Concept |
Card/Conf |
Id |
 |
Person demographics |
|
1 … 1 Mandatory |
prsb03-dataelement-10868 link
|
|
The person's details and contact information. |
 |
 |
Person name |
|
1 … 1 Mandatory |
prsb03-dataelement-10869 link
|
|
Details of the person's name |
|
1 … * Mandatory |
prsb03-dataelement-13799 link
|
|
The first name(s) of the person. This includes middle names.NHS data dictionary :- Person given name
|
|
1 … * Mandatory |
prsb03-dataelement-13800 link
|
|
The family name or surname of the personNHS data dictionary : - Person family name
|
|
0 … 1 |
prsb03-dataelement-10870 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13089 link
|
|
Person's titleNHS data dictionary: - Person Title
|
|
1 … * |
prsb03-dataelement-13798 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13801 link
|
|
The full name of the person in text representation.NHS data dictionary :- Person full name
|
 |
|
Date of birth |
|
1 … 1 Mandatory |
prsb03-dataelement-10871 link
|
|
The date of birth of the person.NHS data dictionary:- Person birth date
|
 |
 |
Location of Birth |
|
0 … 1 |
prsb03-dataelement-14422 link
|
|
The place the baby was born. |
|
0 … 1 |
prsb03-dataelement-14423 link
|
|
The coded value for location of birth.NHS Data Dictionary: - Site Code (of Actual Place of Delivery)
|
|
0 … 1 |
prsb03-dataelement-14424 link
|
|
Free text field to be used when code is not availableFree text |
 |
|
Pronoun |
|
0 … 1 |
prsb03-dataelement-14948 link
|
|
The person's preferred pronoun e.g. she/he/theyFree Text |
 |
|
Gender |
|
0 … 1 |
prsb03-dataelement-10872 link
|
|
The person's stated gender.NHS data dictionary :- Person stated gender code
|
 |
|
Person alias |
|
0 … 1 |
prsb03-dataelement-10873 link
|
|
Other name(s) associated with the person.Free text |
 |
|
Ethnicity |
|
0 … 1 |
prsb03-dataelement-10874 link
|
|
The ethnicity of the person as specified by the person.NHS data dictionary :- Ethnic category
|
 |
|
Religion |
|
0 … 1 |
prsb03-dataelement-10876 link
|
|
The religious affiliation as specified by the person.
SNOMED_CT:- Religion
|
 |
|
Sex |
|
0 … 1 |
prsb03-dataelement-10877 link
|
|
The person’s phenotypic sex. Determines how the person will be treated clinically.NHS data dictionary: - person phenotypic sex
|
 |
|
Carer Status |
|
0 … 1 |
prsb03-dataelement-21924 link
|
|
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
|
 |
|
NHS number |
|
0 … 1 |
prsb03-dataelement-10879 link
|
|
The unique identifier for a person within the NHS in England and Wales.NHS data dictionary:- NHS number
|
 |
|
NHS number status indicator |
|
0 … 1 |
prsb03-dataelement-13297 link
|
|
Provides an indication of the reliability of an NHS Number.NHS data dictionary :- NHS Number Code Status Indicator
|
 |
|
Other identifier |
|
0 … * |
prsb03-dataelement-10880 link
|
|
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)
|
 |
 |
Person's address |
|
0 … 1 |
prsb03-dataelement-10881 link
|
|
Person’s usual place of residence, and where relevant temporary and correspondence
addresses.
|
|
0 … 1 |
prsb03-dataelement-13082 link
|
|
Person's first line of address.
NHS data dictionary :- Address line 1
|
|
0 … 1 |
prsb03-dataelement-13083 link
|
|
Person's second line of address.
NHS data dictionary :- Address line 2
|
|
0 … 1 |
prsb03-dataelement-13084 link
|
|
Person's third line of address.
NHS data dictionary : - Address line 3
|
|
0 … 1 |
prsb03-dataelement-13085 link
|
|
Person's fourth line of address.
NHS data dictionary : - Address line 4
|
|
0 … 1 |
prsb03-dataelement-13086 link
|
|
Person's fifth line of address.NHS data dictionary : - Address line 5
|
|
0 … 1 |
prsb03-dataelement-13087 link
|
|
The person's postcode.NHS data dictionary :- Postcode of usual address
|
|
0 … 1 |
prsb03-dataelement-13221 link
|
|
The type of address e.g. Main address, Temp addressNHS data dictionary :- Address Association Type
|
 |
 |
Person's contact details |
|
0 … 1 |
prsb03-dataelement-13804 link
|
|
Details of the person's contact information. |
|
0 … 1 |
prsb03-dataelement-10886 link
|
|
Preferred contact method, e.g. email, letter, phone, text message etc.NHS data dictionary:- Preferred Contact Method
|
 |
 |
 |
Person's telephone number details |
|
0 … * |
prsb03-dataelement-10883 link
|
|
The person's telephone number details |
 |
 |
 |
|
Person's telephone number |
|
0 … 1 |
prsb03-dataelement-13808 link
|
|
The person's telephone numberNHS data dictionary : - UK telephone number
|
 |
 |
 |
|
Person's telephone number type |
|
0 … 1 |
prsb03-dataelement-13805 link
|
|
The contact type e.g. home, mobileFHIR value set: - Contact point use
|
 |
 |
 |
|
Preference of telephone number |
|
0 … 1 |
prsb03-dataelement-13809 link
|
|
The preferred order of use for the telephone numberPreference of use 1-5, 1 being the highest. |
 |
 |
 |
Person's email address details |
|
0 … * |
prsb03-dataelement-13807 link
|
|
Details of the person's email address |
|
0 … 1 |
prsb03-dataelement-10882 link
|
|
Email address of the person.NHS data dictionary:- Contact Email Address
|
 |
 |
 |
|
Person's email address type |
|
0 … 1 |
prsb03-dataelement-13811 link
|
|
The type of email address, home, workFHIR value set: - Contact point use
|
 |
 |
 |
|
Preference of email address |
|
0 … 1 |
prsb03-dataelement-13810 link
|
|
The preferred order of use of email addressPreference of use 1-5, 1 being the highest. |
 |
 |
|
Other contact information |
|
0 … 1 |
prsb03-dataelement-13806 link
|
|
Contact details via fax, sms, urlNHS data dictionary:- Communication contact string
|
 |
|
Photograph |
|
0 … 1 |
prsb03-dataelement-13065 link
|
|
A photograph of the person for identification and to show what the person looks like
normally.Mulitmedia file
|
 |
|
Place of birth |
|
0 … 1 |
prsb03-dataelement-10884 link
|
|
The country of birth of the person.NHS data dictionary :- Country code (birth)
|
 |
|
Marital status |
|
0 … 1 |
prsb03-dataelement-10885 link
|
|
An indicator to identify the legal marital status of the person.NHS data dictionary :- Person marital status
|
 |
 |
Immigration status |
|
0 … 1 |
prsb03-dataelement-13293 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-13304 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13294 link
|
|
Start date of immigration statusDate and time |
|
0 … 1 |
prsb03-dataelement-13295 link
|
|
End date of immigration statusDate and time |
|
0 … 1 |
prsb03-dataelement-13296 link
|
|
Relevant comments about the person's immigration statusFree text |
 |
|
Sexual Orientation |
|
0 … 1 |
prsb03-dataelement-21923 link
|
|
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 |
 |
|
Organ and tissue donation |
|
0 … 1 |
prsb03-dataelement-13847 link
|
|
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
|
 |
|
Overseas visitor status |
|
0 … 1 |
prsb03-dataelement-10908 link
|
|
The charging category relating to an overseas visitor.NHS data dictionary :- Overseas visitor charging catergory
|
 |
|
Relevant contacts |
|
0 … 1 |
prsb03-dataelement-10910 link
|
|
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.
|
 |
|
Educational establishment |
|
0 … 1 |
prsb03-dataelement-10911 link
|
|
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.
|
 |
GP practice |
|
1 … 1 Mandatory |
prsb03-dataelement-101 link
|
|
Details of the person's GP practice. |
 |
 |
GP practice record entry |
|
1 … * Mandatory |
prsb03-dataelement-10643 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-10003 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-10002 link
|
|
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
|
|
1 … 1 Mandatory |
prsb03-dataelement-10001 link
|
|
The identifier of the registered GP practice.
