Back To Index  <<  Back To Scenarios  <<  Back To Transaction in Scenario

draft Transaction Treatment Plan 2.16.840.1.113883.3.1937.777.28.4.436

Data Set PRSB Record structure and content 2.16.840.1.113883.3.1937.777.28.1.1

Name Id
draft Treatment Plan 2.16.840.1.113883.3.1937.777.28.4.436
Version / effective date Expiration date
2022‑10‑31 16:07:24
Description

For most wounds, the overall aim will be healing by primary intention within a specified time frame but there may be some wounds that are allowed to heal by secondary intention and the treatment aim may be wound bed preparation, other intermediate aims which should also be recorded such as reduction in pain, odour etc.

Name Details [‑]
folder draft Care and support plan 0 … 1
prsb03-dataelement-508
Id prsb03-dataelement-508 (2018‑10‑31)
Cardinality 0 … 1
Description This records the decisions reached during conversation between the individual and health and care professional about future plans and also records progress.

Properties

Information Type Event.Record
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Strengths 0 … *
prsb03-dataelement-10419
Id prsb03-dataelement-10419 (2018‑10‑31)
Cardinality 0 … *
Description Any strengths and assets the person has relating to their goals and hopes about their health and well-being.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-14369
Id prsb03-dataelement-14369 (2021‑07‑06 12:13:33)
Cardinality 0 … 1
Description The coded value associated with the person's strengths.  Could be derived from the assessment of the person e.g. 300738008 |Able to participate in leisure activities (finding)|

Operationalization SNOMED CT : - 1127601000000107 | Healthcare matters simple reference set (foundation metadata concept) |
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-14370
Id prsb03-dataelement-14370 (2021‑07‑06 12:21:31)
Cardinality 0 … 1
Description 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.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Needs, concerns or problems 0 … *
prsb03-dataelement-10414
Id prsb03-dataelement-10414 (2018‑10‑31)
Cardinality 0 … *
Description Details of the person needs, concerns or problems
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-14371
Id prsb03-dataelement-14371 (2021‑07‑06 12:32:19)
Cardinality 0 … 1
Description The coded value associated with the person's needs, concerns or problems.
Operationalization SNOMED CT : -  ^1127581000000103 |Health issues simple reference set|
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-14372
Id prsb03-dataelement-14372 (2021‑07‑06 12:35:50)
Cardinality 0 … 1
Description 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.
Operationalization Free text 
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Goals and hopes 0 … *
prsb03-dataelement-10413
Id prsb03-dataelement-10413 (2018‑10‑31)
Cardinality 0 … *
Description
The overall goals, hopes, aims or targets that the person has. Including anything that the person wants to achieve that relates to their future health and wellbeing. Each goal may include a description of why it is important to the person. Goals may also be ranked in order of importance or priority to the person.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-14373
Id prsb03-dataelement-14373 (2021‑07‑06 12:55:16)
Cardinality 0 … 1
Description The coded value associated with the person's goals, aim's and hopes. e.g. 999002111000000103 |Occupational therapy goals simple reference set (foundation metadata concept)|
Operationalization SNOMED CT : - 413350009|Finding with explicit context|: 246090004|Associated finding|=300798006 |Able to participate in sporting activities (finding)|, 408729009|Finding context|=410518001|Goal|
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-14374
Id prsb03-dataelement-14374 (2021‑07‑06 12:59:33)
Cardinality 0 … 1
Description 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.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Goal importance score 0 … 1
prsb03-dataelement-14399
Id prsb03-dataelement-14399 (2021‑07‑07 12:36:16)
Cardinality 0 … 1
Description Assessment of the person's motivations to achieve this goal, how important the goal is to the person on a scale of 1-10.
Operationalization Numeric scale 1 - 10
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Actions and activities 0 … *
prsb03-dataelement-10408
Id prsb03-dataelement-10408 (2018‑10‑31)
Cardinality 0 … *
Description Actions or activities the person or others plan to take to achieve the person's goals and the resources required to do this.

target Used by one transaction, 0 templates, inherited 0 times
 
folder draft What 0 … 1
prsb03-dataelement-10675
Id prsb03-dataelement-10675 (2018‑11‑15 13:33:22)
Cardinality 0 … 1
Description What the action is and how it is to be carried out?
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-14383
Id prsb03-dataelement-14383 (2021‑07‑06 15:03:18)
Cardinality 0 … 1
Description The coded value for the action.

