This Mapping table defines the FHIR elements that SHALL be used to encode the ADS data items for each ADS development phase.
| Development Phase | ADS Data Item ID | Data item | Cardinality | Target FHIR Element | Notes |
|---|---|---|---|---|---|
| Call data items | 1..1 | N/A | These data items relate to the Call | ||
| MVP | ADS0 | Submitting organisation code | 1..1 | Communication.sender | This is the ORGANISATION IDENTIFIER of the organisation submitting the data |
| MVP | ADS1 | Provider Organisation Code | 1..1 | Communication.recipient | This is the ORGANISATION IDENTIFIER of the Ambulance Service which treats the PATIENT |
| MVP | ADS2A | Call Date | 1..1 | Communication.identifier.period.start | This is the date the Ambulance Service generates the CALL IDENTIFIER |
| MVP | ADS3 | Call Identifier | 1..1 | Communication.identifier | A unique identifier for each call to the ambulance control room |
| MVP | ADS4 | Stop Codes | 0..1 | Communication.status; Communication.statusReason | A code which identifies the reason the call was closed if no face to face response was received from the ambulance service |
| MVP | ADS8 | AQI Incident Flag | 0..1 | Communication.aQIIncidentFlag | Extension ADS-AQIIncidentFlag An identifier for calls that should be counting within the NHSE Ambulance Quality Indicator (AQI) standard performance metrics |
| MVP | ADS10 | Time Call Connected | 1..1 | Communication.sent | The time that the call was connected to the ambulance control room |
| MVP | ADS20 | Reporting Response Category | 1..1 | Communication.aDSResponseCategory | Extension ADS-ResponseCategory A code to identify the final acuity categorisation based on the full information given during triage by the ambulance control room. The categorisation used for Ambulance Quality Indicator reporting |
| MVP | ADS21 | Time Dispatch Code Established | 1..1 | Communication.typedDateTime | Extension UKCore-TypedDateTime The time that the Pathways Triage Disposition code or AMPDS Triage disposition code is established |
| MVP | ADS33 | Treatment Type | 1..1 | Communication.category | A code classifying the overall outcome of the call |
| MVP | ADS26 | AQI Response Time | 1..1 | Communication.aQIResponseTime | Extension ADS-AQIResponseTime The time duration it took to respond to the patient based on the national Ambulance Quality Indicator performance reporting definitions |
| Stage 2, Bundle 1 | ADS7 | 111 Flag | 0..1 | Communication.111Flag | Extension ADS-111Flag A flag for calls that were received from 111, either by manual or automated transfer |
| Stage 2, Bundle 1 | ADS9 | Clock Start Date Time | 1..1 | Communication.typedDateTime | Extension UKCore-TypedDateTime The date/time that the clock started for Ambulance Quality Indicator performance reporting and other purposes (ref: AQI Guidance) |
| Stage 2, Bundle 1 | ADS11 | Time Call Answered | 1..1 | Communication.typedDateTime | Extension UKCore-TypedDateTime The date/time that the call was answered in the ambulance control room |
| Stage 2, Bundle 1 | ADS16 | AMPDS Triage Disposition | 0..1 | Observation.valueCodeableConcept | A detailed code to identify the acuity and condition after telephone triage by an ambulance service which use the AMPDS triage system, which is accessible to authorised Ambulance Services through NHS Futures Clinical Coding Webpage |
| Stage 2, Bundle 1 | ADS17 | Pathways Triage Disposition | 0..1 | Observation.valueCodeableConcept | A detailed code to identify the acuity and condition after telephone triage by an ambulance service which use the Pathways triage system, which is accessible to authorised Ambulance Services through NHS Futures Clinical Coding Webpage |
| Stage 2, Bundle 1 | ADS18 | SG Code (Symptom Group) | 0..1 | Observation.valueCodeableConcept | A summary code to identify the condition following telephone triage by an ambulance service which use the Pathways triage system, which is accessible to authorised Ambulance Services through NHS Futures Clinical Coding Webpage |
