                prsb03-dataelement-14688
                                Id prsb03-dataelement-14688 (2021‑09‑08 18:09:27)
                                Concept inherits from draft prsb03-dataelement-13908 (2021‑02‑02 22:35:30)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Role
                                prsb03-dataelement-14689
                                Id prsb03-dataelement-14689 (2021‑09‑08 18:09:27)
                                Concept inherits from draft prsb03-dataelement-13909 (2021‑02‑02 22:37:50)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Grade
                                prsb03-dataelement-14690
                                Id prsb03-dataelement-14690 (2021‑09‑08 18:09:27)
                                Concept inherits from draft prsb03-dataelement-13910 (2021‑02‑02 22:42:50)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Specialty
                                prsb03-dataelement-14691
                                Id prsb03-dataelement-14691 (2021‑09‑08 18:09:27)
                                Concept inherits from draft prsb03-dataelement-13911 (2021‑02‑02 22:47:46)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-14692
                                link
                                Id prsb03-dataelement-14692 (2021‑09‑08 18:09:27)
                                Concept inherits from draft prsb03-dataelement-13912 (2021‑02‑02 22:55:15)
                                Description The organisation the person completing the record works for.
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Coded value
                                prsb03-dataelement-14693
                                Id prsb03-dataelement-14693 (2021‑09‑08 18:09:27)
                                Concept inherits from draft prsb03-dataelement-13913 (2021‑02‑02 22:58:31)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Free text
                                prsb03-dataelement-14694
                                Id prsb03-dataelement-14694 (2021‑09‑08 18:09:27)
                                Concept inherits from draft prsb03-dataelement-13914 (2021‑02‑02 23:02:16)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-14695
                                Id prsb03-dataelement-14695 (2021‑09‑08 18:09:27)
                                Concept inherits from draft prsb03-dataelement-13915 (2021‑02‑02 23:06:19)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Date completed
                                prsb03-dataelement-14696
                                Id prsb03-dataelement-14696 (2021‑09‑08 18:09:27)
                                Concept inherits from draft prsb03-dataelement-13916 (2021‑02‑02 23:12:04)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Contact details
                                prsb03-dataelement-14697
                                Id prsb03-dataelement-14697 (2021‑09‑08 18:09:27)
                                Concept inherits from draft prsb03-dataelement-13917 (2021‑02‑02 23:16:07)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Screening performed
                                prsb03-dataelement-14683
                                link
                                Id prsb03-dataelement-14683 (2021‑09‑08 17:08:40)
                                Description Placeholder
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Date
                                prsb03-dataelement-14644
                                Id prsb03-dataelement-14644 (2021‑09‑08 15:08:37)
                                Description The date of the screening process.
                                Relationship
                                Operationalization Date and time
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Location
                                prsb03-dataelement-14641
                                link
                                Id prsb03-dataelement-14641 (2021‑09‑08 15:08:37)
                                Description The location that is recorded as to where the test took place. 
                                Relationship
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Coded value
                                prsb03-dataelement-14698
                                Id prsb03-dataelement-14698 (2021‑09‑08 18:40:56)
                                Description The coded value for location that is recorded as to where the test took place.
                                Relationship
                                Operationalization NHS data dictionary : -  Organisation data service code
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Free text
                                prsb03-dataelement-14699
                                Id prsb03-dataelement-14699 (2021‑09‑08 18:40:56)
                                Concept inherits from draft prsb03-dataelement-14199 (2021‑02‑25 23:26:22)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Screening process
                                prsb03-dataelement-14613
                                link
                                Id prsb03-dataelement-14613 (2021‑09‑08 15:08:37)
                                Description The type of screening process performed.
                                Relationship
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Coded value
                                prsb03-dataelement-14614
                                Id prsb03-dataelement-14614 (2021‑09‑08 15:08:37)
                                Description The coded value for the type of screening process performed.
                                Relationship
                                Operationalization
                                SNOMED CT
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Free text
                                prsb03-dataelement-14615
                                Id prsb03-dataelement-14615 (2021‑09‑08 15:08:37)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Performing professional
                                prsb03-dataelement-14630
                                link
                                Id prsb03-dataelement-14630 (2021‑09‑08 15:08:37)
                                Description The professional who performed the screening process.
                                Relationship
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Organisation
                                prsb03-dataelement-14720
                                Id prsb03-dataelement-14720 (2021‑09‑08 19:07:21)
                                Concept inherits from draft prsb03-dataelement-14116 (2021‑02‑22 13:16:02)
                                Description The name of the organisation the professional works for.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Name
                                prsb03-dataelement-14721
                                Id prsb03-dataelement-14721 (2021‑09‑08 19:07:21)
                                Concept inherits from draft prsb03-dataelement-14117 (2021‑02‑22 13:16:02)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Role
                                prsb03-dataelement-14722
                                Id prsb03-dataelement-14722 (2021‑09‑08 19:07:21)
                                Concept inherits from draft prsb03-dataelement-14118 (2021‑02‑22 13:16:02)
                                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:- SDSjobrolename
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Grade
                                prsb03-dataelement-14723
                                Id prsb03-dataelement-14723 (2021‑09‑08 19:07:21)
                                Concept inherits from draft prsb03-dataelement-14119 (2021‑02‑22 13:16:02)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Specialty
                                prsb03-dataelement-14724
                                Id prsb03-dataelement-14724 (2021‑09‑08 19:07:21)
                                Concept inherits from draft prsb03-dataelement-14120 (2021‑02‑22 13:16:02)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc.
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Care professional main speciality code
                                Value Domain
                                Property
                                min length max length
                                3 3
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-14725
                                Id prsb03-dataelement-14725 (2021‑09‑08 19:07:21)
                                Concept inherits from draft prsb03-dataelement-14121 (2021‑02‑22 13:16:02)
                                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 entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-14726
                                link
                                Id prsb03-dataelement-14726 (2021‑09‑08 19:07:21)
                                Concept inherits from draft prsb03-dataelement-14122 (2021‑02‑22 13:16:02)
                                Description The name of the organisation the professional works for.
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Coded value
                                prsb03-dataelement-14727
                                Id prsb03-dataelement-14727 (2021‑09‑08 19:07:21)
                                Concept inherits from draft prsb03-dataelement-14123 (2021‑02‑22 13:16:02)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisation identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Free text
                                prsb03-dataelement-14728
                                Id prsb03-dataelement-14728 (2021‑09‑08 19:07:21)
                                Concept inherits from draft prsb03-dataelement-14124 (2021‑02‑22 13:16:02)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Contact details
                                prsb03-dataelement-14729
                                Id prsb03-dataelement-14729 (2021‑09‑08 19:07:21)
                                Concept inherits from draft prsb03-dataelement-14125 (2021‑02‑22 13:16:02)
                                Description Contact details of the professional.
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Person completing record
                                prsb03-dataelement-14626
                                link
                                Id prsb03-dataelement-14626 (2021‑09‑08 15:08:37)
                                Concept inherits from draft prsb03-dataelement-13907 (2021‑02‑02 22:27:51)
                                Description Details of the person completing the record.
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Name
                                prsb03-dataelement-14710
                                Id prsb03-dataelement-14710 (2021‑09‑08 19:02:02)
                                Concept inherits from draft prsb03-dataelement-13908 (2021‑02‑02 22:35:30)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Role
                                prsb03-dataelement-14711
                                Id prsb03-dataelement-14711 (2021‑09‑08 19:02:02)
                                Concept inherits from draft prsb03-dataelement-13909 (2021‑02‑02 22:37:50)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Grade
                                prsb03-dataelement-14712
                                Id prsb03-dataelement-14712 (2021‑09‑08 19:02:02)
                                Concept inherits from draft prsb03-dataelement-13910 (2021‑02‑02 22:42:50)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Specialty
                                prsb03-dataelement-14713
                                Id prsb03-dataelement-14713 (2021‑09‑08 19:02:02)
                                Concept inherits from draft prsb03-dataelement-13911 (2021‑02‑02 22:47:46)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-14714
                                link
                                Id prsb03-dataelement-14714 (2021‑09‑08 19:02:02)
                                Concept inherits from draft prsb03-dataelement-13912 (2021‑02‑02 22:55:15)
                                Description The organisation the person completing the record works for.
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Coded value
                                prsb03-dataelement-14715
                                Id prsb03-dataelement-14715 (2021‑09‑08 19:02:02)