Operationalization SNOMED CT : - << 71388002 |Procedure| OR << 129125009 |Procedure with explicit context|
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-14384
Id prsb03-dataelement-14384 (2021‑07‑06 15:05:00)
Cardinality 0 … 1
Description 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.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Who 0 … 1
prsb03-dataelement-10676
Id prsb03-dataelement-10676 (2018‑11‑15 13:34:04)
Cardinality 0 … 1
Description Name and role (e.g. person, carer, GP, OT, etc.) of the person, or a team, carrying out the proposed action, and, if relevant where action should take place.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-14393
Id prsb03-dataelement-14393 (2021‑07‑06 16:25:18)
Cardinality 0 … 1
Description The name of the professional or person carrying out the proposed action.
Relationship
Operationalization Free text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-14394
Id prsb03-dataelement-14394 (2021‑07‑06 16:26:27)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10710 (2018‑12‑04 15:32:09)
Description The role of the person providing the service.
Operationalization FHIR values set : -  ukcorepractitionerrolecode
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Team 0 … 1
prsb03-dataelement-14395
Id prsb03-dataelement-14395 (2021‑07‑06 16:28:59)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10355 (2018‑10‑31)
Description The name of the team.
Operationalization Free text
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-14396
Id prsb03-dataelement-14396 (2021‑07‑06 16:30:39)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10357 (2018‑10‑31)
Description Contact details of the professional (e.g. telephone number, email address etc.).
Operationalization Free text
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft When 0 … 1
prsb03-dataelement-10677
Id prsb03-dataelement-10677 (2018‑11‑15 13:34:38)
Cardinality 0 … 1
Description Planned date, time, or interval, as relevant
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least month and year
target Used by one transaction, 0 templates, inherited 0 times
 
draft Suggested strategies 0 … 1
prsb03-dataelement-10678
Id prsb03-dataelement-10678 (2018‑11‑15 13:35:19)
Cardinality 0 … 1
Description Suggested strategies for potential problems.
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Status 0 … 1
prsb03-dataelement-10679
Id prsb03-dataelement-10679 (2018‑11‑15 13:35:57)
Cardinality 0 … 1
Description The status of the action or activity e.g. in progress, done, refused
Operationalization

target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-14385
Id prsb03-dataelement-14385 (2021‑07‑06 15:23:49)
Cardinality 0 … 1
Description The coded value for the person's activity status
Operationalization SNOMED CT : - ^999000081000000105 | Care planning action context values simple reference set (foundation metadata concept) |
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-14386
Id prsb03-dataelement-14386 (2021‑07‑06 15:25:54)
Cardinality 0 … 1
Description Any supplementary or personalised information for the person's activity status
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Confidence 0 … 1
prsb03-dataelement-10680
Id prsb03-dataelement-10680 (2018‑11‑15 13:54:04)
Cardinality 0 … 1
Description How confident the person feels to carry out the action associated to the goal.
Operationalization Numeric score 1 - 10
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date last updated 0 … 1
prsb03-dataelement-10682
Id prsb03-dataelement-10682 (2018‑11‑15 13:55:05)
Cardinality 0 … 1
Description Date when action/activity record was last updated
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft Review date 0 … 1
prsb03-dataelement-10683
Id prsb03-dataelement-10683 (2018‑11‑15 13:55:47)
Cardinality 0 … 1
Description When the action evaluation needs to be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |
Operationalization Date and time.
Value Domain
Property
Timestamp precision
at least month and year
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Stage goal 0 … *
prsb03-dataelement-10674
Id prsb03-dataelement-10674 (2018‑11‑15 13:32:26)
Cardinality 0 … *
Description Details of the person's stage goals
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Stage goal 0 … 1
prsb03-dataelement-14284
Id prsb03-dataelement-14284 (2021‑06‑10 20:14:27)
Cardinality 0 … 1
Description A specific sub-goal that is related to the overall goal as agreed by the person in collaboration with a professional.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-14375
Id prsb03-dataelement-14375 (2021‑07‑06 13:03:53)
Cardinality 0 … 1
Description The coded expression associated with the person's stage goal.
Operationalization SNOMED CT : - 413350009|Finding with explicit context|: 246090004|Associated finding|=300798006 |Able to participate in sporting activities (finding)|, 408729009|Finding context|=410518001|Goal|
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-14376
Id prsb03-dataelement-14376 (2021‑07‑06 13:07:11)
Cardinality 0 … 1
Description 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.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Outcome 0 … 1
prsb03-dataelement-10681
Id prsb03-dataelement-10681 (2018‑11‑15 13:54:34)
Cardinality 0 … 1
Description The outcome of the stage goal
Operationalization



