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

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Hybrid

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Snapshot (default)

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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