{
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"name": "Personalised_care_and_support_plan",
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} ],
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}, {
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}, {
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}, {
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"definition": "The person’s phenotypic sex. Determines how the person will be treated clinically.",
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}, {
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"definition": "The unique identifier for a person within the NHS in England and Wales.",
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}, {
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"requirements": "Patient.identifier",
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"definition": "Country specific or local identifier, e.g. Community Health Index (CHI) in Scotland.",
"short": "Other identifier",
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"code": "string"
} ],
"mustSupport": true,
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}, {
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"definition": "Person’s usual place of residence, and where relevant temporary and correspondence addresses.",
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}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_address.address_line_1",
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"definition": "Person's first line of address.",
"short": "Address line 1",
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"code": "string"
} ],
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}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_address.address_line_2",
"requirements": "Patient.address.city",
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"definition": "Person's second line of address.",
"short": "Address line 2",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
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}
}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_address.address_line_3",
"requirements": "Patient.address.district",
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"definition": "Person's third line of address.",
"short": "Address line 3",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.person_demographics.persons_address.address_line_3"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_address.address_line_4",
"requirements": "Patient.address.state",
"min": 0,
"definition": "Person's fourth line of address.",
"short": "Address line 4",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13085--20200601112956",
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"path": "personalised_care_and_support_plan.person_demographics.persons_address.address_line_4"
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}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_address.address_line_5",
"requirements": "Patient.address.country",
"min": 0,
"definition": "Person's fifth line of address.",
"short": "Address line 5",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13086--20200601113210",
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"path": "personalised_care_and_support_plan.person_demographics.persons_address.address_line_5"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_address.postcode",
"requirements": "Patient.address.postalcode",
"min": 1,
"definition": "The person's postcode.",
"short": "Postcode",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
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}
}, {
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"requirements": "Patient.address.use",
"min": 0,
"definition": "The type of address e.g. Main address, Temp address",
"short": "Address type",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13221--20200708155839",
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}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details",
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"definition": "Details of the person's contact information.",
"short": "Person's contact details",
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} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details"
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}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.preferred_contact_method",
"min": 0,
"definition": "Preferred contact method, e.g. email, letter, phone, text message etc.",
"short": "Preferred contact method",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10886--20190327192917",
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"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.preferred_contact_method"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_telephone_number_details",
"min": 0,
"definition": "The person's telephone number details",
"short": "Person's telephone number details",
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"code": "BackboneElement"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_telephone_number_details"
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}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_telephone_number_details.persons_telephone_number",
"requirements": "Patient.contact.telecon.value",
"min": 0,
"definition": "The person's telephone number",
"short": "Person's telephone number",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
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}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_telephone_number_details.persons_telephone_number_type",
"requirements": "Patient.telecon.use",
"min": 0,
"definition": "The contact type e.g. home, mobile",
"short": "Person's telephone number type",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13805--20201125183754",
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"example": [ {
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}, {
"label": "example 2",
"valueString": "Mobile"
}, {
"label": "example 3",
"valueString": "Temp"
}, {
"label": "example 4",
"valueString": "Old"
}, {
"label": "example 5",
"valueString": "Work"
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"base": {
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"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_telephone_number_details.persons_telephone_number_type"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_telephone_number_details.preference_of_telephone_number",
"requirements": "Patient.telecom.rank",
"min": 0,
"definition": "The preferred order of use for the telephone number",
"short": "Preference of telephone number",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
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"id": "2.16.840.1.113883.3.1937.777.28.2.13809--20201126165509",
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"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_telephone_number_details.preference_of_telephone_number"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details",
"min": 0,
"definition": "Details of the person's email address",
"short": "Person's email address details",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.13807--20201126162922",
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"max": "*",
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"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details.persons_email_address",
"requirements": "Patient.contact.telecon.value",
"min": 0,
"definition": "Email address of the person.",
"short": "Person's email address",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10882--20190327192019",
"maxLength": 255,
"base": {
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"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details.persons_email_address"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details.persons_email_address_type",
"requirements": "Patient.telecon.use",
"min": 0,
"definition": "The type of email address, home, work",
"short": "Person's email address type",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13811--20201126173054",
"maxLength": 6,
"example": [ {
"label": "example 1",
"valueString": "Home"
}, {
"label": "example 2",
"valueString": "Work"
}, {
"label": "example 3",
"valueString": "old"
} ],
"base": {
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"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details.persons_email_address_type"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details.preference_of_email_address",
"requirements": "Patient.telecon.rank",
"min": 0,
"definition": "The preferred order of use of email address",
"short": "Preference of email address",
"type": [ {
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} ],
"mustSupport": true,
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}
}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.other_contact_information",
"requirements": "Patient.contact.telecon.value",
"min": 0,
"definition": "Contact details via fax, sms, url",
"short": "Other contact information",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "*",
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"min": 0,
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.other_contact_information"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.place_of_birth",
"requirements": "Patient.extension(Birthplace)",
"min": 0,
"definition": "The country of birth of the person.",
"short": "Place of birth",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10884--20190327192507",
"maxLength": 3,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.person_demographics.place_of_birth"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.marital_status",
"requirements": "Patient.maritalstatus",
"min": 0,
"definition": "An indicator to identify the legal marital status of the person.",
"short": "Marital status",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10885--20190327192557",
"maxLength": 1,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.person_demographics.marital_status"
}
}, {
"path": "personalised_care_and_support_plan.gp_practice",
"min": 1,
"definition": "Details of the person's GP practice.",
"short": "GP practice",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.101--20181031000000",
"base": {
"max": "1",
"min": 1,
"path": "personalised_care_and_support_plan.gp_practice"
}
}, {
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry",
"min": 0,
"definition": "This is an GP practice record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items",
"short": "GP practice record entry",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.10643--20181109145924",
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry"
}
}, {
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry.gp_name",
"requirements": "Practitioner.name",
"min": 0,
"definition": "The name of the person's GP. If the person is registered with a GP practice, their usual GP name will be something volunteered by the person or their representative.",
"short": "GP name",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10003--20181031000000",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry.gp_name"
}
}, {
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry.gp_practice_details",
"requirements": "PractitionerRole.organisation.Name (0..1)\r\nPractitionerRole.organisation.telcom (0..*)\r\nPractitionerRole.organisation.Address (0..*)",
"min": 0,
"definition": "Name and address of the person's registered GP Practice. Registered GP practice details are available from the Person Dempographics Service (PDS), or volunteered from the person or their representative. Include details of the practice name and address.",
"short": "GP practice details",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10002--20181031000000",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry.gp_practice_details"
}
}, {
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry.gp_practice_identifier",
"requirements": "PratitionerRole.organisation.identifier",
"min": 1,
"definition": "The identifier of the registered GP practice.",
"short": "GP practice identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10001--20181031000000",
"maxLength": 6,
"base": {
"max": "1",
"min": 1,
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry.gp_practice_identifier"
}
}, {
"path": "personalised_care_and_support_plan.about_me",
"min": 0,
"definition": "About me",
"short": "About me",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.466--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.what_is_most_important_to_me",
"min": 0,
"definition": "A description of what is most important to you.",
"short": "What is most important to me",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12964--20200330105029",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.what_is_most_important_to_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.what_is_most_important_to_me.what_is_most_important_to_me",
"min": 0,
"definition": "A description of what is most important to you \r\n**Emergency Information : -** Include any essential information that any professional in health and social care should know about the you in any situation, including emergencies.\r\n**Other Information : -**This could include : - Values, Spirituality/religion, Ethnicity, Culture, Pets, Goals and aspirations, Meaningful activities including leisure activities, visiting places, sport and exercise, listening to music, employment, education, volunteering",
"short": "What is most important to me",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14325--20210701134923",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.what_is_most_important_to_me.what_is_most_important_to_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.people_who_are_important_to_me",
"min": 0,
"definition": "Details of who is important to you and why.",
"short": "People who are important to me",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13009--20200427112317",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.people_who_are_important_to_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.people_who_are_important_to_me.people_who_are_important_to_me",
"min": 0,
"definition": "Details of who is important to you and why. They could be family members, carers, friends, members of staff etc. Include how you want the people important to you to be engaged and involved in your care and support in both emergency and normal situations. Include how you stay connected to the people important to you. Who should not be contacted or consulted about your care and support and why, if you wish to say",
"short": "People who are important to me",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14327--20210701162725",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.people_who_are_important_to_me.people_who_are_important_to_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.how_i_communicate_and_how_to_communicate_with_me",
"min": 0,
"definition": "A description of how you communicate normally.",
"short": "How I communicate and how to communicate with me",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13006--20200424114824",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.how_i_communicate_and_how_to_communicate_with_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.how_i_communicate_and_how_to_communicate_with_me.how_i_communicate_and_how_to_communicate_with_me",
"min": 0,
"definition": "A description of how you communicate normally including any communication aids you use, for example a hearing aid.\r\n\r\n\r\n* Include your preferred language of communication, if your first language is not English.\r\n* Include how you would communicate when you are in pain or distress.\r\n* Include how you communicate choices.\r\n* Include how you give feedback or raise a concern.\r\n* Include how you like to receive information\r\n\r\n\r\n\r\nDescribe how you would like others to engage and communicate with you, including how you would like to be addressed.",