                                Concept inherits from draft prsb03-dataelement-13913 (2021‑02‑02 22:58:31)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Free text
                                prsb03-dataelement-14716
                                Id prsb03-dataelement-14716 (2021‑09‑08 19:02:02)
                                Concept inherits from draft prsb03-dataelement-13914 (2021‑02‑02 23:02:16)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-14717
                                Id prsb03-dataelement-14717 (2021‑09‑08 19:02:02)
                                Concept inherits from draft prsb03-dataelement-13915 (2021‑02‑02 23:06:19)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Date completed
                                prsb03-dataelement-14718
                                Id prsb03-dataelement-14718 (2021‑09‑08 19:02:02)
                                Concept inherits from draft prsb03-dataelement-13916 (2021‑02‑02 23:12:04)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Contact details
                                prsb03-dataelement-14719
                                Id prsb03-dataelement-14719 (2021‑09‑08 19:02:02)
                                Concept inherits from draft prsb03-dataelement-13917 (2021‑02‑02 23:16:07)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Screening outcome
                                prsb03-dataelement-14616
                                link
                                Id prsb03-dataelement-14616 (2021‑09‑08 15:08:37)
                                Description Placeholder
                                Relationship
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Date
                                prsb03-dataelement-14617
                                Id prsb03-dataelement-14617 (2021‑09‑08 15:08:37)
                                Description The date the screening outcome was recorded.
                                Relationship
                                Operationalization Date and time
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Screening outcome
                                prsb03-dataelement-14618
                                link
                                Id prsb03-dataelement-14618 (2021‑09‑08 15:08:37)
                                Description The outcome of the screening.
                                Relationship
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Coded value
                                prsb03-dataelement-14619
                                Id prsb03-dataelement-14619 (2021‑09‑08 15:08:37)
                                Description The coded value for the outcome of the screening.
                                Relationship
                                Operationalization SNOMED CT
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Free text
                                prsb03-dataelement-14620
                                Id prsb03-dataelement-14620 (2021‑09‑08 15:08:37)
                                Concept inherits from draft prsb03-dataelement-13886 (2021‑02‑01 18:42:31)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Comment
                                prsb03-dataelement-14643
                                Id prsb03-dataelement-14643 (2021‑09‑08 15:08:37)
                                Description Any additional comment or clarification about the screening. 
                                Relationship
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Performing professional
                                prsb03-dataelement-14621
                                link
                                Id prsb03-dataelement-14621 (2021‑09‑08 15:08:37)
                                Description The professional who recorded the screening outcome.
                                Relationship
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Organisation
                                prsb03-dataelement-14663
                                Id prsb03-dataelement-14663 (2021‑09‑08 15:46:19)
                                Concept inherits from cancelled prsb03-dataelement-13902 (2021‑02‑02 18:16:27)
                                Description The name of the organisation the professional works for.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Name
                                prsb03-dataelement-14664
                                Id prsb03-dataelement-14664 (2021‑09‑08 15:46:19)
                                Concept inherits from draft prsb03-dataelement-13897 (2021‑02‑01 20:13:26)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Role
                                prsb03-dataelement-14665
                                Id prsb03-dataelement-14665 (2021‑09‑08 15:46:19)
                                Concept inherits from draft prsb03-dataelement-13898 (2021‑02‑01 20:17:22)
                                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:- SDSjobrolename
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Grade
                                prsb03-dataelement-14666
                                Id prsb03-dataelement-14666 (2021‑09‑08 15:46:19)
                                Concept inherits from draft prsb03-dataelement-13899 (2021‑02‑01 20:23:02)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Specialty
                                prsb03-dataelement-14667
                                Id prsb03-dataelement-14667 (2021‑09‑08 15:46:19)
                                Concept inherits from draft prsb03-dataelement-13900 (2021‑02‑01 20:28:38)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc.
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Care professional main speciality code
                                Value Domain
                                Property
                                min length max length
                                3 3
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-14668
                                Id prsb03-dataelement-14668 (2021‑09‑08 15:46:19)
                                Concept inherits from draft prsb03-dataelement-13901 (2021‑02‑02 18:12:20)
                                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 entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-14669
                                link
                                Id prsb03-dataelement-14669 (2021‑09‑08 15:46:19)
                                Concept inherits from draft prsb03-dataelement-13903 (2021‑02‑02 21:35:36)
                                Description The name of the organisation the professional works for.
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Coded value
                                prsb03-dataelement-14670
                                Id prsb03-dataelement-14670 (2021‑09‑08 15:46:19)
                                Concept inherits from draft prsb03-dataelement-13904 (2021‑02‑02 21:41:22)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisation identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Free text
                                prsb03-dataelement-14671
                                Id prsb03-dataelement-14671 (2021‑09‑08 15:46:19)
                                Concept inherits from draft prsb03-dataelement-13905 (2021‑02‑02 21:45:00)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Contact details
                                prsb03-dataelement-14672
                                Id prsb03-dataelement-14672 (2021‑09‑08 15:46:19)
                                Concept inherits from draft prsb03-dataelement-13906 (2021‑02‑02 21:51:13)
                                Description Contact details of the professional.
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Person completing record
                                prsb03-dataelement-14622
                                link
                                Id prsb03-dataelement-14622 (2021‑09‑08 15:08:37)
                                Concept inherits from draft prsb03-dataelement-13907 (2021‑02‑02 22:27:51)
                                Description Details of the person completing the record.
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Name
                                prsb03-dataelement-14673
                                Id prsb03-dataelement-14673 (2021‑09‑08 16:41:23)
                                Concept inherits from draft prsb03-dataelement-13908 (2021‑02‑02 22:35:30)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Role
                                prsb03-dataelement-14674
                                Id prsb03-dataelement-14674 (2021‑09‑08 16:41:23)
                                Concept inherits from draft prsb03-dataelement-13909 (2021‑02‑02 22:37:50)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Grade
                                prsb03-dataelement-14675
                                Id prsb03-dataelement-14675 (2021‑09‑08 16:41:23)
                                Concept inherits from draft prsb03-dataelement-13910 (2021‑02‑02 22:42:50)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Specialty
                                prsb03-dataelement-14676
                                Id prsb03-dataelement-14676 (2021‑09‑08 16:41:23)
                                Concept inherits from draft prsb03-dataelement-13911 (2021‑02‑02 22:47:46)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Organisation
                                prsb03-dataelement-14677
                                link
                                Id prsb03-dataelement-14677 (2021‑09‑08 16:41:23)
                                Concept inherits from draft prsb03-dataelement-13912 (2021‑02‑02 22:55:15)
                                Description The organisation the person completing the record works for.
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Coded value
                                prsb03-dataelement-14678
                                Id prsb03-dataelement-14678 (2021‑09‑08 16:41:23)
                                Concept inherits from draft prsb03-dataelement-13913 (2021‑02‑02 22:58:31)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Free text
                                prsb03-dataelement-14679
                                Id prsb03-dataelement-14679 (2021‑09‑08 16:41:23)
                                Concept inherits from draft prsb03-dataelement-13914 (2021‑02‑02 23:02:16)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Professional identifier
                                prsb03-dataelement-14680
                                Id prsb03-dataelement-14680 (2021‑09‑08 16:41:23)
                                Concept inherits from draft prsb03-dataelement-13915 (2021‑02‑02 23:06:19)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Date completed
                                prsb03-dataelement-14681
                                Id prsb03-dataelement-14681 (2021‑09‑08 16:41:23)
                                Concept inherits from draft prsb03-dataelement-13916 (2021‑02‑02 23:12:04)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                draft Contact details
                                prsb03-dataelement-14682
                                Id prsb03-dataelement-14682 (2021‑09‑08 16:41:23)
                                Concept inherits from draft prsb03-dataelement-13917 (2021‑02‑02 23:16:07)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                cancelled Onset date
                                prsb03-dataelement-14629
                                Id prsb03-dataelement-14629 (2021‑09‑08 15:08:37)
                                Description Date and time when manifestations showed e.g could be at home a few days earlier than the contact
                                Relationship
                                Operationalization Date and time
                                Value Domain
                                Property
                                Timestamp precision
                                at least year
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder cancelled Certainty
                                prsb03-dataelement-14633
                                link
                                Id prsb03-dataelement-14633 (2021‑09‑08 15:08:37)
                                Description A description of the certainty that the stated causative agent caused the allergic or adverse reaction.