| Stage 2, Bundle 1 | ADS19 | SD Code (Symptom Discriminator) | 0..1 | Observation.valueCodeableConcept | A detailed code to identify the condition after telephone triage by an ambulance service which use the Pathways triage system, which is accessible to authorised Ambulance Services through NHS Futures Clinical Coding Webpage |
| Stage 2, Bundle 1 | ADS23 | Incident location postcode | 0..1 | ServiceRequest.subject > Location.address | The code assigned by Royal Mail to identify postal delivery areas across the United Kingdom for the incident location |
| Stage 2, Bundle 1 | ADS24 | Time Call Ended | 1..1 | Communication.typedDateTime | Extension UKCore-TypedDateTime The date/time that the call ended in the ambulance control room |
| Stage 2, Bundle 1 | ADS25 | CCG Code | 1..1 | Location.managingOrganization.identifier | A code assigned to every postcode in the United Kingdom to identify which Clinical Commissioning Group is responsible for the incident location |
| Stage 2, Bundle 1 | ADS27 | Clock Stop Date Time | 1..1 | Communication.typedDateTime | Extension UKCore-TypedDateTime The date/time that the first response arrived at the incident location that counts as the arrival time based on the National Ambulance Quality Indicator definitions |
| Stage 2, Bundle 2 | ADS2B | Call Origin | 1..1 | Communication.aDSCallOrigin | Extension ADS-CallOrigin A code which identifies the origin of the call into the ambulance control room whether 999 was directly dialled or it was transferred from another agency |
| Stage 2, Bundle 2 | ADS12 | Cat 1 Early Prediction Flag | 1..1 | Communication.aDSCat1EarlyPrediction | Extension ADS-Cat1EarlyPrediction An identifier for calls that were early identified as a Category 1 call |
| Stage 2, Bundle 2 | ADS13 | Time Cat 1 Early Prediction established | 1..1 | Communication.aDSCat1EarlyPrediction | Extension ADS-Cat1EarlyPrediction The time that the category 1 was early identified (only applicable to category 1 incidents) |
| Stage 2, Bundle 2 | ADS15 | Initial Response Category | 1..1 | Communication.aDSResponseCategory | Extension ADS-ResponseCategory A code to identify the initial acuity categorisation based on the early information given during triage by the ambulance control room. |
| Response Data Items | 0..* | N/A | These data items repeat for each Patient Contact with a Response | ||
| MVP | ADS36 | Call sign | 1..1 | Encounter.location.location > Location.identifier | A unique reference used to identify the response within a Health Care Provider |
| MVP | ADS38 | Time Resource Allocated | 0..1 | Encounter.period.start | The time the resource is allocated to a call by the ambulance control room requesting them to attend the incident location |
| MVP | ADS43 | Time Resource Arrived at Receiving Location | 0..1 | Encounter.typedDateTime | Extension UKCore-TypedDateTime The time the resource arrives with the conveyed patient at the receiving location, often a hospital, or other place of care |
| MVP | ADS44 | Time of Patient Handover | 0..1 | Encounter.typedDateTime | Extension UKCore-TypedDateTime The time the conveyed patient is handed over to the receiving location, often a hospital, who take over clinical responsibility for the patient from this time |
| MVP | ADS45 | Time Clear | 1..1 | Encounter.period.end | The time the resource is clear from a call, and is available to be allocated to another call (either from receiving location or scene if no transport or stood down) |
| Stage 2, Bundle 1 | ADS34 | Response Type | 1..1 | Location.type | A code identifying the type of response that is allocated to a call e.g. an ambulance or a rapid response vehicle for a face to face response |
| Stage 2, Bundle 1 | ADS39 | Time Resource Mobilised | 0..1 | Encounter.typedDateTime | Extension UKCore-TypedDateTime The date time the resource starts moving towards the incident location that has been requested to attend |
| Stage 2, Bundle 1 | ADS40 | Time Resource Arrived on Scene | 0..1 | Encounter.typedDateTime | Extension UKCore-TypedDateTime The date/time the resource arrives at the incident location they have been requested to attend |