"short": "How I communicate and how to communicate with me",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14329--20210701163925",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.how_i_communicate_and_how_to_communicate_with_me.how_i_communicate_and_how_to_communicate_with_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.my_wellness",
"min": 0,
"definition": "A description covering what you are able to do, how you engage with others and how you feel on a typical day through to on a day when you are unwell or really unwell.",
"short": "My wellness",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"alias": [ "0.3" ],
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13005--20200424114553",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.my_wellness"
}
}, {
"path": "personalised_care_and_support_plan.about_me.my_wellness.my_wellness",
"min": 0,
"definition": "| \r\n\r\n\r\n\r\n\r\n\r\nA description covering what you are able to do, how you engage with others and how you feel on a typical day through to on a day when you are unwell or really unwell\r\n\r\n\r\n\r\n\r\n\r\n |\r\n\r\n\r\n\r\n\r\n\r\n\r\n| \r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n* Include any causes that might result in you becoming unwell and strategies for avoiding or addressing the causes. For example, not drinking enough water could cause constipation.\r\n* Include any signs that indicate you might be becoming unwell.\r\n* On a bad day describe what is different about what you are able to do, how you engage with others and how you feel.\r\n* Include how your everyday life is affected by any medical conditions e.g. dementia and any symptoms e.g. itchiness, cough, pain and how you manage those conditions.\r\n* Include past health issues or experiences that need to be considered\r\n* Include your wellbeing and lifestyle goals and aspirations\r\n\r\n\r\n\r\n\n \r\n\r\n\r\n\r\n\r\n\r\n |",
"short": "My wellness",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14331--20210701165812",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.my_wellness.my_wellness"
}
}, {
"path": "personalised_care_and_support_plan.about_me.please_do_and_please_dont",
"min": 0,
"definition": "A description of things you want someone supporting you to do (or not to do).",
"short": "Please do and please don't",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13008--20200427103459",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.please_do_and_please_dont"
}
}, {
"path": "personalised_care_and_support_plan.about_me.please_do_and_please_dont.please_do_and_please_dont",
"min": 0,
"definition": "A description of things you want someone supporting you to do (or not to do).\r\nThings you want someone to **do **might include (for example): - Talk to me not to my carer, remind me to take my medication, encourage me to wash my hands regularly, explain to me what is happening and why, respond to my communication.\r\nA description of things you **do not** want someone supporting you to do might include (for example): - Discussing or asking questions about certain topics, making assumptions about something, providing support when it is not wanted, talking to you in a certain way, undergoing a specific intervention or taking a medication the person does not want.",
"short": "Please do and please don't",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14333--20210701172602",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.please_do_and_please_dont.please_do_and_please_dont"
}
}, {
"path": "personalised_care_and_support_plan.about_me.how_and_when_to_support_me",
"min": 0,
"definition": "A description of how and when you want someone caring for you to support you.",
"short": "How and when to support me",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13007--20200427102954",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.how_and_when_to_support_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.how_and_when_to_support_me.how_and_when_to_support_me",
"min": 0,
"definition": "A description of how and when you want someone caring for you to support you.\r\n\r\n\r\n\r\n\r\n* This could include support needs in an emergency situation (for example taking blood)\r\n* This could include support you need to maintain important routines or to carry out particular activities, for example: - Personal care routines, Eating and drinking, Bedtime routines, Taking medications, Moving and transitioning\r\n* This could also include support needed with:- wearing glasses/hearing aids/false teeth etc, making informed choices or understanding dangers and risks, managing your emotions, moods and behaviours, memory or confusion.\r\n* Include how your support needs change in different environments. Include any triggers that might result in you needing further support and strategies for avoiding or addressing the triggers. Include how you want the support to be provided.",
"short": "How and when to support me",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14335--20210701173520",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.how_and_when_to_support_me.how_and_when_to_support_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.also_worth_knowing_about_me",
"min": 0,
"definition": "A description of what is also worth knowing about you for people caring or supporting you.",
"short": "Also worth knowing about me",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13094--20200622113009",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.also_worth_knowing_about_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.also_worth_knowing_about_me.also_worth_knowing_about_me",
"min": 0,
"definition": "A description of what is also worth knowing about you for people caring or supporting you.\r\n\r\n\r\n\r\n\r\n* This could include a short history of your life (where you have worked, where you lived, important events in your life, important people in your past life).\r\n* This could include a short profile of your current life:- your work / study, your aspirations, your skills, your networks, things you like e.g. particular foods, places, a football team and things you like to talk about, things you dislike\r\n* This could also include any care and support preferences that have not been included elsewhere.",
"short": "Also worth knowing about me",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14337--20210701174150",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.also_worth_knowing_about_me.also_worth_knowing_about_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.date",
"min": 0,
"definition": "This is a record of the date that this information was last updated.",
"short": "Date",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10367--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.date"
}
}, {
"path": "personalised_care_and_support_plan.about_me.supported_to_write_this_by",
"min": 0,
"definition": "Where relevant, this is a record of name, relationship/role and contact details of the individual who supported the person to write this section e.g. carer, family member, advocate, professional.",
"short": "Supported to write this by",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10368--20181031000000",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.supported_to_write_this_by"
}
}, {
"path": "personalised_care_and_support_plan.about_me.location_to_multimedia_file",
"min": 0,
"definition": "The link to the person's multimedia file",
"short": "Location to multimedia file",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14326--20210701135003",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.location_to_multimedia_file"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts",
"min": 0,
"definition": "The details of the person’s professional contacts.",
"short": "Professional contacts",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.452--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry",
"min": 0,
"definition": "This is a professional contacts record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.",
"short": "Professional contacts record entry",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.10767--20190318180716",
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.name",
"min": 0,
"definition": "The name of the professional with responsibility for the care of the person.",
"short": "Name",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10352--20181031000000",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.name"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.role",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10353--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.role"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.key_worker",
"min": 0,
"definition": "A flag that identifies the personal contact is the key worker assigned to the person.",
"short": "Key worker",
"type": [ {
"code": "boolean"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12973--20200406200200",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.key_worker"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.speciality",
"min": 0,
"definition": "The specialty of the professional e.g. physiotherapy, oncology, mental health etc",
"short": "Speciality",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10354--20181031000000",
"maxLength": 3,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.speciality"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.team",
"min": 0,
"definition": "The name of the team.",
"short": "Team",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10355--20181031000000",
"maxLength": 35,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.team"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.organisation",
"min": 0,
"definition": "The name of the organisation.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
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}, {
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"definition": "The relationship the personal contact has to the person, e.g. father, grandmother, family friend etc.",
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"defaultValueCodeableConcept": {
"text": "10"
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}, {
"path": "personalised_care_and_support_plan.personal_contacts.personal_contacts_record_entry.relationship_type",
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"definition": "Additional roles the person performs on behalf of the other (e.g. Carer, Next of Kin, Emergency Contact, Dependent, etc.)",
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}, {
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"definition": "Contact details of the personal contact (e.g. telephone number, address, email address etc.)",
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}, {
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"definition": "Notes on the significance of the personal contact to the person.",
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"path": "personalised_care_and_support_plan.formulation"
}
}, {
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"definition": "This is the formulation record entry. There may be 0 to many record entry/entries under a section. Each record entry is made up of a number of elements or data items.",
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}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.date",
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"definition": "The date the formulation was made.",
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}, {
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}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional",
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}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.name",
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"definition": "The name of the professional.",
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"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc",
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"type": [ {
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"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.grade",
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"definition": "The grade of the professional.",
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"definition": "The specialty of the professional e.g. physiotherapy, oncology, mental health etc",
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}, {
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"definition": "Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.",
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}, {
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"definition": "The name of the organisation the professional works for.",
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}, {
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"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the professional",
"short": "Contact details",
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}, {
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"definition": "An account, shared by a therapist and person, of the personal meaning and origins of a person’s difficulties. This is viewed in the context of multiple factors including relationships, social circumstances and life events and will indicate the most helpful way forward.",
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}, {
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}, {
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"definition": "The name of the person completing the record.",
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"definition": "Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.",
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}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.person_completing_record.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the person completing the record.",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
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}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan",
"min": 0,
"definition": "This records the decisions reached during conversation between the individual and health and care professional about future plans and also records progress.",
"short": "Care and support plan",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.strengths",
"min": 0,
"definition": "Any strengths and assets the person has relating to their goals and hopes about their health and well-being.",
"short": "Strengths",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.strengths"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.strengths.coded_value",
"min": 0,
"definition": "The coded value associated with the person's strengths. Could be derived from the assessment of the person e.g. 300738008 |Able to participate in leisure activities (finding)|",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.strengths.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.strengths.free_text",
"min": 0,
"definition": "The person’s strengths (in free text). If the strengths are coded then this is any supplementary or personalised information that relates to the coded strength.",
"short": "Free text",
"_definition": {
"extension": [ {
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"extension": [ {
"url": "lang",
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}, {
"url": "content",
"valueMarkdown": "The person’s strengths (in free text). If the strengths are coded then this is any supplementary or personalised information that relates to the coded strength."