NHS data dictionary : - General medical practice code (patient registration)
|
|
0 … 1 |
prsb03-dataelement-10004 link
|
|
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)|
|
 |
About me |
|
0 … 1 |
prsb03-dataelement-466 link
|
|
About me |
 |
 |
What is most important to me |
|
0 … 1 |
prsb03-dataelement-12964 link
|
|
A description of what is most important to you.
|
 |
 |
|
What is most important to me |
|
0 … 1 |
prsb03-dataelement-14325 link
|
|
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
|
 |
 |
People who are important to me |
|
0 … 1 |
prsb03-dataelement-13009 link
|
|
Details of who is important to you and why. |
 |
 |
|
People who are important to me |
|
0 … 1 |
prsb03-dataelement-14327 link
|
|
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
|
 |
 |
How I communicate and how to communicate with me |
|
0 … 1 |
prsb03-dataelement-13006 link
|
|
A description of how you communicate normally. |
 |
 |
|
How I communicate and how to communicate with me |
|
0 … 1 |
prsb03-dataelement-14329 link
|
|
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
|
 |
 |
My wellness |
|
0 … 1 |
prsb03-dataelement-13005 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-14331 link
|
|
Free text
|
 |
 |
Please do and please don't |
|
0 … 1 |
prsb03-dataelement-13008 link
|
|
A description of things you want someone supporting you to do (or not to do). |
 |
 |
|
Please do and please don't |
|
0 … 1 |
prsb03-dataelement-14333 link
|
|
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
|
 |
 |
How and when to support me |
|
0 … 1 |
prsb03-dataelement-13007 link
|
|
A description of how and when you want someone caring for you to support you. |
 |
 |
|
How and when to support me |
|
0 … 1 |
prsb03-dataelement-14335 link
|
|
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
|
 |
 |
Also worth knowing about me |
|
0 … 1 |
prsb03-dataelement-13094 link
|
|
A description of what is also worth knowing about you for people caring or supporting
you.
|
 |
 |
|
Also worth knowing about me |
|
0 … 1 |
prsb03-dataelement-14337 link
|
|
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
|
 |
|
Date |
|
0 … 1 |
prsb03-dataelement-10367 link
|
|
This is a record of the date that this information was last updated.Date and Time |
 |
|
Supported to write this by |
|
0 … 1 |
prsb03-dataelement-10368 link
|
|
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
|
 |
|
Location to multimedia file |
|
0 … 1 |
prsb03-dataelement-14326 link
|
|
The link to the person's multimedia fileLink to URL |
 |
Individual requirements |
|
0 … 1 |
prsb03-dataelement-160 link
|
|
The individual requirements of the person. |
 |
 |
Reasonable adjustment |
|
0 … 1 |
prsb03-dataelement-12991 link
|
|
A record of reasonable adjustments that must be provided by the service to comply
with the Equality Act 2010.
|
 |
 |
 |
Reasonable adjustment record entry |
|
0 … * |
prsb03-dataelement-13061 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13098 link
|
|
The location where the reasonable adjustment was identified. |
|
0 … 1 |
prsb03-dataelement-13357 link
|
|
The coded value for location.NHS Data dictionary : - Organisation data service code
|
|
0 … 1 |
prsb03-dataelement-13358 link
|
|
Free text field to be used if no code is availableFree text |
 |
 |
 |
|
Reasonable adjustment flag |
|
0 … 1 |
prsb03-dataelement-13874 link
|
|
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)|
|
|
0 … 1 |
prsb03-dataelement-13017 link
|
|
The reasonable adjustment required e.g. requires specific contact method, requires
communication professional
|
|
0 … 1 |
prsb03-dataelement-13505 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13506 link
|
|
Free text field to be used if no code is availableFree text |
 |
 |
 |
|
Reasonable adjustment additional detail |
|
0 … 1 |
prsb03-dataelement-13018 link
|
|
Further detail about the support required and the consequence of not providing it.Free text |
|
0 … 1 |
prsb03-dataelement-13020 link
|
|
The date the reasonable adjustment was identified.Date and time |
|
0 … 1 |
prsb03-dataelement-13027 link
|
|
The professional who confirmed the need for the reasonable adjustment. |
|
0 … 1 |
prsb03-dataelement-13028 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-13029 link
|
|
The role the professional has in relation to the person.FHIR value set : - sdsjobrole
|
|
0 … 1 |
prsb03-dataelement-13030 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-13031 link
|
|
The specialty of the professional.NHS data dictionary - Main specialty code
|
|
0 … 1 |
prsb03-dataelement-13032 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13033 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-13034 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-13035 link
|
|
A record of the details of the person that entered the reasonable adjustment and the
date on which it was entered.
|
|
0 … 1 |
prsb03-dataelement-13036 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-13037 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-13038 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-13039 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-13040 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-13041 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13042 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-13043 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Impairment |
|
0 … 1 |
prsb03-dataelement-13001 link
|
|
A record of any impairments for the person relating to reasonable adjustments. |
|
0 … * |
prsb03-dataelement-13062 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13099 link
|
|
The location where the impairment was identified. |
|
0 … 1 |
prsb03-dataelement-13429 link
|
|
The coded value for location.NHS data dictionary: - Organisation code service
|
|
0 … 1 |
prsb03-dataelement-13430 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-13022 link
|
|
The category of the impairment e.g. Autism, Dementia, Physical disability, Sensory
disability - such as sight or hearing, Long-term condition
|
|
0 … 1 |
prsb03-dataelement-13507 link
|
|
The coded value for impairment.SNOMED CT |
|
0 … 1 |
prsb03-dataelement-13508 link
|
|
Free text field to be used if no code is availableFree text |
 |
 |
 |
|
Impairment additional detail |
|
0 … 1 |
prsb03-dataelement-13023 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13024 link
|
|
The date the impairment was identified.Date and time |
|
0 … 1 |
prsb03-dataelement-13044 link
|
|
The professional who confirmed the impairment. |
|
0 … 1 |
prsb03-dataelement-13045 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-13046 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-13047 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-13048 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-13049 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13050 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-13051 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-13052 link
|
|
A record of the details of the person that entered the impairment and the date on
which it was entered.
|
|
0 … 1 |
prsb03-dataelement-13053 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-13054 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-13055 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-13056 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-13057 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-13058 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13059 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-13060 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Mobility |
|
0 … * |
prsb03-dataelement-10067 link
|
|
Details of the person's mobility needs. |
|
0 … 1 |
prsb03-dataelement-11707 link
|
|
The date when the mobility needs were identified.Date and time |
|
0 … 1 |
prsb03-dataelement-11710 link
|
|
The location where the mobility needs were identified. |
|
0 … 1 |
prsb03-dataelement-13433 link
|
|
The coded value for location.NHS data dictionary : - Organisation data service
|
|
0 … 1 |
prsb03-dataelement-13434 link
|
|
Free text field to be used if no coded text available |
|
0 … 1 |
prsb03-dataelement-13670 link
|
|
The mobility needs of the person that allows movement between two spaces and achieves
participation and a degree of independence.