| Stage 2, Bundle 1 | ADS41 | Time Stood Down | 0..1 | Encounter.typedDateTime | Extension UKCore-TypedDateTime The date/time the vehicle was removed from a call whilst travelling towards an incident location if they are no longer required to attend |
| Stage 2, Bundle 1 | ADS42 | Time Resource Left Scene | 0..1 | Encounter.typedDateTime | Extension UKCore-TypedDateTime The date/time the resource leaves the incident location in order to transport the patient to hospital |
| Stage 2, Bundle 2 | ADS35 | Highest Skill Level on Vehicle | 1..1 | PractitionerRole.code | A code to identify the highest clinical skill level on the response (note PractitionerRole is linked from the Encounter as well as the Location that represents the CallSign) |
| Stage 2, Bundle 2 | ADS37 | Responding organisation type | 1..1 | Organization.type | A code to identify the type of organisation the response belongs to |
| MVP | ADS93A | Receiving Location Type (CAD) | 0..1 | Encounter.hospitalization.destination > Location.type | The type of destination (Short list) that the patient was conveyed to (Only applicable to See and Convey Patients) |
| MVP | ADS94A | Receiving Destination Site Code (CAD) | 0..1 | Encounter.hospitalization.destination > Location.identifier | ORGANISATION SITE IDENTIFIER (OF TREATMENT) is the ORGANISATION IDENTIFIER of the Organisation Site where the PATIENT was treated, i.e. it should enable the treating Organisation to be identified |
| Patient Contact Data Items | 0..* | N/A | These data items repeat for each Patient Contact within a Response | ||
| Patient Demographic Data Items | 1..1 | ||||
| EPR | ADS51 | Unique patient contact record identifier | 1..1 | Patient.identifier (system=http://[ODSCode]/Id/patient-record-identifier – e.g. http://RX8/Id/patient-record-identifier) |
A number used to identify a PATIENT contact uniquely within a Health Care Provider. It may be different from the PATIENT's case note number and may be assigned automatically by the computer system. |
| EPR | ADS52 | Patient address postcode | 0:1 | Patient.address.postalcode | The code assigned by Royal Mail to identify postal delivery areas across the United Kingdom for the patients home address |
| EPR | ADS53 | Registered GP Practice | 0:1 | Patient.generalPractitioner (use Reference.Identifier rather than link to an Org) |
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) is the ORGANISATION CODE of the GP Practice that the PATIENT is registered with. |
| EPR | ADS54 | Name | 0:1 | Patient.name (if you have structured data then use the structured form, otherwise use name.text) |
PATIENT NAME is the PERSON NAME where the PERSON NAME CLASSIFICATION is 'Preferred Name' of the PATIENT. |
| MVP | ADS55 | Date of Birth | 0..1 | Patient.birthDate | The date on which a PERSON was born or is officially deemed to have been born |
| EPR | ADS56 | Age (including weeks) | 0:1 | Observation.valueQuantity (the valueQuantity will have units of either Year (code="a"; unit="Year") or Week (code="wk"; unit="Week") both using the UCUM system="http://unitsofmeasure.org") (the Observation.code will be code value="102519007" system value="http://snomed.info/sct" display value="Apparent age") |
Approximate age of patient as estimated if DOB is not obtainable |
| EPR | ADS57 | Gender Code | 0:1 | Patient.Extension:genderIdentity | The gender of a PERSON. PERSON STATED GENDER CODE is self declared or inferred by observation for those unable to declare their PERSON STATED GENDER. |
| EPR | ADS58 | Ethnicity | 0:1 | Patient.Extension-UKCore-EthnicCategory | The ethnicity of a PERSON, as specified by the PERSON. |
| MVP | ADS59 | NHS Number | 0..1 | Patient.identifier | The NHS NUMBER, the primary identifier of a PERSON, is a unique identifier for a PATIENT within the NHS in England and Wales. |
| Patient Response Data Items | 0..1 | These data items will be sent using a QuestionnaireResponse where QuestionnaireResponse.questionnaire@value= ”http://fhir.nhs.uk/Questionnaire/AmulanceDataSet -PatientResponseDetails-Questionnaire QuestionnaireResponse.status=”completed” QuestionnaireResponse.subject QuestionnaireResponse.encounter |