} ]
} ]
},
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}
}, {
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"definition": "Details of the person needs, concerns or problems",
"short": "Needs, concerns or problems",
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} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.coded_value",
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"definition": "The coded value associated with the person's needs, concerns or problems.",
"short": "Coded value",
"type": [ {
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} ],
"mustSupport": true,
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}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.free_text",
"min": 0,
"definition": "The person’s needs, concerns or problems (in free text). If the needs, concerns or problems are coded then this is any supplementary or personalised information that relates to the coded need, concern or problem.",
"short": "Free text",
"_definition": {
"extension": [ {
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"extension": [ {
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}, {
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} ]
} ]
},
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.free_text"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes",
"min": 0,
"definition": "| \r\n\r\n\r\n\r\nThe overall goals, hopes, aims or targets that the person has. Including anything that the person wants to achieve that relates to their future health and wellbeing. Each goal may include a description of why it is important to the person. Goals may also be ranked in order of importance or priority to the person.\r\n\r\n\r\n\r\n |",
"short": "Goals and hopes",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.coded_value",
"min": 0,
"definition": "The coded value associated with the person's goals, aim's and hopes. e.g. 999002111000000103 |Occupational therapy goals simple reference set (foundation metadata concept)|",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.free_text",
"min": 0,
"definition": "The person’s goals and hopes (in free text). If the goals and hopes are coded then this is any supplementary or personalised information that relates to the coded goal or hope.",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.free_text"
}
}, {
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"min": 0,
"definition": "Assessment of the person's motivations to achieve this goal, how important the goal is to the person on a scale of 1-10.",
"short": "Goal importance score",
"type": [ {
"code": "decimal"
} ],
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.goal_importance_score"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities",
"min": 0,
"definition": "Actions or activities the person or others plan to take to achieve the person's goals and the resources required to do this.",
"short": "Actions and activities",
"type": [ {
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} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.what",
"min": 0,
"definition": "What the action is and how it is to be carried out?",
"short": "What",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.what"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.what.coded_value",
"min": 0,
"definition": "The coded value for the action.\r\n\r\n| \r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n |",
"short": "Coded value",
"type": [ {
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} ],
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}, {
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"min": 0,
"definition": "The person’s actions (in free text). If the actions are coded then this is any supplementary or personalised information that relates to the coded action.",
"short": "Free text",
"type": [ {
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} ],
"mustSupport": true,
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}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.who",
"min": 0,
"definition": "Name and role (e.g. person, carer, GP, OT, etc.) of the person, or a team, carrying out the proposed action, and, if relevant where action should take place.",
"short": "Who",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
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}, {
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"min": 0,
"definition": "The name of the professional or person carrying out the proposed action.",
"short": "Name",
"type": [ {
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} ],
"mustSupport": true,
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}
}, {
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"min": 0,
"definition": "The role of the person providing the service.",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.who.team",
"min": 0,
"definition": "The name of the team.",
"short": "Team",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
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}
}, {
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"min": 0,
"definition": "Contact details of the professional (e.g. telephone number, email address etc.).",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
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}, {
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"min": 0,
"definition": "Planned date, time, or interval, as relevant",
"short": "When",
"type": [ {
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} ],
"mustSupport": true,
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}, {
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"min": 0,
"definition": "Suggested strategies for potential problems.",
"short": "Suggested strategies",
"type": [ {
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} ],
"mustSupport": true,
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.status",
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"definition": "The status of the action or activity e.g. in progress, done, refused",
"short": "Status",
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} ],
"mustSupport": true,
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}, {
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"definition": "The coded value for the person's activity status",
"short": "Coded value",
"type": [ {
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} ],
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}, {
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"definition": "Any supplementary or personalised information for the person's activity status",
"short": "Free text",
"type": [ {
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} ],
"mustSupport": true,
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}, {
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"definition": "How confident the person feels to carry out the action associated to the goal.",
"short": "Confidence",
"type": [ {
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} ],
"mustSupport": true,
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}, {
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"definition": "Date when action/activity record was last updated",
"short": "Date last updated",
"type": [ {
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} ],
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}, {
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"min": 0,
"definition": "When the action evaluation needs to be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |",
"short": "Review date",
"type": [ {
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} ],
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}, {
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"definition": "Details of the person's stage goals",
"short": "Stage goal",
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}, {
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"definition": "A specific sub-goal that is related to the overall goal as agreed by the person in collaboration with a professional.",
"short": "Stage goal",
"type": [ {
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} ],
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}, {
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"definition": "The coded expression associated with the person's stage goal.",
"short": "Coded value",
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.stage_goal.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.stage_goal.free_text",
"min": 0,
"definition": "The person’s stage goal (in free text). If the stage goal is coded then this is any supplementary or personalised information that relates to the coded stage goal.",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.stage_goal.free_text"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.outcome",
"min": 0,
"definition": "The outcome of the stage goal",
"short": "Outcome",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10681--20181115135434",
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.outcome"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.outcome.coded_value",
"min": 0,
"definition": "The coded value for the person's stage goal outcome.",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14378--20210706132755",
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.outcome.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.outcome.free_text",
"min": 0,
"definition": "Any supplementary and personalised information relating to the person's outcome.",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14379--20210706133250",
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.outcome.free_text"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.goal_status",
"min": 0,
"definition": "The status associated with the person's stage goal",
"short": "Goal status",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14377--20210706132138",
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.goal_status"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.outcomes",
"min": 0,
"definition": "Outcomes of each of the person’s goals, aims and targets. Includes comments recorded by the person, date and status.",
"short": "Outcomes",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.10416--20181031000000",
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"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.outcomes"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.outcomes.coded_value",
"min": 0,
"definition": "The coded value associated with the person's overall goal outcome",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14380--20210706145509",
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.outcomes.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.outcomes.free_text",
"min": 0,
"definition": "The person’s outcome (in free text) of a goal. If the outcome is coded then this is any supplementary or personalised information that relates to the coded outcome.",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14382--20210706145853",
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.outcomes.free_text"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.goal_status",
"min": 0,
"definition": "The status associated with the person's overall goal.",
"short": "Goal status",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14400--20210707131458",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.goal_status"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative",
"min": 0,
"definition": "Indicates whether the plan was discussed and agreed with the person or legitimate representative.",
"short": "Agreed with person or legitimate representative",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10409--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative.person_or_legitimate_representative",
"min": 0,
"definition": "Indicates whether the plan was discussed and agreed with the person or legitimate representative",
"short": "Person or legitimate representative",
"type": [ {
"code": "boolean"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14322--20210629130522",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative.person_or_legitimate_representative"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative.person_full_name",
"requirements": "Patient.name.text",
"min": 0,
"definition": "The full name of the person in text representation.",
"short": "Person full name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14323--20210629131457",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative.person_full_name"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative.role",
"min": 0,
"definition": "The role the professional has in relation to the person.",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14324--20210629131614",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative.role"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.care_funding_source",
"min": 0,
"definition": "A reference to the funding source and any conditions or limitations associated.",
"short": "Care funding source",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10410--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.care_funding_source"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.care_funding_source.coded_value",
"min": 0,
"definition": "The organisation code of the care funding source",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14391--20210706161205",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.care_funding_source.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.care_funding_source.free_text",
"min": 0,
"definition": "Any further information for the person's care funding source e.g. self funded",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14392--20210706161407",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.care_funding_source.free_text"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.date_this_plan_was_last_updated",
"min": 0,
"definition": "This is a record of the date that this care and support plan was last updated.",
"short": "Date this plan was last updated",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10412--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.date_this_plan_was_last_updated"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.other_care_planning_documents",
"min": 0,
"definition": "Reference other care planning documents, including the type, location and date. \r\n\r\nThis may include condition-specific plans, advance care plans, end of life care plan, etc.",
"short": "Other care planning documents",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.10415--20181031000000",
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.other_care_planning_documents"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.planned_review_dateinterval",
"min": 0,
"definition": "This is the date/interval when this information will next be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |",
"short": "Planned review date/interval",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10417--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.planned_review_dateinterval"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review",
"min": 0,
"definition": "This is a record of who has responsibility for arranging review of this information.",
"short": "Responsibility for review",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10418--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review.name",
"min": 0,
"definition": "The name of the professional with responsibility for the care of the person.",
"short": "Name",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14345--20210701204034",
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review.name"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review.role",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14346--20210701204135",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review.role"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review.contact_details",
"min": 0,
"definition": "Contact details of the professional (e.g. telephone number, email address etc.).",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14347--20210701204259",
"maxLength": 35,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.location",
"min": 0,
"definition": "The location where the care and support plan was prepared.",
"short": "Location",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12044--20190531153203",
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.location"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.location.coded_value",
"min": 0,
"definition": "The coded value for location",
"short": "Coded value",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13665--20200908221708",
"maxLength": 5,
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.location.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.location.free_text",
"min": 0,
"definition": "Free text field to be used if no coded text available",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13666--20200908221817",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.location.free_text"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional",
"min": 0,
"definition": "The professional who prepared the care and support plan.",