|
|
0 … 1 |
prsb03-dataelement-13671 link
|
|
The coded value for mobility needsSNOMED CT: - ^999002551000000108 |Mobility findings simple reference set (foundation
metadata concept)|
|
|
0 … 1 |
prsb03-dataelement-13672 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-11487 link
|
|
The professional who identified the mobility needs. |
|
0 … 1 |
prsb03-dataelement-11488 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11489 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11490 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11491 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11492 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11493 link
|
|
The name of the organisation the professional works for. |
|
0 … * |
prsb03-dataelement-11494 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11495 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11496 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11497 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11498 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11499 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11500 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11501 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11502 link
|
|
The date and time the record was completed.Date and time. |
|
0 … * |
prsb03-dataelement-11503 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Other individual requirements |
|
0 … * |
prsb03-dataelement-10835 link
|
|
Details of any other individual requirements the person may have |
|
0 … 1 |
prsb03-dataelement-11711 link
|
|
The date when the other individual requirements were identified.Date and time |
|
0 … 1 |
prsb03-dataelement-11712 link
|
|
The location where the other individual requirements were identified. |
|
0 … 1 |
prsb03-dataelement-13435 link
|
|
The coded value for location.NHS data dictionary : - Organisation service code
|
|
0 … 1 |
prsb03-dataelement-13436 link
|
|
Free text field to be used if no coded text available |
 |
 |
|
Other individual requirement |
|
0 … 1 |
prsb03-dataelement-13673 link
|
|
Other individual requirements that a person may have.Free text |
|
0 … 1 |
prsb03-dataelement-11504 link
|
|
The professional who identified the other individual requirements. |
|
0 … 1 |
prsb03-dataelement-11505 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11506 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11507 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11508 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11509 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11510 link
|
|
The name of the organisation the professional works for. |
|
0 … * |
prsb03-dataelement-11511 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11512 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11513 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11514 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11515 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11516 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11517 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11518 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11519 link
|
|
The date and time the record was completed.Date and time. |
|
0 … * |
prsb03-dataelement-11520 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
Safeguarding |
|
0 … 1 |
prsb03-dataelement-271 link
|
|
The safeguarding details of the person. |
 |
 |
Safeguarding concerns |
|
0 … * |
prsb03-dataelement-10821 link
|
|
Details of safeguarding concerns |
|
0 … 1 |
prsb03-dataelement-13428 link
|
|
Indicates whether or not the hospital considers that there are safeguarding issues
associated with the patient.Flag: No =N: Yes = Y
|
 |
 |
|
Safeguarding concerns date |
|
0 … 1 |
prsb03-dataelement-10172 link
|
|
The date the safeguarding concerns were identified.Date and time |
 |
 |
|
Safeguarding concerns end date |
|
0 … 1 |
prsb03-dataelement-10766 link
|
|
The date safeguarding concerns ended.Date and time |
|
0 … 1 |
prsb03-dataelement-10173 link
|
|
The location where the safeguarding concerns were identified. |
|
0 … 1 |
prsb03-dataelement-13437 link
|
|
The coded value of locationNHS data dictionary : - Organisation code
|
|
0 … 1 |
prsb03-dataelement-13438 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-10171 link
|
|
Identified safeguarding concerns. |
|
0 … 1 |
prsb03-dataelement-13756 link
|
|
The coded value for safeguarding concernsSNOMED CT : - ^999002381000000108 | Safeguarding issues simple reference set (foundation
metadata concept) |
|
|
0 … 1 |
prsb03-dataelement-13757 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-11358 link
|
|
The professional who identified the safeguarding concerns. |
|
0 … 1 |
prsb03-dataelement-11359 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11360 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11361 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11362 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11363 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11364 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-11365 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11366 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11367 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11368 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11369 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11370 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11371 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11372 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11373 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11374 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
|
0 … 1 |
prsb03-dataelement-10175 link
|
|
Further details on safeguarding concerns.Free text |
 |
 |
Looked after child |
|
0 … 1 |
prsb03-dataelement-10797 link
|
|
Details of the looked after child |
 |
 |
|
Looked after child start date |
|
0 … 1 |
prsb03-dataelement-10746 link
|
|
The date the child became a looked after child.Date and time |
 |
 |
|
Looked after child end date |
|
0 … 1 |
prsb03-dataelement-10761 link
|
|
The date the child ceased to be a looked after child.Date and time |
|
0 … 1 |
prsb03-dataelement-10799 link
|
|
The named local authority. |
|
0 … 1 |
prsb03-dataelement-13614 link
|
|
The coded value for local authorityNHS data dictionary : - Organisation data service
|
|
0 … 1 |
prsb03-dataelement-13615 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-11375 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11376 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11377 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11378 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11379 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11380 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11381 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11382 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11383 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Unborn child protection plan |
|
0 … 1 |
prsb03-dataelement-10923 link
|
|
Details of the unborn child protection plan. |
 |
 |
|
Unborn child protection plan start date |
|
0 … 1 |
prsb03-dataelement-10924 link
|
|
Start date of the unborn child protection plan.Date and time |
 |
 |
|
Unborn child protection plan end date |
|
0 … 1 |
prsb03-dataelement-10925 link
|
|
End date of the unborn child protection plan.Date and time |
|
0 … 1 |
prsb03-dataelement-10926 link
|
|
The named local authority. |
|
0 … 1 |
prsb03-dataelement-13618 link
|
|
The coded value for local authorityNHS data dictionary: - Organisation data service
|
|
0 … 1 |
prsb03-dataelement-13619 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-11393 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11394 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11395 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11396 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11397 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11398 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11399 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11400 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11401 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
Consent |
|
0 … 1 |
prsb03-dataelement-10702 link
|
|
Legal information captured relating to patient care, such as consent. |
 |
|
Consent for information sharing |
|
0 … 1 |
prsb03-dataelement-10704 link
|
|
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.
|
 |
Referral details |
|
1 … 1 Mandatory |
prsb03-dataelement-105 link
|
|
The details of the referral. |
 |
 |
Referral details record entry |
|
0 … * |
prsb03-dataelement-10917 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-10006 link
|
|
The date of referralDate and time |
|
1 … 1 Mandatory |
prsb03-dataelement-10005 link
|
|
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.
|
|
1 … 1 Mandatory |
prsb03-dataelement-10971 link
|
|
The name of the referrer.Free text |
|
0 … 1 |
prsb03-dataelement-10972 link
|
|
Role of the referrer.FHIR value set : - sdsjobrole
|
|
0 … 1 |
prsb03-dataelement-10973 link
|
|
The grade of the referrer.Free text |
|
0 … 1 |
prsb03-dataelement-12409 link
|
|
The team or department of the referrer.Free text |
|
0 … 1 |
prsb03-dataelement-12410 link
|
|
The specialty of the referrer.NHS data dictionary - Activity treatment function code
|
|
1 … 1 Mandatory |
prsb03-dataelement-12411 link
|
|
The service of the referrer. |
|
0 … 1 |
prsb03-dataelement-13397 link
|
|
The coded value for serviceSNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata
concept)|
|
|
0 … 1 |
prsb03-dataelement-13398 link
|
|
Free text field to be used if no code is availableFree text |
|
1 … 1 Mandatory |
prsb03-dataelement-10974 link
|
|
The organisation of the referrer. |
|
0 … 1 |
prsb03-dataelement-13399 link
|
|
The coded value for organisation codeNHS data dictionary : - Organisation data service
|
|
0 … 1 |
prsb03-dataelement-13400 link
|
|
Free text field to be used if no code is availableFree text |
|
1 … 1 Mandatory |
prsb03-dataelement-10975 link
|
|
The contact details of the referrer.Free text |
|
0 … 1 |
prsb03-dataelement-10007 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-10011 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13456 link
|
|
Free text field to be used if no code is availableFree text |
|
1 … 1 Mandatory |
prsb03-dataelement-10008 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-10977 link
|
|
Name of person the referral is to be sent to.Free text |
|
0 … 1 |
prsb03-dataelement-10978 link
|
|
Role of person where the referral is to be sent to.FHIR value set : - sdsjobrole
|
|
0 … 1 |
prsb03-dataelement-10979 link
|
|
The grade of the person where the referral is sent to.Free text |
|
0 … 1 |
prsb03-dataelement-10982 link
|
|
The team or department of the person where the referral is being sent toFree text. |
|
0 … 1 |
prsb03-dataelement-10983 link
|
|
The specialty the referral is being sent to e.g. physiotherapy, oncology, mental health
etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-12412 link
|
|
The service of where the referral is sent to. |
|
0 … 1 |
prsb03-dataelement-13509 link
|
|
The coded value for serviceSNOMED CT: - 1127531000000102 |Services simple reference set (foundation metadata
concept)|
|
|
0 … 1 |
prsb03-dataelement-13510 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-10980 link
|
|
The organisation of where the referral is to be sent. |
|
0 … 1 |
prsb03-dataelement-13511 link
|
|
The coded value for organisationNHS data dictionary :- Organisation data service
|
|
0 … 1 |
prsb03-dataelement-13512 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-10981 link
|
|
The contact details of where the referral is to be sent.Free text. |
|
0 … 1 |
prsb03-dataelement-10015 link
|
|
Name of professional to be communicated with, if not the referrerFree text. |
 |
Contacts with professionals |
|
0 … 1 |
prsb03-dataelement-169 link
|
|
The details of the person’s contact with a professional. |
 |
 |
Contacts with professionals record entry |
|
0 … * |
prsb03-dataelement-10718 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-10069 link
|
|
Date and time of the contact.Date and time. |
|
0 … 1 |
prsb03-dataelement-10075 link
|
|
The location where the contact took place. |
|
0 … 1 |
prsb03-dataelement-13513 link
|
|
The coded value for locationNHS data dictionary : - Organisation service code
|
|
0 … 1 |
prsb03-dataelement-13514 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … * |
prsb03-dataelement-10077 link
|
|
The professional that saw the person. |
|
0 … 1 |
prsb03-dataelement-13515 link
|
|
The name of the professional that saw the personFree text |
|
0 … 1 |
prsb03-dataelement-13758 link
|
|
The role of the person providing the service.FHIR values set : - sdsjobrole
|
|
0 … 1 |
prsb03-dataelement-10072 link
|
|
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).
