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draft Scenario Social Prescribing 2.16.840.1.113883.3.1937.777.28.3.38

Name Details [‑]
draft Social Prescribing
prsb03-scenario-38
Version / effective date 0.1 - 2021‑06‑15 22:34:09
Description Initial version
draft doublearrow Social Prescribing
prsb03-transaction-269link
Version / effective date 0.1 - 2021‑06‑15 22:34:09    
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Description Initial version
draft rotate Social Prescribing
prsb03-transaction-270link
Version / effective date 0.1 - 2021‑06‑15 22:34:09    
Actor
stationary (organization) General practitioner
Associations
Contained concepts
Concept Card/Conf Id
folder Person demographics
1 … 1 Mandatory
prsb03-dataelement-10868link
The person's details and contact information.
treetree folder Person name
1 … 1 Mandatory
prsb03-dataelement-10869link
Details of the person's name
treeblank treetree draft  Person first name
1 … * Mandatory
prsb03-dataelement-13799link
The first name(s) of the person. This includes middle names.NHS data dictionary :- Person given name
treeblank treetree draft  Person family name
1 … * Mandatory
prsb03-dataelement-13800link
The family name or surname of the personNHS data dictionary : - Person family name
treeblank treetree draft  Person preferred name
0 … 1
prsb03-dataelement-10870link
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.NHS data dictionary: - Person full name
treeblank treetree draft  Title
0 … 1
prsb03-dataelement-13089link
Person's titleNHS data dictionary: - Person Title
treeblank treetree draft  Person name suffix
1 … *
prsb03-dataelement-13798link
A textual suffix that may be added to the end of a PERSON's name, for example, OBE, MBE, BSc, JP, GMNHS data dictionary: - Person suffix
treeblank treetree draft  Person full name
0 … 1
prsb03-dataelement-13801link
The full name of the person in text representation.NHS data dictionary :- Person full name
treetree draft  Date of birth
1 … 1 Mandatory
prsb03-dataelement-10871link
The date of birth of the person.NHS data dictionary:- Person birth date
treetree folder Location of Birth
0 … 1
prsb03-dataelement-14422link
The place the baby was born.
treeblank treetree draft  Coded value
0 … 1
prsb03-dataelement-14423link
The coded value for location of birth.NHS Data Dictionary: - Site Code (of Actual Place of Delivery)
treeblank treetree draft  Free text
0 … 1
prsb03-dataelement-14424link
Free text field to be used when code is not availableFree text
treetree draft  Pronoun
0 … 1
prsb03-dataelement-14948link
The person's preferred pronoun e.g. she/he/theyFree Text
treetree draft  Gender
0 … 1
prsb03-dataelement-10872link
The person's stated gender.NHS data dictionary :- Person stated gender code
treetree draft  Person alias
0 … 1
prsb03-dataelement-10873link
Other name(s) associated with the person.Free text
treetree draft  Ethnicity
0 … 1
prsb03-dataelement-10874link
The ethnicity of the person as specified by the person.NHS data dictionary :- Ethnic category
treetree draft  Religion
0 … 1
prsb03-dataelement-10876link
The religious affiliation as specified by the person. SNOMED_CT:- Religion
treetree draft  Sex
0 … 1
prsb03-dataelement-10877link
The person’s phenotypic sex. Determines how the person will be treated clinically.NHS data dictionary: - person phenotypic sex
treetree draft  Carer Status
0 … 1
prsb03-dataelement-21924link
The carer status is important to ensure provision is put in place to support the person receiving and providing care. Snomed CT Person themselves is a carer  :- https://termbrowser.nhs.uk/?perspective=full&conceptId1=224484003&edition=uk-edition&release=v20211124&server=https://termbrowser.nhs.uk/sct-browser-api/snomed&langRefset=999001261000000100,999000691000001104
treetree draft  NHS number
0 … 1
prsb03-dataelement-10879link
The unique identifier for a person within the NHS in England and Wales.NHS data dictionary:- NHS number
treetree draft  NHS number status indicator
0 … 1
prsb03-dataelement-13297link
Provides an indication of the reliability of an NHS Number.NHS data dictionary :- NHS Number Code Status Indicator
treetree draft  Other identifier
0 … *
prsb03-dataelement-10880link
Country specific or local identifier, e.g. Community Health Index (CHI) in Scotland. NHS data dictionary: - Local patient identifier(extended), Health and care number (NI only), Community health index number (Scotland only)
treetree folder Person's address
0 … 1
prsb03-dataelement-10881link
Person’s usual place of residence, and where relevant temporary and correspondence addresses.
treeblank treetree draft  Address line 1
0 … 1
prsb03-dataelement-13082link
Person's first line of address. NHS data dictionary :-  Address line 1
treeblank treetree draft  Address line 2
0 … 1
prsb03-dataelement-13083link
Person's second line of address. NHS data dictionary :- Address line 2
treeblank treetree draft  Address line 3
0 … 1
prsb03-dataelement-13084link
Person's third line of address. NHS data dictionary : - Address line 3
treeblank treetree draft  Address line 4
0 … 1
prsb03-dataelement-13085link
Person's fourth line of address. NHS data dictionary : - Address line 4
treeblank treetree draft  Address line 5
0 … 1
prsb03-dataelement-13086link
Person's fifth line of address.NHS data dictionary : - Address line 5
treeblank treetree draft  Postcode
0 … 1
prsb03-dataelement-13087link
The person's postcode.NHS data dictionary :- Postcode of usual address
treeblank treetree draft  Address type
0 … 1
prsb03-dataelement-13221link
The type of address e.g. Main address, Temp addressNHS data dictionary :- Address Association Type
treetree folder Person's contact details
0 … 1
prsb03-dataelement-13804link
Details of the person's contact information.
treeblank treetree draft  Preferred contact method
0 … 1
prsb03-dataelement-10886link
Preferred contact method, e.g. email, letter, phone, text message etc.NHS data dictionary:- Preferred Contact Method
treeblank treetree folder Person's telephone number details
0 … *
prsb03-dataelement-10883link
The person's telephone number details
treeblank treeblank treetree draft  Person's telephone number
0 … 1
prsb03-dataelement-13808link
The person's telephone numberNHS data dictionary : - UK telephone number
treeblank treeblank treetree draft  Person's telephone number type
0 … 1
prsb03-dataelement-13805link
The contact type e.g. home, mobileFHIR value set: - Contact point use
treeblank treeblank treetree draft  Preference of telephone number
0 … 1
prsb03-dataelement-13809link
The preferred order of use for the telephone numberPreference of use 1-5, 1 being the highest.
treeblank treetree folder Person's email address details
0 … *
prsb03-dataelement-13807link
Details of the person's email address
treeblank treeblank treetree draft  Person's email address
0 … 1
prsb03-dataelement-10882link
Email address of the person.NHS data dictionary:- Contact Email Address
treeblank treeblank treetree draft  Person's email address type
0 … 1
prsb03-dataelement-13811link
The type of email address, home, workFHIR value set: - Contact point use
treeblank treeblank treetree draft  Preference of email address
0 … 1
prsb03-dataelement-13810link
The preferred order of use of email addressPreference of use 1-5, 1 being the highest.
treeblank treetree draft  Other contact information
0 … 1
prsb03-dataelement-13806link
Contact details via fax, sms, urlNHS data dictionary:- Communication contact string
treetree draft  Photograph
0 … 1
prsb03-dataelement-13065link
A photograph of the person for identification and to show what the person looks like normally.Mulitmedia file
treetree draft  Place of birth
0 … 1
prsb03-dataelement-10884link
The country of birth of the person.NHS data dictionary :- Country code (birth)
treetree draft  Marital status
0 … 1
prsb03-dataelement-10885link
An indicator to identify the legal marital status of the person.NHS data dictionary :- Person marital status
treetree folder Immigration status
0 … 1
prsb03-dataelement-13293link
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.
treeblank treetree draft  Immigration status
0 … 1
prsb03-dataelement-13304link
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.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
treeblank treetree draft  Start date
0 … 1
prsb03-dataelement-13294link
Start date of immigration statusDate and time
treeblank treetree draft  End date
0 … 1
prsb03-dataelement-13295link
End date of immigration statusDate and time
treeblank treetree draft  Comment
0 … 1
prsb03-dataelement-13296link
Relevant comments about the person's immigration statusFree text
treetree draft  Sexual Orientation
0 … 1
prsb03-dataelement-21923link
Person stated sexual orientationSnomed CT : https://termbrowser.nhs.uk/?perspective=full&conceptId1=999003081000000103&edition=uk-edition&release=v20211124&server=https://termbrowser.nhs.uk/sct-browser-api/snomed&langRefset=999001261000000100,999000691000001104 
treetree draft  Organ and tissue donation
0 … 1
prsb03-dataelement-13847link
Whether the person has opted out of automatic organ and/or tissue donation where applicable. This is information provided by the national register.Flag: - Yes or No
treetree draft  Overseas visitor status
0 … 1
prsb03-dataelement-10908link
The charging category relating to an overseas visitor.NHS data dictionary :- Overseas visitor charging catergory
treetree draft  Relevant contacts
0 … 1
prsb03-dataelement-10910link
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.

