Structured Definitions

StructureDefinition Version
CareConnect-SHD-ReferralRequest-1 0.0.1
CareConnect-SHD-Patient-1 0.0.1
CareConnect-SHD-Encounter-1 0.0.1
CareConnect-SHD-Location-1 0.0.1
CareConnect-SHD-Organization-1 0.0.1
CareConnect-SHD-Practitioner-1 0.0.1
SHD-QuestionnaireResponse-PreliminaryNeedsAssessment 0.0.1
SHD-QuestionnaireResponse-COVID19 0.0.1
SHD-QuestionnaireResponse-AssessmentNotice 0.0.1
SHD-QuestionnaireResponse-CHCChecklist 0.0.1
SHD-QuestionnaireResponse-DischargeNotice 0.0.1
CareConnect-SHD-Communication-1 0.0.1

CareConnect-SHD-ReferralRequest-1

This is the StructureDefinition overview for the CareConnect-SHD-ReferralRequest-1

The official URL for this profile is: https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-SHD-ReferralRequest-1

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ReferralRequest Data Mapping

The table below provides the generic business context data mappings for the 'Mandatory' and 'Must Support' elements in the CareConnect-SHD-ReferralRequest-1 profile. However, please see the individual use case guidance for specifc constraints and context.

FHIR Element Card. Type Description/Business Context
ReferralRequest.status 1..1 code Binding RequestStatus

See use case guidance for any specific business context constriants.
ReferralRequest.intent 1..1 code Binding RequestIntent

See use case guidance for any specific business context constriants.
ReferralRequest.type 1..1 CodeableConcept An indication of the type of referral (i.e. 'Hospital Discharge Notification to Social Care')

Binding SHD-ReferralRequestType
ReferralRequest.type.coding 1..1 coding Codinig for a 'Hospital Discharge Notification to Social Care')
ReferralRequest.type.coding.system 1..1 uri Fixed Value: "http://snomed.info/sct"
ReferralRequest.type.coding.code 1..1 code Fixed Value: "715591000000108"
ReferralRequest.type.coding.display 1..1 string Fixed Value: "Hospital Discharge Notification to Social Care"
ReferralRequest.type.text 1..1 string Fixed Value: "Hospital Discharge Notification to Social Care"
ReferralRequest.serviceRequested 0..* CodeableConcept Optional element providing an indication of the specific servce being requested as part of the referral (e.g. referral into the Community D2A Hub, or referral to specialist Mental Healh Team'

Binding SHD-ReferralRequestServiceRequested
ReferralRequest.subject 1..1 Reference (CareConnect-SHD-Patient-1) Reference to Patient resource to whom the referral relates.
ReferralRequest.context 1..1 Reference (CareConnect-SHD-Encounter-1) Reference to Encounter resource for the hospital admission the patient is likely need support in order to ensure a safe discharge.
ReferralRequest.authoredOn 1..1 dateTime Date referral was sent to the Local Authority
ReferralRequest.requester.agent 1..1 Reference (CareConnect-SHD-Practitioner-1) Reference to Practitioner resource for the person at the hospital who is responsible for liaising with the local authority in relation to the patient’s discharge.
ReferralRequest.requester.onBehalfOf 1..1 Reference (CareConnect-SHD-Organization-1) Reference to the Organization resource which the ReferralRequest.requester.agent was acting on behalf of (i.e. the Hospital which is sending the referral)
ReferralRequest.reasonCode.text 1..1 string Referral MUST include the rationale for why the hospital are referring to Social Care (or other Supported Hospital Discharge pathway).
ReferralRequest.supportingInfo[preliminaryNeedsAssessment] 0..1 Reference (SHD-QuestionnaireResponse-PreliminaryNeedsAssessment) Optional questionnaire response with additional information that may assist the social care team's assessment of a patient (e.g. accommodation status, strength based assessments, risks, competencies etc.).
This QuestionnaireResponse can also be sent/updated separately after the referral.
ReferralRequest.supportingInfo[covid19Assessment] 0..1 Reference (SHD-QuestionnaireResponse-COVID19) Optional questionnaire response completed by health to share additional information requires during the COVID-19 pandemic (e.g. COVID-19 diagnosis status, self isolation and humanitarian support requirements).
This QuestionnaireResponse can also be sent/updated separately after the referral.
ReferralRequest.supportingInfo[assessmentNotice] 0..1 Reference (SHD-QuestionnaireResponse-AssessmentNotice) Optional questionnaire response to give formal notice of request for Assessment under The Care and Support (Discharge of Hospital Patients) Regulations 2014.

Note The Assessment Notice may be sent with the ReferralRequest. However, the API supports an initial referral without, followed by a separate Assessment Notice at a later point in time.
ReferralRequest.supportingInfo[chcChecklist] 0..1 Reference (SHD-QuestionnaireResponse-CHCChecklist) Optional questionnaire response to share a copy of a NHS Continuing Healthcare Checklist. The CHCH Checklist can also be sent/updated separately after the referral.
ReferralRequest.note 0..* Annotation Optional field for any other additional information regarding the referral, e.g. Health Recommendations regarding Social Care Pathway.
ReferralRequest.note.authorString 0..1 string Optional field for details of who added the note/comment.
ReferralRequest.note.time 0..1 dateTime Optional field for when the note/comment was added.
ReferralRequest.note.text 1..1 string Each ReferralRequest.note MUST have a text to represent the actual note/comment.

CareConnect-SHD-Patient-1

This is the StructureDefinition overview for the CareConnect-SHD-Patient-1

The official URL for this profile is: https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-SHD-Patient-1

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Patient Data Mapping

The table below provides the generic business context data mappings for the 'Mandatory' and 'Must Support' elements in the CareConnect-SHD-Patient-1 profile. However, please see the individual use case guidance for specifc constraints and context.

FHIR Element Card. Type Description/Business Context
Patient.extension[nhsCommunication] 0..1 Extension-CareConnect-NHSCommunication-1 Optional element to share details of the the patient's communication preferences.
Patient.extension[nhsCommunication].extension[language].valueCodeableConcept.text 1..1 string Plain text representation of the Patients Preferred Language.
Patient.extension[nhsCommunication].extension[preferred].valueBoolean 1..1 boolean Fixed Value: "TRUE"
Patient.extension[nhsCommunication].extension[interpreterRequired].valueBoolean 0..1 boolean Optional elment to confirm if an Interpreter is required for English
Patient.identifier 1..* identifier Constraint: Multiple identifiers may be provided, however one SHALL be the NHS Number
Patient.identifier[nhsNumber] 1..1 identifier Constraint: For the NHS Number:

Patient.identifier.use = 'official'

Patient.identifier.system = 'https://fhir.nhs.uk/Id/nhs-number'

Patient.identifier.value={nhsNumber}
Patient.identifier[nhsNumber].extension 1..1 Extension-CareConnect-NHSNumberVerificationStatus-1 Constraint: Where Patient.identifier.use='official', the NHS Number Verification Status SHALL be provided and MUST include a coding.system, coding.code and coding.display from the ValueSet Binding CareConnect-NHSNumberVerificationStatus-1
Patient.identifier[localIdentifier] 0..1 identifier Constraint: For the Local Identifier:

Patient.identifier.use = 'secondary'
Patient.name 1..* HumanName Constraint: Multiple names may be provided, however one SHALL be the official name, i.e.

Patient.name.use = 'official'

Patient.identifier.system = {Local System}

Patient.identifier.value={Hospital Number}
Patient.name[official].text 1..1 string Constraint: Where Patient.name.use='official', Patient.name.text SHALL be provided
Patient.name[official].family 1..1 string Constraint: Where Patient.name.use='official', Patient.name.family SHALL be provided
Patient.name[official].given 0..* string Constraint: Where recorded in the source system, and if Patient.name.use='official', Patient.name.given MUST BE SUPPORTED
Patient.telecom 0..* ContactPoint Constraint: Multiple may be provided, however Home Phone, Mobile Phone and Home Email MUST BE SUPPORTED
Patient.telecom[homePhone] 0..1 ContactPoint Constraint: For homePhone:

Patient.telecom.system = 'phone'

Patient.telecom.value = {Phone Number}

Patient.telecom.use = 'home'
Patient.telecom[mobilePhone] 0..1 ContactPoint Constraint: For mobilePhone:

Patient.telecom.system = 'phone'

Patient.telecom.value = {Phone Number}

Patient.telecom.use = 'mobile'
Patient.telecom[homeEmail] 0..1 ContactPoint Constraint: For homeEmail:

Patient.telecom.system = 'email'

Patient.telecom.value = {Email Address}

Patient.telecom.use = 'home'
Patient.gender 1..1 code Binding AdministrativeGender
Patient.birthdate 1..1 date The date of birth for the individual. Where date of birth is not known, the approxiamte age will be shared as a partial date (e.g. YYYY)
Patient.address 0..* Address Constraint: Multiple addresses may be provided, however one SHALL be the main home address of the patient.
Patient.address[homeAddress] 1..1 Address Constraint: For homeAddress:

Patient.address.use = 'home'
Patient.address[homeAddress].line 2..5 string Address lines should be provided in Patient.address.line element for consistency as many source systems do not have he required detail to distinguish between city, district etc. A minimum of 2 lines should be provided as this is a requirement of many Social Care Systems.
Patient.address[homeAddress].postCode 1..1 string Post Code SHALL be provided for the home address
Patient.maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Patient.maritalStatus.text 1..1 string If Patient maritalStatus is provided, maritalStatus text MUST also be provided.
Patient.contact 0..* BackboneElement Constraint: Multiple contacts may be provided, however implementors MUST SUPPORT Next of Kin and Carer.
Patient.contact[nextOfKin] 0..1 BackboneElement Optional element for the contact details of the Next of Kin
Patient.contact[nextOfKin].relationship[nokIndicator].coding 1..1 Coding Constraint: A nextOfKin contact MUST have a relationship for the nokIndicator. This is a fixed coding so that FHIRPath can be used to retrieve the distinguish the Next of Kin from any other contact.