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| EPR | ADS48 | CFR Utilisation Flag (Community First Responder) | 0:1 | QuestionnaireResponse.item.linkId=”ADS48” QuestionnaireResponse.item.answer.valueCoding (system=”http://terminology.hl7.org/CodeSystem/v2-0136”) |
A flag to identify whether a community first responder was allocated to the call. |
| EPR | ADS49 | Bystander CPR Started Flag | 0:1 | QuestionnaireResponse.item.linkId=”ADS49” QuestionnaireResponse.item.answer.valueCoding (system=”http://terminology.hl7.org/CodeSystem/v2-0136” |
A flag to identify whether bystander CPR was carried out on the patient |
| EPR | ADS50 | Time Bystander CPR started | 0:1 | QuestionnaireResponse.item.linkId=”ADS50” QuestionnaireResponse.item.answer.valueDateTime |
The time that bystander CPR was started on a patient |
| Patient Information Data Items | 0..1 | These data items will be sent using a QuestionnaireResponse where QuestionnaireResponse.questionnaire@value= ”http://fhir.nhs.uk/Questionnaire/AmulanceDataSet -PatientInformationDetails-Questionnaire QuestionnaireResponse.status=”completed” QuestionnaireResponse.subject QuestionnaireResponse.encounter |
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| EPR | ADS62 | Spoken Language (SNOMED CT) | 0:* | QuestionnaireResponse.item.linkId=”ADS62” QuestionnaireResponse.item.answer.valueCoding (system=”http://snomed.info/sct”) |
PREFERRED SPOKEN LANGUAGE (SNOMED CT) is the SNOMED CT concept ID which is used to capture the preferred spoken LANGUAGE of the PERSON. |
| EPR | ADS63 | Accessible information professional required | 0:1 | QuestionnaireResponse.item.linkId =”ADS63” QuestionnaireResponse.item.answer.valueCoding (system=”http://snomed.info/sct”) |
ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT) is the SNOMED CT concept ID which is used to identify that the PATIENT requires support from a communication professional. |
| EPR | ADS64 | Pregnancy Status | 0:1 | QuestionnaireResponse.item.linkId=”ADS64” QuestionnaireResponse.item.answer.valueCoding (system="https://fhir.nhs.uk/CodeSystem/Ambulance-PregnancyStatus") |
Identifier for patients who are pregnant |
| EPR | ADS66 | Accommodation Status (SNOMED CT) | 0:1 | QuestionnaireResponse.item.linkId =”ADS66” QuestionnaireResponse.item.answer.valueCoding (system=”http://snomed.info/sct”) |
ACCOMMODATION STATUS (SNOMED CT) is the SNOMED CT concept ID which is used to identify the details of the ACCOMMODATION of the PERSON. |
| EPR | ADS67 | Mental Health Legal Class | 0:1 | QuestionnaireResponse.item.linkId=”ADS67” QuestionnaireResponse.item.answer.valueCoding (system="https://fhir.nhs.uk/CodeSystem/Ambulance-MentalHealthLegalClass") |
A code which identifies the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION. |
| Injury Information Data Items | 0..1 | These data items will be sent using a QuestionnaireResponse where QuestionnaireResponse.questionnaire@value= ”http://fhir.nhs.uk/Questionnaire/AmulanceDataSet -InjuryInformation-Questionnaire QuestionnaireResponse.status=”completed” QuestionnaireResponse.subject QuestionnaireResponse.encounter |
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| EPR | ADS68 | Injury Date / Time Occurred | 1:1 | QuestionnaireResponse.item.linkId=”ADS68” QuestionnaireResponse.item.answer.valueDateTime |
The date and time that the injury occurred (this is the primary injury which has led to the call / contact) |
| EPR | ADS69 | Location patient injury occurred (SNOMED CT) | 0:1 | QuestionnaireResponse.item.linkId=”ADS69” QuestionnaireResponse.item.answer.valueCoding (system=”http://snomed.info/sct”) |
The type of location at which the person was present when the injury occurred. |
| EPR | ADS70 | Injury Intent (SNOMED CT) | 0:1 | QuestionnaireResponse.item.linkId=”AD70” QuestionnaireResponse.item.answer.valueCoding (system=”http://snomed.info/sct”) |
The most likely human intent in the occurrence of the injury or poisoning as assessed by clinician. |
| EPR | ADS71 | Injury Activity Status (SNOMED CT) | 0:1 | QuestionnaireResponse.item.linkId=”ADS71” QuestionnaireResponse.item.answer.valueCoding (system=”http://snomed.info/sct”) |
The status of activity being undertaken by the patient at the moment the injury occurred. |
