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PRSB Information Standard

On the 26th October 2020, the Professional Record Standards Body (PRSB) publish a new Information Standard for Local Authority information (for shared health and care records) . This is the information that the local authority holds about people that would be useful for health and care professionals in providing care and support in hospital, at home or in a care home.

The table below demonstrates how the Information Standard has been realised by the Nottinghamshire County Council (NCC) FHIR Profiles in this Implementation Guide:

Local Authority Information      
Version 1        
         
Name Cardinality Description Value sets NCC FHIR Mappings
Person demographics M 1...1 The person's details and contact information.   Profile "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Patient-1"
     Person name M 1...1 The full name of the person. NHS data dictionary:-  Person full name  Patient.name:official
     Person preferred name R 0...1 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. Free text Patient.name:[2]
i.e. where Patient.name:[2].use = "usual"
     Date of birth M 1...1 The date of birth of the person. NHS data dictionary:- Date of Birth  Patient.birthDate
     Gender R 0...1 The person's stated gender. NHS data dictionary: - Person gender code Patient.gender
ValueSet='https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-AdministrativeGender-1'
     NHS number R 0...1 The unique identifier for a person within the NHS in England and Wales. NHS data dictionary:- NHS number Patient.identifier:nhsNumber
     Other identifier R 0...* Country specific or local identifier, e.g. Community Health Index (CHI) in Scotland.  NHS data dictionary: - Local patient identifier, HEALTH AND CARE NUMBER(NI only), COMMUNITY HEALTH INDEX NUMBER(Scotland only) Patient.identifier:[*]
     Person's address M 1...1 Person's usual place of residence, and where relevant temporary and correspondence addresses.   Patient.address
          Address line 1 R 0...1 Person's first line of address. NHS data dictionary :- PDS address line 1  Patient.address.line
          Address line 2 R 0...1 Person's second line of address. NHS data dictionary :- PDS address line 2 Patient.address.line
          Address line 3 R 0...1 Person's third line of address.   NHS data dictionary :- PDS address line 3 Patient.address.line
          Address line 4 R 0...1 Person's fourth line of address. NHS data dictionary :- PDS address line 4. Patient.address.line
          Address line 5 R 0...1 Person's fifth line of address. NHS data dictionary:-  PDS address line 5. Patient.address.line
          Postcode R 0...1 The person's postcode. NHS data dictionary : - Address association type Patient.address.postalCode
     Date of death R 0...1 The date of death of the person. NHS data dictionary :- Date of death Patient.deceasedDateTime
Alerts R 0...1 Details of alerts.    
     Alerts record entry R 0...* This is an alerts 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   Profile "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Flag-1"
          Alert R 1...1 Any significant information meriting a specific and highly visible warning to any user (e.g. metallic implant, potential dangerous pet). Free text Flag.code

Plain text representation MUST be provided using Flag.code.text.

A coded type SHOULD also be provided where possible using Flag.code.coding, idelly using SnomedCT. For example:
 <coding>
   <system value="http://snomed.info/sct" />
   <code value="514331000000104" />
   <display value="Referral to safeguarding adults team" />
 </coding>
          Person completing record R 0...1 Details of the person completing the record.   TBC: In R4 could consider Flag.author of type PractitionerRole to fully support sharing Practioner Name, Role, Grade, Speciality and Organisation

In STU3 could still use Flag.author but either share Practitioner or Organization.

Alternatively could create an extension for the 'Person completing record' element that is common to many PRSB data objects.
               Name R 0...1 The name of the person completing the record. Free text. TBC
               Organisational role R 0...1 The organisational role of the person completing record. NHS data dictionary : - Care professional TBC
               Grade R 0...1 The grade of the person completing the record. Free text. TBC
               Specialty R 0...1 The main specialty of the person completing the record. NHS data dictionary - Main specialty TBC
               Organisation R 0...1 The organisation the person completing the record works for. NHS data dictionary: - Organisation data service TBC
               Professional identifier R 0...1 Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation. Free text. TBC
               Date completed R 0...1 The date and time the record was completed. Date and time.  TBC
               Contact details R 0...1 Contact details of the person completing the record (e.g. telephone number, email address etc.). Free text. TBC
Legal information R 0...1 The legal information relating to the person.    
     Mental capacity assessment R 0...1 Details of the persons mental capacity assessment   Could use Task with Task.code to identify it is an MCA