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.
treetree draft  Educational establishment
0 … 1
prsb03-dataelement-10911link
If the person is a child, name and address of where the child attends, eg play group, nursery, school.Free text or ODS code where available.
folder GP practice
1 … 1 Mandatory
prsb03-dataelement-101link
Details of the person's GP practice.
treetree folder GP practice record entry
1 … * Mandatory
prsb03-dataelement-10643link
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
treeblank treetree draft  GP name
0 … 1
prsb03-dataelement-10003link
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.Free text
treeblank treetree draft  GP practice details
0 … 1
prsb03-dataelement-10002link
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.Free text
treeblank treetree draft  GP practice identifier
1 … 1 Mandatory
prsb03-dataelement-10001link
The identifier of the registered GP practice. NHS data dictionary : - General medical practice code (patient registration)
treeblank treetree draft  GP opt out indicator
0 … 1
prsb03-dataelement-10004link
Indication that the person has opted out of registering with a GP.SNOMED CT : - 1092961000000104 |Does not wish to register with an NHS general practitioner (finding)| OR 1092941000000100 |Family using private general practitioner (finding)|
folder About me
0 … 1
prsb03-dataelement-466link
About me
treetree folder What is most important to me
0 … 1
prsb03-dataelement-12964link
A description of what is most important to you.
treeblank treetree draft  What is most important to me
0 … 1
prsb03-dataelement-14325link
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, volunteeringFree text
treetree folder People who are important to me
0 … 1
prsb03-dataelement-13009link
Details of who is important to you and why. 
treeblank treetree draft  People who are important to me
0 … 1
prsb03-dataelement-14327link
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 sayFree text 
treetree folder How I communicate and how to communicate with me
0 … 1
prsb03-dataelement-13006link
A description of how you communicate normally. 
treeblank treetree draft  How I communicate and how to communicate with me
0 … 1
prsb03-dataelement-14329link

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.

Free text
treetree folder My wellness
0 … 1
prsb03-dataelement-13005link
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.
treeblank treetree draft  My wellness
0 … 1
prsb03-dataelement-14331link

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

    Free text
    treetree folder Please do and please don't
    0 … 1
    prsb03-dataelement-13008link
    A description of things you want someone supporting you to do (or not to do). 
    treeblank treetree draft  Please do and please don't
    0 … 1
    prsb03-dataelement-14333link
    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.Free text
    treetree folder How and when to support me
    0 … 1
    prsb03-dataelement-13007link
    A description of how and when you want someone caring for you to support you.
    treeblank treetree draft  How and when to support me
    0 … 1
    prsb03-dataelement-14335link

    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.

    Free text
    treetree folder Also worth knowing about me
    0 … 1
    prsb03-dataelement-13094link
    A description of what is also worth knowing about you for people caring or supporting you. 
    treeblank treetree draft  Also worth knowing about me
    0 … 1
    prsb03-dataelement-14337link

    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.

    Free text
    treetree draft  Date
    0 … 1
    prsb03-dataelement-10367link
    This is a record of the date that this information was last updated.Date and Time
    treetree draft  Supported to write this by
    0 … 1
    prsb03-dataelement-10368link
    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.Free text
    treetree draft  Location to multimedia file
    0 … 1
    prsb03-dataelement-14326link
    The link to the person's multimedia fileLink to URL
    folder Individual requirements
    0 … 1
    prsb03-dataelement-160link
    The individual requirements of the person.
    treetree folder Reasonable adjustment
    0 … 1
    prsb03-dataelement-12991link
    A record of reasonable adjustments that must be provided by the service to comply with the Equality Act 2010.
    treeblank treetree folder Reasonable adjustment record entry
    0 … *
    prsb03-dataelement-13061link
    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
    treeblank treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-13098link
    The location where the reasonable adjustment was identified.
    treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13357link
    The coded value for location.NHS Data dictionary : - Organisation data service code
    treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13358link
    Free text field to be used if no code is availableFree text
    treeblank treeblank treetree draft  Reasonable adjustment flag
    0 … 1
    prsb03-dataelement-13874link

    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.

    SNOMED CT: - 1108111000000107 |Requires reasonable adjustments for health and care access (Equality Act 2010) (finding)|
    treeblank treeblank treetree folder Reasonable adjustment
    0 … 1
    prsb03-dataelement-13017link
    The reasonable adjustment required e.g. requires specific contact method, requires communication professional
    treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13505link
    The coded value for reasonable adjustmentSNOMED 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
    treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13506link
    Free text field to be used if no code is availableFree text
    treeblank treeblank treetree draft  Reasonable adjustment additional detail
    0 … 1
    prsb03-dataelement-13018link
    Further detail about the support required and the consequence of not providing it.Free text
    treeblank treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-13020link
    The date the reasonable adjustment was identified.Date and time
    treeblank treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-13027link
    The professional who confirmed the need for the reasonable adjustment.
    treeblank treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-13028link
    The name of the professional.Free text.
    treeblank treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-13029link
    The role the professional has in relation to the person.FHIR value set : - sdsjobrole
    treeblank treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-13030link
    The grade of the professional.Free text
    treeblank treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-13031link
    The specialty of the professional.NHS data dictionary - Main specialty code
    treeblank treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-13032link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-13033link
    The name of the organisation the professional works for.
    treeblank treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-13034link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-13035link
    A record of the details of the person that entered the reasonable adjustment and the date on which it was entered.
    treeblank treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-13036link
    The name of the person completing the record.Free text.
    treeblank treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-13037link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-13038link
    The grade of the person completing the record.Free text.
    treeblank treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-13039link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-13040link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-13041link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-13042link
    The date and time the record was completed.Date and time.
    treeblank treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-13043link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Impairment
    0 … 1
    prsb03-dataelement-13001link
    A record of any impairments for the person relating to reasonable adjustments.
    treeblank treetree folder Impairment record entry
    0 … *
    prsb03-dataelement-13062link
    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
    treeblank treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-13099link
    The location where the impairment was identified.
    treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13429link
    The coded value for location.NHS data dictionary: - Organisation code service
    treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13430link
    Free text field to be used if no code is availableFree text
    treeblank treeblank treetree folder Impairment category
    0 … 1
    prsb03-dataelement-13022link
    The category of the impairment e.g. Autism, Dementia, Physical disability, Sensory disability - such as sight or hearing, Long-term condition
    treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13507link
    The coded value for impairment.SNOMED CT
    treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13508link
    Free text field to be used if no code is availableFree text
    treeblank treeblank treetree draft  Impairment additional detail
    0 … 1
    prsb03-dataelement-13023link