Fixed Values:

Patient.contact.relationship.coding.system = 'https://fhir.hl7.org.uk/CareConnect-PersonRelationshipType-1'

Patient.contact.relationship.coding.code = '04'

Patient.contact.relationship.coding.display = 'Next of kin'
Patient.contact[nextOfKin].relationship[nokRelationship].text 0..1 string In addition to the relationship for the nokIndicator, an second Patient.contact.relationship may be included to share plain text details that add more context e.g. Sister, Brother, Friend.
Patient.contact[nextOfKin].name 1..1 HumanName Constraint: A nextOfKin contact MUST have a name with a Patient.contact.name.text
Patient.contact[nextOfKin].telecom 0..* ContactPoint Optional data element for the the contact points for a given contact (e.g. phone, fax, email, etc.)
Patient.contact[nextOfKin].address 0..1 Address Optional data element for an address for the contact
Patient.contact[carer] 0..1 BackboneElement Optional element for the contact details of the Carer
Patient.contact[carer].relationship[carerIndicator].coding 1..1 Coding Constraint: A carer contact MUST have a relationship for the carerIndicator. This is a fixed coding so that FHIRPath can be used to retrieve the distinguish the Carer from any other contact.

Fixed Values:

Patient.contact.relationship.coding.system = 'https://fhir.hl7.org.uk/CareConnect-PersonRelationshipType-1'

Patient.contact.relationship.coding.code = '22'

Patient.contact.relationship.coding.display = 'Carer'
Patient.contact[carer].relationship[carerRelationship].text 0..1 string In addition to the relationship for the carerIndicator, an second Patient.contact.relationship may be included to share plain text details that add more context e.g. Sister, Brother, Friend.
Patient.contact[carer].name 1..1 HumanName Constraint: A carer contact MUST have a name with a Patient.contact.name.text
Patient.contact[carer].telecom 0..* ContactPoint Optional data element for the the contact points for a given contact (e.g. phone, fax, email, etc.)
Patient.contact[carer].address 0..1 Address Optional data element for an address for the contact
Patient.generalPractitioner 0..1 Reference (CareConnect-SHD-Practitioner-1) Reference to Practitioner resource relating to the Patient's GP

CareConnect-SHD-Encounter-1

This is the StructureDefinition overview for the CareConnect-SHD-Encounter-1

The official URL for this profile is: https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-SHD-Encounter-1

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Encounter Data Mapping

The table below provides the generic business context data mappings for the 'Mandatory' and 'Must Support' elements in the CareConnect-SHD-Encounter-1 profile. However, please see the individual use case guidance for specifc constraints and context.

FHIR Element Card. Type Description/Business Context
Encounter.extension[medicallyFitForDischarge] 1..1 Extension-SHD-MedicallyFitDetails Extension to share whether the patient is safe for discharge, i.e. no longer meeting ony of the clinical criteria to reside in hospital.
Encounter.extension[medicallyFitForDischarge].extension[medicallyFitStatus].valueCoding 1..1 Coding Binding Supported Hospital Discharge Medically Fit Status
Encounter.extension[medicallyFitForDischarge].extension[dateDeemedMedicallyFit].valueDateTime 0..1 DateTime Constraint The dateDeemedMedicallyFit SHALL be provided when medicallyFitStatus="Medically Fit".
Encounter.identifier 1..1 identifier Constraint: the Encounter SHALL have an identifier where:

Encounter.identifier.system={Local Trust System}

Encounter.identifier.value={Unique Local ID Number}
Encounter.status 1..1 code Binding EncounterStatus

See use case guidance for any specific business context constriants.
Encounter.statusHistory 0..* BackboneElement See use case guidance for any specific business context constriants.
Encounter.type 1..1 CodeableConcept SHALL have one type with single coding where:

coding.system = 'https://fhir.nottinghamshire.gov.uk/encounter/type'

coding.code='supported-discharge'
Encounter.participant 0..1 Reference (CareConnect-SHD-Practitioner-1) Optional data element to share details of the person at the hospital who is leading the patient’s care.
Encounter.participant.individual 1..1 Reference (CareConnect-SHD-Practitioner-1) The encounter SHALL have a Encounter.participant.individual for the Lead Clincian if there is a Encounter.participant
Encounter.period.start 1..1 DateTime The actual hospital admission date for the patient.
Encounter.period.end 0..1 DateTime See use case guidance for any specific business context constriants.
Encounter.reason.text 1..1 string The reason(s) why the patient has been admitted to hospital.
Encounter.location.location 1..1 Reference (CareConnect-SHD-Location-1) Details of the current location (i.e. Ward/Hospital) of the Patient.

CareConnect-SHD-Location-1

This is the StructureDefinition overview for the CareConnect-SHD-Location-1

The official URL for this profile is: https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-SHD-Location-1

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Location Data Mapping

The table below provides the generic business context data mappings for the 'Mandatory' and 'Must Support' elements in the CareConnect-SHD-Location-1 profile. However, please see the individual use case guidance for specifc constraints and context.

FHIR Element Card. Type Description/Business Context
Location.name 1..1 string Plain text representation of the ward/department the patient is currently located. If the ward/department is not recorded use 'unknown' or similar descriptor.
Location.managingOrganization 1..1 Reference (CareConnect-SHD-Organization-1) Reference to an Organization resource for the Hospital the patient is currently in.

CareConnect-SHD-Organization-1

This is the StructureDefinition overview for the CareConnect-SHD-Organization-1

The official URL for this profile is: https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-SHD-Organization-1

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Organization Data Mapping

The table below provides the generic business context data mappings for the 'Mandatory' and 'Must Support' elements in the CareConnect-SHD-Organization-1 profile. However, please see the individual use case guidance for specifc constraints and context.

FHIR Element Card. Type Description/Business Context
Organization.identifier 0..* identifier Constraint: Multiple identifiers may be provided, however one SHALL be the odsSiteCode
Organization.identifier[odsSiteCode] 1..1 identifier Constraint:

Organization.identifier.system = 'https://fhir.nhs.uk/Id/ods-site-code'

Organization.identifier.value={ODS Site code for the Hospital}
Organization.name 1..1 string Plain text representation of the hospital name.

CareConnect-SHD-Practitioner-1

This is the StructureDefinition overview for the CareConnect-SHD-Practitioner-1

The official URL for this profile is: https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-SHD-Practitioner-1

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Practitioner Data Mapping

The table below provides the generic business context data mappings for the 'Mandatory' and 'Must Support' elements in the CareConnect-SHD-Practitioner-1 profile. However, please see the individual use case guidance for specifc constraints and context.

FHIR Element Card. Type Description/Business Context
Practitioner.name 1..1 string Plain text representation of the care practitioner's name. Constraint: SHALL include a Practitioner.name.use = 'official' and a Practitioner.name.text = {full name}
Practitioner.telecom 0..* ContactPoint Constraint: Multiple may be provided, however Work Phone, Work Email MUST BE SUPPORTED
Practitioner.telecom[workPhone] 0..1 ContactPoint Constraint: For workPhone:

Practitioner.telecom.system = 'phone'

Practitioner.telecom.value = {Phone Number}

Practitioner.telecom.use = 'work'
Practitioner.telecom[workEmail] 0..1 ContactPoint Constraint: For workEmail:

Practitioner.telecom.system = 'email'

Practitioner.telecom.value = {Email Address}

Practitioner.telecom.use = 'work'
Practitioner.address 0..* Address Constraint: Multiple may be provided, however Work Address MUST BE SUPPORTED
Practitioner.address[workAddress] 0..1 Address Constraint: For workAddress:

Practitioner.address.use = 'work'

Practitioner.address.text = {Plain text representation of the address}
Practitioner.qualification.code.text 0..1 string Optional element to share a plain text representation of the Practitioner's Role/Job Title - (e.g. ReferralRequest.requester.agent.qualification.code.text='Discharge Nurse')

SHD-QuestionnaireResponse-PreliminaryNeedsAssessment

This is the StructureDefinition overview for the SHD-QuestionnaireResponse-PreliminaryNeedsAssessment. This QuestionnaireResponse contains a Preliminary Needs Assessment completed by Hospital Staff and shared as part of a Supported Hospital Discharge with third partied (e.g. Social Care, Community Health).
The Preliminary Needs Assessment QuestionnaireResponse can be contained/referenced in the initial ReferralRequest, or can shared as a seperaet update subsequently with reference to the relevant ReferralRequest.id

The official URL for this profile is: https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/SHD-QuestionnaireResponse-PreliminaryNeedsAssessment

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PreliminaryNeedsAssessment Data Mapping

The table below provides the generic business context data mappings for the 'Mandatory' and 'Must Support' elements in the SHD-QuestionnaireResponse-PreliminaryNeedsAssessment profile. However, please see the individual use case guidance for specifc constraints and context.