e.g. http://snomed.info/sct/517301000000103
          Date R 0...1 The date when the mental capacity assessment was made. Date and time Task.executionPeriod.end
          Location R 0...1 The location where the mental capacity assessment was made.   tbc
               Coded value R 0...1 The coded value for location  NHS data dictionary : -  Organisation data service code  tbc
               Free text R 0...1 Free text field to be used if no code is available Free text tbc
          Mental capacity assessment R 0...1 Whether an assessment of the mental capacity of the (adult) person has been undertaken, if so, what capacity the decision relates to and the outcome of the assessment. 

Also record best interests decision if person lacks capacity.		 Free text Task.output:outcomeSummary.value[x]:valueString
          Location of document R 0...1 The location of the mental capacity assessment information. Free text or URL Add optional Task.output which is a DocumentReferrence with an Atatchement (e.g. url or base64 data)

Actual DocumentReference could have type http://snomed.info/sct/886981000000106
          Performing professional R 0...1 The professional who made the mental capacity assessment.   Task.owner

Will either be a Practitioner or Organisations

Alternatively could create an extension for the 'Performing professional' element that is common to many PRSB data objects
               Name R 0...1 The name of the professional. Free text. Practitioner.name
               Role R 0...1 The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc NHS data dictionary:- Care professional Practitioner.qualification.code.text
               Grade R 0...1 The grade of the professional. Free text. tbc
               Speciality R 0...1 The specialty of the professional e.g. physiotherapy, oncology, mental health etc NHS data dictionary - Main specialty code tbc
               Professional identifier R 0...1 Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation. Free text. Practitioner.identifier
               Organisation R 0...1 The name of the organisation the professional works for. NHS data dictionary: - Organisation data service Comtained Organisation
                    Coded value R 0...1 The coded value for location  NHS data dictionary: - Organisation data service Organisation.identifier
                    Free text R 0...1 Free text field to be used if no code is available Free text Organisation.name
               Contact details R 0...1 Contact details of the professional (e.g. telephone number, email address etc.). Free text. Practitioner.telecom, or
Organization.contact.telecom
          Person completing record R 0...1 Details of the person completing the record.   TBC: could create an extension for the 'Person completing record' element that is common to many PRSB data objects.
               Name R 0...1 The name of the person completing the record. Free text. TBC
               Organisational role R 0...1 The organisational role of the person completing record. NHS data dictionary : - Care professional TBC
               Grade R 0...1 The grade of the person completing the record. Free text. TBC
               Specialty R 0...1 The main specialty of the person completing the record. NHS data dictionary - Main specialty TBC
               Organisation R 0...1 The organisation the person completing the record works for. NHS data dictionary: - Organisation data service TBC
                    Coded value R 0...1 The coded value for location  NHS data dictionary : - Organisation data service TBC
                    Free text R 0...1 Free text field to be used if no code is available Free text TBC
               Professional identifier R 0...1 Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation. Free text. TBC
               Date completed R 0...1 The date and time the record was completed. Date and time.  TBC
               Contact details R 0...1 Contact details of the person completing the record (e.g. telephone number, email address etc.). Free text. TBC
     Lasting power of attorney for personal welfare or court-appointed deputy (or equivalent) R 0...1 Details of the person's LPA record or equivalent   LA would not create the LPA, so cannot be shared as a Task. Could share a copy as a DocumentReference, however it is unlikely that the LA would own this data, so suggest it is unlikely it would be sharing this info.
          Date R 0...1 The date the LPA was recorded Date and time n/a
          Location R 0...1 The location where the LPA was given   n/a
               Coded value R 0...1 The coded value for location  NHS data dictionary : -  Organisation data service code  n/a
               Free text R 0...1 Free text field to be used if no code is available Free text n/a
