InterweaveSocialCareContact

FHIR Profile

Definition A notification to social services that a person may need their support – a contact can be made by the person themselves, a relative, health professional or any concerned member of the public.

Notts Guidance

This profile sets minimum expectations for the Social Care Contact resource which is modelled using the FHIR ReferralRequest resource. The FHIR ReferralRequest resource was chosen to model a Contact as it was the most akin in terms of logic and structure. Many of the irrelevant health fields have been stripped from this resource to create a clear and concise model for population. We will simply refer to this resource as a Contact throughout the remainder of the notes section.

Coverage and references

Local Authorities will need to determine which contacts to expose to the Shared Care Record - some contacts may have little or no value to clinical users.

For contacts/referrals from other ICS Partners, the Local Authority should also be aware if the Referrer is also sharing the same information - for example either the acute trusts or the Local Authority could share the fact that there is a D2A Referral between the two organisations

Mandatory fields

The following fields are mandatory:

• status Used to indicate the status of the contact. Here we use the mandated FHIR code system request-status but limit it to the following values, a description of their use is placed in brackets:

active (The Contact becomes active as soon as it is created) completed (The Contact has been actioned/acted upon) cancelled (The Contact was rejected e.g. The contact was made with the wrong organisation) entered-in-error (The Contact was recorded in error)

It is envisaged that most contacts will not use the 'active' status as most contacts are recorded and acted upon straight away.

• intent Although this field is not relevant to Social Care, it is mandatory within FHIR, therefore we default its value to 'plan'.

• subject.patient The person who is the subject of the contact.

• occurrence The date that the contact was made with the organisation.

• authoredOn The date that the contact was recorded on the administration system.

• requesterType This is an Interweave extension created to record the type of person making the contact E.g. relative, person themselves, health professional etc. We have created an extensible Valueset to use here. Please get in touch if there are any requirements for further values to be added.

• reasonCode The reason why the person first made the contact. e.g. Concern for welfare

Must Support fields

In addition, the following fields are "Must Support" - i.e. they must be populated if relevant and known:

• type The type of contact being made e.g. Referral to Social Care

• description Narrative around the reason for contact. Please ensure any detail included is appropriate for regional sharing.