    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).
    Free text
    treeblank treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-13024link
    The date the impairment was identified.Date and time
    treeblank treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-13044link
    The professional who confirmed the impairment.
    treeblank treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-13045link
    The name of the professional.Free text.
    treeblank treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-13046link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-13047link
    The grade of the professional.Free text
    treeblank treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-13048link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-13049link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-13050link
    The name of the organisation the professional works for.
    treeblank treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-13051link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-13052link

    A record of the details of the person that entered the impairment and the date on which it was entered.
    treeblank treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-13053link
    The name of the person completing the record.Free text.
    treeblank treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-13054link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-13055link
    The grade of the person completing the record.Free text.
    treeblank treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-13056link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-13057link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-13058link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-13059link
    The date and time the record was completed.Date and time.
    treeblank treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-13060link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Mobility
    0 … *
    prsb03-dataelement-10067link
    Details of the person's mobility needs.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-11707link
    The date when the mobility needs were identified.Date and time
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-11710link
    The location where the mobility needs were identified.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13433link
    The coded value for location.NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13434link
    Free text field to be used if no coded text available
    treeblank treetree folder Mobility needs
    0 … 1
    prsb03-dataelement-13670link
    The mobility needs of the person that allows movement between two spaces and achieves participation and a degree of independence.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13671link
    The coded value for mobility needsSNOMED CT: - ^999002551000000108 |Mobility findings simple reference set (foundation metadata concept)|
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13672link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11487link
    The professional who identified the mobility needs.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11488link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11489link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11490link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11491link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11492link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11493link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … *
    prsb03-dataelement-11494link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11495link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11496link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11497link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11498link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11499link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11500link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11501link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11502link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … *
    prsb03-dataelement-11503link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Other individual requirements
    0 … *
    prsb03-dataelement-10835link
    Details of any other individual requirements the person may have
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-11711link
    The date when the other individual requirements were identified.Date and time
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-11712link
    The location where the other individual requirements were identified.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13435link
    The coded value for location.NHS data dictionary : - Organisation service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13436link
    Free text field to be used if no coded text available
    treeblank treetree draft  Other individual requirement
    0 … 1
    prsb03-dataelement-13673link
    Other individual requirements that a person may have.Free text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11504link
    The professional who identified the other individual requirements.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11505link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11506link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11507link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11508link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11509link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11510link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … *
    prsb03-dataelement-11511link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11512link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11513link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11514link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11515link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11516link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11517link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11518link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11519link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … *
    prsb03-dataelement-11520link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    folder Safeguarding
    0 … 1
    prsb03-dataelement-271link
    The safeguarding details of the person.
    treetree folder Safeguarding concerns
    0 … *
    prsb03-dataelement-10821link
    Details of safeguarding concerns
    treeblank treetree draft  Safeguarding indicator
    0 … 1
    prsb03-dataelement-13428link
    Indicates whether or not the hospital considers that there are safeguarding issues associated with the patient.Flag: No =N: Yes = Y
    treeblank treetree draft  Safeguarding concerns date
    0 … 1
    prsb03-dataelement-10172link
    The date the safeguarding concerns were identified.Date and time
    treeblank treetree draft  Safeguarding concerns end date
    0 … 1
    prsb03-dataelement-10766link
    The date safeguarding concerns ended.Date and time
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-10173link
    The location where the safeguarding concerns were identified.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13437link
    The coded value of locationNHS data dictionary : - Organisation code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13438link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Safeguarding concerns
    0 … 1
    prsb03-dataelement-10171link
    Identified safeguarding concerns.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13756link
    The coded value for safeguarding concernsSNOMED CT : - ^999002381000000108 | Safeguarding issues simple reference set (foundation metadata concept) |
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13757link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11358link
    The professional who identified the safeguarding concerns.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11359link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11360link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11361link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11362link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11363link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11364link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11365link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11366link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11367link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11368link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11369link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11370link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11371link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11372link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11373link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11374link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treeblank treetree draft  Comment
    0 … 1
    prsb03-dataelement-10175link
    Further details on safeguarding concerns.Free text
    treetree folder Looked after child
    0 … 1
    prsb03-dataelement-10797link
    Details of the looked after child
    treeblank treetree draft  Looked after child start date
    0 … 1
    prsb03-dataelement-10746link
    The date the child became a looked after child.Date and time
    treeblank treetree draft  Looked after child end date
    0 … 1
    prsb03-dataelement-10761link
    The date the child ceased to be a looked after child.Date and time
    treeblank treetree folder Local authority
    0 … 1
    prsb03-dataelement-10799link
    The named local authority.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13614link
    The coded value for local authorityNHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13615link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11375link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11376link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11377link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11378link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11379link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11380link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11381link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11382link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11383link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Unborn child protection plan
    0 … 1
    prsb03-dataelement-10923link
    Details of the unborn child protection plan.
    treeblank treetree draft  Unborn child protection plan start date
    0 … 1
    prsb03-dataelement-10924link
    Start date of the unborn child protection plan.Date and time
    treeblank treetree draft  Unborn child protection plan end date
    0 … 1
    prsb03-dataelement-10925link
    End date of the unborn child protection plan.Date and time
    treeblank treetree folder Local authority
    0 … 1
    prsb03-dataelement-10926link
    The named local authority.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13618link
    The coded value for local authorityNHS data dictionary: - Organisation data service
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13619link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11393link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11394link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11395link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11396link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11397link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11398link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11399link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11400link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11401link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    folder Consent
    0 … 1
    prsb03-dataelement-10702link
    Legal information captured relating to patient care, such as consent.
    treetree draft  Consent for information sharing
    0 … 1
    prsb03-dataelement-10704link
    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.Free text.
    folder Referral details
    1 … 1 Mandatory
    prsb03-dataelement-105link
    The details of the referral.
    treetree folder Referral details record entry
    0 … *
    prsb03-dataelement-10917link
    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.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-10006link
    The date of referralDate and time
    treeblank treetree folder Referrer details
    1 … 1 Mandatory
    prsb03-dataelement-10005link
    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.
    treeblank treeblank treetree draft  Name
    1 … 1 Mandatory
    prsb03-dataelement-10971link
    The name of the referrer.Free text
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-10972link
    Role of the referrer.FHIR value set : - sdsjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-10973link
    The grade of the referrer.Free text
    treeblank treeblank treetree draft  Team
    0 … 1
    prsb03-dataelement-12409link
    The team or department of the referrer.Free text
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-12410link
    The specialty of the referrer.NHS data dictionary - Activity treatment function code
    treeblank treeblank treetree folder Service
    1 … 1 Mandatory
    prsb03-dataelement-12411link
    The service of the referrer.
    treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13397link
    The coded value for serviceSNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata concept)|
    treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13398link
    Free text field to be used if no code is availableFree text
    treeblank treeblank treetree folder Organisation
    1 … 1 Mandatory
    prsb03-dataelement-10974link
    The organisation of the referrer.
    treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13399link
    The coded value for organisation codeNHS data dictionary : - Organisation data service
    treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13400link
    Free text field to be used if no code is availableFree text
    treeblank treeblank treetree draft  Contact details
    1 … 1 Mandatory
    prsb03-dataelement-10975link
    The contact details of the referrer.Free text
    treeblank treetree draft  Referral method
    0 … 1
    prsb03-dataelement-10007link
    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.Allow National Codes only Fax Phone Secure Messaging Secure Email Letter NHS E-Referral Service Self referral
    treeblank treetree folder Reason for referral
    0 … 1
    prsb03-dataelement-10011link
    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.Free text
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13456link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Referral to
    1 … 1 Mandatory
    prsb03-dataelement-10008link
    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.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-10977link
    Name of person the referral is to be sent to.Free text
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-10978link
    Role of person where the referral is to be sent to.FHIR value set : - sdsjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-10979link
    The grade of the person where the referral is sent to.Free text
    treeblank treeblank treetree draft  Team
    0 … 1
    prsb03-dataelement-10982link
    The team or department of the person where the referral is being sent toFree text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-10983link
    The specialty the referral is being sent to e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree folder Service
    0 … 1
    prsb03-dataelement-12412link
    The service of where the referral is sent to.
    treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13509link
    The coded value for serviceSNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata concept)|
    treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13510link
    Free text field to be used if no code is availableFree text
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-10980link
    The organisation of where the referral is to be sent.
    treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13511link
    The coded value for organisationNHS data dictionary :- Organisation data service
    treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13512link
    Free text field to be used if no code is availableFree text
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-10981link
    The contact details of where the referral is to be sent.Free text.
    treeblank treetree draft  Return response to
    0 … 1
    prsb03-dataelement-10015link
    Name of professional to be communicated with, if not the referrerFree text.
    folder Contacts with professionals
    0 … 1
    prsb03-dataelement-169link
    The details of the person’s contact with a professional.
    treetree folder Contacts with professionals record entry
    0 … *
    prsb03-dataelement-10718link
    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.
    treeblank treetree draft  Date and time of contact
    0 … 1
    prsb03-dataelement-10069link
    Date and time of the contact.Date and time.
    treeblank treetree folder Location of contact
    0 … 1
    prsb03-dataelement-10075link
    The location where the contact took place.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13513link
    The coded value for locationNHS data dictionary : - Organisation service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13514link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Seen by
    0 … *
    prsb03-dataelement-10077link
    The professional that saw the person.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-13515link
    The name of the professional that saw the personFree text
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-13758link
    The role of the person providing the service.FHIR values set : - sdsjobrole
    treeblank treetree folder Responsible professional
    0 … 1
    prsb03-dataelement-10072link
    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).
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-10988link
    The name of the responsible professional.Free text
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-10989link
    The role of the responsible professionalFHIR value set : - sdsjobrole
    treeblank treetree draft  Location type
    0 … 1
    prsb03-dataelement-10076link
    The type of location where the contact took place e.g. person's homeNHS data dictionary - Activity location type code
    treeblank treetree draft  Contact type
    0 … 1
    prsb03-dataelement-10070link
    Type of contact e.g. GP consultation, outpatient attendanceFree text
    treeblank treetree draft  Consultation method
    0 … 1
    prsb03-dataelement-10071link
    Consultation method used e.g. face to face, telephoneNHS data dictionary - Consultation medium
    treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-10073link
    The specialty e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treetree draft  Service
    0 … 1
    prsb03-dataelement-10074link
    The service that was provided.SNOMED CT :- 1127531000000102 |Services simple reference set (foundation metadata concept)|
    treeblank treetree folder Professionals present
    0 … *
    prsb03-dataelement-10078link
    The name, role of the additional individuals or team members including consultant(s), nurse consultant(s), allied health professional(s), social worker(s)
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-10990link
    The name of the professional presentFree text
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-10991link
    The role of the professional present.FHIR value set : - sdsjobrole
    treeblank treetree draft  Outcome of contact
    0 … 1
    prsb03-dataelement-10080link
    This records the outcome of the contact. NHS data dictionary :- outcome of attendance
    folder Presenting complaints or issues
    0 … 1
    prsb03-dataelement-210link
    Presenting complaints or issues
    treetree folder Presenting complaint or issue
    0 … *
    prsb03-dataelement-13784link
    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.
    treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13785link
    The coded value for presenting complaint or issueSNOMED CT : - ^1127581000000103 |Health issues simple reference set|
    treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13786link
    Free text
    treetree draft  Person reported complaints or issues
    0 … *
    prsb03-dataelement-10906link
    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.Free text
    folder Problem list
    0 … 1
    prsb03-dataelement-10927link
    A summary of the problems that require investigation or treatment.
    treetree folder Problem list record entry
    0 … *
    prsb03-dataelement-10928link
    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.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-10929link
    The date the problem was identified.Date and time
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-12133link
    The professional who identified the problem.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-12134link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-12135link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-12136link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-12137link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-12138link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-12139link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-12140link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-10931link
    The location the problem was identified.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13242link
    The coded value for location.NHS data dictionary : - Organisation data service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13243link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Problem
    1 … 1 Mandatory
    prsb03-dataelement-10932link
    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
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13244link
    The coded value for the problem list.SNOMED CT : - ^1127581000000103 |Health issues simple reference set|
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13245link
    Free text field to be used if no code is availableFree text
    treeblank treetree draft  Onset date
    0 … 1
    prsb03-dataelement-10933link
    A date or estimated date that the problem beganDate and time
    treeblank treetree draft  End Date
    0 … 1
    prsb03-dataelement-10934link
    The date or estimated date the problem was resolved.Date and time.
    treeblank treetree draft  Stage of disease
    0 … 1
    prsb03-dataelement-10935link
    The stage of the disease where relevant.Free text
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-12141link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-12142link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-12143link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-12144link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-12145link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-12146link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-12147link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-12148link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-12149link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treeblank treetree draft  Comment
    0 … *
    prsb03-dataelement-10936link
    Supporting text may be given covering the problem.Free text
    folder Clinical Summary
    1 … 1 Mandatory
    prsb03-dataelement-247link
    Clinical Summary
    treetree draft  Date
    0 … 1
    prsb03-dataelement-13308link
    The date the clinical summary was written.Date
    treetree folder Location
    0 … 1
    prsb03-dataelement-13309link
    The location the clinical summary was written.
    treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13310link
    The coded value for location.NHS data dictionary : - Organisation data service code
    treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13311link