          Lasting power of attorney for personal welfare or court appointed deputy (or equivalent) R 0...1 Record of one or more people who have been given power (LPA) by the person when they had capacity to make decisions about their health and welfare should they lose capacity to make those decisions. To be valid, an LPA must have been registered with the Court of Protection. If life-sustaining treatment is being considered the LPA document must state specifically that the attorney has been given power to consent to or refuse life-sustaining treatment. Details of any person (deputy) appointed by the court to make decisions about the person's health and welfare. A deputy does not have the power to refuse life-sustaining treatment.   n/a
               Coded value R 0...1 The coded value for the LPA SNOMED CT: - ^999001951000000107 |Personal welfare lasting power of attorney findings simple reference set (foundation metadata concept)| n/a
               Location of document R 0...1 The location of the LPA information  Free text or URL n/a
               Name of LPA R 0...1 The names of any appointed people or deputies Free text Note: RelatedPerson can already be used to share the name of the LPA (e.g. where RelatedPerson.relationship.coding: relationshipFlag.coding= 'http://hl7.org/fhir/v3/RoleCode/POWATT'
               Contact details R 0...1 The contact details of the LPA Free text n/a
          Performing professional R 0...1 The professional who took the details of the LPA or equivalent   n/a
               Name R 0...1 The name of the professional. Free text. n/a
               Role R 0...1 The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc NHS data dictionary:- Care professional n/a
               Grade R 0...1 The grade of the professional. Free text. n/a
               Speciality R 0...1 The specialty of the professional e.g. physiotherapy, oncology, mental health etc NHS data dictionary - Main specialty code n/a
               Professional identifier R 0...1 Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation. Free text. n/a
               Organisation R 0...1 The name of the organisation the professional works for. NHS data dictionary: - Organisation data service n/a
               Contact details R 0...1 Contact details of the professional (e.g. telephone number, email address etc.). Free text. n/a
          Person completing record R 0...1 Details of the person who recorded the ADRT.   n/a
               Name R 0...1 The name of the person completing the record. Free text. n/a
               Organisational role R 0...1 The organisational role of the person completing record. NHS data dictionary : - Care professional n/a
               Grade R 0...1 The grade of the person completing the record. Free text. n/a
               Specialty R 0...1 The main specialty of the person completing the record. NHS data dictionary - Main specialty n/a
               Organisation R 0...1 The organisation the person completing the record works for. NHS data dictionary: - Organisation data service n/a
               Professional identifier R 0...1 Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation. Free text. n/a
               Date completed R 0...1 The date and time the record was completed. Date and time.  n/a
               Contact details R 0...1 Contact details of the person completing the record (e.g. telephone number, email address etc.). Free text. n/a
     Deprivation of Liberty Safeguards or equivalent R 0...1 Details of the person's Deprivation of Liberty Safeguards (DoLS) or equivalent   The DoLS Application could use Task with relevant Task.code e.g. http://snomed.info/sct/837661000000103
          Application date R 0...1 The date the application was made  Date and time Task.executionPeriod.end
          Application status R 0...1 The status of the DOLs application. Requested or authorised  Task.businessStatus

ValueSet to be defined, but could include Pending(Received)/In Process/Granted/Not granted
          Deprivation of liberty safeguards or equivalent R 0...1 Record of Deprivation of Liberty Safeguards (DoLS) or equivalent, including the reason for this. Free text Task.output:outcomeSummary.value[x]:valueString
          Start date of authorisation R 0...1 The date the DOLs was authorised. Data and time  Add optional Task.output with a valuePeriod to identify start and end date of Authorisation
          Planned or actual end date of authorisation R 0...1 The planned or actual end date of authorisation. Date and time Add optional Task.output with a valuePeriod to identify start and end date of Authorisation
          Performing professional R 0...1 The professional who applied for the DOLs.   Task.owner