FHIR Element Card. Type Description/Business Context
QuestionnaireResponse.basedOn 0..1 Reference (CareConnect-SHD-ReferralRequest-1) Reference to the ReferralRequest the Preliminary Needs Assessment resposnses relates to SHALL be provided if sent after the ReferralRequest
QuestionnaireResponse.questionnaire.reference 1..1 string Fixed Value: 'http://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/SHD-Questionnaire-PreliminaryNeedsAssessment'
QuestionnaireResponse.status 1..1 code Fixed Value: 'completed'
QuestionnaireResponse.authored 1..1 DateTime The date/time the Preliminary Needs Assessment was completed / last updated by the health worker
QuestionnaireResponse.item 1..* BackboneElement MUST SUPPORT the items in the table below

SHD-Questionnaire-PreliminaryNeedsAssessment Table

Questionnaire.url[0]https://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/SHD-Questionnaire-PreliminaryNeedsAssessment
Questionnaire.version[0]0.0.1
Questionnaire.name[0]SHD-Questionnaire-PreliminaryNeedsAssessment
Questionnaire.title[0]SHD-Questionnaire-PreliminaryNeedsAssessment
Questionnaire.status[0]draft
Questionnaire.date[0]2020-04-21T17:59:11.362Z
Questionnaire.publisher[0]NottsCC
Questionnaire.description[0]Preliminary Needs Assessment completed by Hospital Staff and shared as part of a Supported Hospital Discharge with third partied (e.g. Social Care, Community Health)
Questionnaire.purpose[0]Preliminary Needs Assessment completed by Hospital Staff and shared as part of a Supported Hospital Discharge with third partied (e.g. Social Care, Community Health)
Questionnaire.subjectType[0]Patient
Questionnaire.item[0].linkId[0]1
Questionnaire.item[0].text[0]Capacity
Questionnaire.item[0].type[0]group
Questionnaire.item[0].required[0]False
Questionnaire.item[0].item[0].linkId[0]1.1
Questionnaire.item[0].item[0].text[0]Is the person able to give informed consent to their discharge arrangements?
Questionnaire.item[0].item[0].type[0]choice
Questionnaire.item[0].item[0].required[0]False
Questionnaire.item[0].item[0].option[0].value[0].code[0]yes
Questionnaire.item[0].item[0].option[0].value[0].display[0]Yes
Questionnaire.item[0].item[0].option[1].value[0].code[0]no
Questionnaire.item[0].item[0].option[1].value[0].display[0]No
Questionnaire.item[0].item[0].option[2].value[0].code[0]unable
Questionnaire.item[0].item[0].option[2].value[0].display[0]Unable
Questionnaire.item[0].item[1].linkId[0]1.1.1
Questionnaire.item[0].item[1].text[0]If not, give details and a mental capacity assessment is needed
Questionnaire.item[0].item[1].type[0]text
Questionnaire.item[0].item[1].enableWhen[0].question[0]1.1
Questionnaire.item[0].item[1].enableWhen[0].answer[0].code[0]no
Questionnaire.item[0].item[1].enableWhen[1].question[0]1.1
Questionnaire.item[0].item[1].enableWhen[1].answer[0].code[0]unable
Questionnaire.item[0].item[1].required[0]True
Questionnaire.item[0].item[2].linkId[0]1.2
Questionnaire.item[0].item[2].text[0]Deprivation of Liberty Safeguards: Will the person be deprived of their liberty? – i.e. under continuous supervision and control and not free to leave and not able to give informed consent to these arrangements.
Questionnaire.item[0].item[2].type[0]choice
Questionnaire.item[0].item[2].required[0]False
Questionnaire.item[0].item[2].option[0].value[0].code[0]yes
Questionnaire.item[0].item[2].option[0].value[0].display[0]Yes
Questionnaire.item[0].item[2].option[1].value[0].code[0]no
Questionnaire.item[0].item[2].option[1].value[0].display[0]No
Questionnaire.item[0].item[3].linkId[0]1.2.1
Questionnaire.item[0].item[3].text[0]If Yes- give details
Questionnaire.item[0].item[3].type[0]text
Questionnaire.item[0].item[3].enableWhen[0].question[0]1.2
Questionnaire.item[0].item[3].enableWhen[0].answer[0].code[0]yes
Questionnaire.item[0].item[3].required[0]True
Questionnaire.item[0].item[4].linkId[0]1.3
Questionnaire.item[0].item[4].text[0]Are there any cognition or other risks? Any risks being left alone or with others
Questionnaire.item[0].item[4].type[0]choice
Questionnaire.item[0].item[4].required[0]False
Questionnaire.item[0].item[4].option[0].value[0].code[0]yes
Questionnaire.item[0].item[4].option[0].value[0].display[0]Yes
Questionnaire.item[0].item[4].option[1].value[0].code[0]no
Questionnaire.item[0].item[4].option[1].value[0].display[0]No
Questionnaire.item[0].item[5].linkId[0]1.3.1
Questionnaire.item[0].item[5].text[0]If Yes- give details
Questionnaire.item[0].item[5].type[0]text
Questionnaire.item[0].item[5].enableWhen[0].question[0]1.3
Questionnaire.item[0].item[5].enableWhen[0].answer[0].code[0]yes
Questionnaire.item[0].item[5].required[0]True
Questionnaire.item[1].linkId[0]2
Questionnaire.item[1].text[0]Current Medical Needs to support discharge arrangements
Questionnaire.item[1].type[0]group
Questionnaire.item[1].required[0]False
Questionnaire.item[1].item[0].linkId[0]2.1
Questionnaire.item[1].item[0].text[0]Record any amendments or changes to medication not reflected on the GP record
Questionnaire.item[1].item[0].type[0]text
Questionnaire.item[1].item[0].required[0]False
Questionnaire.item[1].item[1].linkId[0]2.2
Questionnaire.item[1].item[1].text[0]Medical Equipment e.g. oxygen
Questionnaire.item[1].item[1].type[0]text
Questionnaire.item[1].item[1].required[0]False
Questionnaire.item[1].item[2].linkId[0]2.3
Questionnaire.item[1].item[2].text[0]Is support with medication required?
Questionnaire.item[1].item[2].type[0]choice
Questionnaire.item[1].item[2].required[0]False
Questionnaire.item[1].item[2].option[0].value[0].code[0]yes
Questionnaire.item[1].item[2].option[0].value[0].display[0]Yes
Questionnaire.item[1].item[2].option[1].value[0].code[0]no
Questionnaire.item[1].item[2].option[1].value[0].display[0]No
Questionnaire.item[1].item[3].linkId[0]2.3.1
Questionnaire.item[1].item[3].text[0]If Yes- give details, e.g Mediwallet
Questionnaire.item[1].item[3].type[0]text
Questionnaire.item[1].item[3].enableWhen[0].question[0]2.3
Questionnaire.item[1].item[3].enableWhen[0].answer[0].code[0]yes
Questionnaire.item[1].item[3].required[0]True
Questionnaire.item[1].item[4].linkId[0]2.4
Questionnaire.item[1].item[4].text[0]Known Allergies
Questionnaire.item[1].item[4].type[0]text
Questionnaire.item[1].item[4].required[0]False
Questionnaire.item[1].item[5].linkId[0]2.5
Questionnaire.item[1].item[5].text[0]Other medical needs which impact discharge arrangements. Past Medical history e.g. COPD, Diabetes
Questionnaire.item[1].item[5].type[0]text
Questionnaire.item[1].item[5].required[0]False
Questionnaire.item[1].item[6].linkId[0]2.6
Questionnaire.item[1].item[6].text[0]Details of any tests or awaiting results for after discharge
Questionnaire.item[1].item[6].type[0]text
Questionnaire.item[1].item[6].required[0]False
Questionnaire.item[1].item[7].linkId[0]2.7
Questionnaire.item[1].item[7].text[0]Has a ReSPECT form been completed?
Questionnaire.item[1].item[7].type[0]choice
Questionnaire.item[1].item[7].required[0]False
Questionnaire.item[1].item[7].option[0].value[0].code[0]yes
Questionnaire.item[1].item[7].option[0].value[0].display[0]Yes
Questionnaire.item[1].item[7].option[1].value[0].code[0]no
Questionnaire.item[1].item[7].option[1].value[0].display[0]No
Questionnaire.item[1].item[8].linkId[0]2.7.1
Questionnaire.item[1].item[8].text[0]If Yes- details of ReSPECT form
Questionnaire.item[1].item[8].type[0]text
