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PRSB Record structure and content - Project Information

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Name
PRSB Record structure and content
Description

Professional Record Standards Body (PRSB) - better records for better care

The PRSB develops national standards for the structure and content of health and social care records. These cover, for example, hospital referral letters, handover communications, discharge summaries, and inpatient and outpatient letters.

The standards are currently published in the form of a final report with supporting documents including: information models and implementation guidance. The information models are published in the following formats:
  • Mind maps
  • Microsoft Word Documents and
  • Excel spreadsheets
Many of the information models are common across the range of standards we have now developed, and we needed a tool to support all aspects of managing the models through their full life cycle including development and maintenance.

Transfers of care

  • Admission record: the clinical, professional and personal information recorded in the hospital admission record at the time of admission.
  • Handover record: handover of care from one professional or team to another including out of hours handover, or at the weekend.
  • Discharge records: the information recorded in all discharge records sent from hospital services (including acute care discharge, mental health discharge and emergency care discharge) to GPs.
  • Outpatient letters: the information recorded in an outpatient setting/ appointment including the initial and follow up outpatient visits and information in the outpatient letter sent to the GP and patient.
  • Crisis care: the information shared between GPs and primary care with emergency care, ambulance services and community care during an emergency or acute episode.
  • Clinical referral information: the information recorded in communication between GPs and consultants, copied to the patient. This may include other types of referrals. (Section Seven)

Integrated care records

  • Healthy child record: the information recorded by the multi–disciplinary team on screening tests, immunisations and developmental milestones that should be accessible to ensure that children receive appropriate care.
  • Digital care and support plan: the information recorded in a multi–disciplinary care and support plan including clinical, professional as well as the patient’s own preferences and needs.
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Publication location
http://pub.art-decor.org/prsb/
Project overview Project Index
Project Id 2.16.840.1.113883.3.1937.777.28
Project Last modified 2022-10-12 21:36:12
Repository reference
RESTful Service
Purpose URL Format
FHIR http://art-decor.org/fhir/4.0/ 4.0
Contributors/Copyright
Contributor Type Logo Copyright years
The Professional Records Standards Body
The Professional Record Standards Body (PRSB)
Author 2018-2022
Authors
Name Email Subscribe to all issuesEvery author is notified by default for events on issues where he is the author or from the moment he is assigned to an issue. If you would like to keep track of all issue updates, set this to 'on'
Administrator Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
Dr. Kai Heitmann Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
Tom Hobbs Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
Martin Orton Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
Alannah McGovern Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
Holly Kearn Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
Sarah Jackson Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
Annette Gilmore Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
James Critchlow Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
Ejeh Kingsley Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
Max Gattlin Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
Sharon Hanley Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
Malcolm Mundy Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
Maria Griffin Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
Taru Simbi Not visibleThis info is only visible to this author and any decor-admin author Not visibleThis info is only visible to this author and any decor-admin author
Versions / Releases
Date By Description Status Publication
2022-09-08 18:02:58 Malcolm Mundy Release: Version 1.0 Social Prescribing
Incremented to V0.3 with expectation of amends

Incremented to V0.2 with expectation of amends

Initial version V0.1 -  final draft pending endorsement

Version moved from 0.4 to 1.0 for release
2022-09-08 13:03:46 Malcolm Mundy Release: V1.4 Urgent transfer from care home to hospital
V1.4 Urgent transfer from care home to hospital

Minor updates made to the Risks model and guidance. Required for conformance pack.

2022-08-26 15:25:08 Malcolm Mundy Release: V0.3 Social Prescribing
Incremented to V0.3 with expectation of amends

Incremented to V0.2 with expectation of amends

Initial version V0.1 -  final draft pending endorsement
2022-07-04 01:04:04 Malcolm Mundy Release: V1.2 Urgent transfer from care home to hospital
There have been no changes to issues since the last intermediate version or release.

Urgent transfer from care home to hospital V1.3
Frozen versions pre-metadata update 

Accidentally mislabelled as 1.2 in Project Index is actually V1.3 content
2022-07-04 00:24:53 Malcolm Mundy Release: V1.2 Information provided by local authorities in shared care records
There have been no changes to issues since the last intermediate version or release.
Information provided by local authorities in shared care records V1.2
Frozen pre-metadata changes

2022-07-03 23:28:08 Malcolm Mundy Release: V1.2 Hospital referral for assessment for community care and support
There have been no changes to issues since the last intermediate version or release.