                                Properties

                                FHIR AllergyIntolerance.verificationStatus
                                Relationship
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                cancelled Coded value
                                prsb03-dataelement-14634
                                Id prsb03-dataelement-14634 (2021‑09‑08 15:08:37)
                                Concept inherits from draft prsb03-dataelement-13560 (2020‑09‑04 17:52:26)
                                Description The coded value for certainty.
                                Rationale AllergyIntolerance.verificationStatus
                                Operationalization FHIR value set : - Certainty
                                Value Domain
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                cancelled Free text
                                prsb03-dataelement-14635
                                Id prsb03-dataelement-14635 (2021‑09‑08 15:08:37)
                                Concept inherits from draft prsb03-dataelement-13561 (2020‑09‑04 17:55:21)
                                Description Free text field to be used if no code is available
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder cancelled Route of exposure
                                prsb03-dataelement-14636
                                link
                                Id prsb03-dataelement-14636 (2021‑09‑08 15:08:37)
                                Description The route the person was exposed to the substance
                                Relationship
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                cancelled Coded value
                                prsb03-dataelement-14637
                                Id prsb03-dataelement-14637 (2021‑09‑08 15:08:37)
                                Concept inherits from draft prsb03-dataelement-13857 (2021‑01‑18 18:50:12)
                                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 0 transactions, 0 templates, inherited 2 times
                                 
                                cancelled Free text
                                prsb03-dataelement-14638
                                Id prsb03-dataelement-14638 (2021‑09‑08 15:08:37)
                                Concept inherits from draft prsb03-dataelement-13858 (2021‑01‑18 18:55:02)
                                Description Free text field to be used if no coded text available
                                Value Domain
                                Property
                                max length
                                150
                                target Used by 0 transactions, 0 templates, inherited 2 times
                                 