"short": "Performing professional",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12027--20190531153022",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.name",
"requirements": "Practitioner.name",
"min": 0,
"definition": "The name of the professional.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12028--20190531153050",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.name"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.role",
"requirements": "Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12029--20190531153050",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.role"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the professional.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12030--20190531153050",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.grade"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.speciality",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The specialty of the professional e.g. physiotherapy, oncology, mental health etc",
"short": "Speciality",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12031--20190531153050",
"maxLength": 3,
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.speciality"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.",
"short": "Professional identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12032--20190531153050",
"maxLength": 32,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.professional_identifier"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.organisation",
"min": 0,
"definition": "The name of the organisation the professional works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12033--20190531153050",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.organisation"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the professional",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12034--20190531153050",
"maxLength": 35,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record",
"min": 0,
"definition": "Details of the person completing the record.",
"short": "Person completing record",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.12035--20190531153101",
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.name",
"requirements": "Composition.author.Practitioner.name",
"min": 0,
"definition": "The name of the person completing the record.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12036--20190531153127",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.name"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.role",
"requirements": "Composition.author.Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The organisational role of the person completing record.",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12037--20190531153127",
"base": {
"max": "1",
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"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.role"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the person completing the record.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12038--20190531153127",
"maxLength": 150,
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.grade"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.specialty",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The main specialty of the person completing the record.",
"short": "Specialty",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12039--20190531153127",
"maxLength": 3,
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.specialty"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.organisation",
"min": 0,
"definition": "The organisation the person completing the record works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12040--20190531153127",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.organisation"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.",
"short": "Professional identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12041--20190531153127",
"maxLength": 32,
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.professional_identifier"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.date_completed",
"requirements": "Composition.date",
"min": 0,
"definition": "The date and time the record was completed.",
"short": "Date completed",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12042--20190531153127",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.date_completed"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the person completing the record.",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12043--20190531153127",
"maxLength": 35,
"base": {
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"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans",
"min": 0,
"definition": "These are the things to do and people to contact, should an individual’s\nhealth or other circumstances get worse.",
"short": "Contingency plans",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.469--20181031000000",
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.trigger_factors",
"min": 1,
"definition": "Signs to watch out for that may indicate a significant change in health or other circumstances e.g. feeling agitated",
"short": "Trigger factors",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.10375--20181031000000",
"base": {
"max": "*",
"min": 1,
"path": "personalised_care_and_support_plan.contingency_plans.trigger_factors"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.trigger_factors.coded_value",
"min": 0,
"definition": "The trigger that leads to instigation of a significant change in health or other circumstances.",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14389--20210706155834",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.trigger_factors.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.trigger_factors.free_text",
"min": 0,
"definition": "The person’s trigger factors (in free text). If the trigger factor is coded then this is any supplementary or personalised information that relates to the coded trigger factor.",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14390--20210706160156",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.trigger_factors.free_text"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.contingency_plan_name",
"min": 0,
"definition": "When the action evaluation needs to be reviewed.",
"short": "Contingency plan name",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10371--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.contingency_plan_name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.contingency_plan_name.coded_value",
"min": 0,
"definition": "The coded value for the type of care plan",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14387--20210706155058",
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.contingency_plan_name.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.contingency_plan_name.free_text",
"min": 0,
"definition": "Free text if no coded value is available.",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
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"min": 0,
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}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.what_should_happen",
"min": 0,
"definition": "Guidance on specific actions or interventions that may be required or should be avoided in specific situations. This may include circumstances where action needs to be taken if a carer is unable to care for the person. A statement of suggested actions. Usually expressed as: in the event of X do Y.",
"short": "What should happen",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.10376--20181031000000",
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.what_should_happen"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.what_should_happen.coded_value",
"min": 0,
"definition": "The coded value for what should happen",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14403--20210707134754",
"base": {
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"path": "personalised_care_and_support_plan.contingency_plans.what_should_happen.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.what_should_happen.free_text",
"min": 0,
"definition": "What should happen (in free text). If 'what should happen' is coded then this is any supplementary or personalised information that relates to the coded value for 'what should happen'.",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.what_should_happen.free_text"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted",
"min": 0,
"definition": "Who should be contacted in the event of significant problems or deterioration in health or wellbeing. e.g. name, role and contact details.",
"short": "Who should be contacted",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.10377--20181031000000",
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted.name",
"min": 0,
"definition": "The name of the professional with responsibility for the care of the person.",
"short": "Name",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14405--20210707135626",
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"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted.name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted.role",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14406--20210707135748",
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted.role"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted.contact_details",
"min": 0,
"definition": "Contact details of the personal contact (e.g. telephone number, address, email address etc.)",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14407--20210707135915",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative",
"min": 0,
"definition": "Indicates whether the plan was discussed and agreed with the person or legitimate representative.",
"short": "Agreed with person or legitimate representative",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10369--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative.person_or_legitimate_representative",
"min": 0,
"definition": "Indicates whether the plan was discussed and agreed with the person or legitimate representative",
"short": "Person or legitimate representative",
"type": [ {
"code": "boolean"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14339--20210701191112",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative.person_or_legitimate_representative"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative.person_full_name",
"requirements": "Patient.name.text",
"min": 0,
"definition": "The full name of the person in text representation.",
"short": "Person full name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14340--20210701191345",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative.person_full_name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative.role",
"min": 0,
"definition": "The role the professional has in relation to the person.",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14341--20210701191523",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative.role"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.date_this_plan_was_last_updated",
"min": 0,
"definition": "The date that this contingency plan was last updated.",
"short": "Date this plan was last updated",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10372--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.date_this_plan_was_last_updated"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.planned_review_dateinterval",
"min": 0,
"definition": "This is the date/interval when this contingency plan will next be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |",
"short": "Planned review date/interval",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10373--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.planned_review_dateinterval"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review",
"min": 0,
"definition": "This is who has responsibility for arranging review of this information.",
"short": "Responsibility for review",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10374--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review.name",
"min": 0,
"definition": "The name of the professional with responsibility for the care of the person.",
"short": "Name",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14342--20210701193829",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review.name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review.role",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14343--20210701193946",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review.role"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review.contact_details",
"min": 0,
"definition": "Contact details of the professional (e.g. telephone number, email address etc.).",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14344--20210701194059",
"maxLength": 35,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies",
"min": 0,
"definition": "Details of coping strategies used",
"short": "Coping strategies",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.13850--20210108163756",
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies.coping_strategy",
"min": 0,
"definition": "The coping strategies are defined as thoughts and behaviours that people use to manage the internal and external demands of situations that are appraised as stressful. This should also include a record of any tools used to carry out the coping strategy.",
"short": "Coping strategy",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13851--20210108164537",
"maxLength": 150,
"base": {
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"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies.coping_strategy"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies.start_date",
"min": 0,
"definition": "The date when the coping strategy started",
"short": "Start date",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13852--20210108164718",
"base": {
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"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies.start_date"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies.end_date",
"min": 0,
"definition": "The date when the coping strategy ended",
"short": "End date",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13853--20210108164858",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies.end_date"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.relapse_indicators__early_warning_signs",
"min": 0,
"definition": "Details of the relapse indicators for the person. These may also be called 'early warning signs'",
"short": "Relapse indicators / early warning signs",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.13854--20210108164959",
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.relapse_indicators__early_warning_signs"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.relapse_indicators__early_warning_signs.coded_value",
"min": 0,
"definition": "The coded value for relapse indicators/early warning signs",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.contingency_plans.relapse_indicators__early_warning_signs.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.relapse_indicators__early_warning_signs.free_text",
"min": 0,
"definition": "Any supplementary or personalised information regarding the relapse indicators/early warning signs",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.contingency_plans.relapse_indicators__early_warning_signs.free_text"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement",
"min": 0,
"definition": "Written requests and preferences made by a person with capacity conveying their wishes, beliefs and values for their future care should they lose capacity.",
"short": "Advance statement",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10777--20190319171220",
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.date",
"min": 0,
"definition": "The date when the advanced statements was made.",
"short": "Date",
"type": [ {
"code": "dateTime"
} ],
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"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12267--20190531163920",
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"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.date"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location",
"min": 0,
"definition": "The location where the advanced statement was made.",
"short": "Location",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12268--20190531163959",
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location.coded_value",
"min": 0,
"definition": "The coded value for location",
"short": "Coded value",
"type": [ {
"code": "string"
} ],
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"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13698--20200909171446",
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"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location.free_text",
"min": 0,
"definition": "Free text field to be used if no code is available",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location.free_text"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.advance_statement",
"min": 0,
"definition": "Does the person have an advance statement.",
"short": "Advance statement",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13695--20200909170633",