v1.2 Hospital referral for assessment for community care and support - frozen release pre-metadata changes
2022-07-03 18:57:55 Malcolm Mundy Release: Version 3.2 Transfers of Care - Pre Metadata change
There should been no changes to issues since the last intermediate version or release. Back up taken purely as a precaution.
Version 3.2 Transfers of Care - Pre Metadata change 
2022-07-03 17:46:56 Malcolm Mundy Release: V2.2 Community Pharmacy Standard
Community Pharmacy Standard 2.2
Frozen before metadata changes
Linked to last version which was incorrectly labelled 3.1 instead of 2.1
Standard has scenario dated after these that have been cancelled 
2022-07-03 16:49:34 Malcolm Mundy Release: V2.2 Community Pharmacy Standard
Frozen against wrong scenarios- cancelled
Cancelled
2022-07-03 15:23:05 Malcolm Mundy Release: V0.1 Anaesthetic Chart
V0.1 Anaesthetic Chart. Frozen backup before metadata change
2022-06-17 01:19:59 Malcolm Mundy Release: V0.2 Diabetes Self-management Data Standard
Implementation Guidance added.
2022-06-17 00:06:52 Malcolm Mundy Release: V0.4 Diabetes Information Record Standard
Version incremented from 0.4 to 0.5. Implementation Guidance added.
2022-06-16 22:34:12 Malcolm Mundy Release: V0.6 Shared Decision Making
Version incremented from 0.2 to 0.3 before start of new phase
Version incremented from 0.3 to 0.4 before start of new phase
Version incremented from 0.4 to 0.5 following review by assurance committee.
Version incremented from 0.5 to 0.6 with amends prior to endorsement.
2022-06-09 23:32:40 Malcolm Mundy Release: V0.4 Diabetes Information Record Standard
Version incremented to 0.4 IG added below.

Implementation guidance

1. Introduction

1.1 Purpose of this implementation guidance

This implementation guidance provides guidance to support the implementation of the PRSB Diabetes Information Record Standard. General guidance is provided here. Data item specific implementation guidance can be found under the 'context' field. PRSB has carried out a clinical safety review in accordance with DCB0129, which is detailed in the clinical safety case and accompanying Diabetes Information Standards hazard log.  This guidance should be used in conjunction with the Risk Mitigation section. This guidance should be used in conjunction with the final report for the Diabetes Information Standards.

1.2 Audience

This guidance is intended for anyone implementing and using the PRSB Diabetes Information Record Standard standard. This will include health and social care professionals, IT system suppliers, developers, and implementers. 

1.3 Definition and scope of the Diabetes Information Record Standard

1.3.1 What the diabetes information record standard is:

  • A definition of the information content that is needed to support a person's diabetes management. This includes information recorded by the person themselves (or their carer) at home, data recorded by the person's self-management devices (e.g. continuous glucose monitors or insulin pumps etc), and information recorded by health and care professionals for the person's direct care.
  • A definition of the information relevant to diabetes management that professionals and people with diabetes have told us that they want recorded and shared to support direct care needs.
  • A set of information that could potentially be used to support population health management for people with diabetes.
  • For use across the four nations of the UK by healthcare professionals caring for people with all types of diabetes mellitus (except 'prediabetes').
  • For sharing information relevant to the management and self-management of adults and children with diabetes.
  • Consulted on for use in a wide variety of healthcare settings including primary care, secondary care and community and relevant to social care settings (e.g. care homes and domiciliary care).
  • Designed to support the collection of direct care data for the national diabetes audits in the UK.
  • A thoroughly researched definition of information relevant to diabetes management and self-management tested with people with diabetes and their carers, healthcare professionals and systems and diabetes device suppliers.
  • Supported by a robust clinical safety case.
1.3.2 What the diabetes information record standard is not:

  • A definition of an exhaustive clinical or care record / history for a person with diabetes. Healthcare professionals will at times need access to a person's wider health record.
  • A definition of how the information (including numerical data from devices) should be presented to the person viewing it (e.g. Features/ content of graphical displays/ summary dashboards or clinical decision support systems including electronic alerts).
  • A definitive set of information about the person's current status - no set of clinical information is ever this and clinical information needs to be understood by the professional reading it as such.
  • A definition of the source data and its processing, including how the content should be sourced, updated, deduplicated, normalised or calculated in practice (e.g. insulin or glucose summary metrics from data reported by the person or from diabetes devices). Calculations described within this implementation guidance are included for illustrative purposes to help understanding.
  • A definition of what information professionals should be able to see or change (which is set out in NHS England’s Information Governance Framework and Role Based Access Control work). 
  • A definition of how the data should be stored. However, implementation of the standard should comply with relevant national NHS data sharing policies and standards including the Digital Technology Assessment Criteria (DTAC) (see https://www.nhsx.nhs.uk/key-tools-and-info/digital-technology-assessment-criteria-dtac/) where recording information from devices. 
  • Consulted on for use in prisons, schools, or by police or armed forces although some of the content may be relevant in those settings.
  • A technical standard. This will be based on FHIR (Fast Healthcare Interoperability Resources).
2. General guidance

