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.

Information and advice given

The Information and advice given section carries information and advice given. PRSB Elements should be formatted as subheadings in any HTML sent.

Section Description Card. MRO* FHIR Target and Guidance
Information and advice given A record of any information or advice given to the patient, carer or relevant third party. 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
Information and advice given This includes:-what information-to whom it was given. 0 to 1 R Free text description of information and advice given and patient/carer comprehension
* M=Mandatory R=Required O=Optional

Example Information and Advice Given 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": "Information and advice given",
            "code": {
                "coding":  [
                    {
                        "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings",
                        "code": "information-and-advice-given",
                        "display": "Information and advice given"
                    }
                ]
            },
            "text": {
                "status": "additional",
                "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Information and advice given</th><td><p>Patient seen by Cardiac Rehab and information given regarding the diagnosis and possible \nlife style changes when he is discharged.</p><p>Richard is concerned about whether he can drive and asks about this as he is a self employed electrician.</p><p> Dr Paul Rastall advised him that he should not to drive for at least a week, \nbut reassured him that he should be able to drive once recovered and said he will arrange for a community follow-up.</p></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="Information and advice given" />
        <code>
            <coding>
                <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings" />
                <code value="information-and-advice-given" />
                <display value="Information and advice given" />
            </coding>
        </code>
        <text>
            <status value="additional" />
            <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Information and advice given</th><td><p>Patient seen by Cardiac Rehab and information given regarding the diagnosis and possible 
life style changes when he is discharged.</p><p>Richard is concerned about whether he can drive and asks about this as he is a self employed electrician.</p><p> Dr Paul Rastall advised him that he should not to drive for at least a week, 
but reassured him that he should be able to drive once recovered and said he will arrange for a community follow-up.</p></td></tr></tbody></table></div>
        </text>
    </section>
</Composition>

Example Coded Resources

TBC - potentially a UKCore-List of UKCore-Communication

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