Questionnaire.item[1].item[8].enableWhen[0].question[0]2.7
Questionnaire.item[1].item[8].enableWhen[0].answer[0].code[0]yes
Questionnaire.item[1].item[8].required[0]True
Questionnaire.item[2].linkId[0]3
Questionnaire.item[2].text[0]Living arrangements
Questionnaire.item[2].type[0]group
Questionnaire.item[2].required[0]False
Questionnaire.item[2].item[0].linkId[0]3.1
Questionnaire.item[2].item[0].text[0]Does the patient live alone?
Questionnaire.item[2].item[0].type[0]choice
Questionnaire.item[2].item[0].required[0]False
Questionnaire.item[2].item[0].option[0].value[0].code[0]yes
Questionnaire.item[2].item[0].option[0].value[0].display[0]Yes
Questionnaire.item[2].item[0].option[1].value[0].code[0]no
Questionnaire.item[2].item[0].option[1].value[0].display[0]No
Questionnaire.item[2].item[1].linkId[0]3.2
Questionnaire.item[2].item[1].text[0]Accommodation type and living arrangements. E.g. bungalow, who lives with, etc
Questionnaire.item[2].item[1].type[0]text
Questionnaire.item[2].item[1].required[0]False
Questionnaire.item[2].item[2].linkId[0]3.3
Questionnaire.item[2].item[2].text[0]Keysafe including number?
Questionnaire.item[2].item[2].type[0]text
Questionnaire.item[2].item[2].required[0]False
Questionnaire.item[2].item[3].linkId[0]3.4
Questionnaire.item[2].item[3].text[0]Lifeline or similar monitoring equipment?
Questionnaire.item[2].item[3].type[0]text
Questionnaire.item[2].item[3].required[0]False
Questionnaire.item[2].item[4].linkId[0]3.5
Questionnaire.item[2].item[4].text[0]Urgent accommodation risks and issues if known – only if this will prevent the discharge going ahead. E.g. EMAS concerns raised, family refusing discharge
Questionnaire.item[2].item[4].type[0]text
Questionnaire.item[2].item[4].required[0]False
Questionnaire.item[3].linkId[0]4
Questionnaire.item[3].text[0]Input from the person’s discharge care needs
Questionnaire.item[3].type[0]group
Questionnaire.item[3].required[0]False
Questionnaire.item[3].item[0].linkId[0]4.1
Questionnaire.item[3].item[0].text[0]Mobility Status - Can the person mobilise?
Questionnaire.item[3].item[0].type[0]choice
Questionnaire.item[3].item[0].required[0]False
Questionnaire.item[3].item[0].option[0].value[0].code[0]independently
Questionnaire.item[3].item[0].option[0].value[0].display[0]Independently
Questionnaire.item[3].item[0].option[1].value[0].code[0]with-aid
Questionnaire.item[3].item[0].option[1].value[0].display[0]With aid
Questionnaire.item[3].item[1].linkId[0]4.1.1
Questionnaire.item[3].item[1].text[0]If with aid please state the level of assistance required?
Questionnaire.item[3].item[1].type[0]text
Questionnaire.item[3].item[1].enableWhen[0].question[0]4.1
Questionnaire.item[3].item[1].enableWhen[0].answer[0].code[0]with-aid
Questionnaire.item[3].item[1].required[0]True
Questionnaire.item[3].item[2].linkId[0]4.2
Questionnaire.item[3].item[2].text[0]Is the patient able to safely /independently manage stairs?
Questionnaire.item[3].item[2].type[0]choice
Questionnaire.item[3].item[2].required[0]False
Questionnaire.item[3].item[2].option[0].value[0].code[0]yes
Questionnaire.item[3].item[2].option[0].value[0].display[0]Yes
Questionnaire.item[3].item[2].option[1].value[0].code[0]no
Questionnaire.item[3].item[2].option[1].value[0].display[0]No
Questionnaire.item[3].item[2].option[2].value[0].code[0]NA
Questionnaire.item[3].item[2].option[2].value[0].display[0]Not Applicable
Questionnaire.item[3].item[3].linkId[0]4.3
Questionnaire.item[3].item[3].text[0]Are there any steps at the person’s property?
Questionnaire.item[3].item[3].type[0]choice
Questionnaire.item[3].item[3].required[0]False
Questionnaire.item[3].item[3].option[0].value[0].code[0]yes
Questionnaire.item[3].item[3].option[0].value[0].display[0]Yes
Questionnaire.item[3].item[3].option[1].value[0].code[0]no
Questionnaire.item[3].item[3].option[1].value[0].display[0]No
Questionnaire.item[3].item[3].option[2].value[0].code[0]dont-know
Questionnaire.item[3].item[3].option[2].value[0].display[0]Don't Know
Questionnaire.item[3].item[4].linkId[0]4.4
Questionnaire.item[3].item[4].text[0]Is the patient able to transfer off the bed?
Questionnaire.item[3].item[4].type[0]choice
Questionnaire.item[3].item[4].required[0]False
Questionnaire.item[3].item[4].option[0].value[0].code[0]independently
Questionnaire.item[3].item[4].option[0].value[0].display[0]Independently
Questionnaire.item[3].item[4].option[1].value[0].code[0]with-equipment
Questionnaire.item[3].item[4].option[1].value[0].display[0]With Equipment
Questionnaire.item[3].item[5].linkId[0]4.5
Questionnaire.item[3].item[5].text[0]Is the patient able to transfer off the chair?
Questionnaire.item[3].item[5].type[0]choice
Questionnaire.item[3].item[5].required[0]False
Questionnaire.item[3].item[5].option[0].value[0].code[0]independently
Questionnaire.item[3].item[5].option[0].value[0].display[0]Independently
Questionnaire.item[3].item[5].option[1].value[0].code[0]with-equipment
Questionnaire.item[3].item[5].option[1].value[0].display[0]With Equipment
Questionnaire.item[3].item[6].linkId[0]4.6
Questionnaire.item[3].item[6].text[0]Is the patient able to transfer off the toilet?
Questionnaire.item[3].item[6].type[0]choice
Questionnaire.item[3].item[6].required[0]False
Questionnaire.item[3].item[6].option[0].value[0].code[0]independently
Questionnaire.item[3].item[6].option[0].value[0].display[0]Independently
Questionnaire.item[3].item[6].option[1].value[0].code[0]with-equipment
Questionnaire.item[3].item[6].option[1].value[0].display[0]With Equipment
Questionnaire.item[3].item[7].linkId[0]4.7
Questionnaire.item[3].item[7].text[0]If equipment selected on any of the above, has this equipment been ordered to ensure a safe discharge?
Questionnaire.item[3].item[7].type[0]choice
Questionnaire.item[3].item[7].enableWhen[0].question[0]4.4
Questionnaire.item[3].item[7].enableWhen[0].answer[0].code[0]with-equipment
Questionnaire.item[3].item[7].enableWhen[1].question[0]4.5
Questionnaire.item[3].item[7].enableWhen[1].answer[0].code[0]with-equipment
Questionnaire.item[3].item[7].enableWhen[2].question[0]4.6
Questionnaire.item[3].item[7].enableWhen[2].answer[0].code[0]with-equipment
Questionnaire.item[3].item[7].required[0]False
Questionnaire.item[3].item[7].option[0].value[0].code[0]yes
Questionnaire.item[3].item[7].option[0].value[0].display[0]Yes
Questionnaire.item[3].item[7].option[1].value[0].code[0]no
Questionnaire.item[3].item[7].option[1].value[0].display[0]No
Questionnaire.item[3].item[8].linkId[0]4.8
Questionnaire.item[3].item[8].text[0]How does the person feel they will transfer between areas of their home? (between bed and chair and toilet or bathroom, any steps at their property, between rooms etc)?
Questionnaire.item[3].item[8].type[0]text
Questionnaire.item[3].item[8].required[0]False
Questionnaire.item[3].item[9].linkId[0]4.9
Questionnaire.item[3].item[9].text[0]Can the person bear their own weight fully?
Questionnaire.item[3].item[9].type[0]choice
Questionnaire.item[3].item[9].required[0]False
Questionnaire.item[3].item[9].option[0].value[0].code[0]yes
Questionnaire.item[3].item[9].option[0].value[0].display[0]Yes
Questionnaire.item[3].item[9].option[1].value[0].code[0]no
Questionnaire.item[3].item[9].option[1].value[0].display[0]No
Questionnaire.item[3].item[9].option[2].value[0].code[0]partially
Questionnaire.item[3].item[9].option[2].value[0].display[0]Partially