Will either be a Practitioner or Organisations
               Name R 0...1 The name of the professional. Free text. Practitioner.name
               Role R 0...1 The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc NHS data dictionary:- Care professional Practitioner.qualification.code.text
               Grade R 0...1 The grade of the professional. Free text. tbc
               Speciality R 0...1 The specialty of the professional e.g. physiotherapy, oncology, mental health etc NHS data dictionary - Main specialty code tbc
               Professional identifier R 0...1 Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation. Free text. Practitioner.identifier
               Organisation R 0...1 The name of the organisation the professional works for. NHS data dictionary: - Organisation data service Organisation.name / Organisation.identifier
               Contact details R 0...1 Contact details of the professional (e.g. telephone number, email address etc.). Free text. Practitioner.telecom, or
Organization.contact.telecom
     Mental health act or equivalent status R 0...1 Details of the persons mental health act record   LA would not create or manage Mental Health Act Record or associated diagnosis, so suggest they would not be sharing this info into the Shared Care Record.
          Section start date R 0...1 The date the person was detained. Date and time n/a
          Section end date R 0...1 The date the person was no longer detained.  Date and time n/a
          Location R 0...1 The location where the decision to detain the person was made under the mental health act.   n/a
               Coded value R 0...1 The coded value for location  NHS data dictionary : -  Organisation data service code  n/a
               Free text R 0...1 Free text field to be used if no code is available Free text n/a
          Mental health act or equivalent status R 0...1 Record where a person diagnosed with a mental disorder is formally detained under the Mental health act or equivalent, including the section number. If person subject to Community Treatment Order or Conditional Discharge (or equivalent) record here.   n/a
               Coded value R 0...1 The coded value for mental health act NHS data dictionary: - Mental health act classification code n/a
               Free text R 0...1 Free text field to be used if no code is available Free text n/a
               Supporting information R 0...1 If person subject to Community Treatment Order or Conditional Discharge (or equivalent) record here. NHS data dictionary : - Community treatment order n/a
          Performing professional R 0...1 The professional who made the decision to detain the person under the mental health act.   n/a
               Name R 0...1 The name of the professional. Free text. n/a
               Role R 0...1 The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc NHS data dictionary:- Care professional n/a
               Grade R 0...1 The grade of the professional. Free text. n/a
               Speciality R 0...1 The specialty of the professional e.g. physiotherapy, oncology, mental health etc NHS data dictionary - Main specialty code n/a
               Professional identifier R 0...1 Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation. Free text. n/a
               Organisation R 0...1 The name of the organisation the professional works for. NHS data dictionary: - Organisation data service n/a
               Contact details R 0...1 Contact details of the professional (e.g. telephone number, email address etc.). Free text. n/a
          Person completing record R 0...1 Details of the person completing the record.   n/a
               Name R 0...1 The name of the person completing the record. Free text. n/a
               Organisational role R 0...1 The organisational role of the person completing record. NHS data dictionary : - Care professional n/a
               Grade R 0...1 The grade of the person completing the record. Free text. n/a
               Specialty R 0...1 The main specialty of the person completing the record. NHS data dictionary - Main specialty n/a
               Organisation R 0...1 The organisation the person completing the record works for. NHS data dictionary: - Organisation data service n/a
               Professional identifier R 0...1 Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation. Free text. n/a
               Date completed R 0...1 The date and time the record was completed. Date and time.  n/a
               Contact details R 0...1 Contact details of the person completing the record (e.g. telephone number, email address etc.). Free text. n/a
Safeguarding R 0...1 The safeguarding details of the person.   LA is unlikely to share any safegaurding concerns via a shared care record, other than to acknowledge that there are some. The reader would then need to contact the appropriate team to dicsuss the details