target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-14378
Id prsb03-dataelement-14378 (2021‑07‑06 13:27:55)
Cardinality 0 … 1
Description The coded value for the person's stage goal outcome.
Operationalization SNOMED CT: - ^1127601000000107 |Healthcare matters simple reference set (foundation metadata concept)| 
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-14379
Id prsb03-dataelement-14379 (2021‑07‑06 13:32:50)
Cardinality 0 … 1
Description Any supplementary and personalised information relating to the person's outcome.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Goal status 0 … 1
prsb03-dataelement-14377
Id prsb03-dataelement-14377 (2021‑07‑06 13:21:38)
Cardinality 0 … 1
Description The status associated with the person's stage goal
Operationalization SNOMED CT: - ^999000091000000107 | Care planning goal context values simple reference set (foundation metadata concept) |
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Outcomes 0 … *
prsb03-dataelement-10416
Id prsb03-dataelement-10416 (2018‑10‑31)
Cardinality 0 … *
Description Outcomes of each of the person’s goals, aims and targets. Includes comments recorded by the person, date and status.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-14380
Id prsb03-dataelement-14380 (2021‑07‑06 14:55:09)
Cardinality 0 … 1
Description The coded value associated with the person's overall goal outcome
Operationalization SNOMED CT: -  ^1127601000000107 |Healthcare matters simple reference set (foundation metadata concept)| 
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-14382
Id prsb03-dataelement-14382 (2021‑07‑06 14:58:53)
Cardinality 0 … 1
Description 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.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Goal status 0 … 1
prsb03-dataelement-14400
Id prsb03-dataelement-14400 (2021‑07‑07 13:14:58)
Cardinality 0 … 1
Description The status associated with the person's overall goal.
Relationship
Operationalization SNOMED CT: - ^999000091000000107 | Care planning goal context values simple reference set (foundation metadata concept) |
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Agreed with person or legitimate representative 0 … 1
prsb03-dataelement-10409
Id prsb03-dataelement-10409 (2018‑10‑31)
Cardinality 0 … 1
Description Indicates whether the plan was discussed and agreed with the person or legitimate representative.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Person or legitimate representative 0 … 1
prsb03-dataelement-14322
Id prsb03-dataelement-14322 (2021‑06‑29 13:05:22)
Cardinality 0 … 1
Description Indicates whether the plan was discussed and agreed with the person or legitimate representative
Operationalization Person or legitimate representative 
Value Domain
target Used by one transaction, 0 templates, inherited once
 
draft Person full name 0 … 1
prsb03-dataelement-14323
Id prsb03-dataelement-14323 (2021‑06‑29 13:14:57)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13801 (2020‑11‑09 17:03:29)
Description The full name of the person in text representation.
Rationale Patient.name.text
Operationalization NHS data dictionary :- Person full name
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-14324
Id prsb03-dataelement-14324 (2021‑06‑29 13:16:14)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-12186 (2019‑05‑31 16:19:35)
Description The role the professional has in relation to the person.
Relationship
Operationalization FHIR value set : - sdsjobrole
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Care funding source 0 … 1
prsb03-dataelement-10410
Id prsb03-dataelement-10410 (2018‑10‑31)
Cardinality 0 … 1
Description A reference to the funding source and any conditions or limitations associated.
target Used by one transaction, 0 templates, inherited once
 
draft Coded value 0 … 1
prsb03-dataelement-14391
Id prsb03-dataelement-14391 (2021‑07‑06 16:12:05)
Cardinality 0 … 1
Description The organisation code of the care funding source
Operationalization NHS data dictionary : - organisation data service
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-14392
Id prsb03-dataelement-14392 (2021‑07‑06 16:14:07)
Cardinality 0 … 1
Description Any further information for the person's care funding source e.g. self funded
Operationalization Free text 
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date this plan was last updated 0 … 1
prsb03-dataelement-10412
Id prsb03-dataelement-10412 (2018‑10‑31)
Cardinality 0 … 1
Description This is a record of the date that this care and support plan was last updated.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited once
 
draft Other care planning documents 0 … *
prsb03-dataelement-10415
Id prsb03-dataelement-10415 (2018‑10‑31)
Cardinality 0 … *
Description Reference other care planning documents, including the type, location and date.