Questionnaire.item[3].item[10].linkId[0]4.9.1
Questionnaire.item[3].item[10].text[0]Details if No or Partially
Questionnaire.item[3].item[10].type[0]text
Questionnaire.item[3].item[10].enableWhen[0].question[0]4.9
Questionnaire.item[3].item[10].enableWhen[0].answer[0].code[0]no
Questionnaire.item[3].item[10].enableWhen[1].question[0]4.9
Questionnaire.item[3].item[10].enableWhen[1].answer[0].code[0]partially
Questionnaire.item[3].item[10].required[0]True
Questionnaire.item[3].item[11].linkId[0]4.10
Questionnaire.item[3].item[11].text[0]Can the person prepare drinks or a meal for themselves at home?
Questionnaire.item[3].item[11].type[0]choice
Questionnaire.item[3].item[11].required[0]False
Questionnaire.item[3].item[11].option[0].value[0].code[0]yes
Questionnaire.item[3].item[11].option[0].value[0].display[0]Yes
Questionnaire.item[3].item[11].option[1].value[0].code[0]no
Questionnaire.item[3].item[11].option[1].value[0].display[0]No
Questionnaire.item[3].item[12].linkId[0]4.10.1
Questionnaire.item[3].item[12].text[0]Please give details of alternative (e.g. meals delivery/ family support)
Questionnaire.item[3].item[12].type[0]text
Questionnaire.item[3].item[12].enableWhen[0].question[0]4.10
Questionnaire.item[3].item[12].enableWhen[0].answer[0].code[0]no
Questionnaire.item[3].item[12].required[0]True
Questionnaire.item[3].item[13].linkId[0]4.11
Questionnaire.item[3].item[13].text[0]Does the person have any difficulty swallowing?
Questionnaire.item[3].item[13].type[0]choice
Questionnaire.item[3].item[13].required[0]False
Questionnaire.item[3].item[13].option[0].value[0].code[0]yes
Questionnaire.item[3].item[13].option[0].value[0].display[0]Yes
Questionnaire.item[3].item[13].option[1].value[0].code[0]no
Questionnaire.item[3].item[13].option[1].value[0].display[0]No
Questionnaire.item[3].item[14].linkId[0]4.11.1
Questionnaire.item[3].item[14].text[0]If Yes- give details
Questionnaire.item[3].item[14].type[0]text
Questionnaire.item[3].item[14].enableWhen[0].question[0]4.11
Questionnaire.item[3].item[14].enableWhen[0].answer[0].code[0]yes
Questionnaire.item[3].item[14].required[0]True
Questionnaire.item[3].item[15].linkId[0]4.12
Questionnaire.item[3].item[15].text[0]Is the person able to wash and dress themselves on discharge?
Questionnaire.item[3].item[15].type[0]choice
Questionnaire.item[3].item[15].required[0]False
Questionnaire.item[3].item[15].option[0].value[0].code[0]yes
Questionnaire.item[3].item[15].option[0].value[0].display[0]Yes
Questionnaire.item[3].item[15].option[1].value[0].code[0]no
Questionnaire.item[3].item[15].option[1].value[0].display[0]No
Questionnaire.item[3].item[16].linkId[0]4.12.1
Questionnaire.item[3].item[16].text[0]If No- give details
Questionnaire.item[3].item[16].type[0]text
Questionnaire.item[3].item[16].enableWhen[0].question[0]4.12
Questionnaire.item[3].item[16].enableWhen[0].answer[0].code[0]no
Questionnaire.item[3].item[16].required[0]True
Questionnaire.item[3].item[17].linkId[0]4.13
Questionnaire.item[3].item[17].text[0]What does the person want to ideally achieve? e.g. return to independence, support at home etc
Questionnaire.item[3].item[17].type[0]text
Questionnaire.item[3].item[17].required[0]False
Questionnaire.item[4].linkId[0]5
Questionnaire.item[4].text[0]Specialist Input needed after discharge
Questionnaire.item[4].type[0]group
Questionnaire.item[4].required[0]False
Questionnaire.item[4].item[0].linkId[0]5.1
Questionnaire.item[4].item[0].text[0]Does the person have any wounds or sores that need to be dressed or managed? (awareness for providers on bed sores etc)
Questionnaire.item[4].item[0].type[0]choice
Questionnaire.item[4].item[0].required[0]False
Questionnaire.item[4].item[0].option[0].value[0].code[0]yes
Questionnaire.item[4].item[0].option[0].value[0].display[0]Yes
Questionnaire.item[4].item[0].option[1].value[0].code[0]no
Questionnaire.item[4].item[0].option[1].value[0].display[0]No
Questionnaire.item[4].item[1].linkId[0]5.1.1
Questionnaire.item[4].item[1].text[0]If Yes give details
Questionnaire.item[4].item[1].type[0]text
Questionnaire.item[4].item[1].enableWhen[0].question[0]5.1
Questionnaire.item[4].item[1].enableWhen[0].answer[0].code[0]yes
Questionnaire.item[4].item[1].required[0]True
Questionnaire.item[4].item[2].linkId[0]5.2
Questionnaire.item[4].item[2].text[0]Does the person have any Continence needs?
Questionnaire.item[4].item[2].type[0]choice
Questionnaire.item[4].item[2].required[0]False
Questionnaire.item[4].item[2].option[0].value[0].code[0]yes
Questionnaire.item[4].item[2].option[0].value[0].display[0]Yes
Questionnaire.item[4].item[2].option[1].value[0].code[0]no
Questionnaire.item[4].item[2].option[1].value[0].display[0]No
Questionnaire.item[4].item[3].linkId[0]5.2.1
Questionnaire.item[4].item[3].text[0]If Yes give details
Questionnaire.item[4].item[3].type[0]text
Questionnaire.item[4].item[3].enableWhen[0].question[0]5.2
Questionnaire.item[4].item[3].enableWhen[0].answer[0].code[0]yes
Questionnaire.item[4].item[3].required[0]True
Questionnaire.item[4].item[4].linkId[0]5.3
Questionnaire.item[4].item[4].text[0]How will the person support themselves overnight between visits? (e.g. if needs toilet in the night)
Questionnaire.item[4].item[4].type[0]text
Questionnaire.item[4].item[4].required[0]False
Questionnaire.item[4].item[5].linkId[0]5.4
Questionnaire.item[4].item[5].text[0]Can the person fully communicate their needs?
Questionnaire.item[4].item[5].type[0]choice
Questionnaire.item[4].item[5].required[0]False
Questionnaire.item[4].item[5].option[0].value[0].code[0]yes
Questionnaire.item[4].item[5].option[0].value[0].display[0]Yes
Questionnaire.item[4].item[5].option[1].value[0].code[0]no
Questionnaire.item[4].item[5].option[1].value[0].display[0]No
Questionnaire.item[4].item[6].linkId[0]5.4.1
Questionnaire.item[4].item[6].text[0]If No please give communication needs. e.g. translator, carer support
Questionnaire.item[4].item[6].type[0]text
Questionnaire.item[4].item[6].enableWhen[0].question[0]5.4
Questionnaire.item[4].item[6].enableWhen[0].answer[0].code[0]no
Questionnaire.item[4].item[6].required[0]True
Questionnaire.item[4].item[7].linkId[0]5.5
Questionnaire.item[4].item[7].text[0]Has transport been arranged for this person?
Questionnaire.item[4].item[7].type[0]choice
Questionnaire.item[4].item[7].required[0]False
Questionnaire.item[4].item[7].option[0].value[0].code[0]yes
Questionnaire.item[4].item[7].option[0].value[0].display[0]Yes
Questionnaire.item[4].item[7].option[1].value[0].code[0]no
Questionnaire.item[4].item[7].option[1].value[0].display[0]No
Questionnaire.item[4].item[8].linkId[0]5.5.1
Questionnaire.item[4].item[8].text[0]If Yes date and time booked for
Questionnaire.item[4].item[8].type[0]dateTime
Questionnaire.item[4].item[8].enableWhen[0].question[0]5.5
Questionnaire.item[4].item[8].enableWhen[0].answer[0].code[0]yes
Questionnaire.item[4].item[8].required[0]True
Questionnaire.item[5].linkId[0]6
Questionnaire.item[5].text[0]Additional Information
Questionnaire.item[5].type[0]group
Questionnaire.item[5].required[0]False
Questionnaire.item[5].item[0].linkId[0]6.1
Questionnaire.item[5].item[0].text[0]Please use this section to provide any other additional information that is relevant to the discharge
Questionnaire.item[5].item[0].type[0]text
Questionnaire.item[5].item[0].required[0]False