                                folder draft Diabetic eye screening
                                prsb03-dataelement-14640
                                link
                                Id prsb03-dataelement-14640 (2021‑09‑08 15:08:37)
                                Description placeholder
                                Relationship
                                folder draft Screening offer status
                                prsb03-dataelement-14730
                                link
                                Id prsb03-dataelement-14730 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14612 (2021‑09‑08 15:08:37)
                                Description Placeholder
                                Relationship
                                Rationale AllergyIntolerance.type
                                draft Date
                                prsb03-dataelement-14731
                                Id prsb03-dataelement-14731 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14642 (2021‑09‑08 15:08:37)
                                Description The date of the screening offer.
                                Relationship
                                Operationalization Date and time
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                folder draft Screening offer status
                                prsb03-dataelement-14732
                                link
                                Id prsb03-dataelement-14732 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14653 (2021‑09‑08 15:08:37)
                                Description The screening offer status for the screening process.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-14733
                                Id prsb03-dataelement-14733 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14686 (2021‑09‑08 17:54:20)
                                Description The coded value for the screening offer status for the screening process.
                                Relationship
                                Operationalization SNOMED CT
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14734
                                Id prsb03-dataelement-14734 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14687 (2021‑09‑08 17:54:20)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Screening declined
                                prsb03-dataelement-14735
                                link
                                Id prsb03-dataelement-14735 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14662 (2021‑09‑08 15:08:37)
                                Description Details of the screening process declined.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-14736
                                Id prsb03-dataelement-14736 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14684 (2021‑09‑08 17:31:36)
                                Description The coded value for the details of the screening process declined.
                                Operationalization SNOMED CT
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14737
                                Id prsb03-dataelement-14737 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14685 (2021‑09‑08 17:37:12)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Comment
                                prsb03-dataelement-14738
                                Id prsb03-dataelement-14738 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14639 (2021‑09‑08 15:08:37)
                                Description Any additional comment or clarification about the screening.
                                Relationship
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Performing professional
                                prsb03-dataelement-14739
                                link
                                Id prsb03-dataelement-14739 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14623 (2021‑09‑08 15:08:37)
                                Description The professional who made the screening offer.
                                Relationship
                                draft Organisation
                                prsb03-dataelement-14740
                                Id prsb03-dataelement-14740 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14700 (2021‑09‑08 18:53:21)
                                Description The name of the organisation the professional works for.
                                Value Domain
                                draft Name
                                prsb03-dataelement-14741
                                Id prsb03-dataelement-14741 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14701 (2021‑09‑08 18:53:21)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                draft Role
                                prsb03-dataelement-14742
                                Id prsb03-dataelement-14742 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14702 (2021‑09‑08 18:53:21)
                                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:- SDSjobrolename
                                Value Domain
                                draft Grade
                                prsb03-dataelement-14743
                                Id prsb03-dataelement-14743 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14703 (2021‑09‑08 18:53:21)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14744
                                Id prsb03-dataelement-14744 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14704 (2021‑09‑08 18:53:21)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc.
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Care professional main speciality code
                                Value Domain
                                Property
                                min length max length
                                3 3
                                draft Professional identifier
                                prsb03-dataelement-14745
                                Id prsb03-dataelement-14745 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14705 (2021‑09‑08 18:53:21)
                                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 entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                folder draft Organisation
                                prsb03-dataelement-14746
                                link
                                Id prsb03-dataelement-14746 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14706 (2021‑09‑08 18:53:21)
                                Description The name of the organisation the professional works for.
                                draft Coded value
                                prsb03-dataelement-14747
                                Id prsb03-dataelement-14747 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14707 (2021‑09‑08 18:53:21)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisation identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14748
                                Id prsb03-dataelement-14748 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14708 (2021‑09‑08 18:53:21)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Contact details
                                prsb03-dataelement-14749
                                Id prsb03-dataelement-14749 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14709 (2021‑09‑08 18:53:21)
                                Description Contact details of the professional.
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder draft Person completing record
                                prsb03-dataelement-14750
                                link
                                Id prsb03-dataelement-14750 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14645 (2021‑09‑08 15:08:37)
                                Description Details of the person completing the record.
                                draft Name
                                prsb03-dataelement-14751
                                Id prsb03-dataelement-14751 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14688 (2021‑09‑08 18:09:27)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                draft Role
                                prsb03-dataelement-14752
                                Id prsb03-dataelement-14752 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14689 (2021‑09‑08 18:09:27)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                draft Grade
                                prsb03-dataelement-14753
                                Id prsb03-dataelement-14753 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14690 (2021‑09‑08 18:09:27)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14754
                                Id prsb03-dataelement-14754 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14691 (2021‑09‑08 18:09:27)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                folder draft Organisation
                                prsb03-dataelement-14755
                                link
                                Id prsb03-dataelement-14755 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14692 (2021‑09‑08 18:09:27)
                                Description The organisation the person completing the record works for.
                                draft Coded value
                                prsb03-dataelement-14756
                                Id prsb03-dataelement-14756 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14693 (2021‑09‑08 18:09:27)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14757
                                Id prsb03-dataelement-14757 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14694 (2021‑09‑08 18:09:27)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Professional identifier
                                prsb03-dataelement-14758
                                Id prsb03-dataelement-14758 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14695 (2021‑09‑08 18:09:27)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                draft Date completed
                                prsb03-dataelement-14759
                                Id prsb03-dataelement-14759 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14696 (2021‑09‑08 18:09:27)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                draft Contact details
                                prsb03-dataelement-14760
                                Id prsb03-dataelement-14760 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14697 (2021‑09‑08 18:09:27)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder draft Screening performed
                                prsb03-dataelement-14761
                                link
                                Id prsb03-dataelement-14761 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14683 (2021‑09‑08 17:08:40)
                                Description Placeholder
                                draft Date
                                prsb03-dataelement-14762
                                Id prsb03-dataelement-14762 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14644 (2021‑09‑08 15:08:37)
                                Description The date of the screening process.
                                Relationship
                                Operationalization Date and time
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                folder draft Location
                                prsb03-dataelement-14763
                                link
                                Id prsb03-dataelement-14763 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14641 (2021‑09‑08 15:08:37)
                                Description The location that is recorded as to where the test took place. 
                                Relationship
                                draft Coded value
                                prsb03-dataelement-14764
                                Id prsb03-dataelement-14764 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14698 (2021‑09‑08 18:40:56)
                                Description The coded value for location that is recorded as to where the test took place.
                                Relationship
                                Operationalization NHS data dictionary : -  Organisation data service code
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14765
                                Id prsb03-dataelement-14765 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14699 (2021‑09‑08 18:40:56)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Screening process
                                prsb03-dataelement-14766
                                link
                                Id prsb03-dataelement-14766 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14613 (2021‑09‑08 15:08:37)
                                Description The type of screening process performed.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-14767
                                Id prsb03-dataelement-14767 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14614 (2021‑09‑08 15:08:37)
                                Description The coded value for the type of screening process performed.
                                Relationship
                                Operationalization
                                SNOMED CT
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14768
                                Id prsb03-dataelement-14768 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14615 (2021‑09‑08 15:08:37)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Performing professional
                                prsb03-dataelement-14769
                                link
                                Id prsb03-dataelement-14769 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14630 (2021‑09‑08 15:08:37)
                                Description The professional who performed the screening process.
                                Relationship
                                draft Organisation
                                prsb03-dataelement-14770
                                Id prsb03-dataelement-14770 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14720 (2021‑09‑08 19:07:21)
                                Description The name of the organisation the professional works for.
                                Value Domain
                                draft Name
                                prsb03-dataelement-14771
                                Id prsb03-dataelement-14771 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14721 (2021‑09‑08 19:07:21)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                draft Role
                                prsb03-dataelement-14772
                                Id prsb03-dataelement-14772 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14722 (2021‑09‑08 19:07:21)
                                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:- SDSjobrolename
                                Value Domain
                                draft Grade
                                prsb03-dataelement-14773
                                Id prsb03-dataelement-14773 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14723 (2021‑09‑08 19:07:21)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14774
                                Id prsb03-dataelement-14774 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14724 (2021‑09‑08 19:07:21)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc.