As such would be shared as a Flag with code http://snomed.info/sct/514331000000104
     Safeguarding concerns R 0...* Details of the safeguarding concerns    n/a
          Safeguarding concerns date R 0...1 The date the safeguarding concerns were identified. Date and time Flag.period.start
          Safeguarding concerns end date R 0...1 The date safeguarding concerns ended. Date and time Flag.period.end
          Location R 0...1 The location where the safeguarding concerns were identified.   n/a
               Coded value R 0...1 The coded value of location NHS data dictionary :- Organisation data service n/a
               Free text R 0...1 Free text field to be used if no code is available Free text n/a
          Safeguarding concerns R 0...1 Identified safeguarding concerns.   n/a
               Coded value R 0...1 The coded value for safeguarding concerns SNOMED CT n/a
               Free text R 0...1 Free text field to be used if no code is available Free text n/a
          Performing professional R 0...1 The professional who identified the safeguarding concerns.   n/a
               Name R 0...1 The name of the professional. Free text. n/a
               Role R 0...1 The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc NHS data dictionary:- Care professional n/a
               Grade R 0...1 The grade of the professional. Free text. n/a
               Speciality R 0...1 The specialty of the professional e.g. physiotherapy, oncology, mental health etc NHS data dictionary - Main specialty code n/a
               Professional identifier R 0...1 Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation. Free text. n/a
               Organisation R 0...1 The name of the organisation the professional works for. NHS data dictionary: - Organisation data service n/a
               Contact details R 0...1 Contact details of the professional (e.g. telephone number, email address etc.). Free text. n/a
          Person completing record R 0...1 Details of the person completing the record.   TBC: could create an extension for the 'Person completing record' element that is common to many PRSB data objects.
               Name R 0...1 The name of the person completing the record. Free text. TBC
               Organisational role R 0...1 The organisational role of the person completing record. NHS data dictionary : - Care professional TBC
               Grade R 0...1 The grade of the person completing the record. Free text. TBC
               Specialty R 0...1 The main specialty of the person completing the record. NHS data dictionary - Main specialty TBC
               Organisation R 0...1 The organisation the person completing the record works for. NHS data dictionary: - Organisation data service TBC
               Professional identifier R 0...1 Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation. Free text. TBC
               Date completed R 0...1 The date and time the record was completed. Date and time.  TBC
               Contact details R 0...1 Contact details of the person completing the record (e.g. telephone number, email address etc.). Free text. TBC
Local authority R 0...1 The details of the Local Authority that is responsible for providing care and support to the person.   CareTeam.managingOrganization

Contained Organization with Profile: "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-CareTeam-1"
     Organisation code R 0...1 The ODS (Organisation Data Service) code of the local authority that is responsible for providing care and support to the person. NHS data dictionary :- Organisation data service Organization.identifier:odsOrganisationCode
     Local authority name R 0...1 The name of the local authority that is responsible for providing care and support to the person. Free text Organisation.name
     Social services team R 0...1 The name of the local authority social services team or department that is responsible for undertaking the care and support assessment for the person. Free text N/A - Local Authority is responsible not a specific team
     Local authority contact name R 0...1 The name of the person at the local authority who is responsible for liaising with the hospital in relation to the person's discharge.  Free text N/A - wouldn't share individual contacts other than Key Workers (see Professional Contacts below)
     Local authority contact details R 0...1 The contact details of the person at the local authority who is responsible for liaising with the hospital in relation to the person's discharge. Free text Organization.contact.telecom

Note: this would be the generic team number/email, not that of an individual
Professional contacts R 0...1 The details of the person's professional contacts.    
     Professional contacts record entry R 0...* This is a professional 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.   CareTeam.participant

Contained Organization with Profile: "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-CareTeam-1"
          Name R 0...1 The name of the professional with responsibility for the care of the person. Free text. CareTeam.participant.member.name

Note: CareTeam.participant.member is a contained Practitioner
          Role R 0...1 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 NHS data dictionary : - Care professional  CareTeam.participant.role.text
          Key worker R 0...1 A flag that identifies the personal contact is the key worker assigned to the person. Yes or No N/A - Only Key / Assigned Workers will be shared, so will always be true
          Speciality R 0...1 The specialty of the professional e.g. physiotherapy, oncology, mental health etc NHS data dictionary : - Main specialty code N/A - covered by role above
          Team R 0...1 The name of the team. Free text N/A
          Organisation R 0...1 The name of the organisation.   CareTeam.participant.onBehalfOf

Note: CareTeam.participant.onBehalfOf is a contained Organisation
               Coded value R 0...1 The coded value for location  NHS data dictionary : - Organisation data service CareTeam.participant.onBehalfOf .identifier
               Free text R 0...1 Free text field to be used if no code is available Free text CareTeam.participant.onBehalfOf.name
          Contact details R 0...1 Contact details of the professional (e.g. telephone number, email address etc.). Free text CareTeam.participant.member.telecom