SHD-QuestionnaireResponse-COVID19

This is the StructureDefinition overview for the SHD-QuestionnaireResponse-COVID19. This QuestionnaireResponse is completed by Hospital Staff, to share details of any COVID-19 related information with third parties as part of a Supported Hospital Discharge.
The COVID-19 QuestionnaireResponse can be contained/referenced in the initial ReferralRequest, or can shared as a seperaet update subsequently with reference to the relevant ReferralRequest.id

The official URL for this profile is: https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/SHD-QuestionnaireResponse-COVID19

Differential

Command 'tree' could not render: Sequence contains more than one element

Hybrid

Command 'tree' could not render: Sequence contains more than one element

Snapshot (default)

Command 'tree' could not render: Sequence contains more than one element



COVID19 Data Mapping

The table below provides the generic business context data mappings for the 'Mandatory' and 'Must Support' elements in the SHD-QuestionnaireResponse-COVID19 profile. However, please see the individual use case guidance for specifc constraints and context.

FHIR Element Card. Type Description/Business Context
QuestionnaireResponse.basedOn 0..1 Reference (CareConnect-SHD-ReferralRequest-1) Reference to the ReferralRequest the COVID-19 responses relates to SHALL be provided if sent after the ReferralRequest
QuestionnaireResponse.questionnaire.reference 1..1 string Fixed Value: 'http://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/SHD-Questionnaire-COVID19'
QuestionnaireResponse.status 1..1 code Fixed Value: 'completed'
QuestionnaireResponse.authored 1..1 DateTime The date/time the COVID-19 QuestionnaireResponse was completed / last updated by the health worker
QuestionnaireResponse.item 1..* BackboneElement MUST SUPPORT the items in the table below

SHD-Questionnaire-COVID19 Table

Questionnaire.url[0]https://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/SHD-Questionnaire-COVID19
Questionnaire.version[0]0.0.1
Questionnaire.name[0]SHD-Questionnaire-COVID19
Questionnaire.title[0]SHD-Questionnaire-COVID19
Questionnaire.status[0]draft
Questionnaire.date[0]2020-04-21T17:59:11.362Z
Questionnaire.publisher[0]NottsCC
Questionnaire.description[0]Questionnaire completed by Hospital Staff, to share details of any COVID-19 related information with third parties as part of a Supported Hospital Discharge
Questionnaire.purpose[0]Questionnaire completed by Hospital Staff, to share details of any COVID-19 related information with third parties as part of a Supported Hospital Discharge
Questionnaire.subjectType[0]Patient
Questionnaire.item[0].linkId[0]1
Questionnaire.item[0].text[0]Covid 19 Emergency Humanitarian response
Questionnaire.item[0].type[0]group
Questionnaire.item[0].required[0]False
Questionnaire.item[0].item[0].linkId[0]1.1
Questionnaire.item[0].item[0].text[0]What is the person’s Covid 19 Test result?
Questionnaire.item[0].item[0].type[0]choice
Questionnaire.item[0].item[0].required[0]False
Questionnaire.item[0].item[0].option[0].value[0].code[0]untested
Questionnaire.item[0].item[0].option[0].value[0].display[0]Untested
Questionnaire.item[0].item[0].option[1].value[0].code[0]positive
Questionnaire.item[0].item[0].option[1].value[0].display[0]Positive
Questionnaire.item[0].item[0].option[2].value[0].code[0]negative
Questionnaire.item[0].item[0].option[2].value[0].display[0]Negative
Questionnaire.item[0].item[0].option[3].value[0].code[0]awaiting-result
Questionnaire.item[0].item[0].option[3].value[0].display[0]Awaiting Result
Questionnaire.item[0].item[1].linkId[0]1.2
Questionnaire.item[0].item[1].text[0]Will the person be self-isolating on discharge?
Questionnaire.item[0].item[1].type[0]choice
Questionnaire.item[0].item[1].required[0]False
Questionnaire.item[0].item[1].option[0].value[0].code[0]yes
Questionnaire.item[0].item[1].option[0].value[0].display[0]Yes
Questionnaire.item[0].item[1].option[1].value[0].code[0]no
Questionnaire.item[0].item[1].option[1].value[0].display[0]No
Questionnaire.item[0].item[2].linkId[0]1.2.1
Questionnaire.item[0].item[2].text[0]If Yes – Why and for how long? (E.g shielding or in a vulnerable category)
Questionnaire.item[0].item[2].type[0]text
Questionnaire.item[0].item[2].enableWhen[0].question[0]1.2
Questionnaire.item[0].item[2].enableWhen[0].answer[0].code[0]yes
Questionnaire.item[0].item[2].required[0]True
Questionnaire.item[0].item[3].linkId[0]1.3
Questionnaire.item[0].item[3].text[0]Does the person need food delivery or shopping support?
Questionnaire.item[0].item[3].type[0]choice
Questionnaire.item[0].item[3].required[0]False
Questionnaire.item[0].item[3].option[0].value[0].code[0]yes
Questionnaire.item[0].item[3].option[0].value[0].display[0]Yes
Questionnaire.item[0].item[3].option[1].value[0].code[0]no
Questionnaire.item[0].item[3].option[1].value[0].display[0]No
Questionnaire.item[0].item[4].linkId[0]1.3.1
Questionnaire.item[0].item[4].text[0]If Yes- give details
Questionnaire.item[0].item[4].type[0]text
Questionnaire.item[0].item[4].enableWhen[0].question[0]1.3
Questionnaire.item[0].item[4].enableWhen[0].answer[0].code[0]yes
Questionnaire.item[0].item[4].required[0]True
Questionnaire.item[0].item[5].linkId[0]1.4
Questionnaire.item[0].item[5].text[0]Does the person need medication delivery support?
Questionnaire.item[0].item[5].type[0]choice
Questionnaire.item[0].item[5].required[0]False
Questionnaire.item[0].item[5].option[0].value[0].code[0]yes
Questionnaire.item[0].item[5].option[0].value[0].display[0]Yes
Questionnaire.item[0].item[5].option[1].value[0].code[0]no
Questionnaire.item[0].item[5].option[1].value[0].display[0]No
Questionnaire.item[0].item[6].linkId[0]1.4.1
Questionnaire.item[0].item[6].text[0]If Yes- give details
Questionnaire.item[0].item[6].type[0]text
Questionnaire.item[0].item[6].enableWhen[0].question[0]1.4
Questionnaire.item[0].item[6].enableWhen[0].answer[0].code[0]yes
Questionnaire.item[0].item[6].required[0]True


SHD-QuestionnaireResponse-AssessmentNotice

This is the StructureDefinition overview for the SHD-QuestionnaireResponse-AssessmentNotice

The official URL for this profile is: https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/SHD-QuestionnaireResponse-AssessmentNotice

Differential

Command 'tree' could not render: Sequence contains more than one element

Hybrid

Command 'tree' could not render: Sequence contains more than one element

Snapshot (default)

Command 'tree' could not render: Sequence contains more than one element



AssessmentNotice Data Mapping

The table below provides the generic business context data mappings for the 'Mandatory' and 'Must Support' elements in the SHD-QuestionnaireResponse-AssessmentNotice profile. However, please see the individual use case guidance for specifc constraints and context.

FHIR Element Card. Type Description/Business Context
QuestionnaireResponse.basedOn 0..1 Reference (CareConnect-SHD-ReferralRequest-1) Reference to the ReferralRequest the Assessment Notice relates to SHALL be provided if sent after the ReferralRequest
QuestionnaireResponse.questionnaire.reference 1..1 string Fixed Value: 'http://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/SHD-Questionnaire-AssessmentNotice'
QuestionnaireResponse.status 1..1 code Fixed Value: 'completed'
QuestionnaireResponse.authored 1..1 DateTime The date/time the Assessment Notice was actually issued/given to the Local Authority (this could be later than it was completed by the health worker)
QuestionnaireResponse.item 6..6 BackboneElement MUST SUPPORT the items in the table below