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Care professional main speciality code
                                Value Domain
                                Property
                                min length max length
                                3 3
                                draft Professional identifier
                                prsb03-dataelement-14775
                                Id prsb03-dataelement-14775 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14725 (2021‑09‑08 19:07:21)
                                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 entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                folder draft Organisation
                                prsb03-dataelement-14776
                                link
                                Id prsb03-dataelement-14776 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14726 (2021‑09‑08 19:07:21)
                                Description The name of the organisation the professional works for.
                                draft Coded value
                                prsb03-dataelement-14777
                                Id prsb03-dataelement-14777 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14727 (2021‑09‑08 19:07:21)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisation identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14778
                                Id prsb03-dataelement-14778 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14728 (2021‑09‑08 19:07:21)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Contact details
                                prsb03-dataelement-14779
                                Id prsb03-dataelement-14779 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14729 (2021‑09‑08 19:07:21)
                                Description Contact details of the professional.
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder draft Person completing record
                                prsb03-dataelement-14780
                                link
                                Id prsb03-dataelement-14780 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14626 (2021‑09‑08 15:08:37)
                                Description Details of the person completing the record.
                                draft Name
                                prsb03-dataelement-14781
                                Id prsb03-dataelement-14781 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14710 (2021‑09‑08 19:02:02)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                draft Role
                                prsb03-dataelement-14782
                                Id prsb03-dataelement-14782 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14711 (2021‑09‑08 19:02:02)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                draft Grade
                                prsb03-dataelement-14783
                                Id prsb03-dataelement-14783 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14712 (2021‑09‑08 19:02:02)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14784
                                Id prsb03-dataelement-14784 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14713 (2021‑09‑08 19:02:02)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                folder draft Organisation
                                prsb03-dataelement-14785
                                link
                                Id prsb03-dataelement-14785 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14714 (2021‑09‑08 19:02:02)
                                Description The organisation the person completing the record works for.
                                draft Coded value
                                prsb03-dataelement-14786
                                Id prsb03-dataelement-14786 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14715 (2021‑09‑08 19:02:02)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14787
                                Id prsb03-dataelement-14787 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14716 (2021‑09‑08 19:02:02)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Professional identifier
                                prsb03-dataelement-14788
                                Id prsb03-dataelement-14788 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14717 (2021‑09‑08 19:02:02)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                draft Date completed
                                prsb03-dataelement-14789
                                Id prsb03-dataelement-14789 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14718 (2021‑09‑08 19:02:02)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                draft Contact details
                                prsb03-dataelement-14790
                                Id prsb03-dataelement-14790 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14719 (2021‑09‑08 19:02:02)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder draft Screening outcome
                                prsb03-dataelement-14791
                                link
                                Id prsb03-dataelement-14791 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14616 (2021‑09‑08 15:08:37)
                                Description Placeholder
                                Relationship
                                draft Date
                                prsb03-dataelement-14792
                                Id prsb03-dataelement-14792 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14617 (2021‑09‑08 15:08:37)
                                Description The date the screening outcome was recorded.
                                Relationship
                                Operationalization Date and time
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                folder draft Screening outcome
                                prsb03-dataelement-14793
                                link
                                Id prsb03-dataelement-14793 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14618 (2021‑09‑08 15:08:37)
                                Description The outcome of the screening.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-14794
                                Id prsb03-dataelement-14794 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14619 (2021‑09‑08 15:08:37)
                                Description The coded value for the outcome of the screening.
                                Relationship
                                Operationalization SNOMED CT
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14795
                                Id prsb03-dataelement-14795 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14620 (2021‑09‑08 15:08:37)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Comment
                                prsb03-dataelement-14796
                                Id prsb03-dataelement-14796 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14643 (2021‑09‑08 15:08:37)
                                Description Any additional comment or clarification about the screening. 
                                Relationship
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Performing professional
                                prsb03-dataelement-14797
                                link
                                Id prsb03-dataelement-14797 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14621 (2021‑09‑08 15:08:37)
                                Description The professional who recorded the screening outcome.
                                Relationship
                                draft Organisation
                                prsb03-dataelement-14798
                                Id prsb03-dataelement-14798 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14663 (2021‑09‑08 15:46:19)
                                Description The name of the organisation the professional works for.
                                Value Domain
                                draft Name
                                prsb03-dataelement-14799
                                Id prsb03-dataelement-14799 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14664 (2021‑09‑08 15:46:19)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                draft Role
                                prsb03-dataelement-14800
                                Id prsb03-dataelement-14800 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14665 (2021‑09‑08 15:46:19)
                                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:- SDSjobrolename
                                Value Domain
                                draft Grade
                                prsb03-dataelement-14801
                                Id prsb03-dataelement-14801 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14666 (2021‑09‑08 15:46:19)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14802
                                Id prsb03-dataelement-14802 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14667 (2021‑09‑08 15:46:19)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc.
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Care professional main speciality code
                                Value Domain
                                Property
                                min length max length
                                3 3
                                draft Professional identifier
                                prsb03-dataelement-14803
                                Id prsb03-dataelement-14803 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14668 (2021‑09‑08 15:46:19)
                                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 entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                folder draft Organisation
                                prsb03-dataelement-14804
                                link
                                Id prsb03-dataelement-14804 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14669 (2021‑09‑08 15:46:19)
                                Description The name of the organisation the professional works for.
                                draft Coded value
                                prsb03-dataelement-14805
                                Id prsb03-dataelement-14805 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14670 (2021‑09‑08 15:46:19)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisation identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14806
                                Id prsb03-dataelement-14806 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14671 (2021‑09‑08 15:46:19)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Contact details
                                prsb03-dataelement-14807
                                Id prsb03-dataelement-14807 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14672 (2021‑09‑08 15:46:19)
                                Description Contact details of the professional.
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder draft Person completing record
                                prsb03-dataelement-14808
                                link
                                Id prsb03-dataelement-14808 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14622 (2021‑09‑08 15:08:37)
                                Description Details of the person completing the record.
                                draft Name
                                prsb03-dataelement-14809
                                Id prsb03-dataelement-14809 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14673 (2021‑09‑08 16:41:23)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                draft Role
                                prsb03-dataelement-14810
                                Id prsb03-dataelement-14810 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14674 (2021‑09‑08 16:41:23)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                draft Grade
                                prsb03-dataelement-14811
                                Id prsb03-dataelement-14811 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14675 (2021‑09‑08 16:41:23)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14812
                                Id prsb03-dataelement-14812 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14676 (2021‑09‑08 16:41:23)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                folder draft Organisation
                                prsb03-dataelement-14813
                                link
                                Id prsb03-dataelement-14813 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14677 (2021‑09‑08 16:41:23)
                                Description The organisation the person completing the record works for.
                                draft Coded value
                                prsb03-dataelement-14814
                                Id prsb03-dataelement-14814 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14678 (2021‑09‑08 16:41:23)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14815
                                Id prsb03-dataelement-14815 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14679 (2021‑09‑08 16:41:23)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Professional identifier
                                prsb03-dataelement-14816
                                Id prsb03-dataelement-14816 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14680 (2021‑09‑08 16:41:23)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                draft Date completed
                                prsb03-dataelement-14817
                                Id prsb03-dataelement-14817 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14681 (2021‑09‑08 16:41:23)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                draft Contact details
                                prsb03-dataelement-14818
                                Id prsb03-dataelement-14818 (2021‑09‑08 19:33:22)
                                Concept inherits from draft prsb03-dataelement-14682 (2021‑09‑08 16:41:23)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                draft Onset date
                                prsb03-dataelement-14819
                                Id prsb03-dataelement-14819 (2021‑09‑08 19:33:22)
                                Concept inherits from cancelled prsb03-dataelement-14629 (2021‑09‑08 15:08:37)
                                Description Date and time when manifestations showed e.g could be at home a few days earlier than the contact
                                Relationship
                                Operationalization Date and time
                                Value Domain
                                Property
                                Timestamp precision
                                at least year
                                folder draft Certainty
                                prsb03-dataelement-14820
                                link
                                Id prsb03-dataelement-14820 (2021‑09‑08 19:33:22)
                                Concept inherits from cancelled prsb03-dataelement-14633 (2021‑09‑08 15:08:37)
                                Description A description of the certainty that the stated causative agent caused the allergic or adverse reaction.