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.advance_statement"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.advance_statement.coded_value",
"min": 0,
"definition": "The coded value for advance statement",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13696--20200909170921",
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.advance_statement.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.advance_statement.free_text",
"min": 0,
"definition": "Free text field to be used if no code is available",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13697--20200909171048",
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.advance_statement.free_text"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location_of_document",
"min": 0,
"definition": "The location of where the advanced statement is held.",
"short": "Location of document",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
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"max": "1",
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"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location_of_document"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional",
"min": 0,
"definition": "The professional who made the advance statement.",
"short": "Performing professional",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
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"id": "2.16.840.1.113883.3.1937.777.28.2.12269--20190531164044",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.name",
"requirements": "Practitioner.name",
"min": 0,
"definition": "The name of the professional.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12270--20190531164101",
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"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.role",
"requirements": "Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12271--20190531164101",
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"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.role"
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}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the professional.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12272--20190531164101",
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"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.grade"
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}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.speciality",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The specialty of the professional e.g. physiotherapy, oncology, mental health etc",
"short": "Speciality",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12273--20190531164101",
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"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.speciality"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.",
"short": "Professional identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12274--20190531164101",
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"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.professional_identifier"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.organisation",
"min": 0,
"definition": "The name of the organisation the professional works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12275--20190531164101",
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"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.organisation"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the professional",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
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}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record",
"min": 0,
"definition": "Details of the person completing the record.",
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"type": [ {
"code": "BackboneElement"
} ],
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"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.name",
"requirements": "Composition.author.Practitioner.name",
"min": 0,
"definition": "The name of the person completing the record.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
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"requirements": "Composition.author.Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The organisational role of the person completing record.",
"short": "Role",
"type": [ {
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} ],
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}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the person completing the record.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.grade"
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}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.specialty",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The main specialty of the person completing the record.",
"short": "Specialty",
"type": [ {
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} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.specialty"
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}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.organisation",
"min": 0,
"definition": "The organisation the person completing the record works for.",
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} ],
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"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.organisation"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.",
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} ],
"mustSupport": true,
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}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.date_completed",
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"min": 0,
"definition": "The date and time the record was completed.",
"short": "Date completed",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.date_completed"
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}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the person completing the record.",
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"type": [ {
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} ],
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}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.anticipatory_medicinesequipment",
"min": 0,
"definition": "Medicines or equipment available that may be required in specific situations and their location. A statement regarding the availability or location of the anticipatory medicines/equipment. SNOMED CT Tag : - 871021000000106 | Prescription of palliative care anticipatory medication (procedure) |",
"short": "Anticipatory medicines/equipment",
"type": [ {
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} ],
"mustSupport": true,
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"id": "2.16.840.1.113883.3.1937.777.28.2.10370--20181031000000",
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"path": "personalised_care_and_support_plan.contingency_plans.anticipatory_medicinesequipment"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.location",
"min": 0,
"definition": "The location where the contingency plan was prepared.",
"short": "Location",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
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"path": "personalised_care_and_support_plan.contingency_plans.location"
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}, {
"path": "personalised_care_and_support_plan.contingency_plans.location.coded_value",
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"definition": "The coded value for location",
"short": "Coded value",
"type": [ {
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} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.contingency_plans.location.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.location.free_text",
"min": 0,
"definition": "Free text field to be used if no code is available",
"short": "Free text",
"type": [ {
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} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.contingency_plans.location.free_text"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional",
"min": 0,
"definition": "The professional who prepared the contingency plans.",
"short": "Performing professional",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12045--20190531153320",
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"path": "personalised_care_and_support_plan.contingency_plans.performing_professional"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.name",
"requirements": "Practitioner.name",
"min": 0,
"definition": "The name of the professional.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12046--20190531153338",
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"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.role",
"requirements": "Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc",
"short": "Role",
"type": [ {
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} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.role"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the professional.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.grade"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.speciality",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The specialty of the professional e.g. physiotherapy, oncology, mental health etc",
"short": "Speciality",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.speciality"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.",
"short": "Professional identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12050--20190531153338",
"maxLength": 32,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.professional_identifier"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.organisation",
"min": 0,
"definition": "The name of the organisation the professional works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12051--20190531153338",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.organisation"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the professional",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12052--20190531153338",
"maxLength": 35,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record",
"min": 0,
"definition": "Details of the person completing the record.",
"short": "Person completing record",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12053--20190531153349",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.name",
"requirements": "Composition.author.Practitioner.name",
"min": 0,
"definition": "The name of the person completing the record.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12054--20190531153415",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.role",
"requirements": "Composition.author.Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The organisational role of the person completing record.",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12055--20190531153415",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.role"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the person completing the record.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12056--20190531153415",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.grade"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.specialty",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The main specialty of the person completing the record.",
"short": "Specialty",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12057--20190531153415",
"maxLength": 3,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.specialty"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.organisation",
"min": 0,
"definition": "The organisation the person completing the record works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12058--20190531153415",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.organisation"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.",
"short": "Professional identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12059--20190531153415",
"maxLength": 32,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.professional_identifier"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.date_completed",
"requirements": "Composition.date",
"min": 0,
"definition": "The date and time the record was completed.",
"short": "Date completed",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12060--20190531153415",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.date_completed"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the person completing the record.",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12061--20190531153415",
"maxLength": 35,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans",
"min": 0,
"definition": "Additional support plans",
"short": "Additional support plans",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.502--20181031000000",
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_name",
"min": 0,
"definition": "The name of the particular additional supporting plan, e.g. dieticians plan, wound management plan, discharge management plan and behaviour support plan.",
"short": "Additional support plan name",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10402--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_name"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_name.coded_value",
"min": 0,
"definition": "The coded value for the type of care plan",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14397--20210706164030",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_name.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_name.free_text",
"min": 0,
"definition": "Free text if no coded value is available",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14398--20210706164320",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_name.free_text"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_content",
"min": 0,
"definition": "This is the content of any additional care and support plan which the person and/or care professional consider should be shared with others providing care and support. May be structured in different ways, e.g. tables, diagrams, images. This is the content of any additional care and support plan which the individual and/or care professional consider should be shared with others providing care and support. It should be structured as recommended for the care and support plan and if contains additional detail, it may be referenced here.",
"short": "Additional support plan content",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10403--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_content"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.planned_review_dateinterval",
"min": 0,
"definition": "This is the date/interval when this information will next be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |",
"short": "Planned review date/interval",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10405--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.planned_review_dateinterval"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review",
"min": 0,
"definition": "This is a record of who has responsibility for arranging review of this information. Should include their name, role and contact details.",
"short": "Responsibility for review",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10406--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review.name",
"min": 0,
"definition": "The name of the professional with responsibility for the care of the person.",
"short": "Name",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14348--20210701204451",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review.name"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review.role",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14349--20210701204607",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review.role"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review.contact_details",
"min": 0,
"definition": "Contact details of the professional (e.g. telephone number, email address etc.).",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14350--20210701204937",
"maxLength": 35,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.date_this_plan_was_last_updated",
"min": 0,
"definition": "This is a record of the date that this information was last updated.",
"short": "Date this plan was last updated",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10407--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.date_this_plan_was_last_updated"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.location",
"min": 0,
"definition": "The location where the additional support plan was prepared.",
"short": "Location",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12080--20190531154038",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.location"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.location.coded_value",
"min": 0,
"definition": "The coded value for location",
"short": "Coded value",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13722--20200914135006",
"maxLength": 5,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.location.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.location.free_text",
"min": 0,