|
|
0 … 1 |
prsb03-dataelement-10988 link
|
|
The name of the responsible professional.Free text |
|
0 … 1 |
prsb03-dataelement-10989 link
|
|
The role of the responsible professionalFHIR value set : - sdsjobrole
|
|
0 … 1 |
prsb03-dataelement-10076 link
|
|
The type of location where the contact took place e.g. person's homeNHS data dictionary - Activity location type code
|
|
0 … 1 |
prsb03-dataelement-10070 link
|
|
Type of contact e.g. GP consultation, outpatient attendanceFree text |
|
0 … 1 |
prsb03-dataelement-10071 link
|
|
Consultation method used e.g. face to face, telephoneNHS data dictionary - Consultation medium
|
|
0 … 1 |
prsb03-dataelement-10073 link
|
|
The specialty e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-10074 link
|
|
The service that was provided.SNOMED CT :- 1127531000000102 |Services simple reference set (foundation metadata
concept)|
|
|
0 … * |
prsb03-dataelement-10078 link
|
|
The name, role of the additional individuals or team members including consultant(s),
nurse consultant(s), allied health professional(s), social worker(s)
|
|
0 … 1 |
prsb03-dataelement-10990 link
|
|
The name of the professional presentFree text |
|
0 … 1 |
prsb03-dataelement-10991 link
|
|
The role of the professional present.FHIR value set : - sdsjobrole
|
|
0 … 1 |
prsb03-dataelement-10080 link
|
|
This records the outcome of the contact.
NHS data dictionary :- outcome of attendance
|
 |
Presenting complaints or issues |
|
0 … 1 |
prsb03-dataelement-210 link
|
|
Presenting complaints or issues |
 |
 |
Presenting complaint or issue |
|
0 … * |
prsb03-dataelement-13784 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-13785 link
|
|
The coded value for presenting complaint or issueSNOMED CT : - ^1127581000000103 |Health issues simple reference set|
|
|
0 … 1 |
prsb03-dataelement-13786 link
|
|
Free text |
 |
|
Person reported complaints or issues |
|
0 … * |
prsb03-dataelement-10906 link
|
|
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
|
 |
Problem list |
|
0 … 1 |
prsb03-dataelement-10927 link
|
|
A summary of the problems that require investigation or treatment. |
 |
 |
Problem list record entry |
|
0 … * |
prsb03-dataelement-10928 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-10929 link
|
|
The date the problem was identified.Date and time |
|
0 … 1 |
prsb03-dataelement-12133 link
|
|
The professional who identified the problem. |
|
0 … 1 |
prsb03-dataelement-12134 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-12135 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-12136 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-12137 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-12138 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-12139 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-12140 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-10931 link
|
|
The location the problem was identified. |
|
0 … 1 |
prsb03-dataelement-13242 link
|
|
The coded value for location.NHS data dictionary : - Organisation data service code
|
|
0 … 1 |
prsb03-dataelement-13243 link
|
|
Free text field to be used if no code is availableFree text |
|
1 … 1 Mandatory |
prsb03-dataelement-10932 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13244 link
|
|
The coded value for the problem list.SNOMED CT : - ^1127581000000103 |Health issues simple reference set|
|
|
0 … 1 |
prsb03-dataelement-13245 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-10933 link
|
|
A date or estimated date that the problem beganDate and time |
|
0 … 1 |
prsb03-dataelement-10934 link
|
|
The date or estimated date the problem was resolved.Date and time. |
|
0 … 1 |
prsb03-dataelement-10935 link
|
|
The stage of the disease where relevant.Free text |
|
0 … 1 |
prsb03-dataelement-12141 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-12142 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-12143 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-12144 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-12145 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-12146 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-12147 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-12148 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-12149 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
|
0 … * |
prsb03-dataelement-10936 link
|
|
Supporting text may be given covering the problem.Free text |
 |
Clinical Summary |
|
1 … 1 Mandatory |
prsb03-dataelement-247 link
|
|
Clinical Summary |
 |
|
Date |
|
0 … 1 |
prsb03-dataelement-13308 link
|
|
The date the clinical summary was written.Date |
 |
 |
Location |
|
0 … 1 |
prsb03-dataelement-13309 link
|
|
The location the clinical summary was written. |
|
0 … 1 |
prsb03-dataelement-13310 link
|
|
The coded value for location.NHS data dictionary : - Organisation data service code
|
|
0 … 1 |
prsb03-dataelement-13311 link
|
|
Free text field to be used if no code is availableFree text |
 |
|
Clinical summary |
|
0 … 1 |
prsb03-dataelement-10147 link
|
|
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
|
 |
 |
Performing professional |
|
0 … 1 |
prsb03-dataelement-13312 link
|
|
The professional who wrote the clinical summary |
|
0 … 1 |
prsb03-dataelement-13313 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-13314 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-13315 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-13316 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-13317 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13318 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-13319 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
 |
 |
Person completing record |
|
0 … 1 |
prsb03-dataelement-13320 link
|
|
A record of the details of the person that entered the clinical summary and the date
on which is was entered.
|
|
0 … 1 |
prsb03-dataelement-13321 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-13322 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-13323 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-13324 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-13325 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-13326 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-13327 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-13328 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
Social context |
|
0 … 1 |
prsb03-dataelement-136 link
|
|
The social setting in which the person lives, such as their household, occupational
history, and lifestyle factors.
|
 |
 |
Household composition |
|
0 … 1 |
prsb03-dataelement-10036 link
|
|
Details of the person's household composition. |
|
0 … 1 |
prsb03-dataelement-11770 link
|
|
The date when the household composition was taken.Date and time. |
|
0 … 1 |
prsb03-dataelement-13271 link
|
|
The location where the household composition was taken. |
|
0 … 1 |
prsb03-dataelement-13272 link
|
|
The coded value for location.NHS data dictionary : - Organisation data service code
|
|
0 … 1 |
prsb03-dataelement-13273 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-13261 link
|
|
Description of the household composition e.g. lives alone, lives with family, lives
with partner, shared accommodation etc.