2.1 Structure of the Diabetes Information Record Standard explained

The information standard is organised into sections made up of several data (information) elements, with record entries and clusters (subsections) to support repeated sets of information and grouping of related items. 

The set of rules and instructions governing the type of information expected within a section, cluster, record entry and element and how it is communicated is defined in the information model under the titles of Description, Cardinality, Conformance and Valuesets. 

The Diabetes Information Record Standard contains the following information components as outlined below:
  • Section  A section groups together all the information related to a specific topic e.g. ‘Medications and medical devices’ and ‘Person demographics’. It is the highest level to logically group data elements that may be independent or related. For example, ‘Medications and medical devices’ includes sets of related elements with dependencies between the elements whereas 'Social context' includes a set of independent elements or information items, grouped in a logical section.
  • Record entry │ A record entry within a section is used where a set of information is repeated for a particular item, and there can be multiple items. For example, for each medication administered there is a set of information associated with that medication. 
  • Cluster │ This is a set of elements put together as a group and which relate to each other │ For example,  'Insulin calculations cluster', which is the set of elements used to calculate a particular mealtime or correction bolus dose of insulin.
  • Element │ The data item. An element can appear in one or more sections. │ For example, 'Medication name', 'Device type'.
The Diabetes Information Record Standard has the following rules and instructions as outlined below:
  • Description │ This is the description of the section, record entry, cluster or element.  For an element, it describes the information that the element should contain in as plain English as possible.
  • Cardinality │ Each section, record entry, cluster and element will have a statement of cardinality. This clarifies how many entries can be made i.e. zero, one or many entries. The number of records expected and allowed are displayed as: 0……* = zero to many record entries are allowed; 0……1 = zero to one record entry is allowed; 1……1 = one record is expected; 1……* = one to many records are expected. For example, the ‘Medications and medical devices’ section may have zero to many medication item records in it and is displayed as 0…… *.    
  • Conformance │ Conformance defines what information is ‘mandatory’, ‘required’ or ‘optional’ and applies to sections, record entries, clusters and elements. The IT system must be developed to be handle all the information elements that are defined in the Standard but not all the information is required for every individual record or information transfer. The following set of rules apply to enable implementers to cater for the end users (senders and receivers) requirements: Mandatory – the information must be included; Required – if it exists, the information must be included; Optional – a local decision is made as to whether the information is included. These rules apply at all levels and give the flexibility to allow local clinical or professional decisions on some information that is included, while being clear on what is important information to include. For example, a person subject to a referral may have many assessments, but not all of these will be relevant to the referral. NB: It is permitted to upgrade a conformance rule but not to down grade one. For instance, a section that is classed as optional in the standard can be upgraded to required or mandatory in local implementations. However, one that is classed mandatory or required cannot be downgraded to required or optional. 
  • Valuesets │ Valuesets describe precisely how the information is recorded in the system and communicated between systems. This is required for interoperability (for information to flow between one IT system and another).  The information can be text, multi-media or in a coded format. If coded it can be constrained to SNOMED CT and specific SNOMED CT reference sets, NHS Data Dictionary values or other code sets.
2.2 How we expect the Diabetes Information Record Standard to be used

What is defined is a set of information which should be common to most systems recording information to support a person's direct diabetes care. Information recorded may be drawn from different settings. How information from a person's diabetes apps and devices is transferred to (e.g. via the cloud) and stored in a person's electronic health record for diabetes is out of scope. It is recognised that different local implementations across settings may differ in their level of digital maturity. For example some systems may not be capable, at least at first, of storing/ processing raw a data from diabetes devices or platforms (and using this to calculate and display derived summary statistics). It may be that in such cases initial 'simpler' implementations may preferentially send and receive pre-calculated metrics and preformed graphical representations of the data for display to the end-user (e.g. Ambulatory Glucose Profiles (AGPs) shared as PDFs) with a view to progressing to more complex/ sophisticated implementations later. Further work may need to define different ‘views’ in a diabetes care record of the information for different professionals (and other users, including people with diabetes who use services and those with permissioned proxy access) and local use cases based on the information governance framework which has been published by NHS England. These views should define what information is needed by a professional (or person) in particular circumstances. How the information is presented to professionals and citizens in a shared care record will be dependent on the local systems in place but it should be presented in such a way as to provide maximum benefit for different users (in different roles) in each given use case. 