"definition": "Free text field to be used if no code is available",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13723--20200914135248",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.location.free_text"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional",
"min": 0,
"definition": "The professional who prepared the additional support plan.",
"short": "Performing professional",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12062--20190531153617",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.name",
"requirements": "Practitioner.name",
"min": 0,
"definition": "The name of the professional.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12063--20190531153635",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.name"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.role",
"requirements": "Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12064--20190531153635",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.role"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the professional.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12065--20190531153635",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.grade"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.speciality",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The specialty of the professional e.g. physiotherapy, oncology, mental health etc",
"short": "Speciality",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12066--20190531153635",
"maxLength": 3,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.speciality"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.",
"short": "Professional identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12067--20190531153635",
"maxLength": 32,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.professional_identifier"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.organisation",
"min": 0,
"definition": "The name of the organisation the professional works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12068--20190531153635",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.organisation"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the professional",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12069--20190531153635",
"maxLength": 35,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.person_completing_record",
"min": 0,
"definition": "Details of the person completing the record.",
"short": "Person completing record",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12070--20190531153649",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.person_completing_record"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.person_completing_record.name",
"requirements": "Composition.author.Practitioner.name",
"min": 0,
"definition": "The name of the person completing the record.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12071--20190531153713",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.person_completing_record.name"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.person_completing_record.role",
"requirements": "Composition.author.Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The organisational role of the person completing record.",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12072--20190531153713",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.person_completing_record.role"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.person_completing_record.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the person completing the record.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12073--20190531153713",
"maxLength": 150,
"base": {
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}, {
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"definition": "The preferred order of use for the telephone number",
"short": "Preference of telephone number",
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}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details",
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"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.13807--20201126162922",
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details.persons_email_address",
"requirements": "Patient.contact.telecon.value",
"min": 0,
"definition": "Email address of the person.",
"short": "Person's email address",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10882--20190327192019",
"maxLength": 255,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details.persons_email_address"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details.persons_email_address_type",
"requirements": "Patient.telecon.use",
"min": 0,
"definition": "The type of email address, home, work",
"short": "Person's email address type",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13811--20201126173054",
"maxLength": 6,
"example": [ {
"label": "example 1",
"valueString": "Home"
}, {
"label": "example 2",
"valueString": "Work"
}, {
"label": "example 3",
"valueString": "old"
} ],
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details.persons_email_address_type"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details.preference_of_email_address",
"requirements": "Patient.telecon.rank",
"min": 0,
"definition": "The preferred order of use of email address",
"short": "Preference of email address",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13810--20201126170711",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.persons_email_address_details.preference_of_email_address"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.other_contact_information",
"requirements": "Patient.contact.telecon.value",
"min": 0,
"definition": "Contact details via fax, sms, url",
"short": "Other contact information",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.13806--20201126160706",
"maxLength": 255,
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.person_demographics.persons_contact_details.other_contact_information"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.place_of_birth",
"requirements": "Patient.extension(Birthplace)",
"min": 0,
"definition": "The country of birth of the person.",
"short": "Place of birth",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10884--20190327192507",
"maxLength": 3,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.person_demographics.place_of_birth"
}
}, {
"path": "personalised_care_and_support_plan.person_demographics.marital_status",
"requirements": "Patient.maritalstatus",
"min": 0,
"definition": "An indicator to identify the legal marital status of the person.",
"short": "Marital status",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10885--20190327192557",
"maxLength": 1,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.person_demographics.marital_status"
}
}, {
"path": "personalised_care_and_support_plan.gp_practice",
"min": 1,
"definition": "Details of the person's GP practice.",
"short": "GP practice",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.101--20181031000000",
"base": {
"max": "1",
"min": 1,
"path": "personalised_care_and_support_plan.gp_practice"
}
}, {
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry",
"min": 0,
"definition": "This is an GP practice record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items",
"short": "GP practice record entry",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.10643--20181109145924",
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry"
}
}, {
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry.gp_name",
"requirements": "Practitioner.name",
"min": 0,
"definition": "The name of the person's GP. If the person is registered with a GP practice, their usual GP name will be something volunteered by the person or their representative.",
"short": "GP name",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10003--20181031000000",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry.gp_name"
}
}, {
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry.gp_practice_details",
"requirements": "PractitionerRole.organisation.Name (0..1)\r\nPractitionerRole.organisation.telcom (0..*)\r\nPractitionerRole.organisation.Address (0..*)",
"min": 0,
"definition": "Name and address of the person's registered GP Practice. Registered GP practice details are available from the Person Dempographics Service (PDS), or volunteered from the person or their representative. Include details of the practice name and address.",
"short": "GP practice details",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10002--20181031000000",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry.gp_practice_details"
}
}, {
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry.gp_practice_identifier",
"requirements": "PratitionerRole.organisation.identifier",
"min": 1,
"definition": "The identifier of the registered GP practice.",
"short": "GP practice identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10001--20181031000000",
"maxLength": 6,
"base": {
"max": "1",
"min": 1,
"path": "personalised_care_and_support_plan.gp_practice.gp_practice_record_entry.gp_practice_identifier"
}
}, {
"path": "personalised_care_and_support_plan.about_me",
"min": 0,
"definition": "About me",
"short": "About me",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.466--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.what_is_most_important_to_me",
"min": 0,
"definition": "A description of what is most important to you.",
"short": "What is most important to me",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12964--20200330105029",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.what_is_most_important_to_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.what_is_most_important_to_me.what_is_most_important_to_me",
"min": 0,
"definition": "A description of what is most important to you \r\n**Emergency Information : -** Include any essential information that any professional in health and social care should know about the you in any situation, including emergencies.\r\n**Other Information : -**This could include : - Values, Spirituality/religion, Ethnicity, Culture, Pets, Goals and aspirations, Meaningful activities including leisure activities, visiting places, sport and exercise, listening to music, employment, education, volunteering",
"short": "What is most important to me",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14325--20210701134923",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.what_is_most_important_to_me.what_is_most_important_to_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.people_who_are_important_to_me",
"min": 0,
"definition": "Details of who is important to you and why.",
"short": "People who are important to me",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13009--20200427112317",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.people_who_are_important_to_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.people_who_are_important_to_me.people_who_are_important_to_me",
"min": 0,
"definition": "Details of who is important to you and why. They could be family members, carers, friends, members of staff etc. Include how you want the people important to you to be engaged and involved in your care and support in both emergency and normal situations. Include how you stay connected to the people important to you. Who should not be contacted or consulted about your care and support and why, if you wish to say",
"short": "People who are important to me",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14327--20210701162725",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.people_who_are_important_to_me.people_who_are_important_to_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.how_i_communicate_and_how_to_communicate_with_me",
"min": 0,
"definition": "A description of how you communicate normally.",
"short": "How I communicate and how to communicate with me",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13006--20200424114824",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.how_i_communicate_and_how_to_communicate_with_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.how_i_communicate_and_how_to_communicate_with_me.how_i_communicate_and_how_to_communicate_with_me",
"min": 0,
"definition": "A description of how you communicate normally including any communication aids you use, for example a hearing aid.\r\n\r\n\r\n* Include your preferred language of communication, if your first language is not English.\r\n* Include how you would communicate when you are in pain or distress.\r\n* Include how you communicate choices.\r\n* Include how you give feedback or raise a concern.\r\n* Include how you like to receive information\r\n\r\n\r\n\r\nDescribe how you would like others to engage and communicate with you, including how you would like to be addressed.",
"short": "How I communicate and how to communicate with me",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14329--20210701163925",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.how_i_communicate_and_how_to_communicate_with_me.how_i_communicate_and_how_to_communicate_with_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.my_wellness",
"min": 0,
"definition": "A description covering what you are able to do, how you engage with others and how you feel on a typical day through to on a day when you are unwell or really unwell.",
"short": "My wellness",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"alias": [ "0.3" ],
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13005--20200424114553",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.my_wellness"
}
}, {
"path": "personalised_care_and_support_plan.about_me.my_wellness.my_wellness",
"min": 0,
"definition": "| \r\n\r\n\r\n\r\n\r\n\r\nA description covering what you are able to do, how you engage with others and how you feel on a typical day through to on a day when you are unwell or really unwell\r\n\r\n\r\n\r\n\r\n\r\n |\r\n\r\n\r\n\r\n\r\n\r\n\r\n| \r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n* Include any causes that might result in you becoming unwell and strategies for avoiding or addressing the causes. For example, not drinking enough water could cause constipation.\r\n* Include any signs that indicate you might be becoming unwell.\r\n* On a bad day describe what is different about what you are able to do, how you engage with others and how you feel.\r\n* Include how your everyday life is affected by any medical conditions e.g. dementia and any symptoms e.g. itchiness, cough, pain and how you manage those conditions.\r\n* Include past health issues or experiences that need to be considered\r\n* Include your wellbeing and lifestyle goals and aspirations\r\n\r\n\r\n\r\n\n \r\n\r\n\r\n\r\n\r\n\r\n |",
"short": "My wellness",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14331--20210701165812",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.my_wellness.my_wellness"
}
}, {
"path": "personalised_care_and_support_plan.about_me.please_do_and_please_dont",
"min": 0,
"definition": "A description of things you want someone supporting you to do (or not to do).",
"short": "Please do and please don't",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13008--20200427103459",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.please_do_and_please_dont"
}
}, {
"path": "personalised_care_and_support_plan.about_me.please_do_and_please_dont.please_do_and_please_dont",
"min": 0,
"definition": "A description of things you want someone supporting you to do (or not to do).\r\nThings you want someone to **do **might include (for example): - Talk to me not to my carer, remind me to take my medication, encourage me to wash my hands regularly, explain to me what is happening and why, respond to my communication.\r\nA description of things you **do not** want someone supporting you to do might include (for example): - Discussing or asking questions about certain topics, making assumptions about something, providing support when it is not wanted, talking to you in a certain way, undergoing a specific intervention or taking a medication the person does not want.",
"short": "Please do and please don't",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14333--20210701172602",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.please_do_and_please_dont.please_do_and_please_dont"
}
}, {
"path": "personalised_care_and_support_plan.about_me.how_and_when_to_support_me",
"min": 0,
"definition": "A description of how and when you want someone caring for you to support you.",
"short": "How and when to support me",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13007--20200427102954",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.how_and_when_to_support_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.how_and_when_to_support_me.how_and_when_to_support_me",
"min": 0,
"definition": "A description of how and when you want someone caring for you to support you.\r\n\r\n\r\n\r\n\r\n* This could include support needs in an emergency situation (for example taking blood)\r\n* This could include support you need to maintain important routines or to carry out particular activities, for example: - Personal care routines, Eating and drinking, Bedtime routines, Taking medications, Moving and transitioning\r\n* This could also include support needed with:- wearing glasses/hearing aids/false teeth etc, making informed choices or understanding dangers and risks, managing your emotions, moods and behaviours, memory or confusion.\r\n* Include how your support needs change in different environments. Include any triggers that might result in you needing further support and strategies for avoiding or addressing the triggers. Include how you want the support to be provided.",