| EPR | ADS72 | Injury Mechanism (SNOMED CT) | 0:1 | QuestionnaireResponse.item.linkId=”ADS72” QuestionnaireResponse.item.answer.valueCoding (system=”http://snomed.info/sct”) |
How the injury was caused. |
| Patient Assessment Data Items | 0..1 | These data items will be sent using a QuestionnaireResponse where QuestionnaireResponse.questionnaire@value= ”http://fhir.nhs.uk/Questionnaire/AmulanceDataSet -PatientAssessment-Questionnaire QuestionnaireResponse.status=”completed” QuestionnaireResponse.subject QuestionnaireResponse.encounter |
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| EPR | ADS75 | Investigation (SNOMED (CT) | 0:n | QuestionnaireResponse.item.linkId=”ADS75” QuestionnaireResponse.item.answer.valueCoding (system=”http://snomed.info/sct”) |
The investigations performed while the person is under the care of the Ambulance Service. |
| EPR | ADS78 | Treatment (SNOMED CT) | 0:n | QuestionnaireResponse.item.linkId=”ADS78” QuestionnaireResponse.item.answer.valueCoding (system=”http://snomed.info/sct”) |
The treatments performed while the person is under the care of the Ambulance Service |
| EPR | AD79A | Chief Complaint | 1:1 | QuestionnaireResponse.item.linkId=”ADS79A” QuestionnaireResponse.item.answer.valueCoding (system=”http://snomed.info/sct”) |
A code to identify the initial chief complaint of the patient |
| EPR | ADS79B | Initial Acuity (SNOMED CT) | 1:1 | QuestionnaireResponse.item.linkId=”ADS79B” QuestionnaireResponse.item.answer.valueCoding (system=”http://snomed.info/sct”) |
A score to identify the acuity of the patient based on the Canadian acuity scoreon initial assessment |
| EPR | ADS82 | Screening Tool | 0:n | QuestionnaireResponse.item.linkId=”ADS82” QuestionnaireResponse.item.answer.valueCoding (system="https://fhir.nhs.uk/CodeSystem/Ambulance-ScreeningTool") |
A code to identify any other screening tools or tests that were undertaken by the clinicians whilst with the patient |
| EPR | ADS83 | Clinical Triage Tool | 0:n | QuestionnaireResponse.item.linkId=”ADS83” QuestionnaireResponse.item.answer.valueCoding (system="https://fhir.nhs.uk/CodeSystem/Ambulance-ClinicalTriageTool") |
A code to identify clinical triage tools that were used by the clinicians whilst with the patient to support decision making |
| EPR | ADS84 | Existing Treatment Plans | 0:n | QuestionnaireResponse.item.linkId=”ADS84” QuestionnaireResponse.item.answer.valueCoding (system="https://fhir.nhs.uk/CodeSystem/Ambulance-ExistingTreatmentPlans") |
An identifier of any treatment plans that the patient currently has in place |
| Medication Data Items | 0..* | These data items will be sent using MedicationAdministration Status=”completed” MedicationAdministration.subject MedicationAdministration.context (i.e. Encounter) MedicationAdministration.effectiveDateTime (can be approximate) |
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| EPR | ADS85A | Medication Administered | 0:n | MedicationAdministration.medicationCodeableConcept | A code to identify what drugs were given to patients by clinicians on scene with the patient |
| EPR | ADS85B | Medication Administration Route | 0:n | MedicationAdministration.dosage.route | A code to identify the method of administration of drugs that were given to patients by clinicians on scene with the patient |
| NEWS2 Score Data Items | 0..* | These data items will be sent using Observation Observation.subject Observation.encounter |
NEWS2 follows the design laid out in the Clinical Observation Implementation Guide | ||
| EPR | ADS80 | NEWS2 SCORE | 0:n | Observation.code= 1104051000000101 (NEWS2 total score) Observation.valueQuantity.value@value=[overall score] Observation.valueQuantity.unit@value="ScoreOf" Observation.valueQuantity.system@value= "http://unitsofmeasure.org" Observation.valueQuantity.code@value= "{ScoreOf}" |
The NEWS2 Score |
| EPR | ADS80A | NEWS2 Score Date and Time | 0:n | Observation.effectiveDateTime | The time and date of the NEWS2 Score |