There is a complex environment of systems and technology to support diabetes that need to share information and will need to conform with the information and technical standards to do so. There are four broad groups of systems and technology increasing from the micro to macro level for example an app, a device, a local management system at ICS level though to a regional or national system:

a.     lifestyle apps for supported self-management.

b.     medical devices (including self-monitoring and insulin delivery devices, Point of Care systems in hospitals and systems integrating data from devices e.g. Glooko)

c.     specialist diabetes management systems (e.g. My Way Diabetes Health, Hicom’s Diamond and Twinkle).

d.     non-diabetes specific health and care record and electronic prescribing and medications administration systems (e.g. Cerner Millenium, Epic, EMIS, TPP SystmOne, Graphnet, Orion, Patient Centred Software, Nourish).

In order for information to be shared between these systems they may need to be adapted to ensure that the information is structured and coded in alignment with the standards. 

2.3 Dependencies


The implementation of PRSB Diabetes Information Record Standard is dependent on the following:
  • The national and local Information Governance frameworks which will need to determine information access and sharing controls and legitimate relationships between proprietary systems and health and care provider organisations.
  • Technical messaging standards e.g. FHIR profiles (to support the transfer of information between systems).
  • The ability to safely link and share the information recorded by the person or their devices (initially onto proprietary apps, applications or other systems) with the person's electronic health record. How this is done is yet to be determined/ clarified with suppliers but may require integration with the person demographics service API where there is a legal basis to do so (see https://digital.nhs.uk/services/demographics) or other secure methods.
  • The successful development of the PRSB Information Types Standard to ensure that critical contextual information (e.g. where and when the procedure, measurement or recording etc was done and by whom or what device) is shared with the message. 

2.4 Risk mitigation

We recommend system suppliers and local implementers apply further risk mitigations when implementing the PRSB Diabetes Information Record Standard by addressing the risks that have been flagged in the clinical safety case report and hazard log for the standard.  Suppliers and implementers should aim to reduce the risk scores to 2, or better, when carrying out clinical risk assessments and developing safety cases for their implementations with respect to DCB0129 and DCB0160.

2.5 Information governance

Sound principles of information governance and respecting the privacy of people and their information is paramount. NHS England has published a national Information Governance Framework  that needs to be considered when planning implementation. Local agreements should be drawn up between organisations to define information requirements for communication.

2.6 Data quality

Data quality and accuracy of coded data entry should be managed in local ‘source’ systems to ensure that information shared with people and professionals through other systems is dependent on the source data quality.   

2.7 Context of the information (see also Information Types Standard)

It is vital for use of the data that all contextual information is maintained and should not be lost on exchange or import of information. For example, a person with diabetes self-managing their condition at home may record their own blood pressure or conduct self-monitoring of blood glucose (SMBG). They may also be using diabetes devices including CGM, connected insulin pens or ambulatory insulin pumps. In all cases it is important that the full context of the information is known (where and when the measurement was done and by whom or what device). The principle, for PRSB standards, is that for clinical safety and efficacy of communications, the key contextual data described within the PRSB Information Types Standard should be easily accessible to the end-user of any implementation of the Diabetes Information Record Standard. The principle applied in the information model is that where it is important (from a professional perspective) to know who or what device undertook the activity and who or what device recorded the that this is made available to the end-user accessing the record. For every item of information shared it is important that an audit trail is recorded (even if not explicitly stated in the information model). This is set out below (see time stamp and audit trail). 

2.8 Information Types Standard

[Charlie one pager on Information Types Standard]

2.9 Time stamp and audit trail

It is important that an audit trail is recorded for every item of information recorded or shared (even if not explicitly stated in the information model). Each record entry will need to be time stamped from the source system with date and time recorded and the identity of the person making the record. This needs to be viewable in the records themselves where appropriate and via a full audit trail which may be viewable by the end user to enhance transparency.

2.10 Links to other systems and records

Effective use of the Diabetes Information Record Standard will require the ability to safely link and share the information recorded by the person or their devices (initially onto proprietary apps, applications or other systems and shared in compliance with the Diabetes Self-Management Information Standard) with the person's electronic health record. How this is done is yet to be determined/ clarified with suppliers but may require integration with the person demographics service API where there is a legal basis to do so (see https://digital.nhs.uk/services/demographics) or other secure methods.