SHD-Questionnaire-AssessmentNotice Table

Questionnaire.text[0].status[0]additional
Questionnaire.text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml">This example is a copy of the Questionnaire resource referrenced in the SHD-QuestionnaireResponse-AssessmentNotice Profile, it provides additional details regarding the item answer types and any bindings </div>
Questionnaire.url[0]https://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/SHD-Questionnaire-AssessmentNotice
Questionnaire.name[0]SHD-Questionnaire-AssessmentNotice
Questionnaire.title[0]SHD-Questionnaire-AssessmentNotice
Questionnaire.status[0]active
Questionnaire.description[0]NOTICE OF REQUEST FOR Assessment under The Care and Support (Discharge of Hospital Patients) Regulations 2014
Questionnaire.item[0].linkId[0]1.1
Questionnaire.item[0].text[0]Name of person who completed the Assessment Notice
Questionnaire.item[0].type[0]string
Questionnaire.item[0].required[0]True
Questionnaire.item[1].linkId[0]2.1
Questionnaire.item[1].text[0]Has the patient been consulted regarding this Assessment Notice?
Questionnaire.item[1].type[0]boolean
Questionnaire.item[1].required[0]True
Questionnaire.item[2].linkId[0]2.2
Questionnaire.item[2].text[0]Has the patient's carer (if applicable) been consulted regarding the Assessment Notice?
Questionnaire.item[2].type[0]choice
Questionnaire.item[2].required[0]True
Questionnaire.item[2].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/SHD-CarerConsultation
Questionnaire.item[3].linkId[0]3.1
Questionnaire.item[3].text[0]Has the patient consented to this Assessment Notice?
Questionnaire.item[3].type[0]choice
Questionnaire.item[3].required[0]True
Questionnaire.item[3].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/SHD-PatientConsent
Questionnaire.item[4].linkId[0]3.2
Questionnaire.item[4].text[0]What is the source of the third party consent for this assessment notice?
Questionnaire.item[4].type[0]choice
Questionnaire.item[4].required[0]True
Questionnaire.item[4].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/SHD-ThirdPartyConsentSource
Questionnaire.item[5].linkId[0]4.1
Questionnaire.item[5].text[0]Has the provision of NHS Continuing Health Care been considered?
Questionnaire.item[5].type[0]boolean
Questionnaire.item[5].required[0]True


SHD-QuestionnaireResponse-CHCChecklist

This is the StructureDefinition overview for the SHD-QuestionnaireResponse-CHCChecklist

The official URL for this profile is: https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/SHD-QuestionnaireResponse-CHCChecklist

Differential

Command 'tree' could not render: Sequence contains more than one element

Hybrid

Command 'tree' could not render: Sequence contains more than one element

Snapshot (default)

Command 'tree' could not render: Sequence contains more than one element



CHCChecklist Data Mapping

The table below provides the generic business context data mappings for the 'Mandatory' and 'Must Support' elements in the SHD-QuestionnaireResponse-CHCChecklist profile. However, please see the individual use case guidance for specifc constraints and context.

FHIR Element Card. Type Description/Business Context
QuestionnaireResponse.basedOn 0..1 Reference (CareConnect-SHD-ReferralRequest-1) Reference to the ReferralRequest the CHC Checklist relates to SHALL be provided if sent after the ReferralRequest
QuestionnaireResponse.questionnaire.reference 1..1 string Fixed Value: 'http://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/SHD-Questionnaire-CHCChecklist'
QuestionnaireResponse.status 1..1 code See use case guidance for any specific business context constriants.
QuestionnaireResponse.authored 1..1 DateTime The date/time the CHC Checklist was completed/amended by the assessor
QuestionnaireResponse.item 27..32 BackboneElement MUST SUPPORT the items in the table below

SHD-Questionnaire-CHCChecklist Table

Questionnaire.url[0]https://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/SHD-Questionnaire-CHCChecklist
Questionnaire.version[0]0.0.1
Questionnaire.name[0]NHS Continuing Healthcare Checklist
Questionnaire.title[0]NHS Continuing Healthcare Checklist
Questionnaire.status[0]active
Questionnaire.description[0]NHS Continuing Healthcare Checklist
Questionnaire.item[0].linkId[0]1.1
Questionnaire.item[0].text[0]Name of the assessor(s) who completed the CHC Checklist
Questionnaire.item[0].type[0]string
Questionnaire.item[0].required[0]True
Questionnaire.item[1].linkId[0]1.2
Questionnaire.item[1].text[0]Contact details of assessors (name, role, organisation, telephone number, email address)
Questionnaire.item[1].type[0]string
Questionnaire.item[1].required[0]False
Questionnaire.item[2].linkId[0]1.3
Questionnaire.item[2].text[0]Was the individual involved in the completion of the Checklist?
Questionnaire.item[2].type[0]boolean
Questionnaire.item[2].required[0]True
Questionnaire.item[3].linkId[0]1.4
Questionnaire.item[3].text[0]Was the individual offered the opportunity to have a representative such as a family member or other advocate present when the checklist was completed?
Questionnaire.item[3].type[0]boolean
Questionnaire.item[3].required[0]True
Questionnaire.item[4].linkId[0]1.5
Questionnaire.item[4].text[0]If yes, did the representative attend the completion of the Checklist?
Questionnaire.item[4].type[0]boolean
Questionnaire.item[4].enableWhen[0].question[0]1.4
Questionnaire.item[4].enableWhen[0].answer[0]True
Questionnaire.item[4].required[0]True
Questionnaire.item[5].linkId[0]1.6
Questionnaire.item[5].text[0]Please give the contact details of the representative (name, address and telephone number)
Questionnaire.item[5].type[0]string
Questionnaire.item[5].enableWhen[0].question[0]1.5
Questionnaire.item[5].enableWhen[0].answer[0]True
Questionnaire.item[5].required[0]True
Questionnaire.item[6].linkId[0]1.7
Questionnaire.item[6].text[0]Did you explain to the individual how their personal information will be shared with the different organisations involved in their care, and did they consent to this information sharing?
Questionnaire.item[6].type[0]boolean
Questionnaire.item[6].required[0]False
Questionnaire.item[7].linkId[0]2.1
Questionnaire.item[7].text[0]'Behaviour' Domain Level Score
Questionnaire.item[7].type[0]choice
Questionnaire.item[7].required[0]True
Questionnaire.item[7].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/CHC-DomainLevelScore
Questionnaire.item[8].linkId[0]2.2
Questionnaire.item[8].text[0]Evidence to support 'Behaviour' Domain Level
Questionnaire.item[8].type[0]string
Questionnaire.item[8].required[0]True
Questionnaire.item[9].linkId[0]2.3
Questionnaire.item[9].text[0]'Cognition' Domain Level Score
Questionnaire.item[9].type[0]choice
Questionnaire.item[9].required[0]True
Questionnaire.item[9].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/CHC-DomainLevelScore
Questionnaire.item[10].linkId[0]2.4
Questionnaire.item[10].text[0]Evidence to support 'Cognition' Domain Level
Questionnaire.item[10].type[0]string
Questionnaire.item[10].required[0]True
Questionnaire.item[11].linkId[0]2.5
Questionnaire.item[11].text[0]'Psychological/Emotional' Domain Level Score
Questionnaire.item[11].type[0]choice
Questionnaire.item[11].required[0]True
Questionnaire.item[11].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/CHC-DomainLevelScore
Questionnaire.item[12].linkId[0]2.6
Questionnaire.item[12].text[0]Evidence to support 'Psychological/Emotional' Domain Level
Questionnaire.item[12].type[0]string
Questionnaire.item[12].required[0]True
Questionnaire.item[13].linkId[0]2.7
Questionnaire.item[13].text[0]'Communication' Domain Level Score
Questionnaire.item[13].type[0]choice
Questionnaire.item[13].required[0]True
Questionnaire.item[13].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/CHC-DomainLevelScore
Questionnaire.item[14].linkId[0]2.8
Questionnaire.item[14].text[0]Evidence to support 'Communication' Domain Level
Questionnaire.item[14].type[0]string
Questionnaire.item[14].required[0]True
Questionnaire.item[15].linkId[0]2.9
Questionnaire.item[15].text[0]'Mobility' Domain Level Score
Questionnaire.item[15].type[0]choice
Questionnaire.item[15].required[0]True
Questionnaire.item[15].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/CHC-DomainLevelScore
Questionnaire.item[16].linkId[0]2.10
Questionnaire.item[16].text[0]Evidence to support 'Mobility' Domain Level
Questionnaire.item[16].type[0]string
Questionnaire.item[16].required[0]True
Questionnaire.item[17].linkId[0]2.11
Questionnaire.item[17].text[0]'Nutrition' Domain Level Score
Questionnaire.item[17].type[0]choice
Questionnaire.item[17].required[0]True
Questionnaire.item[17].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/CHC-DomainLevelScore
Questionnaire.item[18].linkId[0]2.12
Questionnaire.item[18].text[0]Evidence to support 'Nutrition' Domain Level
Questionnaire.item[18].type[0]string
Questionnaire.item[18].required[0]True
Questionnaire.item[19].linkId[0]2.13
Questionnaire.item[19].text[0]'Continence' Domain Level Score
Questionnaire.item[19].type[0]choice
Questionnaire.item[19].required[0]True
Questionnaire.item[19].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/CHC-DomainLevelScore
Questionnaire.item[20].linkId[0]2.14
Questionnaire.item[20].text[0]Evidence to support 'Continence' Domain Level
Questionnaire.item[20].type[0]string
Questionnaire.item[20].required[0]True
Questionnaire.item[21].linkId[0]2.15
Questionnaire.item[21].text[0]'Skin integrity' Domain Level Score
Questionnaire.item[21].type[0]choice
Questionnaire.item[21].required[0]True
Questionnaire.item[21].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/CHC-DomainLevelScore
Questionnaire.item[22].linkId[0]2.16
Questionnaire.item[22].text[0]Evidence to support 'Skin integrity' Domain Level
Questionnaire.item[22].type[0]string
Questionnaire.item[22].required[0]True
Questionnaire.item[23].linkId[0]2.17
Questionnaire.item[23].text[0]'Breathing' Domain Level Score
Questionnaire.item[23].type[0]choice
Questionnaire.item[23].required[0]True
Questionnaire.item[23].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/CHC-DomainLevelScore
Questionnaire.item[24].linkId[0]2.18
Questionnaire.item[24].text[0]Evidence to support 'Breathing' Domain Level
Questionnaire.item[24].type[0]string
Questionnaire.item[24].required[0]True
Questionnaire.item[25].linkId[0]2.19
Questionnaire.item[25].text[0]'Drug therapies and medication: symptom control' Domain Level Score
Questionnaire.item[25].type[0]choice
Questionnaire.item[25].required[0]True
Questionnaire.item[25].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/CHC-DomainLevelScore
Questionnaire.item[26].linkId[0]2.20
Questionnaire.item[26].text[0]Evidence to support 'Drug therapies and medication: symptom control' Domain Level
Questionnaire.item[26].type[0]string
Questionnaire.item[26].required[0]True
Questionnaire.item[27].linkId[0]2.21
Questionnaire.item[27].text[0]'Altered states of consciousness' Domain Level Score
Questionnaire.item[27].type[0]choice
Questionnaire.item[27].required[0]True
Questionnaire.item[27].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/CHC-DomainLevelScore
Questionnaire.item[28].linkId[0]2.22
Questionnaire.item[28].text[0]Evidence to support 'Altered states of consciousness' Domain Level
Questionnaire.item[28].type[0]string
Questionnaire.item[28].required[0]True
Questionnaire.item[29].linkId[0]2.23
Questionnaire.item[29].text[0]Total Score from Checklist
Questionnaire.item[29].type[0]string
Questionnaire.item[29].required[0]True
Questionnaire.item[30].linkId[0]2.24
Questionnaire.item[30].text[0]Outcome indicated by the Checklist
Questionnaire.item[30].type[0]choice
Questionnaire.item[30].required[0]True
Questionnaire.item[30].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/CHC-Outcome
Questionnaire.item[31].linkId[0]2.25
Questionnaire.item[31].text[0]Rationale for decision
Questionnaire.item[31].type[0]string
Questionnaire.item[31].required[0]False