Note: CareTeam.participant.member is a contained Practitioner
          Start date R 0...1 The start date of the professional relationship with the person. Date and time  CareTeam.participant.period.start
          End date R 0...1 The end date of the professional relationship with the person. Date and time  CareTeam.participant.period.end
Personal contacts R 0...1 The details of the individual's personal contacts.    
     Personal contacts record entry R 0...* This is personal 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.   Profile "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-RelatedPerson-1"
          Name R 0...1 The name of the personal contact. Free text RelatedPerson.name:official
          Relationship R 0...1 The relationship the personal contact has to the person, e.g. father, grandmother, family friend etc. FHIR value set : - Related person RelatedPerson.relationship.coding:relationshipType
          Relationship type R 0...* Additional roles the person performs on behalf of the other (e.g. Carer, Next of Kin, Emergency Contact, Dependent, etc.)   RelatedPerson.relationship.coding:relationshipFlag
          Parental Responsibility R 0...1 Flag to indicate whether the personal contact has parental responsibility   N/A - captured by relationshipType and relationshipFlag
          Household member R 0...1 Status identifying whether the personal contact is a member of the same household   N/A - captured by relationshipType and relationshipFlag
          Next of Kin R 0...1 A flag that identifies the personal contact is the next of kin Yes or No N/A - captured by relationshipType and relationshipFlag
          Contact details R 0...1 Contact details of the personal contact (e.g. telephone number, email address etc.) Free Text RelatedPerson.telecom
          NHS Number R 0...1 The NHS number of the personal contact NHS data dictionary:-  NHS NUMBER  RelatedPerson.identifier:nhsNumber
          Comments R 0...1 Notes on the significance of the personal contact to the person. Free text N/A - captured by relationshipType and relationshipFlag
Referral details R 0...1 The details of the referral.    
     Referral details record entry R 0...* 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.   Profile "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-ReferralRequest-1"
          Date R 0...1 The date of referral Date and time  ReferralRequest.authoredOn
          Referrer details R 0...1 The details of the referrer.

This could be the person, GP surgery, department, specialty, sub-specialty, educational institution, mental health team etc.		   ReferralRequest.requester.agent

Containted Practitioner Resource
               Name R 0...1 The name of the referrer. Free text  Practitioner.name
               Role R 0...1 Role of the referrer. NHS data dictionary : - Care professional type Practitioner.qualification.code.text
               Grade R 0...1 The grade of the referrer. Free text tbc
               Team R 0...1 The team or department of the referrer. Free text tbc
               Specialty R 0...1 The specialty of the referrer. NHS data dictionary - Main specialty tbc
               Service R 0...1 The service of the referrer.   N/A - service of the referrer not relevenat
                    Coded value R 0...1 The coded value for service SNOMED CT : - ^999000191000000106 |Care planning patient outgoing referral simple reference set (foundation metadata concept)| ReferralRequest.specialty.coding
                    Free text R 0...1 Free text field to be used if no code is available Free text ReferralRequest.specialty.text
               Organisation R 0...1 The organisation of the referrer.   ReferralRequest.requester.onBehalfof

Containted Organization Resource
                    Coded value R 0...1 The coded value for organisation code  NHS data dictionary : - Organisation data service  Organization.identifier
                    Free text R 0...1 Free text field to be used if no code is available Free text Organization.name
               Contact details R 0...1 The contact details of the referrer. Free text Practitioner.telecom
          Referral type R 0...1 An indication of the type of referral (e.g. 'Hospital Discharge Notification to Social Care', 'GP Referral', etc.)   ReferralRequest.type
          Reason for referral R 0...1 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 ReferralRequest.description
          Referral to R 0...1 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.		   ReferralRequest.recipient
               Name R 0...1 Name of person the referral is to be sent to. Free text N/A - referral is made to LA not an individual
               Role R 0...1 Role of person where the referral is to be sent to. NHS data dictionary : - Care professional type N/A - referral is made to LA not an individual
               Grade R 0...1 The grade of the person where the referral is sent to. Free text N/A - referral is made to LA not an individual
               Team R 0...1 The team or department of the person where the referral is being sent to Free text. N/A - referral is made to LA not an individual
               Specialty R 0...1 The specialty the referral is being sent to e.g. physiotherapy, oncology, mental health etc NHS data dictionary - Main speciality N/A - referral is made to LA not an individual
               Service R 0...1 The service of where the referral is sent to.   ReferralRequest.specialty
                    Coded value R 0...1 The coded value for service SNOMED CT:- ^999000191000000106 |Care planning patient outgoing referral simple reference set (foundation metadata concept)| ReferralRequest.specialty.coding
                    Free text R 0...1 Free text field to be used if no code is available Free text ReferralRequest.specialty.text
               Organisation R 0...1 The organisation of where the referral is to be sent.   ReferralRequest.recipient