    Free text field to be used if no code is availableFree text
    treetree draft  Clinical summary
    0 … 1
    prsb03-dataelement-10147link
    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’.Free text
    treetree folder Performing professional
    0 … 1
    prsb03-dataelement-13312link
    The professional who wrote the clinical summary
    treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-13313link
    The name of the professional.Free text.
    treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-13314link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-13315link
    The grade of the professional.Free text
    treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-13316link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-13317link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-13318link
    The name of the organisation the professional works for.
    treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-13319link
    Contact details of the professionalNHS data dictionary - UK phone number
    treetree folder Person completing record
    0 … 1
    prsb03-dataelement-13320link
    A record of the details of the person that entered the clinical summary and the date on which is was entered.
    treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-13321link
    The name of the person completing the record.Free text.
    treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-13322link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-13323link
    The grade of the person completing the record.Free text.
    treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-13324link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-13325link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-13326link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-13327link
    The date and time the record was completed.Date and time.
    treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-13328link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    folder Social context
    0 … 1
    prsb03-dataelement-136link
    The social setting in which the person lives, such as their household, occupational history, and lifestyle factors.
    treetree folder Household composition
    0 … 1
    prsb03-dataelement-10036link
    Details of the person's household composition.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-11770link
    The date when the household composition was taken.Date and time.
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-13271link
    The location where the household composition was taken.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13272link
    The coded value for location.NHS data dictionary : - Organisation data service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13273link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Household composition
    0 … 1
    prsb03-dataelement-13261link
    Description of the household composition e.g. lives alone, lives with family, lives with partner, shared accommodation etc.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13262link
    The coded value of household compositionSNOMED CT: - 1027891000000106 | Household composition findings simple reference set (foundation metadata concept) |
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13263link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11648link
    The professional who took the household composition.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11649link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11650link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11651link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11652link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11653link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11654link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11655link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11521link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11522link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11523link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11524link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11525link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11526link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11527link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11528link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11529link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Occupational history
    0 … 1
    prsb03-dataelement-10037link
    The current and/or previous occupation(s) of the person.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-11772link
    The date when the occupational history was taken.Date and time.
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-11773link
    The location where the occupational history was taken.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13274link
    The coded value for the location.NHS Data dictionary : - Organisation data service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13275link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Occupational history
    0 … 1
    prsb03-dataelement-13264link
    The current and/or previous occupation(s) of the person.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13265link
    The coded value for occupational historySNOMED CT : - ^999001571000000109 | Occupation simple reference set (foundation metadata concept)
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13266link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11656link
    The professional who took the occupational history.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11657link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11658link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11659link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11660link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11661link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11662link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11663link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11530link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11531link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11532link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11533link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11534link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11535link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11536link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11537link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11538link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Educational history
    0 … 1
    prsb03-dataelement-10038link
    Details of the person's educational history.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-11774link
    The date when the educational history was taken.Date and time.
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-11775link
    The location where the education history was taken.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13276link
    The coded value for location.NHS Data dictionary : - Organisation data service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13277link
    Free text field to be used if no code is availableFree text
    treeblank treetree draft  Educational history
    0 … 1
    prsb03-dataelement-13840link
    The current and/or previous relevant educational history of the person.Free text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11776link
    The professional who took the educational history.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11777link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11778link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11779link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11780link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11781link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11782link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11783link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11539link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11540link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11541link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11542link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11543link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11544link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11545link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11546link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11547link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Lifestyle choices
    0 … 1
    prsb03-dataelement-10039link
    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
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-11784link
    The date when the lifestyle choices were taken.Date and time.
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-11785link
    The location where the lifestyle choices were taken.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13278link
    The coded value for location.NHS Data dictionary : - Organisation data service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13279link
    Free text field to be used if no code is availableFree text
    treeblank treetree draft  Lifestyle choices
    0 … 1
    prsb03-dataelement-13841link
    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.Free text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11786link
    The professional who took the lifestyle choices.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11787link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11788link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11789link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11790link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11791link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11792link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11793link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11548link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11549link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11550link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11551link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11552link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11553link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11554link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11555link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11556link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Smoking status
    0 … 1
    prsb03-dataelement-10040link
    Details of the person's smoking status.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-11794link
    The date when the smoking status was taken.Date and time
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-11795link
    The location where the smoking status was taken.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13281link
    The coded value for locationNHS data dictionary : - Organisation data service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13282link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Smoking status
    0 … 1
    prsb03-dataelement-13283link
    Record of any smoking use by the person.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13284link
    The smoking status of the person.SNOMED CT:- ^999000891000000102 |Smoking simple reference set (foundation metadata concept)|
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13285link
    Free text field to be used if no code is availableFree text
    treeblank treetree draft  Smoking status - details
    0 … 1
    prsb03-dataelement-13286link
    Further details recorded about the smoking status of the personFree text
    treeblank treetree folder Date stopped smoking
    0 … 1
    prsb03-dataelement-13287link
    The date the person stopped smoking (if known)
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13288link
    The coded value for date stopped smoking.SNOMED CT:- 160625004 |Date ceased smoking (observable entity)|
    treeblank treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-13289link
    The date the person stopped smoking.Date and time
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11796link
    The professional who took the smoking status.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11797link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11798link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11799link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11800link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11801link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11802link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11803link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11557link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11558link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11559link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11560link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11561link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11562link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11563link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11564link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11565link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Alcohol intake
    0 … 1
    prsb03-dataelement-10041link
    Details of the person's alcohol intake
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-11804link
    The date when the alcohol intake was noted.Date and time
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-11805link
    The location where the alcohol intake was noted.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13332link
    The coded value for location.NHS Data dictionary : - Organisation data service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13333link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Alcohol intake
    0 … 1
    prsb03-dataelement-13290link
    Latest or current alcohol consumption.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13291link
    The coded value of the person alcohol intakeSNOMED 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)|
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13292link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11806link
    The professional who noted the alcohol intake.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11807link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11808link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11809link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11810link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11811link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11812link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11813link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11566link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11567link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11568link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11569link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11570link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11571link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11572link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11573link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11574link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Drug/substance use
    0 … 1
    prsb03-dataelement-10042link
    Details of the person's drug and substance use.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-11814link
    The date when the drug/substance use was noted.Date and time
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-11815link
    The location where the drug/substance use was noted.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13334link
    The coded value for location.NHS Data dictionary : - Organisation data service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13335link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Drug/substance use
    0 … 1
    prsb03-dataelement-13336link
    Latest or current drug/substance use.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13337link
    The coded value for drug and substance misuse.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)|
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13338link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11816link
    The professional who noted the drug/substance use.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11817link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11818link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11819link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11820link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11821link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11822link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11823link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11575link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11576link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11577link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11578link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11579link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11580link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11581link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11582link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11583link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Social circumstances
    0 … 1
    prsb03-dataelement-10043link
    Details of the persons social circumstances
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-11824link
    The date when the social circumstances were taken.Date and time
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-11825link
    The location where the social circumstances were taken.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13339link
    The coded value for the location
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13340link
    Free text field to be used if no code is availableFree text
    treeblank treetree draft  Social circumstances
    0 … 1
    prsb03-dataelement-13341link
    A person’s social background, network and personal circumstances, e.g. housing. This should include whether the person is a carer.Free text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11826link
    The professional who took the social circumstances.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11827link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11828link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11829link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11830link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11831link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11832link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11833link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11584link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11585link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11586link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11587link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11588link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11589link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11590link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11591link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11592link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Access
    0 … 1
    prsb03-dataelement-10045link
    Details of access for the person.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-11844link
    The date when the special access requirements were taken.Date and time
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-11845link
    The location where the special access requirements were taken.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13343link
    The coded value for locationNHS Data dictionary : - Organisation data service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13344link
    Free text field to be used if no coded text available
    treeblank treetree draft  Access
    0 … 1
    prsb03-dataelement-13342link
    Special access requirements e.g. key safe, coded lock, which door to use, stretcher access, etc.Free text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11846link
    The professional who took the special access requirements.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11847link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11848link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11849link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11850link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11851link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11852link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11853link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11602link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11603link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11604link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11605link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11606link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11607link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11608link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11609link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11610link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Dependants
    0 … 1
    prsb03-dataelement-10046link
    Details of any responsibility the person has for dependants.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-11854link
    The date when the dependents details were taken.Date and time
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-11855link
    The location where the dependents details were taken.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13346link
    The coded value for locationNHS Data dictionary : - Organisation data service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13347link
    Free text field to be used if no code is availableFree text
    treeblank treetree draft  Dependants
    0 … 1
    prsb03-dataelement-13345link
    Provide details of any responsibility the person has for dependants. In the case of children provide date of birth of the child.Free text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11856link
    The professional who took the dependents details.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11857link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11858link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11859link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11860link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11861link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11862link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11863link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11611link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11612link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11613link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11614link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11615link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11616link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11617link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11618link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11619link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Accommodation status
    0 … 1
    prsb03-dataelement-10047link
    Details of the type of accommodation where the person lives.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-11864link
    The date when the accommodation status was taken.Date and time
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-11865link
    The location where the accommodation was taken.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13352link
    The coded value of locationNHS Data dictionary : - Organisation data service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13353link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Accommodation status
    0 … 1
    prsb03-dataelement-13348link
    An indication of the type of accommodation where the person lives.