This may include condition-specific plans, advance care plans, end of life care plan, etc.
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Planned review date/interval 0 … 1
prsb03-dataelement-10417
Id prsb03-dataelement-10417 (2018‑10‑31)
Cardinality 0 … 1
Description This is the date/interval when this information will next be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |
Operationalization Date and time
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Responsibility for review 0 … 1
prsb03-dataelement-10418
Id prsb03-dataelement-10418 (2018‑10‑31)
Cardinality 0 … 1
Description This is a record of who has responsibility for arranging review of this information.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-14345
Id prsb03-dataelement-14345 (2021‑07‑01 20:40:34)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10352 (2018‑10‑31)
Description The name of the professional with responsibility for the care of the person.
Operationalization Free text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-14346
Id prsb03-dataelement-14346 (2021‑07‑01 20:41:35)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10353 (2018‑10‑31)
Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc
Operationalization FHIR values set : -  ukcorepractitionerrolecode

Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-14347
Id prsb03-dataelement-14347 (2021‑07‑01 20:42:59)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10357 (2018‑10‑31)
Description Contact details of the professional (e.g. telephone number, email address etc.).
Operationalization Free text
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Contingency plans 0 … *
prsb03-dataelement-469
Id prsb03-dataelement-469 (2018‑10‑31)
Cardinality 0 … *
Description These are the things to do and people to contact, should an individual’s health or other circumstances get worse.

Properties

Information Type Event.Record
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Trigger factors 1 … *
prsb03-dataelement-10375
Id prsb03-dataelement-10375 (2018‑10‑31)
Cardinality 1 … *
Description Signs to watch out for that may indicate a significant change in health or other circumstances e.g. feeling agitated
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-14389
Id prsb03-dataelement-14389 (2021‑07‑06 15:58:34)
Cardinality 0 … 1
Description The trigger that leads to instigation of a significant change in health or other circumstances.
Operationalization SNOMED CT: - ^1127581000000103 | Health issues simple reference set (foundation metadata concept) |
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-14390
Id prsb03-dataelement-14390 (2021‑07‑06 16:01:56)
Cardinality 0 … 1
Description The person’s trigger factors (in free text). If the trigger factor is coded then this is any supplementary or personalised information that relates to the coded trigger factor.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Contingency plan name 0 … 1
prsb03-dataelement-10371
Id prsb03-dataelement-10371 (2018‑10‑31)
Cardinality 0 … 1
Description When the action evaluation needs to be reviewed. 
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-14387
Id prsb03-dataelement-14387 (2021‑07‑06 15:50:58)
Cardinality 0 … 1
Description The coded value for the type of care plan
Operationalization SNOMED CT: - 999001471000000108 | Care plan type simple reference set (foundation metadata concept) |
Value Domain
target Used by one transaction, 0 templates, inherited once
 
draft Free text 0 … 1
prsb03-dataelement-14388
Id prsb03-dataelement-14388 (2021‑07‑06 15:53:06)
Cardinality 0 … 1
Description Free text if no coded value is available.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft What should happen 0 … *
prsb03-dataelement-10376
Id prsb03-dataelement-10376 (2018‑10‑31)
Cardinality 0 … *
Description Guidance on specific actions or interventions that may be required or should be avoided in specific situations. This may include circumstances where action needs to be taken if a carer is unable to care for the person. A statement of suggested actions. Usually expressed as: in the event of X do Y.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 1 … 1
prsb03-dataelement-14403
Id prsb03-dataelement-14403 (2021‑07‑07 13:47:54)
Cardinality 1 … 1
Description The coded value for what should happen
Operationalization
SNOMED CT : - << 71388002 |Procedure| OR << 129125009 |Procedure with explicit context|
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-14404
Id prsb03-dataelement-14404 (2021‑07‑07 13:49:20)
Cardinality 0 … 1
Description What should happen (in free text). If 'what should happen' is coded then this is any supplementary or personalised information that relates to the coded value for 'what should happen'.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Who should be contacted 0 … *
prsb03-dataelement-10377
Id prsb03-dataelement-10377 (2018‑10‑31)
Cardinality 0 … *
Description Who should be contacted in the event of significant problems or deterioration in health or wellbeing. e.g. name, role and contact details.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-14405
Id prsb03-dataelement-14405 (2021‑07‑07 13:56:26)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10352 (2018‑10‑31)
Description The name of the professional with responsibility for the care of the person.
Operationalization Free text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-14406
Id prsb03-dataelement-14406 (2021‑07‑07 13:57:48)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10353 (2018‑10‑31)
Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc
Operationalization FHIR values set : -  ukcorepractitionerrolecode

Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-14407
Id prsb03-dataelement-14407 (2021‑07‑07 13:59:15)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10350 (2018‑10‑31)
Description Contact details of the personal contact (e.g. telephone number, address, email address etc.)
Operationalization Free Text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Agreed with person or legitimate representative 0 … 1
prsb03-dataelement-10369
Id prsb03-dataelement-10369 (2018‑10‑31)
Cardinality 0 … 1
Description Indicates whether the plan was discussed and agreed with the person or legitimate representative.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Person or legitimate representative 0 … 1
prsb03-dataelement-14339
Id prsb03-dataelement-14339 (2021‑07‑01 19:11:12)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-14322 (2021‑06‑29 13:05:22)
Description Indicates whether the plan was discussed and agreed with the person or legitimate representative
Operationalization Person or legitimate representative 
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Person full name 0 … 1
prsb03-dataelement-14340
Id prsb03-dataelement-14340 (2021‑07‑01 19:13:45)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13801 (2020‑11‑09 17:03:29)
Description The full name of the person in text representation.
Rationale Patient.name.text
Operationalization NHS data dictionary :- Person full name
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-14341
Id prsb03-dataelement-14341 (2021‑07‑01 19:15:23)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-12186 (2019‑05‑31 16:19:35)
Description The role the professional has in relation to the person.
Relationship
Operationalization FHIR value set : - sdsjobrole
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date this plan was last updated 0 … 1
prsb03-dataelement-10372
Id prsb03-dataelement-10372 (2018‑10‑31)
Cardinality 0 … 1
Description The date that this contingency plan was last updated.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft Planned review date/interval 0 … 1
prsb03-dataelement-10373
Id prsb03-dataelement-10373 (2018‑10‑31)
Cardinality 0 … 1
Description This is the date/interval when this contingency plan will next be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Responsibility for review 0 … 1
prsb03-dataelement-10374
Id prsb03-dataelement-10374 (2018‑10‑31)
Cardinality 0 … 1
Description This is who has responsibility for arranging review of this information.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-14342
Id prsb03-dataelement-14342 (2021‑07‑01 19:38:29)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10352 (2018‑10‑31)
Description The name of the professional with responsibility for the care of the person.
Operationalization Free text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-14343
Id prsb03-dataelement-14343 (2021‑07‑01 19:39:46)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10353 (2018‑10‑31)
Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc
Operationalization FHIR values set : -  ukcorepractitionerrolecode

Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-14344
Id prsb03-dataelement-14344 (2021‑07‑01 19:40:59)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10357 (2018‑10‑31)
Description Contact details of the professional (e.g. telephone number, email address etc.).
Operationalization Free text
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Coping strategies 0 … 1
prsb03-dataelement-13850
Id prsb03-dataelement-13850 (2021‑01‑08 16:37:56)
Cardinality 0 … 1
Description Details of coping strategies used
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coping strategy 0 … 1
prsb03-dataelement-13851
Id prsb03-dataelement-13851 (2021‑01‑08 16:45:37)
Cardinality 0 … 1
Description The coping strategies are defined as thoughts and behaviours that people use to manage the internal and external demands of situations that are appraised as stressful. This should also include a record of any tools used to carry out the coping strategy.
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Start date 0 … 1
prsb03-dataelement-13852
Id prsb03-dataelement-13852 (2021‑01‑08 16:47:18)
Cardinality 0 … 1
Description The date when the coping strategy started
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
draft End date 0 … 1
prsb03-dataelement-13853
Id prsb03-dataelement-13853 (2021‑01‑08 16:48:58)
Cardinality 0 … 1
Description The date when the coping strategy ended
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Relapse indicators / early warning signs 0 … 1
prsb03-dataelement-13854
Id prsb03-dataelement-13854 (2021‑01‑08 16:49:59)
Cardinality 0 … 1
Description Details of the relapse indicators for the person. These may also be called 'early warning signs'
Operationalization