                                Properties

                                FHIR AllergyIntolerance.verificationStatus
                                Relationship
                                draft Coded value
                                prsb03-dataelement-14821
                                Id prsb03-dataelement-14821 (2021‑09‑08 19:33:22)
                                Concept inherits from cancelled prsb03-dataelement-14634 (2021‑09‑08 15:08:37)
                                Description The coded value for certainty.
                                Rationale AllergyIntolerance.verificationStatus
                                Operationalization FHIR value set : - Certainty
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14822
                                Id prsb03-dataelement-14822 (2021‑09‑08 19:33:22)
                                Concept inherits from cancelled prsb03-dataelement-14635 (2021‑09‑08 15:08:37)
                                Description Free text field to be used if no code is available
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Route of exposure
                                prsb03-dataelement-14823
                                link
                                Id prsb03-dataelement-14823 (2021‑09‑08 19:33:22)
                                Concept inherits from cancelled prsb03-dataelement-14636 (2021‑09‑08 15:08:37)
                                Description The route the person was exposed to the substance
                                Relationship
                                draft Coded value
                                prsb03-dataelement-14824
                                Id prsb03-dataelement-14824 (2021‑09‑08 19:33:22)
                                Concept inherits from cancelled prsb03-dataelement-14637 (2021‑09‑08 15:08:37)
                                Description The coded value for route of exposure
                                Rationale AllergyIntolerance.exposureroute
                                Operationalization SNOMED CT: - ^999000051000001100 |ePrescribing route of administration simple reference set|
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14825
                                Id prsb03-dataelement-14825 (2021‑09‑08 19:33:22)
                                Concept inherits from cancelled prsb03-dataelement-14638 (2021‑09‑08 15:08:37)
                                Description Free text field to be used if no coded text available
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Diabetic foot screening
                                prsb03-dataelement-14826
                                link
                                Id prsb03-dataelement-14826 (2021‑09‑08 19:34:29)
                                Description placeholder
                                Relationship
                                folder draft Screening offer status
                                prsb03-dataelement-14827
                                link
                                Id prsb03-dataelement-14827 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14612 (2021‑09‑08 15:08:37)
                                Description Placeholder
                                Relationship
                                Rationale AllergyIntolerance.type
                                draft Date
                                prsb03-dataelement-14828
                                Id prsb03-dataelement-14828 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14642 (2021‑09‑08 15:08:37)
                                Description The date of the screening offer.
                                Relationship
                                Operationalization Date and time
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                folder draft Screening offer status
                                prsb03-dataelement-14829
                                link
                                Id prsb03-dataelement-14829 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14653 (2021‑09‑08 15:08:37)
                                Description The screening offer status for the screening process.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-14830
                                Id prsb03-dataelement-14830 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14686 (2021‑09‑08 17:54:20)
                                Description The coded value for the screening offer status for the screening process.
                                Relationship
                                Operationalization SNOMED CT
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14831
                                Id prsb03-dataelement-14831 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14687 (2021‑09‑08 17:54:20)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Screening declined
                                prsb03-dataelement-14832
                                link
                                Id prsb03-dataelement-14832 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14662 (2021‑09‑08 15:08:37)
                                Description Details of the screening process declined.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-14833
                                Id prsb03-dataelement-14833 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14684 (2021‑09‑08 17:31:36)
                                Description The coded value for the details of the screening process declined.
                                Operationalization SNOMED CT
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14834
                                Id prsb03-dataelement-14834 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14685 (2021‑09‑08 17:37:12)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Comment
                                prsb03-dataelement-14835
                                Id prsb03-dataelement-14835 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14639 (2021‑09‑08 15:08:37)
                                Description Any additional comment or clarification about the screening.
                                Relationship
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Performing professional
                                prsb03-dataelement-14836
                                link
                                Id prsb03-dataelement-14836 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14623 (2021‑09‑08 15:08:37)
                                Description The professional who made the screening offer.
                                Relationship
                                draft Organisation
                                prsb03-dataelement-14837
                                Id prsb03-dataelement-14837 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14700 (2021‑09‑08 18:53:21)
                                Description The name of the organisation the professional works for.
                                Value Domain
                                draft Name
                                prsb03-dataelement-14838
                                Id prsb03-dataelement-14838 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14701 (2021‑09‑08 18:53:21)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                draft Role
                                prsb03-dataelement-14839
                                Id prsb03-dataelement-14839 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14702 (2021‑09‑08 18:53:21)
                                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:- SDSjobrolename
                                Value Domain
                                draft Grade
                                prsb03-dataelement-14840
                                Id prsb03-dataelement-14840 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14703 (2021‑09‑08 18:53:21)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14841
                                Id prsb03-dataelement-14841 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14704 (2021‑09‑08 18:53:21)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc.
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Care professional main speciality code
                                Value Domain
                                Property
                                min length max length
                                3 3
                                draft Professional identifier
                                prsb03-dataelement-14842
                                Id prsb03-dataelement-14842 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14705 (2021‑09‑08 18:53:21)
                                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 entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                folder draft Organisation
                                prsb03-dataelement-14843
                                link
                                Id prsb03-dataelement-14843 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14706 (2021‑09‑08 18:53:21)
                                Description The name of the organisation the professional works for.
                                draft Coded value
                                prsb03-dataelement-14844
                                Id prsb03-dataelement-14844 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14707 (2021‑09‑08 18:53:21)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisation identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14845
                                Id prsb03-dataelement-14845 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14708 (2021‑09‑08 18:53:21)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Contact details
                                prsb03-dataelement-14846
                                Id prsb03-dataelement-14846 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14709 (2021‑09‑08 18:53:21)
                                Description Contact details of the professional.
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder draft Person completing record
                                prsb03-dataelement-14847
                                link
                                Id prsb03-dataelement-14847 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14645 (2021‑09‑08 15:08:37)
                                Description Details of the person completing the record.
                                draft Name
                                prsb03-dataelement-14848
                                Id prsb03-dataelement-14848 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14688 (2021‑09‑08 18:09:27)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                draft Role
                                prsb03-dataelement-14849
                                Id prsb03-dataelement-14849 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14689 (2021‑09‑08 18:09:27)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                draft Grade
                                prsb03-dataelement-14850
                                Id prsb03-dataelement-14850 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14690 (2021‑09‑08 18:09:27)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14851
                                Id prsb03-dataelement-14851 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14691 (2021‑09‑08 18:09:27)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                folder draft Organisation
                                prsb03-dataelement-14852
                                link
                                Id prsb03-dataelement-14852 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14692 (2021‑09‑08 18:09:27)
                                Description The organisation the person completing the record works for.
                                draft Coded value
                                prsb03-dataelement-14853
                                Id prsb03-dataelement-14853 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14693 (2021‑09‑08 18:09:27)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14854
                                Id prsb03-dataelement-14854 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14694 (2021‑09‑08 18:09:27)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Professional identifier
                                prsb03-dataelement-14855
                                Id prsb03-dataelement-14855 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14695 (2021‑09‑08 18:09:27)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                draft Date completed
                                prsb03-dataelement-14856
                                Id prsb03-dataelement-14856 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14696 (2021‑09‑08 18:09:27)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                draft Contact details
                                prsb03-dataelement-14857
                                Id prsb03-dataelement-14857 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14697 (2021‑09‑08 18:09:27)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder draft Screening performed
                                prsb03-dataelement-14858
                                link
                                Id prsb03-dataelement-14858 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14683 (2021‑09‑08 17:08:40)
                                Description Placeholder
                                draft Date
                                prsb03-dataelement-14859
                                Id prsb03-dataelement-14859 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14644 (2021‑09‑08 15:08:37)
                                Description The date of the screening process.
                                Relationship
                                Operationalization Date and time
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                folder draft Location
                                prsb03-dataelement-14860
                                link
                                Id prsb03-dataelement-14860 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14641 (2021‑09‑08 15:08:37)
                                Description The location that is recorded as to where the test took place. 
                                Relationship
                                draft Coded value
                                prsb03-dataelement-14861
                                Id prsb03-dataelement-14861 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14698 (2021‑09‑08 18:40:56)
                                Description The coded value for location that is recorded as to where the test took place.
                                Relationship
                                Operationalization NHS data dictionary : -  Organisation data service code
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14862
                                Id prsb03-dataelement-14862 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14699 (2021‑09‑08 18:40:56)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Screening process
                                prsb03-dataelement-14863
                                link
                                Id prsb03-dataelement-14863 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14613 (2021‑09‑08 15:08:37)
                                Description The type of screening process performed.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-14864