    This should be based on the main or permanent residence.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13349link
    The coded value for accommodation statusNHS data dictionary :- Accommodation status
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13350link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11866link
    The professional who took the accommodation status.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11867link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11868link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11869link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11870link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11871link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11872link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11873link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11874link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11875link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11876link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11877link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11878link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11879link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11880link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11881link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11882link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treetree folder Household environment
    0 … 1
    prsb03-dataelement-10051link
    Details of the person's household environment.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-11883link
    The date when the household environment details were taken.Date and time
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-11884link
    The location where the household environment details were taken.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13351link
    The coded value for locationNHS Data dictionary : - Organisation data service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13354link
    Free text field to be used if no code is availableFree text
    treeblank treetree draft  Household environment
    0 … 1
    prsb03-dataelement-13842link
    Factors in the household which impact the person's health and wellbeing, to include smoking in the home, alcohol/substance use etc.Free text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11885link
    The professional who took the household environment details.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11886link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11887link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11888link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11889link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11890link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11891link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11892link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11621link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11622link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11623link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11624link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11625link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11626link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11627link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11628link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11629link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    folder Services and care
    0 … 1
    prsb03-dataelement-10044link
    The services and care provided for the person.
    treetree folder Services and care record entry
    0 … *
    prsb03-dataelement-12421link
    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.
    treeblank treetree draft  Social care package name
    0 … 1
    prsb03-dataelement-12965link
    Name of specific type of package being provided (e.g. Reablement, Home Based Care XYZ, etc)Free text
    treeblank treetree draft  Social care package type
    0 … 1
    prsb03-dataelement-12966link
    Higher level categorisation of package type, e.g. Adults Home SupportFree text
    treeblank treetree draft  Service start date
    0 … 1
    prsb03-dataelement-11834link
    The date service started to be provided.Date and time
    treeblank treetree draft  Service end date
    0 … 1
    prsb03-dataelement-12420link
    The date the service is planned to be ended or the actual end date.Date and time
    treeblank treetree folder Local authority
    0 … 1
    prsb03-dataelement-11835link
    The name of the local authority providing the care package.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13566link
    The coded value for local authorityNHS data dictionary: - Organisation data service
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13567link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Care funding source
    0 … 1
    prsb03-dataelement-13067link
    A reference to the funding source and any conditions or limitations associated.
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-11836link
    The professional providing the service.Free text
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11837link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11838link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11839link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-11840link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11841link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11842link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11843link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11593link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11594link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11595link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11596link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11597link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11598link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11599link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11600link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11601link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    folder Signpost details
    0 … 1
    prsb03-dataelement-13973link
    Details of signpost
    treetree folder Signpost details record entry
    0 … *
    prsb03-dataelement-13974link
    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.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-13975link
    Date of signpost.
    treeblank treetree folder Signpost to
    0 … 1
    prsb03-dataelement-13976link
    Details of where the signpost is to.