|
|
0 … 1 |
prsb03-dataelement-13262 link
|
|
The coded value of household compositionSNOMED CT: - 1027891000000106 | Household composition findings simple reference set
(foundation metadata concept) |
|
|
0 … 1 |
prsb03-dataelement-13263 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-11648 link
|
|
The professional who took the household composition. |
|
0 … 1 |
prsb03-dataelement-11649 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11650 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11651 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11652 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11653 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11654 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-11655 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11521 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11522 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11523 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11524 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11525 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11526 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11527 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11528 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11529 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Occupational history |
|
0 … 1 |
prsb03-dataelement-10037 link
|
|
The current and/or previous occupation(s) of the person. |
|
0 … 1 |
prsb03-dataelement-11772 link
|
|
The date when the occupational history was taken.Date and time. |
|
0 … 1 |
prsb03-dataelement-11773 link
|
|
The location where the occupational history was taken. |
|
0 … 1 |
prsb03-dataelement-13274 link
|
|
The coded value for the location.NHS Data dictionary : - Organisation data service code
|
|
0 … 1 |
prsb03-dataelement-13275 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-13264 link
|
|
The current and/or previous occupation(s) of the person. |
|
0 … 1 |
prsb03-dataelement-13265 link
|
|
The coded value for occupational historySNOMED CT : - ^999001571000000109 | Occupation simple reference set (foundation metadata
concept)
|
|
0 … 1 |
prsb03-dataelement-13266 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-11656 link
|
|
The professional who took the occupational history. |
|
0 … 1 |
prsb03-dataelement-11657 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11658 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11659 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11660 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11661 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11662 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-11663 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11530 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11531 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11532 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11533 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11534 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11535 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11536 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11537 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11538 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Educational history |
|
0 … 1 |
prsb03-dataelement-10038 link
|
|
Details of the person's educational history. |
|
0 … 1 |
prsb03-dataelement-11774 link
|
|
The date when the educational history was taken.Date and time. |
|
0 … 1 |
prsb03-dataelement-11775 link
|
|
The location where the education history was taken. |
|
0 … 1 |
prsb03-dataelement-13276 link
|
|
The coded value for location.NHS Data dictionary : - Organisation data service code
|
|
0 … 1 |
prsb03-dataelement-13277 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-13840 link
|
|
The current and/or previous relevant educational history of the person.Free text |
|
0 … 1 |
prsb03-dataelement-11776 link
|
|
The professional who took the educational history. |
|
0 … 1 |
prsb03-dataelement-11777 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11778 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11779 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11780 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11781 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11782 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-11783 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11539 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11540 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11541 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11542 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11543 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11544 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11545 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11546 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11547 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Lifestyle choices |
|
0 … 1 |
prsb03-dataelement-10039 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11784 link
|
|
The date when the lifestyle choices were taken.Date and time. |
|
0 … 1 |
prsb03-dataelement-11785 link
|
|
The location where the lifestyle choices were taken. |
|
0 … 1 |
prsb03-dataelement-13278 link
|
|
The coded value for location.NHS Data dictionary : - Organisation data service code
|
|
0 … 1 |
prsb03-dataelement-13279 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-13841 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11786 link
|
|
The professional who took the lifestyle choices. |
|
0 … 1 |
prsb03-dataelement-11787 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11788 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11789 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11790 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11791 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11792 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-11793 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11548 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11549 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11550 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11551 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11552 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11553 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11554 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11555 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11556 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Smoking status |
|
0 … 1 |
prsb03-dataelement-10040 link
|
|
Details of the person's smoking status. |
|
0 … 1 |
prsb03-dataelement-11794 link
|
|
The date when the smoking status was taken.Date and time |
|
0 … 1 |
prsb03-dataelement-11795 link
|
|
The location where the smoking status was taken. |
|
0 … 1 |
prsb03-dataelement-13281 link
|
|
The coded value for locationNHS data dictionary : - Organisation data service code
|
|
0 … 1 |
prsb03-dataelement-13282 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-13283 link
|
|
Record of any smoking use by the person.
|
|
0 … 1 |
prsb03-dataelement-13284 link
|
|
The smoking status of the person.SNOMED CT:- ^999000891000000102 |Smoking simple reference set (foundation metadata
concept)|
|
|
0 … 1 |
prsb03-dataelement-13285 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-13286 link
|
|
Further details recorded about the smoking status of the personFree text |
|
0 … 1 |
prsb03-dataelement-13287 link
|
|
The date the person stopped smoking (if known) |
|
0 … 1 |
prsb03-dataelement-13288 link
|
|
The coded value for date stopped smoking.SNOMED CT:- 160625004 |Date ceased smoking (observable entity)| |
|
0 … 1 |
prsb03-dataelement-13289 link
|
|
The date the person stopped smoking.Date and time |
|
0 … 1 |
prsb03-dataelement-11796 link
|
|
The professional who took the smoking status. |
|
0 … 1 |
prsb03-dataelement-11797 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11798 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11799 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11800 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11801 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11802 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-11803 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11557 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11558 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11559 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11560 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11561 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11562 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11563 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11564 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11565 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Alcohol intake |
|
0 … 1 |
prsb03-dataelement-10041 link
|
|
Details of the person's alcohol intake |
|
0 … 1 |
prsb03-dataelement-11804 link
|
|
The date when the alcohol intake was noted.Date and time |
|
0 … 1 |
prsb03-dataelement-11805 link
|
|
The location where the alcohol intake was noted. |
|
0 … 1 |
prsb03-dataelement-13332 link
|
|
The coded value for location.NHS Data dictionary : - Organisation data service code
|
|
0 … 1 |
prsb03-dataelement-13333 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-13290 link
|
|
Latest or current alcohol consumption. |
|
0 … 1 |
prsb03-dataelement-13291 link
|
|
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)|
|
|
0 … 1 |
prsb03-dataelement-13292 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-11806 link
|
|
The professional who noted the alcohol intake. |
|
0 … 1 |
prsb03-dataelement-11807 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11808 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11809 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11810 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11811 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11812 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-11813 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11566 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11567 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11568 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11569 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11570 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11571 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11572 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11573 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11574 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Drug/substance use |
|
0 … 1 |
prsb03-dataelement-10042 link
|
|
Details of the person's drug and substance use. |
|
0 … 1 |
prsb03-dataelement-11814 link
|
|
The date when the drug/substance use was noted.Date and time |
|
0 … 1 |
prsb03-dataelement-11815 link
|
|
The location where the drug/substance use was noted. |
|
0 … 1 |
prsb03-dataelement-13334 link
|
|
The coded value for location.NHS Data dictionary : - Organisation data service code
|
|
0 … 1 |
prsb03-dataelement-13335 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-13336 link
|
|
Latest or current drug/substance use. |
|
0 … 1 |
prsb03-dataelement-13337 link
|
|
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)|
|
|
0 … 1 |
prsb03-dataelement-13338 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-11816 link
|
|
The professional who noted the drug/substance use. |
|
0 … 1 |
prsb03-dataelement-11817 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11818 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11819 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11820 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11821 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11822 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-11823 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11575 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11576 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11577 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11578 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11579 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11580 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11581 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11582 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11583 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Social circumstances |
|
0 … 1 |
prsb03-dataelement-10043 link
|
|
Details of the persons social circumstances |
|
0 … 1 |
prsb03-dataelement-11824 link
|
|
The date when the social circumstances were taken.Date and time |
|
0 … 1 |
prsb03-dataelement-11825 link
|
|
The location where the social circumstances were taken. |
|
0 … 1 |
prsb03-dataelement-13339 link
|
|
The coded value for the location |
|
0 … 1 |
prsb03-dataelement-13340 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-13341 link
|
|
A person’s social background, network and personal circumstances, e.g. housing. This
should include whether the person is a carer.Free text
|
|
0 … 1 |
prsb03-dataelement-11826 link
|
|
The professional who took the social circumstances. |
|
0 … 1 |