| Fraility Score Data Items | 0..1 | These data items will be sent using a QuestionnaireResponse where QuestionnaireResponse.questionnaire@value= ”http://fhir.nhs.uk/Questionnaire/AmulanceDataSet -FrailtyScore-Questionnaire QuestionnaireResponse.status=”completed” QuestionnaireResponse.subject QuestionnaireResponse.encounter |
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| EPR | ADS81 | Frailty Score | 0:1 | QuestionnaireResponse.item.linkId=”ADS81” QuestionnaireResponse.item.answer.valueCoding (system="http://snomed.info/sct") |
The patients frailty level based on Rockwood Frailty score |
| Diagnosis Data Items | 0..* | These data items will be sent using Condition to hold the Diagnosis and a List as a container For the List List.status="current" List.mode="snapshot" List.code=887161000000102 (system="http://snomed.info/sct" display="Diagnoses") List.orderedBy= priority (system=" http://hl7.org/fhir/ValueSet/list-order" display= "Sorted by Priority") List.subject List.encounter List.entry.item [point to a Condition] For the Condition Condition.subject Condition.encounter |
The List holds the Conditions in order of relevance to the emergency presentation | ||
| EPR | ADS79C | Final Acuity (SNOMED CT) | 1:1 | Condition.severity (using the SNOMED codes provided) | A score to identify the acuity of the patient based on the Canadian acuity score following diagnosis and/or treatment |
| EPR | ADS74 | Main Symptom (SNOMED CT) | 1:1 | Condition.evidence.code | A code to identify the chief complaint of the patient based on the information provided during face to face assessment |
| EPR | ADS77 | Suspected Diagnosis (SNOMED CT) | 1:1 | Condition.code | Diagnoses / working impression of the patient, in order of their relevance to the emergency presentation. |
| Clinical Response Data Items | 1:1 | These data items will be sent using QuestionnaireResponse QuestionnaireResponse.questionnaire@value= ”http://fhir.nhs.uk/Questionnaire /AmulanceDataSet-ClinicalResponse -Questionnaire QuestionnaireResponse.status=”completed” QuestionnaireResponse.subject |
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| EPR | ADS86 | Highest Skill level in attendance | 1:1 | QuestionnaireResponse.item.linkId=”ADS86” QuestionnaireResponse.item.answer.valueCoding |
The highest clinical skill level that attended the patient |
| EPR | ADS103 | Clinical Decision Maker | 1:1 | QuestionnaireResponse.item.linkId=”ADS103” QuestionnaireResponse.item.answer.valueCoding |
The clinician description making the clinical decision on patient next steps |
| EPR | ADS88 | Discharging Clinician skill level | 1:1 | QuestionnaireResponse.item.linkId=”ADS88” QuestionnaireResponse.item.answer.valueCoding |
The highest clinical skill level that discharged the patient |
| Episode Outcome Data Items | 0..1 | These data items will be sent using QuestionnaireResponse QuestionnaireResponse.questionnaire@value= "QuestionnaireResponse.questionnaire@value= "http://fhir.nhs.uk/Questionnaire /AmulanceDataSet-EpisodeOutcome- Questionnaire" QuestionnaireResponse.status=”completed” QuestionnaireResponse.subject |
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| EPR | ADS89 | DoS Usage | 1:1 | QuestionnaireResponse.item.linkId=”ADS89” QuestionnaireResponse.item.answer.valueCoding |
An identifier of whether the Directory of Services was used for the patient |
| EPR | ADS90 | Treatment Status (SNOMED CT) | 1:1 | QuestionnaireResponse.item.linkId=”ADS90” QuestionnaireResponse.item.answer.valueCoding |
The outcome of face to face attendance of whether treatment was completed |
| EPR | ADS91 | On scene discharge Follow Up (SNOMED CT) | 0:n | QuestionnaireResponse.item.linkId=”ADS91” QuestionnaireResponse.item.answer.valueCoding |
Only applicable to See and Treat Patients. The SNOMED CT concept ID which is used to identify the SERVICE to which a PATIENT was referred for continuing care following an Ambulance Attendance discharged on scene. |
| EPR | NEW ITEM ADS 102 | Alternative Pathway ( if not available via ADS89) | 0:1 | QuestionnaireResponse.item.linkId=”ADS102” QuestionnaireResponse.item.answer.valueCoding |
The SNOMED CT concept ID which is used to identify the SERVICE to which a PATIENT would have been referred to continuing care following an Ambulance Attendance if service was available/accepting patients |