    If not an individual, this could be a service.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-13977link
    Name of person signposted to.Free Text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-13978link
    Role of person signposted to.Free Text.
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-13979link
    The grade of the person signposted to.Free text.
    treeblank treeblank treetree draft  Team
    0 … 1
    prsb03-dataelement-13980link
    The team or department signposted to.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-13981link
    The specialty signposted to e.g. physiotherapy, oncology, mental health etc
    treeblank treeblank treetree folder Service
    0 … 1
    prsb03-dataelement-13982link
    The service signposted to.
    treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13983link
    The coded value for service.SNOMED CT : - < 1127531000000102 |Services simple reference set (foundation metadata concept)|
    treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13984link
    Free text field to be used if no code is available.Free text.
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-13985link
    Free text
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-13987link
    The contact details of where the person has been signposted to.Free text.
    treeblank treetree folder Reason for signpost
    0 … 1
    prsb03-dataelement-13988link
    The reason for signposting.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13989link
    The coded value for reason for signpost.SNOMED CT :- < 1127581000000103 |Health issues simple reference set|
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13990link
    Free text field to be used if no code is available.Free text.
    folder Pregnancy status
    0 … 1
    prsb03-dataelement-10814link
    Pregnancy status of the person.
    treetree draft  Pregnancy state
    0 … 1
    prsb03-dataelement-10815link
    A flag that indicates whether the person is pregnant.Flag : - Yes or No
    treetree draft  Expected delivery date
    0 … 1
    prsb03-dataelement-10813link
    The expected delivery date of the person.Date and time
    folder Assessments
    0 … 1
    prsb03-dataelement-262link
    Details of the person's assessments
    treetree folder Assessments record entry
    0 … *
    prsb03-dataelement-11664link
    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.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-10763link
    The date the assessment was done.Date and time.
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-10764link
    The location where the assessment was done.ODS code or free text.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13570link
    The coded value for locationNHS data dictionary: - Organisation data service
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13571link
    Free text field to be used if no code is availableFree text
    treeblank treetree draft  Assessment type
    0 … 1
    prsb03-dataelement-10822link
    The type of the assessment e.g. social care needs assessment.Free text
    treeblank treetree draft  Assessment summary
    0 … 1
    prsb03-dataelement-10754link
    The summary of the assessmentFree text
    treeblank treetree folder Structured assessment
    0 … 1
    prsb03-dataelement-18261link
    Details of the structured assessment.
    treeblank treeblank treetree folder Structured assessment name
    0 … 1
    prsb03-dataelement-18273link
    Structured assessment name e.g. New York Heart Failure, Glasgow Coma scale, Activities of Daily Living (ADL) etc.
    treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-18289link
    The coded value for structured assessment name. SNOMED CT: - < 273249006 |Assessment scales (assessment scale)|
    treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-18290link
    Free text field to be used if no code is availableFree text
    treeblank treeblank treetree folder Assessment result
    0 … 1
    prsb03-dataelement-18275link
    The structured assessment result. This is the overall result for the assessment. 
    treeblank treeblank treeblank treetree folder Assessment score
    0 … 1
    prsb03-dataelement-18274link
    The overall structured assessment score.
    treeblank treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-18291link
    The coded value for assessment score. SNOMED CT: - < 363787002 |Observable entity (observable entity)|
    treeblank treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-18292link
    Free text field to be used if no code is availableFree text
    treeblank treeblank treeblank treetree draft  Value
    0 … 1
    prsb03-dataelement-18293link
    The numerical value for the assessment result. Enumerated value e.g. numeric, natural numbers. This field is mandatory if the observable entity for assessment item is used.
    treeblank treeblank treeblank treetree draft  Units of measure
    0 … 1
    prsb03-dataelement-18294link
    The units of measure for the assessment result.UCUM code
    treeblank treeblank treeblank treetree folder Ordinal
    0 … 1
    prsb03-dataelement-18295link
    The ordinal result of the assessment e.g. mild, moderate, severe.
    treeblank treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-18296link
    The coded value for the ordinal result. SNOMED CT.
    treeblank treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-18297link
    Free text field to be used if no code is availableFree text
    treeblank treeblank treetree folder Subscale result
    0 … *
    prsb03-dataelement-18276link
    The subscale result for the structured assessment. This includes the result for individual questions or subsections.
    treeblank treeblank treeblank treetree folder Subscale score
    0 … 1
    prsb03-dataelement-18298link
    The subscale score of the structured assessment. Subscales may be individual questions or subsections of the overall assessment. 
    treeblank treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-18299link
    The coded value for subscale item.SNOMED CT: - < 363787002 |Observable entity (observable entity)|
    treeblank treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-18300link
    Free text field to be used if no code is availableFree text
    treeblank treeblank treeblank treetree draft  Value
    0 … 1
    prsb03-dataelement-18301link
    The numerical value for the subscale assessment result. Enumerated value e.g. numeric, natural numbers. This field is mandatory if the observable entity for subscale score is used.
    treeblank treeblank treeblank treetree draft  Units of measure
    0 … 1
    prsb03-dataelement-18302link
    The units of measure for the assessment subscale result.UCUM code
    treeblank treeblank treeblank treetree folder Ordinal
    0 … 1
    prsb03-dataelement-18303link
    The ordinal result of the subscale assessment e.g. mild, moderate, severe.
    treeblank treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-18304link
    The coded value for the ordinal result. SNOMED CT.
    treeblank treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-18305link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-12382link
    The professional who did the assessment.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-12383link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-12384link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-12385link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-12386link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-12387link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-12388link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-12389link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-11752link
    Details of the person completing the record.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-11753link
    The name of the person completing the record.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-11754link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-11755link
    The grade of the person completing the record.Free text.
    treeblank treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-11756link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-11757link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-11758link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-11759link
    The date and time the record was completed.Date and time.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-11760link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    treeblank treetree draft  Comment
    0 … 1
    prsb03-dataelement-10164link
    Supporting text may be given regarding the assessment.Free text
    folder Risks
    1 … 1 Mandatory
    prsb03-dataelement-276link
    Details of any risks related to the person.
    treetree folder Risks record entry
    1 … * Mandatory
    prsb03-dataelement-14460link
    This is a risks 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.
    treeblank treetree draft  Start date of risk
    0 … 1
    prsb03-dataelement-14461link
    The start date of the risk.Date and time
    treeblank treetree draft  End date of risk
    0 … 1
    prsb03-dataelement-14462link
    The date the risk ended.Date and time
    treeblank treetree folder Risk
    1 … 1 Mandatory
    prsb03-dataelement-14463link
    The risk to the person or others, this includes any risk the person might cause to themselves or to others. e.g. suicide, self harm. 
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-21900link
    The coded value for risk.  SNOMED CT: - <281694009 |Finding of at risk (finding)|  
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-21899link
    Free text field to be used if no code is available.Free text.
    treeblank treetree draft  Comment
    0 … 1
    prsb03-dataelement-14485link
    Additional details about the risk. Free text
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-14464link
    The location where the risk was identified.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-14465link
    The coded value for location.NHS data dictionary : - Organisation service code
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-14466link
    Free text field to be used if no code is availableFree text
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-14467link
    The professional who identified the risk.
    treeblank treetree folder Person completing record
    0 … 1
    prsb03-dataelement-14475link
    Details of the person completing the record.
    folder Plan and requested actions
    0 … 1
    prsb03-dataelement-535link
    The details of planned investigations, procedures and treatment, and whether this plan has been agreed with the person or their legitimate representative.
    treetree folder Plan and requested actions record entry
    0 … *
    prsb03-dataelement-10661link
    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.
    treeblank treetree draft  Date
    0 … 1
    prsb03-dataelement-10445link
    The date on which the plan and requested actions were prepared.Date and time
    treeblank treetree folder Performing professional
    0 … 1
    prsb03-dataelement-12167link
    The professional who prepared the plan and requested actions.
    treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-12168link
    The name of the professional.Free text.
    treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-12169link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-12170link
    The grade of the professional.Free text
    treeblank treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-12171link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-12172link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-12173link
    The name of the organisation the professional works for.
    treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-12174link
    Contact details of the professionalNHS data dictionary - UK phone number
    treeblank treetree folder Location
    0 … 1
    prsb03-dataelement-10842link
    The location where the plan and requested actions were prepared.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13684link
    The coded value for locationNHS data dictionary : - Organisation data service
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13685link
    Free text field to be used if no code is availableFree text
    treeblank treetree draft  Actions for professionals
    0 … 1
    prsb03-dataelement-10436link
    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.Free text
    treeblank treetree draft  Actions for person or their carer
    0 … 1
    prsb03-dataelement-10437link
    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.Free text
    treeblank treetree draft  Agreed with the person or their legitimate representative
    0 … 1
    prsb03-dataelement-10438link
    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.Free text
    folder Care and support plan
    1 … 1
    prsb03-dataelement-508link
    This records the decisions reached during conversation between the individual and health and care professional about future plans and also records progress.
    treetree folder Strengths
    0 … *
    prsb03-dataelement-10419link
    Any strengths and assets the person has relating to their goals and hopes about their health and well-being.
    treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-14369link
    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)|