target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-14401
Id prsb03-dataelement-14401 (2021‑07‑07 13:38:10)
Cardinality 0 … 1
Description The coded value for relapse indicators/early warning signs
Operationalization SNOMED CT : - ^1127601000000107 | Healthcare matters simple reference set (foundation metadata concept) |
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-14402
Id prsb03-dataelement-14402 (2021‑07‑07 13:42:46)
Cardinality 0 … 1
Description Any supplementary or personalised information regarding the relapse indicators/early warning signs
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Advance statement 0 … 1
prsb03-dataelement-10777
Id prsb03-dataelement-10777 (2019‑03‑19 17:12:20)
Cardinality 0 … 1
Description Written requests and preferences made by a person with capacity conveying their wishes, beliefs and values for their future care should they lose capacity.

Properties

Information Type Event.Record
Relationship
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Advance statement 0 … 1
prsb03-dataelement-13695
Id prsb03-dataelement-13695 (2020‑09‑09 17:06:33)
Cardinality 0 … 1
Description Does the person have an advance statement.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-13696
Id prsb03-dataelement-13696 (2020‑09‑09 17:09:21)
Cardinality 0 … 1
Description The coded value for advance statement
Operationalization SNOMED CT: - 816281000000101 | Has advance statement (Mental Capacity Act 2005) (finding) |
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-13697
Id prsb03-dataelement-13697 (2020‑09‑09 17:10:48)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-13220 (2020‑07‑08 12:57:49)
Description Free text field to be used if no code is available
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited 0 times
 
draft Location of document 1 … 1
prsb03-dataelement-13760
Id prsb03-dataelement-13760 (2020‑09‑29 14:53:49)
Cardinality 1 … 1
Description The location of where the advanced statement is held.
Relationship
Operationalization Free text or URL
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Anticipatory medicines/equipment 0 … 1
prsb03-dataelement-10370
Id prsb03-dataelement-10370 (2018‑10‑31)
Cardinality 0 … 1
Description Medicines or equipment available that may be required in specific situations and their location. A statement regarding the availability or location of the anticipatory medicines/equipment. SNOMED CT Tag : - 871021000000106 | Prescription of palliative care anticipatory medication (procedure) |

Properties

Information Type Event.Record
Operationalization Free text
Value Domain
Property
max length
150
target Used by one transaction, 0 templates, inherited once
 
folder draft Additional support plans 0 … *
prsb03-dataelement-502
Id prsb03-dataelement-502 (2018‑10‑31)
Cardinality 0 … *
Description Additional support plans

Properties

Information Type Event.Record
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Additional support plan name 0 … 1
prsb03-dataelement-10402
Id prsb03-dataelement-10402 (2018‑10‑31)
Cardinality 0 … 1
Description The name of the particular additional supporting plan, e.g. dieticians plan, wound management plan, discharge management plan and behaviour support plan.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Coded value 0 … 1
prsb03-dataelement-14397
Id prsb03-dataelement-14397 (2021‑07‑06 16:40:30)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-14387 (2021‑07‑06 15:50:58)
Description The coded value for the type of care plan
Operationalization SNOMED CT: - 999001471000000108 | Care plan type simple reference set (foundation metadata concept) |
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Free text 0 … 1
prsb03-dataelement-14398
Id prsb03-dataelement-14398 (2021‑07‑06 16:43:20)
Cardinality 0 … 1
Description Free text if no coded value is available
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Additional support plan content 0 … 1
prsb03-dataelement-10403
Id prsb03-dataelement-10403 (2018‑10‑31)
Cardinality 0 … 1
Description This is the content of any additional care and support plan which the person and/or care professional consider should be shared with others providing care and support. May be structured in different ways, e.g. tables, diagrams, images. This is the content of any additional care and support plan which the individual and/or care professional consider should be shared with others providing care and support. It should be structured as recommended for the care and support plan and if contains additional detail, it may be referenced here.
Operationalization Free text
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Planned review date/interval 0 … 1
prsb03-dataelement-10405
Id prsb03-dataelement-10405 (2018‑10‑31)
Cardinality 0 … 1
Description This is the date/interval when this information will next be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |
Operationalization Date and time
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Responsibility for review 0 … 1
prsb03-dataelement-10406
Id prsb03-dataelement-10406 (2018‑10‑31)
Cardinality 0 … 1
Description This is a record of who has responsibility for arranging review of this information. Should include their name, role and contact details.
target Used by one transaction, 0 templates, inherited 0 times
 