SHD-QuestionnaireResponse-DischargeNotice

This is the StructureDefinition overview for the SHD-QuestionnaireResponse-DischargeNotice

The official URL for this profile is: https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/SHD-QuestionnaireResponse-DischargeNotice

Differential

Command 'tree' could not render: Sequence contains more than one element

Hybrid

Command 'tree' could not render: Sequence contains more than one element

Snapshot (default)

Command 'tree' could not render: Sequence contains more than one element



DischargeNotice Data Mapping

The table below provides the generic business context data mappings for the 'Mandatory' and 'Must Support' elements in the SHD-QuestionnaireResponse-DischargeNotice profile. However, please see the individual use case guidance for specifc constraints and context.

FHIR Element Card. Type Description/Business Context
QuestionnaireResponse.basedOn 1..1 Reference (CareConnect-SHD-ReferralRequest-1) Reference to the ReferralRequest the Discharge Notice relates to SHALL be provided
QuestionnaireResponse.questionnaire.reference 1..1 string Fixed Value: 'http://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/SHD-Questionnaire-DischargeNotice'
QuestionnaireResponse.status 1..1 code See use case guidance for any specific business context constriants.
QuestionnaireResponse.authored 1..1 DateTime The date/time the Discharge Notice was actually issued/given to the Local Authority (this could be later than it was completd by the health worker)

See use case guidance for any specific business context constriants.
QuestionnaireResponse.item 4..9 BackboneElement MUST SUPPORT the items in the table below

SHD-Questionnaire-DischargeNotice Table

Questionnaire.url[0]https://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/SHD-Questionnaire-DischargeNotice
Questionnaire.name[0]SHD-Questionnaire-DischargeNotice
Questionnaire.title[0]SHD-Questionnaire-DischargeNotice
Questionnaire.status[0]active
Questionnaire.description[0]NOTICE OF REQUEST FOR Discharge under The Care and Support (Discharge of Hospital Patients) Regulations 2014
Questionnaire.item[0].linkId[0]1.1
Questionnaire.item[0].text[0]Name of person who completed the Discharge Notice
Questionnaire.item[0].type[0]string
Questionnaire.item[0].required[0]True
Questionnaire.item[1].linkId[0]1.2
Questionnaire.item[1].text[0]Proposed Discharge Date
Questionnaire.item[1].type[0]date
Questionnaire.item[1].required[0]True
Questionnaire.item[2].linkId[0]2.1
Questionnaire.item[2].text[0]Has the patient been consulted regarding the proposed discharge date?
Questionnaire.item[2].type[0]boolean
Questionnaire.item[2].required[0]True
Questionnaire.item[3].linkId[0]2.2
Questionnaire.item[3].text[0]Has the patient's carer (if applicable) been consulted regarding the proposed discharge date?
Questionnaire.item[3].type[0]choice
Questionnaire.item[3].required[0]True
Questionnaire.item[3].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/SHD-CarerConsultation
Questionnaire.item[4].linkId[0]3.1
Questionnaire.item[4].text[0]Have all health action required for discharge been agreed and/or completed?
Questionnaire.item[4].type[0]boolean
Questionnaire.item[4].required[0]False
Questionnaire.item[5].linkId[0]3.2
Questionnaire.item[5].text[0]Details of health actions completed and any outstanding arrangements that the discharge is dependent upon.
Questionnaire.item[5].type[0]string
Questionnaire.item[5].required[0]False
Questionnaire.item[6].linkId[0]4.1
Questionnaire.item[6].text[0]Date Discharge Notice Withdrawn
Questionnaire.item[6].type[0]dateTime
Questionnaire.item[6].required[0]False
Questionnaire.item[7].linkId[0]4.2
Questionnaire.item[7].text[0]Reason for withdrawal
Questionnaire.item[7].type[0]choice
Questionnaire.item[7].enableWhen[0].question[0]4.1
Questionnaire.item[7].enableWhen[0].hasAnswer[0]True
Questionnaire.item[7].required[0]True
Questionnaire.item[7].options[0].reference[0]https://fhir.nottinghamshire.gov.uk/STU3/valueset/SHD-WithdrawalReason
Questionnaire.item[8].linkId[0]4.3
Questionnaire.item[8].text[0]Please specify details for 'Other' reason for withdrawal
Questionnaire.item[8].type[0]string
Questionnaire.item[8].enableWhen[0].question[0]4.2
Questionnaire.item[8].enableWhen[0].answer[0].system[0]https://fhir.nottinghamshire.gov.uk/STU3/codesystem/SHD-CancellationReason
Questionnaire.item[8].enableWhen[0].answer[0].code[0]13
Questionnaire.item[8].required[0]True


CareConnect-SHD-Communication-1

This is the StructureDefinition overview for the CareConnect-SHD-Communication-1

The official URL for this profile is: https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-SHD-Communication-1

Differential

Command 'tree' could not render: Sequence contains more than one element

Hybrid

Command 'tree' could not render: Sequence contains more than one element

Snapshot (default)

Command 'tree' could not render: Sequence contains more than one element



Communication Data Mapping

The table below provides the generic business context data mappings for the 'Mandatory' and 'Must Support' elements in the CareConnect-SHD-Communication-1 profile. However, please see the individual use case guidance for specifc constraints and context.

FHIR Element Card. Type Description/Business Context
Communication.status 1..1 code Binding EventStatus

Fixed Value: 'completed'
Communication.subject 0..1 Reference Reference to Patient resource to whom the communication relates.
Communication.context 1..1 Reference Reference to Encounter resource for the the communication relates.
Communication.context.identifier 1..1 Identifier Logical reference for Encounter which was included in the CareConnect-SHD-ReferralRequest-1.

Constraint:

Communication.context.identifier.system = {Local Encounter System}

Communication.context.identifier.value= {Encounter ID}
Communication.context.identifier.type 1..1 CodeableConcept Fixed Value:

Communication.context.identifier.type.coding.system = 'http://fhir.nottinghamshire.gov.uk'

Communication.context.identifier.type.value='SHD-Encounter'
Communication.note 1..1 Annotation MUST contain one note
Communication.note.authorString 0..1 string Optional field for details of who added the note/comment.
Communication.note.time 1..1 dateTime Date/Time communication was sent to the the Local Authority.

SHALL be provided for any CareConnect-SHD-Communication-1
Communication.note.text 1..1 string Plain text copy of the note/communication that is being shared with the Loacl Authority.

SHALL be provided for any CareConnect-SHD-Communication-1