    SNOMED CT : - 1127601000000107 | Healthcare matters simple reference set (foundation metadata concept) |
    treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-14370link
    The person’s strengths (in free text). If the strengths are coded then this is any supplementary or personalised information that relates to the coded strength. Free text
    treetree folder Needs, concerns or problems
    0 … *
    prsb03-dataelement-10414link
    Details of the person needs, concerns or problems
    treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-14371link
    The coded value associated with the person's needs, concerns or problems.SNOMED CT : - ^1127581000000103 |Health issues simple reference set|
    treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-14372link
    The person’s needs, concerns or problems (in free text). If the needs, concerns or problems are coded then this is any supplementary or personalised information that relates to the coded need, concern or problem.
    Free text 
    treeblank treetree folder Goals and hopes
    0 … *
    prsb03-dataelement-10413link
    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.
    treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-14373link
    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)|SNOMED CT : - 413350009|Finding with explicit context|: 246090004|Associated finding|=300798006 |Able to participate in sporting activities (finding)|, 408729009|Finding context|=410518001|Goal|
    treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-14374link
    The person’s goals and hopes (in free text). If the goals and hopes are coded then this is any supplementary or personalised information that relates to the coded goal or hope. Free text
    treeblank treeblank treetree draft  Goal importance score
    0 … 1
    prsb03-dataelement-14399link
    Assessment of the person's motivations to achieve this goal, how important the goal is to the person on a scale of 1-10.Numeric scale 1 - 10
    treeblank treeblank treetree folder Actions and activities
    0 … *
    prsb03-dataelement-10408link
    Actions or activities the person or others plan to take to achieve the person's goals and the resources required to do this.

    treeblank treeblank treeblank treetree folder What
    0 … *
    prsb03-dataelement-10675link
    What the action is and how it is to be carried out?
    treeblank treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-14383link
    The coded value for the action.