"short": "How and when to support me",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14335--20210701173520",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.how_and_when_to_support_me.how_and_when_to_support_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.also_worth_knowing_about_me",
"min": 0,
"definition": "A description of what is also worth knowing about you for people caring or supporting you.",
"short": "Also worth knowing about me",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13094--20200622113009",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.also_worth_knowing_about_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.also_worth_knowing_about_me.also_worth_knowing_about_me",
"min": 0,
"definition": "A description of what is also worth knowing about you for people caring or supporting you.\r\n\r\n\r\n\r\n\r\n* This could include a short history of your life (where you have worked, where you lived, important events in your life, important people in your past life).\r\n* This could include a short profile of your current life:- your work / study, your aspirations, your skills, your networks, things you like e.g. particular foods, places, a football team and things you like to talk about, things you dislike\r\n* This could also include any care and support preferences that have not been included elsewhere.",
"short": "Also worth knowing about me",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14337--20210701174150",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.also_worth_knowing_about_me.also_worth_knowing_about_me"
}
}, {
"path": "personalised_care_and_support_plan.about_me.date",
"min": 0,
"definition": "This is a record of the date that this information was last updated.",
"short": "Date",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10367--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.date"
}
}, {
"path": "personalised_care_and_support_plan.about_me.supported_to_write_this_by",
"min": 0,
"definition": "Where relevant, this is a record of name, relationship/role and contact details of the individual who supported the person to write this section e.g. carer, family member, advocate, professional.",
"short": "Supported to write this by",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10368--20181031000000",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.supported_to_write_this_by"
}
}, {
"path": "personalised_care_and_support_plan.about_me.location_to_multimedia_file",
"min": 0,
"definition": "The link to the person's multimedia file",
"short": "Location to multimedia file",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14326--20210701135003",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.about_me.location_to_multimedia_file"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts",
"min": 0,
"definition": "The details of the person’s professional contacts.",
"short": "Professional contacts",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.452--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry",
"min": 0,
"definition": "This is a professional contacts record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.",
"short": "Professional contacts record entry",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.10767--20190318180716",
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.name",
"min": 0,
"definition": "The name of the professional with responsibility for the care of the person.",
"short": "Name",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10352--20181031000000",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.name"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.role",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10353--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.role"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.key_worker",
"min": 0,
"definition": "A flag that identifies the personal contact is the key worker assigned to the person.",
"short": "Key worker",
"type": [ {
"code": "boolean"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12973--20200406200200",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.key_worker"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.speciality",
"min": 0,
"definition": "The specialty of the professional e.g. physiotherapy, oncology, mental health etc",
"short": "Speciality",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10354--20181031000000",
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"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.speciality"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.team",
"min": 0,
"definition": "The name of the team.",
"short": "Team",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10355--20181031000000",
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"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.team"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.organisation",
"min": 0,
"definition": "The name of the organisation.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10356--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.organisation"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.organisation.coded_value",
"min": 0,
"definition": "The coded value for location",
"short": "Coded value",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13564--20200904181834",
"maxLength": 5,
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.organisation.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.organisation.free_text",
"min": 0,
"definition": "Free text field to be used if no code is available",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13565--20200904181937",
"maxLength": 150,
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"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.organisation.free_text"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.contact_details",
"min": 0,
"definition": "Contact details of the professional (e.g. telephone number, email address etc.).",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10357--20181031000000",
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"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.start_date",
"min": 0,
"definition": "The start date of the professional relationship with the person.",
"short": "Start date",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10358--20181031000000",
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.start_date"
}
}, {
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.end_date",
"min": 0,
"definition": "The end date of the professional relationship with the person.",
"short": "End date",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10359--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.professional_contacts.professional_contacts_record_entry.end_date"
}
}, {
"path": "personalised_care_and_support_plan.personal_contacts",
"min": 0,
"definition": "The details of the individual's personal contacts.",
"short": "Personal contacts",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.445--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.personal_contacts"
}
}, {
"path": "personalised_care_and_support_plan.personal_contacts.personal_contacts_record_entry",
"min": 0,
"definition": "This is personal contacts record entry. There may be 0 to many record entries under a section. Each record entry is made up of a number of elements or data items.",
"short": "Personal contacts record entry",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.10768--20190319130513",
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"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.personal_contacts.personal_contacts_record_entry"
}
}, {
"path": "personalised_care_and_support_plan.personal_contacts.personal_contacts_record_entry.name",
"min": 1,
"definition": "The name of the personal contact.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10345--20181031000000",
"maxLength": 70,
"base": {
"max": "1",
"min": 1,
"path": "personalised_care_and_support_plan.personal_contacts.personal_contacts_record_entry.name"
}
}, {
"path": "personalised_care_and_support_plan.personal_contacts.personal_contacts_record_entry.relationship",
"min": 0,
"definition": "The relationship the personal contact has to the person, e.g. father, grandmother, family friend etc.",
"short": "Relationship",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10346--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.personal_contacts.personal_contacts_record_entry.relationship"
},
"defaultValueCodeableConcept": {
"text": "10"
}
}, {
"path": "personalised_care_and_support_plan.personal_contacts.personal_contacts_record_entry.relationship_type",
"min": 0,
"definition": "Additional roles the person performs on behalf of the other (e.g. Carer, Next of Kin, Emergency Contact, Dependent, etc.)",
"short": "Relationship type",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12968--20200406131310",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.personal_contacts.personal_contacts_record_entry.relationship_type"
}
}, {
"path": "personalised_care_and_support_plan.personal_contacts.personal_contacts_record_entry.contact_details",
"min": 0,
"definition": "Contact details of the personal contact (e.g. telephone number, address, email address etc.)",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10350--20181031000000",
"maxLength": 70,
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"path": "personalised_care_and_support_plan.personal_contacts.personal_contacts_record_entry.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.personal_contacts.personal_contacts_record_entry.comments",
"min": 0,
"definition": "Notes on the significance of the personal contact to the person.",
"short": "Comments",
"type": [ {
"code": "markdown"
} ],
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10937--20190502171544",
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"max": "1",
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"path": "personalised_care_and_support_plan.personal_contacts.personal_contacts_record_entry.comments"
}
}, {
"path": "personalised_care_and_support_plan.formulation",
"min": 0,
"definition": "Details of the person's formulation.",
"short": "Formulation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.11666--20190530204307",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.formulation"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry",
"min": 0,
"definition": "This is the formulation record entry. There may be 0 to many record entry/entries under a section. Each record entry is made up of a number of elements or data items.",
"short": "Formulation record entry",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.11667--20190530204432",
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"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.date",
"min": 0,
"definition": "The date the formulation was made.",
"short": "Date",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.11669--20190530204742",
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"min": 0,
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.date"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.location",
"min": 0,
"definition": "The location where the formulation was made.",
"short": "Location",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.11670--20190530204826",
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"min": 0,
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.location"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.location.coded_value",
"min": 0,
"definition": "The coded value for location",
"short": "Coded value",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
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"base": {
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"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.location.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.location.free_text",
"min": 0,
"definition": "Free text field to be used if no code is available",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.location.free_text"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional",
"min": 0,
"definition": "The professional who made the formulation.",
"short": "Performing professional",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.11671--20190530204915",
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.name",
"requirements": "Practitioner.name",
"min": 0,
"definition": "The name of the professional.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.11672--20190530204934",
"maxLength": 70,
"base": {
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"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.name"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.role",
"requirements": "Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.11673--20190530204934",
"base": {
"max": "1",
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"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.role"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the professional.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.11674--20190530204934",
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"base": {
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"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.grade"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.speciality",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The specialty of the professional e.g. physiotherapy, oncology, mental health etc",
"short": "Speciality",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.speciality"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.",
"short": "Professional identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.professional_identifier"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.organisation",
"min": 0,
"definition": "The name of the organisation the professional works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.11677--20190530204934",
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"min": 0,
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.organisation"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the professional",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
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"maxLength": 35,
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"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.performing_professional.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.formulation",
"min": 0,
"definition": "An account, shared by a therapist and person, of the personal meaning and origins of a person’s difficulties. This is viewed in the context of multiple factors including relationships, social circumstances and life events and will indicate the most helpful way forward.",
"short": "Formulation",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
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"base": {
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"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.formulation"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.person_completing_record",
"min": 0,
"definition": "Details of the person completing the record.",
"short": "Person completing record",
"type": [ {
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} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.person_completing_record"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.person_completing_record.name",
"requirements": "Composition.author.Practitioner.name",
"min": 0,
"definition": "The name of the person completing the record.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.person_completing_record.name"
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}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.person_completing_record.role",
"requirements": "Composition.author.Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The organisational role of the person completing record.",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14413--20210804190656",
"base": {
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"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.person_completing_record.role"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.person_completing_record.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the person completing the record.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14414--20210804190656",
"maxLength": 150,
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.person_completing_record.grade"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.person_completing_record.specialty",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The main specialty of the person completing the record.",
"short": "Specialty",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14415--20210804190656",
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"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.person_completing_record.specialty"
}
}, {
"path": "personalised_care_and_support_plan.formulation.formulation_record_entry.person_completing_record.organisation",
