Transaction Ambulance handover to secondary care 1

ID: 2.16.840.1.113883.3.1937.777.28.4.122Version Label: Live VersionConcepts: 143 (Groups: 49 - Items: 94)

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Name ID[‑] Mandatory[‑] Conf[‑] Datatype CC[‑] Datatype[‑] Properties[‑] Example[‑] Codes[‑]
Person demographics prsb03-dataelement-10868 - R 0 … 1 R
Person name prsb03-dataelement-10869 - R 0 … 1 R String String
Date of birth prsb03-dataelement-10871 - R 0 … 1 R Date/time Date/time
Gender prsb03-dataelement-10872 - R 0 … 1 R String String
Ethnicity prsb03-dataelement-10874 - R 0 … 1 R String String
NHS number prsb03-dataelement-10879 - R 0 … 1 R String String
Other identifier prsb03-dataelement-10880 - R 0 … * R String String
Person's address prsb03-dataelement-10881 - R 0 … 1 R String String
Person's email address prsb03-dataelement-10882 - 0 … 1 String String
Person's telephone number prsb03-dataelement-10883 - 0 … * String String
Overseas visitor status prsb03-dataelement-10908 - R 0 … 1 R Code Code
Accommodation status prsb03-dataelement-12473 - R 0 … 1 R String String
Relevant contacts prsb03-dataelement-10910 - 0 … 1 String String
Educational establishment prsb03-dataelement-10911 - 0 … 1 Text Text
GP practice prsb03-dataelement-101 - R 0 … 1 R
GP practice record entry prsb03-dataelement-10643 - R 0 … * R
GP name prsb03-dataelement-10003 - R 0 … 1 R String String
GP practice details prsb03-dataelement-10002 - R 0 … 1 R String String
GP practice identifier prsb03-dataelement-10001 + M 1 … 1 M Code Code
Legal information prsb03-dataelement-520 - R 0 … 1 R
Consent for information sharing prsb03-dataelement-10421 - 0 … 1
Mental capacity assessment prsb03-dataelement-10424 - R 0 … 1 R
Lasting power of attorney for personal welfare or court-appointed deputy (or equivalent) prsb03-dataelement-10425 - R 0 … 1 R String String
Deprivation of Liberty Safeguards or equivalent prsb03-dataelement-10426 - R 0 … 1 R
Mental Health Act or equivalent status prsb03-dataelement-10427 - R 0 … 1 R
Section start date prsb03-dataelement-10920 - R 0 … 1 R Date/time Date/time
  • Timestamp precision:
Section end date prsb03-dataelement-10921 - R 0 … 1 R Date/time Date/time
  • Timestamp precision:
Advance decision to refuse treatment (ADRT) prsb03-dataelement-12488 - R 0 … 1 R Code Code
Organ and tissue donation prsb03-dataelement-10430 - R 0 … 1 R
Safeguarding prsb03-dataelement-271 - R 0 … 1 R
Safeguarding concerns prsb03-dataelement-10821 - R 0 … * R
Safeguarding concerns prsb03-dataelement-10171 - R 0 … * R String String
Referrer Details prsb03-dataelement-10714 - R 0 … 1 R
Referrer details prsb03-dataelement-10715 - R 0 … 1 R Code Code
Individual requirements prsb03-dataelement-160 - R 0 … 1 R
Individual requirements record entry prsb03-dataelement-10645 - R 0 … 1 R
Individual requirement prsb03-dataelement-10060 - R 0 … 1 R Code Code
Health and care professional details prsb03-dataelement-10912 - R 0 … 1 R
Responsible health or care professional prsb03-dataelement-10913 - R 0 … 1 R String String
Health or care professional(s) present prsb03-dataelement-10914 - 0 … * String String
Participation in research prsb03-dataelement-168 - R 0 … 1 R
Participation in research record entry prsb03-dataelement-10646 - R 0 … * R
Identification code prsb03-dataelement-10739 - R 0 … * R String String
Incident details prsb03-dataelement-10887 + M 1 … 1 M