Containted Organization Resource
                    Coded value R 0...1 The coded value for organisation  NHS data dictionary :- Organisation data service Organization.identifier
                    Free text R 0...1 Free text field to be used if no code is available Free text Organization.name
               Contact details R 0...1 The contact details of where the referral is to be sent. Free text. Organization.contact.telecom

Note: this would be the generic contact details, not where the referral is to be sent (as it has already been sent
Services and care R 0...1 The services and care provided for the person.    
     Services and care record entry R 0...* 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.   Profile "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-EpisodeOfCare-1"
          Social care package name R 0...1 Name of specific type of package being provided (e.g. Reablement, Home Based Care XYZ, etc)   EpisodeOfCare.type:socialCarePackageName

Note: Coding and text supported
          Social care package type R 0...1 Higher level categorisation of package type, e.g. Adults Home Support   EpisodeOfCare.type:socialCarePackageType

Note: Coding and text supported
          Service start date R 0...1 The date service started to be provided. Date and time EpisodeOfCare.period.start
          Service end date R 0...1 The date the service is planned to be ended or the actual end date. Date and time EpisodeOfCare.period.end
          Local authority R 0...1 The name of the local authority providing the care package.   EpisodeOfCare.managingOrganization

Note: this may NOT the LA, but the organisation actually performing the service
               Coded value R 0...1 The coded value for local authority NHS data dictionary: - Organisation data service N/A - Commisioned providers will not have an ODS code
               Free text R 0...1 Free text field to be used if no code is available Free text EpisodeOfCare.managingOrganization.name

Containted Organization Resource
          Care funding source R 0...1 A reference to the funding source and any conditions or limitations associated. Free text N/A - would not share this as it can be used to infer financial means, which is sensitive personal data
          Person completing record R 0...1 Details of the person completing the record.   TBC: could create an extension for the 'Person completing record' element that is common to many PRSB data objects.
               Name R 0...1 The name of the person completing the record. Free text. TBC
               Organisational role R 0...1 The organisational role of the person completing record. NHS data dictionary : - Care professional TBC
               Grade R 0...1 The grade of the person completing the record. Free text. TBC
               Specialty R 0...1 The main specialty of the person completing the record. NHS data dictionary - Main specialty TBC
               Organisation R 0...1 The organisation the person completing the record works for. NHS data dictionary: - Organisation data service TBC
               Professional identifier R 0...1 Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation. Free text. TBC
               Date completed R 0...1 The date and time the record was completed. Date and time.  TBC
               Contact details R 0...1 Contact details of the person completing the record (e.g. telephone number, email address etc.). Free text. TBC
Primary support reason R 0...1 The primary support reason for social care.    
     Primary support reason record entry R 0...* This is a primary support reason 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.   Profile "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Procedure-1"
          Primary support reason R 0...1 The Primary Support Reason used to classify a person for National Reporting on Short and Long Term Services (SALT) e.g. Learning disability support, mental health support, physical support Free text Procedure.reasonCode

For ValueSet Binding see https://simplifier.net/socialcaredataservice/valueset-cds-socialcaresupportreason
          Active R 0...1 Flag to indicate whether the primary support reason is currently active   Procedure.status
          Start date R 0...1 The date a primary support reason was authorised as active. Date  Procedure.performed[x]:performedPeriod.start
          End date R 0...1 The end date of authorisation. Date  Procedure.performed[x]:performedPeriod.end
Assessments R 0...1 Assessment.    
     Assessments record entry R 0...* 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.   Profile: "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CDS-Task"
          Date R 0...1 The date the assessment was done. Date and time. Task.executionPeriod