2.11 Coding

The 
 Personalised Health and Care 2020 framework for action  (  https://www.gov.uk/government/publications/personalised   -   health   -   and   -   care   -   2020   )     recommends the use of SNOMED CT and the dictionary of medicines and devices (dm+d). Local decisions need to be made about when these codes are to be used, depending on local system functionality and plans. The current ambition is for SNOMED CT and dm+d to be the primary clinical coding schemes in use in the NHS.  

2.12 Accessibility

The design of user interfaces for health and care record systems should follow guidance for specific PRSB standards and should comply with the NHS England Accessible Information Standard   https://www.england.nhs.uk/ourwork/accessibleinfo/ . This sets out the rules for accessible patient information in patient literature and clinical systems.

2.13 Legal disclaimer

[placeholder - IN DRAFT]


2.14 PRSB Support                    

The PRSB support service is available for any help, enquiries or issues with the using or implementing the standards. Any feedback on the standard (including proposed changes) resulting from putting the standard into practice would also be welcome. Contact is via support@theprsb.org or Tel: 02045515225.

Cancelled
2022-05-24 17:06:07 Malcolm Mundy Release: V0.5 Shared Decision Making
Version incremented from 0.4 to 0.5 following review by assurance committee
2022-05-24 16:19:51 Malcolm Mundy Release: V0.4 Shared Decision Making
Version incremented from 0.2 to 0.3 before start of new phase
Version incremented from 0.3 to 0.4 before start of new phase
2022-05-16 14:23:33 Malcolm Mundy Release: V2.1 Personalised care and support plan
Updated 2.1 added guidance
Updated 2.0 added personal and professional contacts 
                   - structure of needs, goals and concerns
                  -  structured sections to include terminology
                  -  took out procedures and therapies
                  - added tags for SNOMED CT for About me and structured
                  
Updated to v1.4 to include subsections for 'performing professional'; 'date'; 'location'.

Updated to v1.3 incorporate updates from:
 - social care standards work (About Me)
 - community mental health project
 - personalised care team post-project comments and meetings
Under pre-publication review
2022-05-13 15:02:47 Malcolm Mundy Release: V0.1 Palliative and end of life care
New version first release of V0.1 Palliative and end of life care
2022-04-21 12:27:51 Malcolm Mundy Release: V0.3 111 Referral
0.3 Amends made after project board and assurance committee approval
Under pre-publication review
2022-03-22 10:52:39 Malcolm Mundy Release: V0.2 111 Referral
Not declared, assume minor amends.

Under pre-publication review
2022-03-08 16:35:16 Malcolm Mundy Release: V0.2 Social Prescribing
V0.2 with expectation of new amends, feedback for v0.3
Under pre-publication review
2022-03-08 13:35:03 Malcolm Mundy Release: V0.3 Shared Decision Making
There have been no changes to issues since the last intermediate version or release.
Under pre-publication review
2022-01-26 16:27:48 Malcolm Mundy Release: V0.1 Social Prescribing
There have been no changes to issues since the last intermediate version or release.
Under pre-publication review
2022-01-26 15:46:57 Malcolm Mundy Release: V0.1 Social Prescribing
Initial release
Under pre-publication review
2022-01-25 23:51:12 Malcolm Mundy Release: Version 0.2 Shared Decision Making
There have been no changes to issues since the last intermediate version or release.
Publication did not write to http://pub.art-decor.org/prsb/ but stayed at 'Pending Publication request'
Under pre-publication review
2022-01-25 12:47:51 Malcolm Mundy Release: Version 0.2 Shared Decision Making
Request to publish confirmed with Project team before increment to V0.3.
There have been no changes to issues since the last intermediate version or release.
Under pre-publication review
2021-10-01 14:05:26 Sandip Kaur Release: Version 3.2 transfers of care
Errors found with 3.1 and updated to 3.2 for all transfers of care. (details in scenarios)
Emergency care updated valuesets as per the ECDS v 3.1.0
Under pre-publication review
2021-09-28 17:30:02 Sandip Kaur Release: Version 3.2 E-discharge
Updated to version 3.2 due to changes below:-
-'Formulation' and 'Family History' removed as erroneously added
- Slight update to MROs for demographic element in Person Name and Person Address, for alignment to other standards
Under pre-publication review
2021-09-24 16:13:48 Sandip Kaur Release: Version 0.2 111 referral
updated due to incorrect elements added into V0.1
Under pre-publication review
2021-09-23 19:25:38 Sandip Kaur Release: Version 0.1 111 referral
Draft 111 referral for piloting
Under pre-publication review
2021-09-21 18:16:18 Sandip Kaur Release: Version 3.1 Transfers of care
eDisharge summary 3.1
-Updates to medication value sets
-MROs updated to reflect published version (2.1)
Under pre-publication review
2021-08-28 16:25:59 Sandip Kaur Release: Version 2.0 Core information standard