Source of call prsb03-dataelement-10888 - R 0 … 1 R String String
Ambulance service prsb03-dataelement-10889 + M 1 … 1 M String String
Incident number prsb03-dataelement-10890 + M 1 … 1 M Text Text
Unique person identifier prsb03-dataelement-10891 + M 1 … 1 M Identifier Identifier
Incident location prsb03-dataelement-10892 - R 0 … 1 R String String
Individual accompanying person prsb03-dataelement-10893 - 0 … 1 Text Text
Incident date and time prsb03-dataelement-10894 + M 1 … 1 M Date/time Date/time
Time of symptom onset prsb03-dataelement-10895 - R 0 … 1 R Date/time Date/time
Arrival time at incident prsb03-dataelement-10896 - R 0 … 1 R Date/time Date/time
Time left incident location prsb03-dataelement-10897 - R 0 … 1 R Date/time Date/time
Time of arrival at handover destination prsb03-dataelement-10898 - R 0 … 1 R Date/time Date/time
Injury prsb03-dataelement-10899 - R 0 … 1 R
Injury activity status prsb03-dataelement-10900 - R 0 … 1 R Code Code
Injury activity prsb03-dataelement-10901 - R 0 … 1 R Code Code
Injury intent prsb03-dataelement-10902 - R 0 … 1 R Code Code
Injury mechanism prsb03-dataelement-10903 - R 0 … 1 R Code Code
Alcohol or drug involvement in injury prsb03-dataelement-10904 - R 0 … 1 R Code Code
Relevant past medical, surgical and mental health history prsb03-dataelement-547 - R 0 … 1 R
Relevant past medical, surgical and mental health history prsb03-dataelement-12476 - R 0 … 1 R Text Text
Presenting complaints or issues prsb03-dataelement-210 + M 1 … 1 M
Chief complaint prsb03-dataelement-10905 + M 1 … 1 M String String
Person reported complaints or issues prsb03-dataelement-10906 - R 0 … 1 R Text Text
Acuity assessment prsb03-dataelement-10907 + M 1 … 1 M String String
Diagnoses prsb03-dataelement-221 - R 0 … 1 R
Diagnosis record entry prsb03-dataelement-10651 - R 0 … * R
Diagnosis (Clinical Impression) prsb03-dataelement-12477 - R 0 … 1 R Code Code
Clinical Summary prsb03-dataelement-247 - R 1 … 1 R
Clinical summary prsb03-dataelement-10147 - R 0 … 1 R Text Text
Treatments and interventions prsb03-dataelement-12480 - R 0 … 1 R
Treatments and interventions and changes made to treatments. prsb03-dataelement-12481 - R 0 … * R Text Text
Social context prsb03-dataelement-136 - R 0 … 1 R
Services and care prsb03-dataelement-12482 - R 0 … 1 R Text Text
Dependants prsb03-dataelement-10046 - R 0 … * R
Investigation results prsb03-dataelement-257 - R 0 … 1 R
Investigation results record entry prsb03-dataelement-10654 - R 0 … * R
Date prsb03-dataelement-10157 - R 0 … * R Date/time Date/time
Investigation prsb03-dataelement-10160 - R 0 … 1 R String String
Investigation result prsb03-dataelement-10161 - R 0 … 1 R String String
Structured investigation result prsb03-dataelement-12415 - R 0 … 1 R
Value prsb03-dataelement-12416 - R 0 … 1 R String String
Units prsb03-dataelement-12417 - R 0 … 1 R String String
Reference ranges prsb03-dataelement-12418 - R 0 … 1 R String String
Observations prsb03-dataelement-12475 - R 0 … 1 R
Observations prsb03-dataelement-12474 - R 0 … * R Code Code
Assessments prsb03-dataelement-262 - R 0 … 1 R
Assessments record entry prsb03-dataelement-11664 - R 0 … * R
Assessment type prsb03-dataelement-10822 - R 0 … 1 R String String
Assessment summary prsb03-dataelement-10754 - R 0 … 1 R String String
Structured assessment prsb03-dataelement-10655 - R 0 … 1 R