    SNOMED CT : - <<71388002 |Procedure| OR <<129125009 |Procedure with explicit context|
    treeblank treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-14384link
    The person’s actions (in free text). If the actions are coded then this is any supplementary or personalised information that relates to the coded action. Free text
    treeblank treeblank treeblank treetree folder Who
    0 … 1
    prsb03-dataelement-10676link
    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.
    treeblank treeblank treeblank treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-14393link
    The name of the professional or person carrying out the proposed action.Free text
    treeblank treeblank treeblank treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-14394link
    The role of the person providing the service.FHIR values set : - sdsjobrole
    treeblank treeblank treeblank treeblank treetree draft  Team
    0 … 1
    prsb03-dataelement-14395link
    The name of the team.Free text
    treeblank treeblank treeblank treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-14396link
    Contact details of the professional (e.g. telephone number, email address etc.).Free text
    treeblank treeblank treeblank treetree draft  When
    0 … 1
    prsb03-dataelement-10677link
    Planned date, time, or interval, as relevantDate and time
    treeblank treeblank treeblank treetree draft  Suggested strategies
    0 … 1
    prsb03-dataelement-10678link
    Suggested strategies for potential problems.Free text.
    treeblank treeblank treeblank treetree folder Status
    0 … 1
    prsb03-dataelement-10679link
    The status of the action or activity e.g. in progress, done, refused
    treeblank treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-14385link
    The coded value for the person's activity statusSNOMED CT : - ^999000081000000105 | Care planning action context values simple reference set (foundation metadata concept) |
    treeblank treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-14386link
    Any supplementary or personalised information for the person's activity statusFree text
    treeblank treeblank treeblank treetree draft  Confidence
    0 … 1
    prsb03-dataelement-10680link
    How confident the person feels to carry out the action associated to the goal.Numeric score 1 - 10
    treeblank treeblank treeblank treetree draft  Date last updated
    0 … 1
    prsb03-dataelement-10682link
    Date when action/activity record was last updatedDate and time
    treeblank treeblank treeblank treetree draft  Review date
    0 … 1
    prsb03-dataelement-10683link
    When the action evaluation needs to be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |Date and time.
    treeblank treeblank treeblank treetree folder Stage goal
    0 … *
    prsb03-dataelement-10674link
    Details of the person's stage goals
    treeblank treeblank treeblank treeblank treetree folder Stage goal
    0 … 1
    prsb03-dataelement-14284link
    A specific sub-goal that is related to the overall goal as agreed by the person in collaboration with a professional.
    treeblank treeblank treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-14375link
    The coded expression associated with the person's stage goal.SNOMED CT : - 413350009|Finding with explicit context|: 246090004|Associated finding|=300798006 |Able to participate in sporting activities (finding)|, 408729009|Finding context|=410518001|Goal|
    treeblank treeblank treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-14376link
    The person’s stage goal (in free text). If the stage goal is coded then this is any supplementary or personalised information that relates to the coded stage goal. Free text
    treeblank treeblank treeblank treeblank treetree folder Outcome
    0 … 1
    prsb03-dataelement-10681link
    The outcome of the stage goal
    treeblank treeblank treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-14378link
    The coded value for the person's stage goal outcome.SNOMED CT: - ^1127601000000107 |Healthcare matters simple reference set (foundation metadata concept)| 
    treeblank treeblank treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-14379link
    Any supplementary and personalised information relating to the person's outcome.Free text
    treeblank treeblank treeblank treeblank treetree draft  Goal status
    0 … 1
    prsb03-dataelement-14377link
    The status associated with the person's stage goalSNOMED CT: - ^999000091000000107 | Care planning goal context values simple reference set (foundation metadata concept) |
    treeblank treeblank treetree folder Outcomes
    0 … *
    prsb03-dataelement-10416link
    Outcomes of each of the person’s goals, aims and targets. Includes comments recorded by the person, date and status.
    treeblank treeblank treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-14380link
    The coded value associated with the person's overall goal outcomeSNOMED CT: - ^1127601000000107 |Healthcare matters simple reference set (foundation metadata concept)| 
    treeblank treeblank treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-14382link
    The person’s outcome (in free text) of a goal. If the outcome is coded then this is any supplementary or personalised information that relates to the coded outcome.
    Free text
    treeblank treeblank treetree draft  Goal status
    0 … 1
    prsb03-dataelement-14400link
    The status associated with the person's overall goal.SNOMED CT: - ^999000091000000107 | Care planning goal context values simple reference set (foundation metadata concept) |
    treetree folder Agreed with person or legitimate representative
    0 … 1
    prsb03-dataelement-10409link
    Indicates whether the plan was discussed and agreed with the person or legitimate representative.
    treeblank treetree draft  Person or legitimate representative
    0 … 1
    prsb03-dataelement-14322link
    Indicates whether the plan was discussed and agreed with the person or legitimate representativePerson or legitimate representative 
    treeblank treetree draft  Person full name
    0 … 1
    prsb03-dataelement-14323link
    The full name of the person in text representation.NHS data dictionary :- Person full name
    treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-14324link
    The role the professional has in relation to the person.FHIR value set : - sdsjobrole
    treetree folder Care funding source
    0 … 1
    prsb03-dataelement-10410link
    A reference to the funding source and any conditions or limitations associated.
    treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-14391link
    The organisation code of the care funding sourceNHS data dictionary : - organisation data service
    treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-14392link
    Any further information for the person's care funding source e.g. self fundedFree text 
    treetree draft  Date this plan was last updated
    0 … 1
    prsb03-dataelement-10412link
    This is a record of the date that this care and support plan was last updated.Date and time
    treetree draft  Other care planning documents
    0 … *
    prsb03-dataelement-10415link
    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.Free text.
    treetree draft  Planned review date/interval
    0 … 1
    prsb03-dataelement-10417link
    This is the date/interval when this information will next be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |Date and time
    treetree folder Responsibility for review
    0 … 1
    prsb03-dataelement-10418link
    This is a record of who has responsibility for arranging review of this information.
    treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-14345link
    The name of the professional with responsibility for the care of the person.Free text
    treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-14346link
    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) etcFHIR value set : - SDSjobrole
    treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-14347link
    Contact details of the professional (e.g. telephone number, email address etc.).Free text
    treetree folder Location
    0 … 1
    prsb03-dataelement-12044link
    The location where the care and support plan was prepared.
    treeblank treetree draft  Coded value
    0 … 1
    prsb03-dataelement-13665link
    The coded value for locationNHS data dictionary: - Organisation data service
    treeblank treetree draft  Free text
    0 … 1
    prsb03-dataelement-13666link
    Free text field to be used if no coded text available
    treetree folder Performing professional
    0 … 1
    prsb03-dataelement-12027link
    The professional who prepared the care and support plan.
    treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-12028link
    The name of the professional.Free text.
    treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-12029link
    The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etcFHIR value set :- SDSjobroletype
    treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-12030link
    The grade of the professional.Free text
    treeblank treetree draft  Speciality
    0 … 1
    prsb03-dataelement-12031link
    The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
    treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-12032link
    Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.NHS data dictionary : - Professional registration identifier
    treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-12033link
    The name of the organisation the professional works for.
    treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-12034link
    Contact details of the professionalNHS data dictionary - UK phone number
    treetree folder Person completing record
    0 … *
    prsb03-dataelement-12035link
    Details of the person completing the record.
    treeblank treetree draft  Name
    0 … 1
    prsb03-dataelement-12036link
    The name of the person completing the record.Free text.
    treeblank treetree draft  Role
    0 … 1
    prsb03-dataelement-12037link
    The organisational role of the person completing record.FHIR value set :- SDSjobrole
    treeblank treetree draft  Grade
    0 … 1
    prsb03-dataelement-12038link
    The grade of the person completing the record.Free text.
    treeblank treetree draft  Specialty
    0 … 1
    prsb03-dataelement-12039link
    The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
    treeblank treetree folder Organisation
    0 … 1
    prsb03-dataelement-12040link
    The organisation the person completing the record works for. NHS data dictionary : - Organisation data service
    treeblank treetree draft  Professional identifier
    0 … 1
    prsb03-dataelement-12041link
    Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.NHS data dictionary :- Professional registration identifier
    treeblank treetree draft  Date completed
    0 … 1
    prsb03-dataelement-12042link
    The date and time the record was completed.Date and time.
    treeblank treetree draft  Contact details
    0 … 1
    prsb03-dataelement-12043link
    Contact details of the person completing the record.
    NHS data dictionary : - UK telephone number
    draft arrowleft Response
    prsb03-transaction-271link
    Version / effective date 0.1 - 2021‑06‑15 22:34:09    
    Actor
    Sender (organization) General practitioner
    Receiver (organization) General practitioner
    Associations