prsb03-dataelement-11827 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11828 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11829 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11830 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11831 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11832 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-11833 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11584 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11585 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11586 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11587 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11588 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11589 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11590 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11591 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11592 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Access |
|
0 … 1 |
prsb03-dataelement-10045 link
|
|
Details of access for the person. |
|
0 … 1 |
prsb03-dataelement-11844 link
|
|
The date when the special access requirements were taken.Date and time |
|
0 … 1 |
prsb03-dataelement-11845 link
|
|
The location where the special access requirements were taken. |
|
0 … 1 |
prsb03-dataelement-13343 link
|
|
The coded value for locationNHS Data dictionary : - Organisation data service code
|
|
0 … 1 |
prsb03-dataelement-13344 link
|
|
Free text field to be used if no coded text available |
|
0 … 1 |
prsb03-dataelement-13342 link
|
|
Special access requirements e.g. key safe, coded lock, which door to use, stretcher
access, etc.Free text
|
|
0 … 1 |
prsb03-dataelement-11846 link
|
|
The professional who took the special access requirements. |
|
0 … 1 |
prsb03-dataelement-11847 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11848 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11849 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11850 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11851 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11852 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-11853 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11602 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11603 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11604 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11605 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11606 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11607 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11608 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11609 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11610 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Dependants |
|
0 … 1 |
prsb03-dataelement-10046 link
|
|
Details of any responsibility the person has for dependants. |
|
0 … 1 |
prsb03-dataelement-11854 link
|
|
The date when the dependents details were taken.Date and time |
|
0 … 1 |
prsb03-dataelement-11855 link
|
|
The location where the dependents details were taken. |
|
0 … 1 |
prsb03-dataelement-13346 link
|
|
The coded value for locationNHS Data dictionary : - Organisation data service code
|
|
0 … 1 |
prsb03-dataelement-13347 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-13345 link
|
|
Provide details of any responsibility the person has for dependants. In the case of
children provide date of birth of the child.Free text
|
|
0 … 1 |
prsb03-dataelement-11856 link
|
|
The professional who took the dependents details. |
|
0 … 1 |
prsb03-dataelement-11857 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11858 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11859 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11860 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11861 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11862 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-11863 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11611 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11612 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11613 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11614 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11615 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11616 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11617 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11618 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11619 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Accommodation status |
|
0 … 1 |
prsb03-dataelement-10047 link
|
|
Details of the type of accommodation where the person lives. |
|
0 … 1 |
prsb03-dataelement-11864 link
|
|
The date when the accommodation status was taken.Date and time |
|
0 … 1 |
prsb03-dataelement-11865 link
|
|
The location where the accommodation was taken. |
|
0 … 1 |
prsb03-dataelement-13352 link
|
|
The coded value of locationNHS Data dictionary : - Organisation data service code
|
|
0 … 1 |
prsb03-dataelement-13353 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-13348 link
|
|
An indication of the type of accommodation where the person lives.
This should be based on the main or permanent residence.
|
|
0 … 1 |
prsb03-dataelement-13349 link
|
|
The coded value for accommodation statusNHS data dictionary :- Accommodation status
|
|
0 … 1 |
prsb03-dataelement-13350 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-11866 link
|
|
The professional who took the accommodation status. |
|
0 … 1 |
prsb03-dataelement-11867 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11868 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11869 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11870 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11871 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11872 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-11873 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11874 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11875 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11876 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11877 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11878 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11879 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11880 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11881 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11882 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
 |
Household environment |
|
0 … 1 |
prsb03-dataelement-10051 link
|
|
Details of the person's household environment. |
|
0 … 1 |
prsb03-dataelement-11883 link
|
|
The date when the household environment details were taken.Date and time |
|
0 … 1 |
prsb03-dataelement-11884 link
|
|
The location where the household environment details were taken. |
|
0 … 1 |
prsb03-dataelement-13351 link
|
|
The coded value for locationNHS Data dictionary : - Organisation data service code
|
|
0 … 1 |
prsb03-dataelement-13354 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-13842 link
|
|
Factors in the household which impact the person's health and wellbeing, to include
smoking in the home, alcohol/substance use etc.Free text
|
|
0 … 1 |
prsb03-dataelement-11885 link
|
|
The professional who took the household environment details. |
|
0 … 1 |
prsb03-dataelement-11886 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11887 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11888 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11889 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11890 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11891 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-11892 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11621 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11622 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11623 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11624 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11625 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11626 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11627 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11628 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11629 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
Services and care |
|
0 … 1 |
prsb03-dataelement-10044 link
|
|
The services and care provided for the person. |
 |
 |
Services and care record entry |
|
0 … * |
prsb03-dataelement-12421 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-12965 link
|
|
Name of specific type of package being provided (e.g. Reablement, Home Based Care
XYZ, etc)Free text
|
|
0 … 1 |
prsb03-dataelement-12966 link
|
|
Higher level categorisation of package type, e.g. Adults Home SupportFree text |
|
0 … 1 |
prsb03-dataelement-11834 link
|
|
The date service started to be provided.Date and time |
|
0 … 1 |
prsb03-dataelement-12420 link
|
|
The date the service is planned to be ended or the actual end date.Date and time |
|
0 … 1 |
prsb03-dataelement-11835 link
|
|
The name of the local authority providing the care package. |
|
0 … 1 |
prsb03-dataelement-13566 link
|
|
The coded value for local authorityNHS data dictionary: - Organisation data service
|
|
0 … 1 |
prsb03-dataelement-13567 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-13067 link
|
|
A reference to the funding source and any conditions or limitations associated. |
|
0 … 1 |
prsb03-dataelement-11836 link
|
|
The professional providing the service.Free text |
|
0 … 1 |
prsb03-dataelement-11837 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-11838 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-11839 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-11840 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11841 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11842 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-11843 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11593 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11594 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11595 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11596 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11597 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11598 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11599 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11600 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11601 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
 |
Signpost details |
|
0 … 1 |
prsb03-dataelement-13973 link
|
|
Details of signpost |
 |
 |
Signpost details record entry |
|
0 … * |
prsb03-dataelement-13974 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-13975 link
|
|
Date of signpost. |
|
0 … 1 |
prsb03-dataelement-13976 link
|
|
Details of where the signpost is to.
If not an individual, this could be a service.
|
|
0 … 1 |
prsb03-dataelement-13977 link
|
|
Name of person signposted to.Free Text. |
|
0 … 1 |
prsb03-dataelement-13978 link
|
|
Role of person signposted to.Free Text. |
|
0 … 1 |
prsb03-dataelement-13979 link
|
|
The grade of the person signposted to.Free text. |
|
0 … 1 |
prsb03-dataelement-13980 link
|
|
The team or department signposted to.Free text. |
|
0 … 1 |
prsb03-dataelement-13981 link
|
|
The specialty signposted to e.g. physiotherapy, oncology, mental health etc |
|
0 … 1 |
prsb03-dataelement-13982 link
|
|
The service signposted to. |
|
0 … 1 |
prsb03-dataelement-13983 link
|
|
The coded value for service.SNOMED CT : - < 1127531000000102 |Services simple reference set (foundation metadata
concept)|
|
|
0 … 1 |
prsb03-dataelement-13984 link
|
|
Free text field to be used if no code is available.Free text. |
|
0 … 1 |
prsb03-dataelement-13985 link
|
|
Free text
|
|
0 … 1 |
prsb03-dataelement-13987 link
|
|
The contact details of where the person has been signposted to.Free text. |
|
0 … 1 |
prsb03-dataelement-13988 link
|
|
The reason for signposting. |
|
0 … 1 |
prsb03-dataelement-13989 link
|
|
The coded value for reason for signpost.SNOMED CT :- < 1127581000000103 |Health issues simple reference set| |
|
0 … 1 |
prsb03-dataelement-13990 link
|
|
Free text field to be used if no code is available.Free text. |
 |
Pregnancy status |
|
0 … 1 |
prsb03-dataelement-10814 link
|
|
Pregnancy status of the person. |
 |
|
Pregnancy state |
|
0 … 1 |
prsb03-dataelement-10815 link
|
|
A flag that indicates whether the person is pregnant.Flag : - Yes or No |
 |
|
Expected delivery date |
|
0 … 1 |
prsb03-dataelement-10813 link
|
|
The expected delivery date of the person.Date and time |
 |
Assessments |
|
0 … 1 |
prsb03-dataelement-262 link
|
|
Details of the person's assessments |
 |
 |
Assessments record entry |
|
0 … * |
prsb03-dataelement-11664 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-10763 link
|
|
The date the assessment was done.Date and time. |
|
0 … 1 |
prsb03-dataelement-10764 link
|
|
The location where the assessment was done.ODS code or free text. |
|
0 … 1 |
prsb03-dataelement-13570 link
|
|
The coded value for locationNHS data dictionary: - Organisation data service
|
|
0 … 1 |
prsb03-dataelement-13571 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-10822 link
|
|
The type of the assessment e.g. social care needs assessment.Free text |
|
0 … 1 |
prsb03-dataelement-10754 link
|
|
The summary of the assessmentFree text |
|
0 … 1 |
prsb03-dataelement-18261 link
|
|
Details of the structured assessment. |
 |
 |
 |
 |
Structured assessment name |
|
0 … 1 |
prsb03-dataelement-18273 link
|
|
Structured assessment name e.g. New York Heart Failure, Glasgow Coma scale, Activities
of Daily Living (ADL) etc.
