D2A Assessment

The D2A Assessment is completed using a form template on Nervecentre. Once finished/submitted, it will be converted to a PDF document for sharing.

A FHIR DocumentReference will need to be searchable with the following attributes (Note: where the Data Provider is using a REST Adaptor, the DocumentReference and accompanying Binary will be created on demand)

Attribute Cardinality Type Details
meta.profile 2..2 url Fixed:
https://fhir.yhcr.nhs.uk/StructureDefinition/Interweave-DocumentReference
https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-DocumentReference-1
id 1..1 string Unique id for updates and referencing
status 1..1 code Fixed: current
docStatus 1..1 code Fixed: final
type.coding 1..1 code Fixed:
"system": "https://fhir.nottscr.nhs.uk/CodeSystem/D2A-ArtifactCode-1",
"code": "d2a-assessmentFull",
"display": "Discharge 2 Assess (D2A) Assessment"
subject 1..1 Reference Reference to the relevant Patient FHIR Resource
context 0..1 Reference Reference to the relevant Encounter FHIR Resource.
MUST be provided if technically possible
indexed 1..1 DateTime When the document was added
content.attachement.contentType 1..1 code Fixed: "application/pdf
content.attachement.url 1..1 reference Reference to the Binary resource that represents the PDF
content.attachement.size 0..1 integer Number of bytes of content (if url provided)
content.attachement.creation 0..1 dateTime Date attachment was first created

Example

Example of a D2A Assessment Form:

{
    "resourceType": "DocumentReference",
    "id": "D2A-Assessment-Form-Example",
    "meta": {
        "profile":  [
            "https://fhir.yhcr.nhs.uk/StructureDefinition/Interweave-DocumentReference",
            "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-DocumentReference-1"
        ]
    },
    "status": "current",
    "docStatus": "final",
    "type": {
        "coding":  [
            {
                "system": "https://fhir.nottscr.nhs.uk/CodeSystem/D2A-ArtifactCode-1",
                "code": "d2a-assessmentFull",
                "display": "Discharge 2 Assess (D2A) Assessment"
            }
        ]
    },
    "subject": {
        "reference": "Patient/9999999999"
    },
    "context": {
        "encounter": {
            "reference": "Encounter/acute-inpatient-encounter"
        }
    },
    "indexed": "2024-04-01T09:37:00Z",
    "content":  [
        {
            "attachment": {
                "contentType": "application/pdf",
                "url": "Binary/21f51e78-a46d-402c-aa22-dd43e0fec530",
                "size": 158892,
                "creation": "2024-04-01T09:37:00Z"
            }
        }
    ]
}

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