Structured assessment name prsb03-dataelement-11751 - R 0 … 1 R String String
Assessment score prsb03-dataelement-10162 - R 0 … 1 R String String
Assessment value prsb03-dataelement-10163 - R 0 … 1 R String String
Global score prsb03-dataelement-10166 - R 0 … 1 R String String
Subscale score prsb03-dataelement-10169 - R 0 … * R String String
Subscale value prsb03-dataelement-10170 - R 0 … * R String String
Risks prsb03-dataelement-276 - R 0 … 1 R
Risks to self prsb03-dataelement-10176 - R 0 … * R
Risks to others prsb03-dataelement-10177 - R 0 … * R
Risk from others prsb03-dataelement-10178 - R 0 … * R
Infection risk prsb03-dataelement-12479 - R 0 … * R Text Text
Allergies and adverse reactions prsb03-dataelement-282 + M 1 … 1 M
Allergies and adverse reactions record entry prsb03-dataelement-10657 + M 1 … * M
Causative agent prsb03-dataelement-10182 + M 1 … 1 M String String
Reaction details cluster prsb03-dataelement-10658 - R 0 … 1 R
Description of reaction prsb03-dataelement-10183 - R 0 … 1 R String String
Severity prsb03-dataelement-10184 - R 0 … 1 R Code Code
Certainty prsb03-dataelement-10185 - R 0 … 1 R Code Code
Medications and medical devices prsb03-dataelement-636 - R 0 … 1 R
Medication administration record entry prsb03-dataelement-12483 - R 0 … * R
Medication name prsb03-dataelement-12484 + M 1 … 1 M String String
Route prsb03-dataelement-12485 - R 0 … 1 R String String
Dose administered prsb03-dataelement-12487 - R 0 … 1 R Text Text
Administration date and time prsb03-dataelement-12486 - R 0 … 1 R Date/time Date/time
  • Timestamp precision:
Information and advice given prsb03-dataelement-315 - R 0 … 1 R
Information and advice given prsb03-dataelement-10215 - R 0 … 1 R Text Text
Person and carer concerns expectations and wishes prsb03-dataelement-292 - R 0 … 1 R
Patient and carer concerns, expectations and wishes prsb03-dataelement-10192 - R 0 … * R Text Text
Advance statement prsb03-dataelement-10197 - R 0 … 1 R Code Code
Documents (including correspondence and images) prsb03-dataelement-10820 - 0 … 1
Documents prsb03-dataelement-11259 - 0 … *
Date prsb03-dataelement-10943 - R 0 … 1 R Date/time Date/time
  • Timestamp precision:
Documentation location prsb03-dataelement-10946 - R 0 … 1 R String String
Confidentiality prsb03-dataelement-10942 - R 0 … 1 R String String
Class prsb03-dataelement-10940 - R 0 … 1 R String String
Document title prsb03-dataelement-10944 - R 0 … 1 R String String
Document name prsb03-dataelement-10945 - R 0 … 1 R Code Code
Document MIME type prsb03-dataelement-10949 - R 0 … 1 R String String
Service prsb03-dataelement-11163 - R 0 … 1 R String String
Comments prsb03-dataelement-10941 - 0 … 1 String String
Additional information required for images. prsb03-dataelement-12449 - 0 … 1
Image procedure prsb03-dataelement-12450 - R 0 … 1 R String String
Image procedure date prsb03-dataelement-12451 - R 0 … 1 R Date/time Date/time
  • Timestamp precision:
Images prsb03-dataelement-11158 - R 0 … * R
Image capture date prsb03-dataelement-11159 - R 0 … 1 R Date/time Date/time
  • Timestamp precision:
Image ID prsb03-dataelement-12460 - R 0 … 1 R Identifier Identifier
Image location prsb03-dataelement-12461 - R 0 … 1 R String String
Format code prsb03-dataelement-11161 - R 0 … 1 R String String
Event code list prsb03-dataelement-11160 - R 0 … 1 R String String
Comments prsb03-dataelement-12471 - 0 … 1 Text Text