                                Id prsb03-dataelement-14864 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14614 (2021‑09‑08 15:08:37)
                                Description The coded value for the type of screening process performed.
                                Relationship
                                Operationalization
                                SNOMED CT
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14865
                                Id prsb03-dataelement-14865 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14615 (2021‑09‑08 15:08:37)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Performing professional
                                prsb03-dataelement-14866
                                link
                                Id prsb03-dataelement-14866 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14630 (2021‑09‑08 15:08:37)
                                Description The professional who performed the screening process.
                                Relationship
                                draft Organisation
                                prsb03-dataelement-14867
                                Id prsb03-dataelement-14867 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14720 (2021‑09‑08 19:07:21)
                                Description The name of the organisation the professional works for.
                                Value Domain
                                draft Name
                                prsb03-dataelement-14868
                                Id prsb03-dataelement-14868 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14721 (2021‑09‑08 19:07:21)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                draft Role
                                prsb03-dataelement-14869
                                Id prsb03-dataelement-14869 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14722 (2021‑09‑08 19:07:21)
                                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:- SDSjobrolename
                                Value Domain
                                draft Grade
                                prsb03-dataelement-14870
                                Id prsb03-dataelement-14870 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14723 (2021‑09‑08 19:07:21)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14871
                                Id prsb03-dataelement-14871 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14724 (2021‑09‑08 19:07:21)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc.
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Care professional main speciality code
                                Value Domain
                                Property
                                min length max length
                                3 3
                                draft Professional identifier
                                prsb03-dataelement-14872
                                Id prsb03-dataelement-14872 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14725 (2021‑09‑08 19:07:21)
                                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 entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                folder draft Organisation
                                prsb03-dataelement-14873
                                link
                                Id prsb03-dataelement-14873 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14726 (2021‑09‑08 19:07:21)
                                Description The name of the organisation the professional works for.
                                draft Coded value
                                prsb03-dataelement-14874
                                Id prsb03-dataelement-14874 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14727 (2021‑09‑08 19:07:21)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisation identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14875
                                Id prsb03-dataelement-14875 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14728 (2021‑09‑08 19:07:21)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Contact details
                                prsb03-dataelement-14876
                                Id prsb03-dataelement-14876 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14729 (2021‑09‑08 19:07:21)
                                Description Contact details of the professional.
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder draft Person completing record
                                prsb03-dataelement-14877
                                link
                                Id prsb03-dataelement-14877 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14626 (2021‑09‑08 15:08:37)
                                Description Details of the person completing the record.
                                draft Name
                                prsb03-dataelement-14878
                                Id prsb03-dataelement-14878 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14710 (2021‑09‑08 19:02:02)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                draft Role
                                prsb03-dataelement-14879
                                Id prsb03-dataelement-14879 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14711 (2021‑09‑08 19:02:02)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                draft Grade
                                prsb03-dataelement-14880
                                Id prsb03-dataelement-14880 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14712 (2021‑09‑08 19:02:02)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14881
                                Id prsb03-dataelement-14881 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14713 (2021‑09‑08 19:02:02)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                folder draft Organisation
                                prsb03-dataelement-14882
                                link
                                Id prsb03-dataelement-14882 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14714 (2021‑09‑08 19:02:02)
                                Description The organisation the person completing the record works for.
                                draft Coded value
                                prsb03-dataelement-14883
                                Id prsb03-dataelement-14883 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14715 (2021‑09‑08 19:02:02)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14884
                                Id prsb03-dataelement-14884 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14716 (2021‑09‑08 19:02:02)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Professional identifier
                                prsb03-dataelement-14885
                                Id prsb03-dataelement-14885 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14717 (2021‑09‑08 19:02:02)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                draft Date completed
                                prsb03-dataelement-14886
                                Id prsb03-dataelement-14886 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14718 (2021‑09‑08 19:02:02)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                draft Contact details
                                prsb03-dataelement-14887
                                Id prsb03-dataelement-14887 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14719 (2021‑09‑08 19:02:02)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder draft Screening outcome
                                prsb03-dataelement-14888
                                link
                                Id prsb03-dataelement-14888 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14616 (2021‑09‑08 15:08:37)
                                Description Placeholder
                                Relationship
                                draft Date
                                prsb03-dataelement-14889
                                Id prsb03-dataelement-14889 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14617 (2021‑09‑08 15:08:37)
                                Description The date the screening outcome was recorded.
                                Relationship
                                Operationalization Date and time
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                folder draft Screening outcome
                                prsb03-dataelement-14890
                                link
                                Id prsb03-dataelement-14890 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14618 (2021‑09‑08 15:08:37)
                                Description The outcome of the screening.
                                Relationship
                                draft Coded value
                                prsb03-dataelement-14891
                                Id prsb03-dataelement-14891 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14619 (2021‑09‑08 15:08:37)
                                Description The coded value for the outcome of the screening.
                                Relationship
                                Operationalization SNOMED CT
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14892
                                Id prsb03-dataelement-14892 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14620 (2021‑09‑08 15:08:37)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Comment
                                prsb03-dataelement-14893
                                Id prsb03-dataelement-14893 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14643 (2021‑09‑08 15:08:37)
                                Description Any additional comment or clarification about the screening. 
                                Relationship
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Performing professional
                                prsb03-dataelement-14894
                                link
                                Id prsb03-dataelement-14894 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14621 (2021‑09‑08 15:08:37)
                                Description The professional who recorded the screening outcome.
                                Relationship
                                draft Organisation
                                prsb03-dataelement-14895
                                Id prsb03-dataelement-14895 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14663 (2021‑09‑08 15:46:19)
                                Description The name of the organisation the professional works for.
                                Value Domain
                                draft Name
                                prsb03-dataelement-14896
                                Id prsb03-dataelement-14896 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14664 (2021‑09‑08 15:46:19)
                                Description The name of the professional.
                                Rationale Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                70
                                draft Role
                                prsb03-dataelement-14897
                                Id prsb03-dataelement-14897 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14665 (2021‑09‑08 15:46:19)
                                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:- SDSjobrolename
                                Value Domain
                                draft Grade
                                prsb03-dataelement-14898
                                Id prsb03-dataelement-14898 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14666 (2021‑09‑08 15:46:19)
                                Description The grade of the professional.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14899
                                Id prsb03-dataelement-14899 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14667 (2021‑09‑08 15:46:19)
                                Description The specialty of the professional e.g. physiotherapy, oncology, mental health etc.
                                Rationale PractitionerRole.speciality
                                Operationalization NHS data dictionary :- Care professional main speciality code
                                Value Domain
                                Property
                                min length max length
                                3 3
                                draft Professional identifier
                                prsb03-dataelement-14900
                                Id prsb03-dataelement-14900 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14668 (2021‑09‑08 15:46:19)
                                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 entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                folder draft Organisation
                                prsb03-dataelement-14901
                                link
                                Id prsb03-dataelement-14901 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14669 (2021‑09‑08 15:46:19)
                                Description The name of the organisation the professional works for.
                                draft Coded value
                                prsb03-dataelement-14902
                                Id prsb03-dataelement-14902 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14670 (2021‑09‑08 15:46:19)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisation identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14903
                                Id prsb03-dataelement-14903 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14671 (2021‑09‑08 15:46:19)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Contact details
                                prsb03-dataelement-14904
                                Id prsb03-dataelement-14904 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14672 (2021‑09‑08 15:46:19)
                                Description Contact details of the professional.
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                folder draft Person completing record
                                prsb03-dataelement-14905
                                link
                                Id prsb03-dataelement-14905 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14622 (2021‑09‑08 15:08:37)
                                Description Details of the person completing the record.
                                draft Name
                                prsb03-dataelement-14906
                                Id prsb03-dataelement-14906 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14673 (2021‑09‑08 16:41:23)
                                Description The name of the person completing the record.
                                Rationale Composition.author.Practitioner.name
                                Operationalization Free text.
                                Value Domain
                                draft Role
                                prsb03-dataelement-14907
                                Id prsb03-dataelement-14907 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14674 (2021‑09‑08 16:41:23)
                                Description The organisational role of the person completing the record.

