Transfer of Care R4 Hackathon Implementation Guide

This guidance is under active development by NHS England and content may be added or updated on a regular basis.

Individual requirements

The Individual requirements section carries information about the individual requirements of the patient. PRSB Elements should be formatted as subheadings in any HTML sent.

Section Description Card. MRO* FHIR Target and Guidance
Individual requirements Individual requirements that a person has, e.g. communication, cultural, cognitive or mobility needs. 0 to 1 R Carried in the CodeableConcept of Composition.section.code FHIR element. ValueSet UKCoreCompositionSectionCode
PRSB Element Description Card. MRO* FHIR Target and Guidance
Individual requirements Individual requirements that a person has. These may be communication, cultural, cognitive or mobility needs. 0 to 1 R Information volunteered by the person or their representative or known about locally. Text only constrained as specified in SCCI1605 Accessible Information standard (accessible information - communications support, accessible information - requires communications professional, accessible information - requires specific contact method, accessible information - requires specific information format).
* M=Mandatory R=Required O=Optional

Example Individual Requirements Section

{
    "resourceType": "Composition",
    "meta": {
        "profile":  [
            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Composition"
        ]
    },
    "status": "final",
    "type": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "373942005",
                "display": "Discharge summary"
            }
        ]
    },
    "subject": {
        "reference": "urn:uuid:31686b67-9f20-4644-9a54-193d2f91de57"
    },
    "encounter": {
        "reference": "urn:uuid:4f36b35a-ad18-4ea9-a3fb-c893f709e88a"
    },
    "date": "2015-02-17T10:00:00+00:00",
    "author":  [
        {
            "reference": "urn:uuid:6239b7a7-380d-46ff-a1c5-7abc4e68f8bc"
        }
    ],
    "title": "Cardiology Service Discharge Summary",
    "section":  [
        {
            "title": "Individual requirements",
            "code": {
                "coding":  [
                    {
                        "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings",
                        "code": "individual-requirements",
                        "display": "Individual requirements"
                    }
                ]
            },
            "text": {
                "status": "additional",
                "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Individual requirements</th><td>Hospital needs to arrange for transportation to the patient's home.</td></tr></tbody></table></div>"
            }
        }
    ]
}
<Composition xmlns="http://hl7.org/fhir">
    <!--   optional elements removed for readability   -->
    <meta>
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Composition" />
    </meta>
    <status value="final" />
    <type>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="373942005" />
            <display value="Discharge summary" />
        </coding>
    </type>
    <subject>
        <reference value="urn:uuid:31686b67-9f20-4644-9a54-193d2f91de57" />
    </subject>
    <encounter>
        <reference value="urn:uuid:4f36b35a-ad18-4ea9-a3fb-c893f709e88a" />
    </encounter>
    <date value="2015-02-17T10:00:00+00:00" />
    <author>
        <reference value="urn:uuid:6239b7a7-380d-46ff-a1c5-7abc4e68f8bc" />
    </author>
    <title value="Cardiology Service Discharge Summary" />
    <section>
        <title value="Individual requirements" />
        <code>
            <coding>
                <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings" />
                <code value="individual-requirements" />
                <display value="Individual requirements" />
            </coding>
        </code>
        <text>
            <status value="additional" />
            <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Individual requirements</th><td>Hospital needs to arrange for transportation to the patient's home.</td></tr></tbody></table></div>
        </text>
    </section>
</Composition>

Example Coded Resources

TBC - potentially a UKCore-List of UKCore-Observation, UKCore-Communication

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