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

Differential

idΣ0..1id
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
textC0..1Narrative
contained0..*Resource
referralRequestMethodC0..1Extension(CodeableConcept)
sourceOfReferralC0..1Extension(CodeableConcept)
modifierExtension?!0..*Extension
id0..1string
extension0..*Extension
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ1..1uri
valueΣ1..1string
periodΣ0..1Period
assignerΣ0..1Reference(CareConnect-Organization-1)
definitionΣ0..*Reference(ActivityDefinition | PlanDefinition)
basedOnΣ0..*Reference(CareConnect-CarePlan-1 | CareConnect-ProcedureRequest-1 | CareConnect-ReferralRequest-1)
replacesΣ0..*Reference(CareConnect-ReferralRequest-1)
id0..1string
extension0..*Extension
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ0..1Period
assignerΣ0..1Reference(CareConnect-Organization-1)
statusS Σ ?!1..1codeBinding
intentS Σ ?!1..1codeBinding
id0..1string
extension0..*Extension
id0..1string
extension0..*Extension
systemΣ1..1uriAuto Value
versionΣ0..1string
codeΣ1..1codeAuto Value
displayΣ1..1stringAuto Value
userSelectedΣ0..1boolean
textΣ0..1stringAuto Value
priorityΣ0..1codeBinding
serviceRequestedS Σ0..*CodeableConceptBinding
subjectS Σ1..1Reference(CareConnect-SHD-Patient-1)
contextS Σ1..1Reference(CareConnect-SHD-Encounter-1)
occurrenceDateTimedateTime
occurrencePeriodPeriod
authoredOnS Σ1..1dateTime
id0..1string
extension0..*Extension
modifierExtensionΣ ?!0..*Extension
agentΣ1..1Reference(CareConnect-SHD-Practitioner-1)
onBehalfOfΣ C1..1Reference(CareConnect-SHD-Organization-1)
specialty0..1CodeableConcept
recipientΣ0..*Reference(CareConnect-Organization-1 | CareConnect-Practitioner-1 | CareConnect-HealthcareService-1)
id0..1string
extension0..*Extension
codingΣ0..*Coding
textΣ1..1string
reasonReferenceΣ0..*Reference(CareConnect-Condition-1 | CareConnect-Observation-1)
description0..1string
supportingInfo0..*Reference(Resource)
id0..1string
extension0..*Extension
authorStringS Σ0..1string
timeS Σ0..1dateTime
text1..1string
relevantHistory0..*Reference(Provenance)

Hybrid

idΣ0..1id
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
textC0..1Narrative
contained0..*Resource
referralRequestMethodC0..1Extension(CodeableConcept)
sourceOfReferralC0..1Extension(CodeableConcept)
modifierExtension?!0..*Extension
id0..1string
extension0..*Extension
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ1..1uri
valueΣ1..1string
periodΣ0..1Period
assignerΣ0..1Reference(CareConnect-Organization-1)
definitionΣ0..*Reference(ActivityDefinition | PlanDefinition)
basedOnΣ0..*Reference(CareConnect-CarePlan-1 | CareConnect-ProcedureRequest-1 | CareConnect-ReferralRequest-1)
replacesΣ0..*Reference(CareConnect-ReferralRequest-1)
id0..1string
extension0..*Extension
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ0..1Period
assignerΣ0..1Reference(CareConnect-Organization-1)
statusS Σ ?!1..1codeBinding
intentS Σ ?!1..1codeBinding
id0..1string
extension0..*Extension
id0..1string
extension0..*Extension
systemΣ1..1uriAuto Value
versionΣ0..1string
codeΣ1..1codeAuto Value
displayΣ1..1stringAuto Value
userSelectedΣ0..1boolean
textΣ0..1stringAuto Value
priorityΣ0..1codeBinding
serviceRequestedS Σ0..*CodeableConceptBinding
subjectS Σ1..1Reference(CareConnect-SHD-Patient-1)
contextS Σ1..1Reference(CareConnect-SHD-Encounter-1)
occurrenceDateTimedateTime
occurrencePeriodPeriod
authoredOnS Σ1..1dateTime
id0..1string
extension0..*Extension
modifierExtensionΣ ?!0..*Extension
agentΣ1..1Reference(CareConnect-SHD-Practitioner-1)
onBehalfOfΣ C1..1Reference(CareConnect-SHD-Organization-1)
specialty0..1CodeableConcept
recipientΣ0..*Reference(CareConnect-Organization-1 | CareConnect-Practitioner-1 | CareConnect-HealthcareService-1)
id0..1string
extension0..*Extension
codingΣ0..*Coding
textΣ1..1string
reasonReferenceΣ0..*Reference(CareConnect-Condition-1 | CareConnect-Observation-1)
description0..1string
supportingInfo0..*Reference(Resource)
id0..1string
extension0..*Extension
authorStringS Σ0..1string
timeS Σ0..1dateTime
text1..1string
relevantHistory0..*Reference(Provenance)

Snapshot (default)

idΣ0..1id
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
textC0..1Narrative
contained0..*Resource
referralRequestMethodC0..1Extension(CodeableConcept)
sourceOfReferralC0..1Extension(CodeableConcept)
modifierExtension?!0..*Extension
id0..1string
extension0..*Extension
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ1..1uri
valueΣ1..1string
periodΣ0..1Period
assignerΣ0..1Reference(CareConnect-Organization-1)
definitionΣ0..*Reference(ActivityDefinition | PlanDefinition)
basedOnΣ0..*Reference(CareConnect-CarePlan-1 | CareConnect-ProcedureRequest-1 | CareConnect-ReferralRequest-1)
replacesΣ0..*Reference(CareConnect-ReferralRequest-1)
id0..1string
extension0..*Extension
useΣ ?!0..1codeBinding
typeΣ0..1CodeableConceptBinding
systemΣ0..1uri
valueΣ0..1string
periodΣ0..1Period
assignerΣ0..1Reference(CareConnect-Organization-1)
statusS Σ ?!1..1codeBinding
intentS Σ ?!1..1codeBinding
id0..1string
extension0..*Extension
id0..1string
extension0..*Extension
systemΣ1..1uriAuto Value
versionΣ0..1string
codeΣ1..1codeAuto Value
displayΣ1..1stringAuto Value
userSelectedΣ0..1boolean
textΣ0..1stringAuto Value
priorityΣ0..1codeBinding
serviceRequestedS Σ0..*CodeableConceptBinding
subjectS Σ1..1Reference(CareConnect-SHD-Patient-1)
contextS Σ1..1Reference(CareConnect-SHD-Encounter-1)
occurrenceDateTimedateTime
occurrencePeriodPeriod
authoredOnS Σ1..1dateTime
id0..1string
extension0..*Extension
modifierExtensionΣ ?!0..*Extension
agentΣ1..1Reference(CareConnect-SHD-Practitioner-1)
onBehalfOfΣ C1..1Reference(CareConnect-SHD-Organization-1)
specialty0..1CodeableConcept
recipientΣ0..*Reference(CareConnect-Organization-1 | CareConnect-Practitioner-1 | CareConnect-HealthcareService-1)
id0..1string
extension0..*Extension
codingΣ0..*Coding
textΣ1..1string
reasonReferenceΣ0..*Reference(CareConnect-Condition-1 | CareConnect-Observation-1)
description0..1string
supportingInfo0..*Reference(Resource)
id0..1string
extension0..*Extension
authorStringS Σ0..1string
timeS Σ0..1dateTime
text1..1string
relevantHistory0..*Reference(Provenance)



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.