|
|
0 … 1 |
prsb03-dataelement-18289 link
|
|
The coded value for structured assessment name. SNOMED CT: - < 273249006 |Assessment scales (assessment scale)| |
|
0 … 1 |
prsb03-dataelement-18290 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-18275 link
|
|
The structured assessment result. This is the overall result for the assessment. |
|
0 … 1 |
prsb03-dataelement-18274 link
|
|
The overall structured assessment score. |
|
0 … 1 |
prsb03-dataelement-18291 link
|
|
The coded value for assessment score. SNOMED CT: - < 363787002 |Observable entity (observable entity)| |
|
0 … 1 |
prsb03-dataelement-18292 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-18293 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-18294 link
|
|
The units of measure for the assessment result.UCUM code |
|
0 … 1 |
prsb03-dataelement-18295 link
|
|
The ordinal result of the assessment e.g. mild, moderate, severe. |
|
0 … 1 |
prsb03-dataelement-18296 link
|
|
The coded value for the ordinal result. SNOMED CT. |
|
0 … 1 |
prsb03-dataelement-18297 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … * |
prsb03-dataelement-18276 link
|
|
The subscale result for the structured assessment. This includes the result for individual
questions or subsections.
|
|
0 … 1 |
prsb03-dataelement-18298 link
|
|
The subscale score of the structured assessment. Subscales may be individual questions
or subsections of the overall assessment.
|
|
0 … 1 |
prsb03-dataelement-18299 link
|
|
The coded value for subscale item.SNOMED CT: - < 363787002 |Observable entity (observable entity)| |
|
0 … 1 |
prsb03-dataelement-18300 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-18301 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-18302 link
|
|
The units of measure for the assessment subscale result.UCUM code |
|
0 … 1 |
prsb03-dataelement-18303 link
|
|
The ordinal result of the subscale assessment e.g. mild, moderate, severe. |
|
0 … 1 |
prsb03-dataelement-18304 link
|
|
The coded value for the ordinal result. SNOMED CT. |
|
0 … 1 |
prsb03-dataelement-18305 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-12382 link
|
|
The professional who did the assessment. |
|
0 … 1 |
prsb03-dataelement-12383 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-12384 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-12385 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-12386 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-12387 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-12388 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-12389 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-11752 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-11753 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11754 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-11755 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-11756 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-11757 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-11758 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-11759 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-11760 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|
|
0 … 1 |
prsb03-dataelement-10164 link
|
|
Supporting text may be given regarding the assessment.Free text |
 |
Risks |
|
1 … 1 Mandatory |
prsb03-dataelement-276 link
|
|
Details of any risks related to the person. |
 |
 |
Risks record entry |
|
1 … * Mandatory |
prsb03-dataelement-14460 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-14461 link
|
|
The start date of the risk.Date and time |
|
0 … 1 |
prsb03-dataelement-14462 link
|
|
The date the risk ended.Date and time |
|
1 … 1 Mandatory |
prsb03-dataelement-14463 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-21900 link
|
|
The coded value for risk.
SNOMED CT: - <281694009 |Finding of at risk (finding)|
|
|
0 … 1 |
prsb03-dataelement-21899 link
|
|
Free text field to be used if no code is available.Free text. |
|
0 … 1 |
prsb03-dataelement-14485 link
|
|
Additional details about the risk. Free text |
|
0 … 1 |
prsb03-dataelement-14464 link
|
|
The location where the risk was identified. |
|
0 … 1 |
prsb03-dataelement-14465 link
|
|
The coded value for location.NHS data dictionary : - Organisation service code
|
|
0 … 1 |
prsb03-dataelement-14466 link
|
|
Free text field to be used if no code is availableFree text |
|
0 … 1 |
prsb03-dataelement-14467 link
|
|
The professional who identified the risk. |
|
0 … 1 |
prsb03-dataelement-14475 link
|
|
Details of the person completing the record. |
 |
Plan and requested actions |
|
0 … 1 |
prsb03-dataelement-535 link
|
|
The details of planned investigations, procedures and treatment, and whether this
plan has been agreed with the person or their legitimate representative.
|
 |
 |
Plan and requested actions record entry |
|
0 … * |
prsb03-dataelement-10661 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-10445 link
|
|
The date on which the plan and requested actions were prepared.Date and time |
|
0 … 1 |
prsb03-dataelement-12167 link
|
|
The professional who prepared the plan and requested actions. |
|
0 … 1 |
prsb03-dataelement-12168 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-12169 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-12170 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-12171 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-12172 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-12173 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-12174 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
|
0 … 1 |
prsb03-dataelement-10842 link
|
|
The location where the plan and requested actions were prepared. |
|
0 … 1 |
prsb03-dataelement-13684 link
|
|
The coded value for locationNHS data dictionary : - Organisation data service
|
|
0 … 1 |
prsb03-dataelement-13685 link
|
|
Free text field to be used if no code is availableFree text |
 |
 |
|
Actions for professionals |
|
0 … 1 |
prsb03-dataelement-10436 link
|
|
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
|
 |
 |
|
Actions for person or their carer |
|
0 … 1 |
prsb03-dataelement-10437 link
|
|
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
|
 |
 |
|
Agreed with the person or their legitimate representative |
|
0 … 1 |
prsb03-dataelement-10438 link
|
|
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
|
 |
Care and support plan |
|
1 … 1 |
prsb03-dataelement-508 link
|
|
This records the decisions reached during conversation between the individual and
health and care professional about future plans and also records progress.
|
 |
 |
Strengths |
|
0 … * |
prsb03-dataelement-10419 link
|
|
Any strengths and assets the person has relating to their goals and hopes about their
health and well-being.
|
|
0 … 1 |
prsb03-dataelement-14369 link
|
|
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) |
|
|
0 … 1 |
prsb03-dataelement-14370 link
|
|
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
|
 |
 |
Needs, concerns or problems |
|
0 … * |
prsb03-dataelement-10414 link
|
|
Details of the person needs, concerns or problems
|
|
0 … 1 |
prsb03-dataelement-14371 link
|
|
The coded value associated with the person's needs, concerns or problems.SNOMED CT : - ^1127581000000103 |Health issues simple reference set|
|
|
0 … 1 |
prsb03-dataelement-14372 link
|
|
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
|
|
0 … * |
prsb03-dataelement-10413 link
|
|
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.
|
|
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0 … 1 |
prsb03-dataelement-14373 link
|
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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|
|
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0 … 1 |
prsb03-dataelement-14374 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-14399 link
|
|
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
|
|
0 … * |
prsb03-dataelement-10408 link
|
|
Actions or activities the person or others plan to take to achieve the person's goals
and the resources required to do this.
|
|
0 … * |
prsb03-dataelement-10675 link
|
|
What the action is and how it is to be carried out? |
|
0 … 1 |
prsb03-dataelement-14383 link
|
|
The coded value for the action.