                                Properties

                                FHIR PractitionerRole.code of the practitioner completing the record
                                Rationale Composition.author.Practitioner.PractitionerRole.code
                                Operationalization FHIR value set :- SDSJobRoleName
                                Value Domain
                                Property
                                min length max length
                                5 5
                                draft Grade
                                prsb03-dataelement-14908
                                Id prsb03-dataelement-14908 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14675 (2021‑09‑08 16:41:23)
                                Description The grade of the person completing the record.
                                Rationale PractitionerRole.code
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Specialty
                                prsb03-dataelement-14909
                                Id prsb03-dataelement-14909 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14676 (2021‑09‑08 16:41:23)
                                Description The main specialty of the person completing the record.

                                Properties

                                FHIR PractitionerRole.specialty
                                Rationale PractitionerRole.specialty
                                Operationalization NHS data dictionary :- Activity treatment function code
                                Value Domain
                                Property
                                max length
                                3
                                folder draft Organisation
                                prsb03-dataelement-14910
                                link
                                Id prsb03-dataelement-14910 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14677 (2021‑09‑08 16:41:23)
                                Description The organisation the person completing the record works for.
                                draft Coded value
                                prsb03-dataelement-14911
                                Id prsb03-dataelement-14911 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14678 (2021‑09‑08 16:41:23)
                                Description The coded value for the organisation.
                                Operationalization NHS data dictionary :- Organisational identifier
                                Value Domain
                                Property
                                min length max length
                                3 8
                                draft Free text
                                prsb03-dataelement-14912
                                Id prsb03-dataelement-14912 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14679 (2021‑09‑08 16:41:23)
                                Description Free text field to provide further detail or be used if no code is available.
                                Operationalization Free text.
                                Value Domain
                                Property
                                max length
                                150
                                draft Professional identifier
                                prsb03-dataelement-14913
                                Id prsb03-dataelement-14913 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14680 (2021‑09‑08 16:41:23)
                                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)
                                Rationale Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)
                                Operationalization NHS data dictionary :- Professional registration entry identifier
                                Value Domain
                                Property
                                max length
                                32
                                draft Date completed
                                prsb03-dataelement-14914
                                Id prsb03-dataelement-14914 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14681 (2021‑09‑08 16:41:23)
                                Description The date and time the record was completed.
                                Rationale Composition.date
                                Operationalization Date and time.
                                Value Domain
                                Property
                                Timestamp precision
                                at least day, month and year, hour and minute
                                draft Contact details
                                prsb03-dataelement-14915
                                Id prsb03-dataelement-14915 (2021‑09‑08 19:35:58)
                                Concept inherits from draft prsb03-dataelement-14682 (2021‑09‑08 16:41:23)
                                Description Contact details of the person completing the record (e.g. telephone number, email address etc.).

                                Properties

                                FHIR PractitionerRole.telecom
                                Rationale Practitioner.telecom



                                PractitionerRole.telecom



                                Organisation.telecom
                                Operationalization NHS data dictionary :- UK telephone number
                                Value Domain
                                Property
                                max length
                                35
                                draft Onset date
                                prsb03-dataelement-14916
                                Id prsb03-dataelement-14916 (2021‑09‑08 19:35:58)
                                Concept inherits from cancelled prsb03-dataelement-14629 (2021‑09‑08 15:08:37)
                                Description Date and time when manifestations showed e.g could be at home a few days earlier than the contact
                                Relationship
                                Operationalization Date and time
                                Value Domain
                                Property
                                Timestamp precision
                                at least year
                                folder draft Certainty
                                prsb03-dataelement-14917
                                link
                                Id prsb03-dataelement-14917 (2021‑09‑08 19:35:58)
                                Concept inherits from cancelled prsb03-dataelement-14633 (2021‑09‑08 15:08:37)
                                Description A description of the certainty that the stated causative agent caused the allergic or adverse reaction.

                                Properties

                                FHIR AllergyIntolerance.verificationStatus
                                Relationship
                                draft Coded value
                                prsb03-dataelement-14918
                                Id prsb03-dataelement-14918 (2021‑09‑08 19:35:58)
                                Concept inherits from cancelled prsb03-dataelement-14634 (2021‑09‑08 15:08:37)
                                Description The coded value for certainty.
                                Rationale AllergyIntolerance.verificationStatus
                                Operationalization FHIR value set : - Certainty
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14919
                                Id prsb03-dataelement-14919 (2021‑09‑08 19:35:58)
                                Concept inherits from cancelled prsb03-dataelement-14635 (2021‑09‑08 15:08:37)
                                Description Free text field to be used if no code is available
                                Operationalization Free text
                                Value Domain
                                Property
                                max length
                                150
                                folder draft Route of exposure
                                prsb03-dataelement-14920
                                link
                                Id prsb03-dataelement-14920 (2021‑09‑08 19:35:58)
                                Concept inherits from cancelled prsb03-dataelement-14636 (2021‑09‑08 15:08:37)
                                Description The route the person was exposed to the substance
                                Relationship
                                draft Coded value
                                prsb03-dataelement-14921
                                Id prsb03-dataelement-14921 (2021‑09‑08 19:35:58)
                                Concept inherits from cancelled prsb03-dataelement-14637 (2021‑09‑08 15:08:37)
                                Description The coded value for route of exposure
                                Rationale AllergyIntolerance.exposureroute
                                Operationalization SNOMED CT: - ^999000051000001100 |ePrescribing route of administration simple reference set|
                                Value Domain
                                draft Free text
                                prsb03-dataelement-14922
                                Id prsb03-dataelement-14922 (2021‑09‑08 19:35:58)
                                Concept inherits from cancelled prsb03-dataelement-14638 (2021‑09‑08 15:08:37)
                                Description Free text field to be used if no coded text available
                                Value Domain
                                Property
                                max length
                                150
                                deprecated Test
                                prsb03-dataelement-12478
                                Id prsb03-dataelement-12478 (2019‑06‑27 14:43:45) 1
                                Description Test
                                Value Domain
                                cancelled Attachments
                                prsb03-dataelement-10915
                                Id prsb03-dataelement-10915 (2019‑04‑02 15:49:23)
                                Concept inherits from draft prsb03-dataelement-10012 (2018‑10‑31)
                                Description Documents included as attachments which accompany the communication Data items:

                                * number of attachments

                                * type of attachments

                                * attached documents.
                                Operationalization Number of attachments by category: present, pending, missing.

                                Supporting narrative: text for each attachment

                                Attachments: various formats, eg jpeg, word

                                Metadata about the attachments: document name standard under development by PRSB. Possibly use FHIR 'composition'.
                                Value Domain