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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.
PropertiesPrefix: prsb03-Default language: en-GBContains reusable content?The contents of this 'project' are considered suitable for re-use by other projects when this setting is active.Is private?The project is not listed in the menus and ignored in searches when this setting is active. This useful for projects in incubation fase. You may still work in the project based on direct URLsExperimental/Test?Project is experimental or meant to test things rather than aimed at production useNotifier: Determines the project global issue notifier setting (on/off - default is 'on'). Note: changes to this setting are immediately saved.
Publication location
http://pub.art-decor.org/prsb/
Project overviewProject Index
Project Id2.16.840.1.113883.3.1937.777.28
Project Last modified2019-12-11 14:10:31
Repository reference
RESTful Service
PurposeURLFormat
FHIRhttp://art-decor.org/fhir/3.0/3.0
Contributors/Copyright
ContributorTypeLogoCopyright years
The Professional Records Standards Body
The Professional Record Standards Body (PRSB)
W theprsb.org
Author2018-2019
Authors
NameEmailSubscribe 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'
AdministratorNot visibleThis info is only visible to this author and any decor-admin authorNot visibleThis info is only visible to this author and any decor-admin author
Dr. Kai HeitmannNot visibleThis info is only visible to this author and any decor-admin authorNot visibleThis info is only visible to this author and any decor-admin author
Sandip KaurNot visibleThis info is only visible to this author and any decor-admin authorNot visibleThis info is only visible to this author and any decor-admin author
Tom HobbsNot visibleThis info is only visible to this author and any decor-admin authorNot visibleThis info is only visible to this author and any decor-admin author
Martin OrtonNot visibleThis info is only visible to this author and any decor-admin authorNot visibleThis info is only visible to this author and any decor-admin author
Jan HoogewerfNot visibleThis info is only visible to this author and any decor-admin authorNot visibleThis info is only visible to this author and any decor-admin author
Darren WooldridgeNot visibleThis info is only visible to this author and any decor-admin authorNot visibleThis info is only visible to this author and any decor-admin author
Haroldas PetkusNot visibleThis info is only visible to this author and any decor-admin authorNot visibleThis info is only visible to this author and any decor-admin author
Nicola QuinnNot visibleThis info is only visible to this author and any decor-admin authorNot visibleThis info is only visible to this author and any decor-admin author
Sheena JagjiwanNot visibleThis info is only visible to this author and any decor-admin authorNot visibleThis info is only visible to this author and any decor-admin author
Alannah McGovernNot visibleThis info is only visible to this author and any decor-admin authorNot visibleThis info is only visible to this author and any decor-admin author
Kasmyn ChenNot visibleThis info is only visible to this author and any decor-admin authorNot visibleThis info is only visible to this author and any decor-admin author
Holly KearnNot visibleThis info is only visible to this author and any decor-admin authorNot visibleThis info is only visible to this author and any decor-admin author
Sarah JacksonNot visibleThis info is only visible to this author and any decor-admin authorNot visibleThis info is only visible to this author and any decor-admin author
Versions / Releases
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DateByDescriptionStatusPublication
2019-07-18 15:27:45Sandip Kaur
Version 1a - publication of the core information standard
Under pre-publication review
2019-07-11 12:44:58Sandip Kaur
Version 1 - publication of the core information standard.
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