draft Name 0 … 1
prsb03-dataelement-14348
Id prsb03-dataelement-14348 (2021‑07‑01 20:44:51)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10352 (2018‑10‑31)
Description The name of the professional with responsibility for the care of the person.
Operationalization Free text
Value Domain
Property
max length
70
target Used by one transaction, 0 templates, inherited 0 times
 
draft Role 0 … 1
prsb03-dataelement-14349
Id prsb03-dataelement-14349 (2021‑07‑01 20:46:07)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10353 (2018‑10‑31)
Description The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc
Operationalization FHIR values set : -  ukcorepractitionerrolecode

Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Contact details 0 … 1
prsb03-dataelement-14350
Id prsb03-dataelement-14350 (2021‑07‑01 20:49:37)
Cardinality 0 … 1
Concept inherits from draft prsb03-dataelement-10357 (2018‑10‑31)
Description Contact details of the professional (e.g. telephone number, email address etc.).
Operationalization Free text
Value Domain
Property
max length
35
target Used by one transaction, 0 templates, inherited 0 times
 
draft Date this plan was last updated 0 … 1
prsb03-dataelement-10407
Id prsb03-dataelement-10407 (2018‑10‑31)
Cardinality 0 … 1
Description This is a record of the date that this information was last updated.
Operationalization Date and time
Value Domain
Property
Timestamp precision
at least day, month and year, hour and minute
target Used by one transaction, 0 templates, inherited 0 times
 
folder draft Person preferences and treatment objectives 0 … 1
prsb03-dataelement-23081
Id prsb03-dataelement-23081 (2022‑10‑26 17:20:13)
Cardinality 0 … 1
Description

Person’s and carer’s priorities and expectations for treatment, these change over time, NB, person and carer’s objectives may not be consistent, including practicalities, environmental and logistical considerations (transport etc.) These include

  • social preferences, for example being mobile for daughters wedding

  • state of care preferences, for example, reduction of odour or visibility of dressings

  • experience from previous treatments

  • previous equipment experience

  • referred communication method

target Used by one transaction, 0 templates, inherited 0 times
 
draft What matters to the person 0 … *
prsb03-dataelement-25536
Id prsb03-dataelement-25536 (2022‑11‑10 14:42:11)
Cardinality 0 … *
Concept inherits from draft prsb03-dataelement-14102 (2021‑02‑22 13:16:02)
Description A record to establish what matters to the person in the context of the decision to be made, which may include as appropriate:
  • Person goals or hopes: These are the overall goals, hopes, aims or targets that the person has. Including anything that the person wants to achieve that relates to their future health and wellbeing. Each goal may include a description of why it is important to the person. Goals may also be ranked in order of importance or priority to the person.
  • Values and preferences: The values and/or preferences that the person holds relating to the decision or otherwise. 
  • Ideas: Opinions, thoughts, or prior knowledge the person has about their diagnosis, prognosis, or options for treatment, investigations, procedures or other areas they feel are relevant.
  • Concerns: Any worries or fears the person has about their diagnosis (or possible diagnosis) or other areas such as treatment, investigations or procedures that may influence their decision-making or they feel are relevant.
  • Expectations: Any expectations or wants of the person relating to treatment, investigations, procedures or other courses of action or other areas they feel are relevant. 
Relationship
Operationalization Free text.
Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Previous treatment experience 0 … *
prsb03-dataelement-23083
Id prsb03-dataelement-23083 (2022‑10‑26 17:33:42)
Cardinality 0 … *
Description

Experience from the person's experience of treatment of similar conditions

Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Previous equipment experience 0 … *
prsb03-dataelement-23084
Id prsb03-dataelement-23084 (2022‑10‑26 17:36:05)
Cardinality 0 … *
Description

A persons experience of using equipment in similar conditions

Value Domain
target Used by one transaction, 0 templates, inherited 0 times
 
draft Third party preferences 0 … *
prsb03-dataelement-23085
Id prsb03-dataelement-23085 (2022‑10‑26 17:50:38)
Cardinality 0 … *
Context

In this context the third party is typically a carer, next of kin or other relative

Description

Preferences and objectives relating to the treatment of the person, but are stated by a third party, such as next of kin, or carer

Value Domain
target Used by one transaction, 0 templates, inherited 0 times