SNOMED CT : - <<71388002 |Procedure| OR <<129125009 |Procedure with explicit context|
|
|
0 … 1 |
prsb03-dataelement-14384 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-10676 link
|
|
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.
|
|
0 … 1 |
prsb03-dataelement-14393 link
|
|
The name of the professional or person carrying out the proposed action.Free text |
|
0 … 1 |
prsb03-dataelement-14394 link
|
|
The role of the person providing the service.FHIR values set : - sdsjobrole
|
|
0 … 1 |
prsb03-dataelement-14395 link
|
|
The name of the team.Free text |
|
0 … 1 |
prsb03-dataelement-14396 link
|
|
Contact details of the professional (e.g. telephone number, email address etc.).Free text |
|
0 … 1 |
prsb03-dataelement-10677 link
|
|
Planned date, time, or interval, as relevantDate and time |
|
0 … 1 |
prsb03-dataelement-10678 link
|
|
Suggested strategies for potential problems.Free text. |
|
0 … 1 |
prsb03-dataelement-10679 link
|
|
The status of the action or activity e.g. in progress, done, refused |
|
0 … 1 |
prsb03-dataelement-14385 link
|
|
The coded value for the person's activity statusSNOMED CT : - ^999000081000000105 | Care planning action context values simple reference
set (foundation metadata concept) |
|
|
0 … 1 |
prsb03-dataelement-14386 link
|
|
Any supplementary or personalised information for the person's activity statusFree text |
|
0 … 1 |
prsb03-dataelement-10680 link
|
|
How confident the person feels to carry out the action associated to the goal.Numeric score 1 - 10 |
|
0 … 1 |
prsb03-dataelement-10682 link
|
|
Date when action/activity record was last updatedDate and time |
|
0 … 1 |
prsb03-dataelement-10683 link
|
|
When the action evaluation needs to be reviewed. SNOMED CT tag : - 425268008 | Review
of care plan (procedure) |Date and time.
|
|
0 … * |
prsb03-dataelement-10674 link
|
|
Details of the person's stage goals |
|
0 … 1 |
prsb03-dataelement-14284 link
|
|
A specific sub-goal that is related to the overall goal as agreed by the person in
collaboration with a professional.
|
|
0 … 1 |
prsb03-dataelement-14375 link
|
|
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|
|
|
0 … 1 |
prsb03-dataelement-14376 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-10681 link
|
|
The outcome of the stage goal |
|
0 … 1 |
prsb03-dataelement-14378 link
|
|
The coded value for the person's stage goal outcome.SNOMED CT: - ^1127601000000107 |Healthcare matters simple reference set (foundation
metadata concept)|
|
|
0 … 1 |
prsb03-dataelement-14379 link
|
|
Any supplementary and personalised information relating to the person's outcome.Free text |
|
0 … 1 |
prsb03-dataelement-14377 link
|
|
The status associated with the person's stage goalSNOMED CT: - ^999000091000000107 | Care planning goal context values simple reference
set (foundation metadata concept) |
|
|
0 … * |
prsb03-dataelement-10416 link
|
|
Outcomes of each of the person’s goals, aims and targets. Includes comments recorded
by the person, date and status.
|
|
0 … 1 |
prsb03-dataelement-14380 link
|
|
The coded value associated with the person's overall goal outcomeSNOMED CT: - ^1127601000000107 |Healthcare matters simple reference set (foundation
metadata concept)|
|
|
0 … 1 |
prsb03-dataelement-14382 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-14400 link
|
|
The status associated with the person's overall goal.SNOMED CT: - ^999000091000000107 | Care planning goal context values simple reference
set (foundation metadata concept) |
|
 |
 |
Agreed with person or legitimate representative |
|
0 … 1 |
prsb03-dataelement-10409 link
|
|
Indicates whether the plan was discussed and agreed with the person or legitimate
representative.
|
 |
 |
|
Person or legitimate representative |
|
0 … 1 |
prsb03-dataelement-14322 link
|
|
Indicates whether the plan was discussed and agreed with the person or legitimate
representativePerson or legitimate representative
|
|
0 … 1 |
prsb03-dataelement-14323 link
|
|
The full name of the person in text representation.NHS data dictionary :- Person full name
|
|
0 … 1 |
prsb03-dataelement-14324 link
|
|
The role the professional has in relation to the person.FHIR value set : - sdsjobrole
|
 |
 |
Care funding source |
|
0 … 1 |
prsb03-dataelement-10410 link
|
|
A reference to the funding source and any conditions or limitations associated. |
|
0 … 1 |
prsb03-dataelement-14391 link
|
|
The organisation code of the care funding sourceNHS data dictionary : - organisation data service
|
|
0 … 1 |
prsb03-dataelement-14392 link
|
|
Any further information for the person's care funding source e.g. self fundedFree text |
 |
|
Date this plan was last updated |
|
0 … 1 |
prsb03-dataelement-10412 link
|
|
This is a record of the date that this care and support plan was last updated.Date and time |
 |
|
Other care planning documents |
|
0 … * |
prsb03-dataelement-10415 link
|
|
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.
|
 |
|
Planned review date/interval |
|
0 … 1 |
prsb03-dataelement-10417 link
|
|
This is the date/interval when this information will next be reviewed. SNOMED CT tag
: - 425268008 | Review of care plan (procedure) |Date and time
|
 |
 |
Responsibility for review |
|
0 … 1 |
prsb03-dataelement-10418 link
|
|
This is a record of who has responsibility for arranging review of this information.
|
|
0 … 1 |
prsb03-dataelement-14345 link
|
|
The name of the professional with responsibility for the care of the person.Free text |
|
0 … 1 |
prsb03-dataelement-14346 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-14347 link
|
|
Contact details of the professional (e.g. telephone number, email address etc.).Free text |
 |
 |
Location |
|
0 … 1 |
prsb03-dataelement-12044 link
|
|
The location where the care and support plan was prepared. |
|
0 … 1 |
prsb03-dataelement-13665 link
|
|
The coded value for locationNHS data dictionary: - Organisation data service
|
|
0 … 1 |
prsb03-dataelement-13666 link
|
|
Free text field to be used if no coded text available |
 |
 |
Performing professional |
|
0 … 1 |
prsb03-dataelement-12027 link
|
|
The professional who prepared the care and support plan. |
|
0 … 1 |
prsb03-dataelement-12028 link
|
|
The name of the professional.Free text. |
|
0 … 1 |
prsb03-dataelement-12029 link
|
|
The role the professional has in relation to the person e.g. GP, physiotherapist,
community nurse, social worker etcFHIR value set :- SDSjobroletype
|
|
0 … 1 |
prsb03-dataelement-12030 link
|
|
The grade of the professional.Free text |
|
0 … 1 |
prsb03-dataelement-12031 link
|
|
The specialty of the professional e.g. physiotherapy, oncology, mental health etcNHS data dictionary - Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-12032 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-12033 link
|
|
The name of the organisation the professional works for. |
|
0 … 1 |
prsb03-dataelement-12034 link
|
|
Contact details of the professionalNHS data dictionary - UK phone number
|
 |
 |
Person completing record |
|
0 … * |
prsb03-dataelement-12035 link
|
|
Details of the person completing the record. |
|
0 … 1 |
prsb03-dataelement-12036 link
|
|
The name of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-12037 link
|
|
The organisational role of the person completing record.FHIR value set :- SDSjobrole
|
|
0 … 1 |
prsb03-dataelement-12038 link
|
|
The grade of the person completing the record.Free text. |
|
0 … 1 |
prsb03-dataelement-12039 link
|
|
The main specialty of the person completing the record.NHS data dictionary :- Activity treatment function code
|
|
0 … 1 |
prsb03-dataelement-12040 link
|
|
The organisation the person completing the record works for.
NHS data dictionary : -
Organisation data service
|
|
0 … 1 |
prsb03-dataelement-12041 link
|
|
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
|
|
0 … 1 |
prsb03-dataelement-12042 link
|
|
The date and time the record was completed.Date and time. |
|
0 … 1 |
prsb03-dataelement-12043 link
|
|
Contact details of the person completing the record.
NHS data dictionary : - UK telephone number
|