Updates v 2.0have been made as part of the logical model project to:  

  • Alignment with other completed standards projects since the previous release (Dec 2018).  

  • Maintenance issues logged since the previous release.  

  • Updated more succinct valuesets for many elements for mapping to latest release of SNOMED CT, NHS data dictionary and to align to UK core R4 FHIR profiles  

  • FHIR Target added to represent the link to the UK core FHIR R4 where clinical and technical assurance has taken place 

  • Datatypes added to reflect a logical model 

  • Standard JSON extract exported to SPARX EA and UML entity and attribute diagrams developed 

  • SNOMED Tags added in places where clinical agreement of SNOMED CT codes has taken place to improve interoperability 

  • Elements decomposed: the data models for clinical concepts have been enhanced to be more structured. Includes:  

  • addition of ‘coded’ and ‘free text’ fields for all coded elements, or  

  • restructuring (eg) ‘Patient Address’ to include elements for each line of the address.  

This aligns standards closer to the associated technical specifications and therefore makes them more implementable.  

Under pre-publication review
2021-08-04 18:13:52 Sandip Kaur Release: Version 2.0 Personalised care and support plan
Updated 2.0 added personal and professional contacts 
                   - structure of needs, goals and concerns
                  -  structured sections to include terminology
                  -  took out procedures and therapies
                  - added tags for SNOMED CT for About me and structured
Under pre-publication review
2021-05-18 18:30:57 Sandip Kaur Release: Version 3.1 Community pharmacy standard
Updated due to feedback from NHS digital on sex and gender and value sets for Medication name and Vaccine product
Under pre-publication review
2021-05-05 16:26:15 Sandip Kaur Release: Version 3.0 Transfers of care
Final draft of transfers of care standards, pre endorsement.

Maintenance release 2 of the transfer of care standards version 3. 

Updates to align with more structured sections and updated terminology and classifications. 

Also NHS digitals three year standard review as part of the support contract.
Under pre-publication review
2021-04-26 13:45:58 Sandip Kaur Release: Version 1.4 Personalised care and support plan
Issues updated with performing professional and person completing record
Under pre-publication review
2021-04-21 13:57:55 Sandip Kaur Release: Version 1.2 Urgent transfer from care home to hospital
Name change to urgent transfer from care home to hospital
Under pre-publication review
2021-04-21 13:02:58 Sandip Kaur Release: Version 1.2
Updated after Sam's comments 
Under pre-publication review
2021-04-12 16:34:15 Sandip Kaur Release: Version 1.3 Personalised care and support plan
Updates to personalised care and support plan from community mental health project 
Under pre-publication review
2021-04-12 12:26:08 Sandip Kaur Release: Version 1.1 Local authority information
Updated version after observations for website viewer
Under pre-publication review
2021-04-12 11:08:49 Sandip Kaur Release: Version 1.1 Urgent referral and Hospital referral
Updated version after observation update for website viewer
Under pre-publication review
2021-04-09 18:21:51 Sandip Kaur Release: Version 1.1 About me and Care home information
Updated version after updates and finalisation for website viewer
Under pre-publication review
2021-04-09 17:07:37 Sandip Kaur Release: Version 2.0 Community pharmacy standard
Version 2 of the consolidated community pharmacy standard
Under pre-publication review
2021-03-07 23:56:39 Sandip Kaur Release: Version 1.0 Health and care integration standards
Updated terminology and classification mappings and proceeded with endorsement
Under pre-publication review
2020-11-23 16:39:43 Sandip Kaur
Version 1.1 Community pharmacy standard - consolidation and review
Under pre-publication review
2020-11-16 18:55:24 Sandip Kaur Release: Version 0.4 Health and care integration standards
Draft models for the health and care integration programme
Under pre-publication review
2019-07-18 15:27:45 Sandip Kaur
Version 1a - publication of the core information standard
Under pre-publication review
2019-07-11 12:44:58 Sandip Kaur
Version 1 - publication of the core information standard.
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