| See and Convey Episode Outcome Data Items | 0..1 | These data items will be sent using QuestionnaireResponse QuestionnaireResponse.questionnaire@value= "QuestionnaireResponse.questionnaire@value= "http://fhir.nhs.uk/Questionnaire /AmulanceDataSet-SeeAndConveyEpisodeOutcome- Questionnaire" |
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| EPR | ADS92 | Pre-Alert Status | 0:1 | QuestionnaireResponse.item.linkId=”ADS92” QuestionnaireResponse.item.answer.valueCoding (system="https://fhir.nhs.uk/CodeSystem/Ambulance-PreAlertStatus") |
An identifier to show whether a pre alert was sent prior to the patient's arrival at the receiving location |
| EPR | ADS92A | Pre-Alert Status Time stamp | 0:1 | QuestionnaireResponse.item.linkId=”ADS92A” QuestionnaireResponse.item.answer.valueDateTime |
A timestamp to show when a pre-alert was issued |
| EPR | ADS93B | Conveying Destination Type (EPR) (SNOMED CT) | 0:1 | QuestionnaireResponse.item.linkId = ”ADS93B” QuestionnaireResponse.item.answer.valueCoding (system=”http://snomed.info/sct”) |
The type of destination (long list) that the patient was conveyed to (Only applicable to See and Convey Patients) |
| EPR | ADS94B | Conveying Destination Site Code (EPR) | 0:2 | QuestionnaireResponse.item.linkId =”ADS94B” QuestionnaireResponse.item.answer.valueReference (using identifier, system=”https://fhir.nhs.uk/Id/ods-site-code”) |
ORGANISATION SITE IDENTIFIER (OF TREATMENT) is the ORGANISATION IDENTIFIER of the Organisation Site where the PATIENT was treated, i.e. it should enable the treating Organisation to be identified. |
| EPR | ADS95 | Time of Clinical Handover | 0:1 | QuestionnaireResponse.item.linkId =”ADS95” QuestionnaireResponse.item.answer.valueDateTime |
The time the patient is handed over to clinicians within the receiving location, often a hospital. |
| EPR | ADS96 | Handover delay detail | 0:1 | QuestionnaireResponse.item.linkId=”ADS96” QuestionnaireResponse.item.answer.valueCoding (system="https://fhir.nhs.uk/CodeSystem/Ambulance-HandoverDelayDetail" |
A code to identify the reason for any handover delays at the receiving location |
| Safeguarding Data Items | 0..1 | These data items will be sent using QuestionnaireResponse QuestionnaireResponse.questionnaire@value= "QuestionnaireResponse.questionnaire@value= "http://fhir.nhs.uk/Questionnaire /AmulanceDataSet-Safeguarding- Questionnaire" |
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| EPR | ADS97 | Safeguarding concern (SNOMED CT) | 1:1 | QuestionnaireResponse.item.linkId = ”ADS97” QuestionnaireResponse.item.answer.valueCoding (system=”http://snomed.info/sct”) |
Type of safeguarding concern identified |
| EPR | ADS98 | Safeguarding Referral | 1:1 | QuestionnaireResponse.item.linkId=”ADS98” QuestionnaireResponse.item.answer.valueCoding (system=”http://terminology.hl7.org/CodeSystem/v2-0136” |
An identifier of whether a Safeguarding referral has been made for the patient |
| Public Health Data Items | 0..1 | These data items will be sent using QuestionnaireResponse QuestionnaireResponse.questionnaire@value= "QuestionnaireResponse.questionnaire@value= "http://fhir.nhs.uk/Questionnaire /AmulanceDataSet-PublicHealth- Questionnaire" |
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| EPR | ADS100 | Disease Outbreak Notification | 0:1 | QuestionnaireResponse.item.linkId=”ADS100” QuestionnaireResponse.item.answer.valueCoding |
An identifier for disease outbreaks |
| EPR | ADS100A | Notifiable Disease | 0:1 | QuestionnaireResponse.item.linkId=”ADS100A” QuestionnaireResponse.item.answer.valueCoding |
An identifier of whether the patient has a notifiable disease |
| EPR | ADS99 | MECC intervention outcome | 0:n | QuestionnaireResponse.item.linkId=”ADS99” QuestionnaireResponse.item.answer.valueCoding |
A code to indicate any MECC (Making Every Contact Count) interventions outcome |
| EPR | ADS101 | Research | 0:1 | QuestionnaireResponse.item.linkId=”ADS101” QuestionnaireResponse.item.answer.valueString |
A identifier of case for specific research purposes |
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