Note: Assessment may be performed over a period of time so dtart and end date provided
          Location R 0...1 The location where the assessment was done. ODS code  or free text. N/A - the task is just a record that the assessment/event has taken place - it could be a paper/phone based assessment, or undertaken at various locations over a period of time
               Coded value R 0...1 The coded value for location  NHS data dictionary: - Organisation data service N/A
               Free text R 0...1 Free text field to be used if no code is available Free text N/A
          Assessment type R 0...1 The type of the assessment e.g. social care needs assessment. Free text Task.code.text
          Assessment summary R 0...1 The summary of the assessment  Free text Task.output:outcomeSummary.value[x]:valueString
          Structured assessment R 0...1 Details of the structured assessment.   Additonal Task.outputs can be shared - e.g. referencing contained Observations / QuestionnaireResponses
               Structured assessment name R 0...1 Structured assessment name e.g. New York Heart Failure, Glasgow Coma scale, Activities of Daily Living (ADL) etc. SNOMED CT or free text see above
               Assessment score R 0...1 The structured assessment score. SNOMED CT or free text. see above
               Assessment value R 0...1 The structured assessment value. Free text, alphanumeric or SNOMED CT see above
               Global score R 0...1 The total global score from the assessment. Free text see above
               Subscale score R 0...1 The subscale score of the structured assessment. SNOMED CT or free text. see above
               Subscale value R 0...1 The subscale value of the structured assessment. Free text, alphanumeric or SNOMED CT. see above
          Performing professional R 0...1 The professional who did the assessment.   Task.owner

Will either be a Practitioner or Organisations
               Name R 0...1 The name of the professional. Free text. Practitioner.name
               Role R 0...1 The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc NHS data dictionary:- Care professional Practitioner.qualification.code.text
               Grade R 0...1 The grade of the professional. Free text. tbc
               Speciality R 0...1 The specialty of the professional e.g. physiotherapy, oncology, mental health etc NHS data dictionary - Main specialty code tbc
               Professional identifier R 0...1 Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation. Free text. Practitioner.identifier
               Organisation R 0...1 The name of the organisation the professional works for. NHS data dictionary: - Organisation data service Organisation.name / Organisation.identifier
               Contact details R 0...1 Contact details of the professional (e.g. telephone number, email address etc.). Free text. Practitioner.telecom, or
Organization.contact.telecom
          Person completing record R 0...1 Details of the person completing the record.   TBC: could create an extension for the 'Person completing record' element that is common to many PRSB data objects.
               Name R 0...1 The name of the person completing the record. Free text. TBC
               Organisational role R 0...1 The organisational role of the person completing record. NHS data dictionary : - Care professional TBC
               Grade R 0...1 The grade of the person completing the record. Free text. TBC
               Specialty R 0...1 The main specialty of the person completing the record. NHS data dictionary - Main specialty TBC
               Organisation R 0...1 The organisation the person completing the record works for. NHS data dictionary: - Organisation data service TBC
               Professional identifier R 0...1 Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation. Free text. TBC
               Date completed R 0...1 The date and time the record was completed. Date and time.  TBC
               Contact details R 0...1 Contact details of the person completing the record (e.g. telephone number, email address etc.). Free text. TBC
          Comment R 0...1 Supporting text may be given regarding the assessment. Free text Task.description
Equipment and adaptations R 0...1 Details of equipment/asset (or modifications) that the Local Authority has provided to the patient.    
     Equipment record entry R 0...* This is a equipment record entry. There may be 1 to many record entries under a section.   Profile: "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CDS-Device"
          Equipment name R 0...1 The name of the equipment (e.g. 'Keysafe', 'Handrail' 'Lifeline Alarm', etc.)   Device.type
               Coded value R 0...1 The coded value for equipment name SNOMED CT Device.type.code
               Free text R 0...1 Free text field to be used if no code is available Free text Device.type.text
          Date R 0...1 The date the equipment was issued. Date and time N/A - but could use Device.status to show current devices
          Comment R 0...1 Any further details about the equipment, e.g. position of handrail(s) within the person's home Free text Device.note