"min": 0,
"definition": "The organisation the person completing the record works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
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}, {
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}, {
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}
}, {
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"definition": "Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.",
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}, {
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}, {
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"definition": "Contact details of the person completing the record.",
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}, {
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"definition": "This records the decisions reached during conversation between the individual and health and care professional about future plans and also records progress.",
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}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.strengths",
"min": 0,
"definition": "Any strengths and assets the person has relating to their goals and hopes about their health and well-being.",
"short": "Strengths",
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"code": "BackboneElement"
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"path": "personalised_care_and_support_plan.care_and_support_plan.strengths"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.strengths.coded_value",
"min": 0,
"definition": "The coded value associated with the person's strengths. Could be derived from the assessment of the person e.g. 300738008 |Able to participate in leisure activities (finding)|",
"short": "Coded value",
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}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.strengths.free_text",
"min": 0,
"definition": "The person’s strengths (in free text). If the strengths are coded then this is any supplementary or personalised information that relates to the coded strength.",
"short": "Free text",
"_definition": {
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"extension": [ {
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},
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}, {
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"definition": "Details of the person needs, concerns or problems",
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems"
}
}, {
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"definition": "The coded value associated with the person's needs, concerns or problems.",
"short": "Coded value",
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}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.free_text",
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"definition": "The person’s needs, concerns or problems (in free text). If the needs, concerns or problems are coded then this is any supplementary or personalised information that relates to the coded need, concern or problem.",
"short": "Free text",
"_definition": {
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} ]
} ]
},
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}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes",
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"definition": "| \r\n\r\n\r\n\r\nThe overall goals, hopes, aims or targets that the person has. Including anything that the person wants to achieve that relates to their future health and wellbeing. Each goal may include a description of why it is important to the person. Goals may also be ranked in order of importance or priority to the person.\r\n\r\n\r\n\r\n |",
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.coded_value",
"min": 0,
"definition": "The coded value associated with the person's goals, aim's and hopes. e.g. 999002111000000103 |Occupational therapy goals simple reference set (foundation metadata concept)|",
"short": "Coded value",
"type": [ {
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} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.coded_value"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.free_text",
"min": 0,
"definition": "The person’s goals and hopes (in free text). If the goals and hopes are coded then this is any supplementary or personalised information that relates to the coded goal or hope.",
"short": "Free text",
"type": [ {
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}, {
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"definition": "Assessment of the person's motivations to achieve this goal, how important the goal is to the person on a scale of 1-10.",
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"definition": "Actions or activities the person or others plan to take to achieve the person's goals and the resources required to do this.",
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"definition": "The coded value for the action.\r\n\r\n| \r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n |",
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"definition": "The person’s actions (in free text). If the actions are coded then this is any supplementary or personalised information that relates to the coded action.",
"short": "Free text",
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"mustSupport": true,
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}, {
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"definition": "Name and role (e.g. person, carer, GP, OT, etc.) of the person, or a team, carrying out the proposed action, and, if relevant where action should take place.",
"short": "Who",
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}, {
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"definition": "The role of the person providing the service.",
"short": "Role",
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} ],
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}, {
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"definition": "The name of the team.",
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"type": [ {
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}, {
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"definition": "Suggested strategies for potential problems.",
"short": "Suggested strategies",
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}, {
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}, {
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"definition": "Any supplementary or personalised information for the person's activity status",
"short": "Free text",
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} ],
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}, {
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"definition": "How confident the person feels to carry out the action associated to the goal.",
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} ],
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"definition": "Date when action/activity record was last updated",
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.date_last_updated"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.review_date",
"min": 0,
"definition": "When the action evaluation needs to be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |",
"short": "Review date",
"type": [ {
"code": "dateTime"
} ],
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.review_date"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal",
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"definition": "Details of the person's stage goals",
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"code": "BackboneElement"
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.stage_goal",
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"definition": "A specific sub-goal that is related to the overall goal as agreed by the person in collaboration with a professional.",
"short": "Stage goal",
"type": [ {
"code": "BackboneElement"
} ],
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.stage_goal"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.stage_goal.coded_value",
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"definition": "The coded expression associated with the person's stage goal.",
"short": "Coded value",
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"code": "CodeableConcept"
} ],
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.stage_goal.coded_value"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.stage_goal.free_text",
"min": 0,
"definition": "The person’s stage goal (in free text). If the stage goal is coded then this is any supplementary or personalised information that relates to the coded stage goal.",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.stage_goal.free_text"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.outcome",
"min": 0,
"definition": "The outcome of the stage goal",
"short": "Outcome",
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"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.outcome"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.outcome.coded_value",
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"definition": "The coded value for the person's stage goal outcome.",
"short": "Coded value",
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"code": "CodeableConcept"
} ],
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.outcome.coded_value"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.outcome.free_text",
"min": 0,
"definition": "Any supplementary and personalised information relating to the person's outcome.",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14379--20210706133250",
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.outcome.free_text"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.goal_status",
"min": 0,
"definition": "The status associated with the person's stage goal",
"short": "Goal status",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.actions_and_activities.stage_goal.goal_status"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.outcomes",
"min": 0,
"definition": "Outcomes of each of the person’s goals, aims and targets. Includes comments recorded by the person, date and status.",
"short": "Outcomes",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
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"id": "2.16.840.1.113883.3.1937.777.28.2.10416--20181031000000",
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.outcomes"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.outcomes.coded_value",
"min": 0,
"definition": "The coded value associated with the person's overall goal outcome",
"short": "Coded value",
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"code": "CodeableConcept"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.outcomes.coded_value"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.outcomes.free_text",
"min": 0,
"definition": "The person’s outcome (in free text) of a goal. If the outcome is coded then this is any supplementary or personalised information that relates to the coded outcome.",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.outcomes.free_text"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.goal_status",
"min": 0,
"definition": "The status associated with the person's overall goal.",
"short": "Goal status",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.care_and_support_plan.needs_concerns_or_problems.goals_and_hopes.goal_status"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative",
"min": 0,
"definition": "Indicates whether the plan was discussed and agreed with the person or legitimate representative.",
"short": "Agreed with person or legitimate representative",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative.person_or_legitimate_representative",
"min": 0,
"definition": "Indicates whether the plan was discussed and agreed with the person or legitimate representative",
"short": "Person or legitimate representative",
"type": [ {
"code": "boolean"
} ],
"mustSupport": true,
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative.person_or_legitimate_representative"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative.person_full_name",
"requirements": "Patient.name.text",
"min": 0,
"definition": "The full name of the person in text representation.",
"short": "Person full name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative.person_full_name"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative.role",
"min": 0,
"definition": "The role the professional has in relation to the person.",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14324--20210629131614",
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.agreed_with_person_or_legitimate_representative.role"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.care_funding_source",
"min": 0,
"definition": "A reference to the funding source and any conditions or limitations associated.",
"short": "Care funding source",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10410--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.care_funding_source"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.care_funding_source.coded_value",
"min": 0,
"definition": "The organisation code of the care funding source",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.care_funding_source.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.care_funding_source.free_text",
"min": 0,
"definition": "Any further information for the person's care funding source e.g. self funded",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.care_funding_source.free_text"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.date_this_plan_was_last_updated",
"min": 0,
"definition": "This is a record of the date that this care and support plan was last updated.",
"short": "Date this plan was last updated",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
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"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.date_this_plan_was_last_updated"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.other_care_planning_documents",
"min": 0,
"definition": "Reference other care planning documents, including the type, location and date. \r\n\r\nThis may include condition-specific plans, advance care plans, end of life care plan, etc.",
"short": "Other care planning documents",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.10415--20181031000000",
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"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.other_care_planning_documents"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.planned_review_dateinterval",
"min": 0,
"definition": "This is the date/interval when this information will next be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |",
"short": "Planned review date/interval",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.planned_review_dateinterval"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review",
"min": 0,
"definition": "This is a record of who has responsibility for arranging review of this information.",
"short": "Responsibility for review",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
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"id": "2.16.840.1.113883.3.1937.777.28.2.10418--20181031000000",
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review.name",
"min": 0,
"definition": "The name of the professional with responsibility for the care of the person.",
"short": "Name",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review.name"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review.role",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review.role"
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}, {
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"min": 0,
"definition": "Contact details of the professional (e.g. telephone number, email address etc.).",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.responsibility_for_review.contact_details"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.location",
"min": 0,
"definition": "The location where the care and support plan was prepared.",
"short": "Location",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.care_and_support_plan.location"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.location.coded_value",
"min": 0,
"definition": "The coded value for location",
"short": "Coded value",
"type": [ {
"code": "string"
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"mustSupport": true,
"max": "1",
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.location.free_text",
"min": 0,
"definition": "Free text field to be used if no coded text available",
"short": "Free text",
"type": [ {
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} ],
"mustSupport": true,
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"maxLength": 150,
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"path": "personalised_care_and_support_plan.care_and_support_plan.location.free_text"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional",
"min": 0,
"definition": "The professional who prepared the care and support plan.",
"short": "Performing professional",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
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"id": "2.16.840.1.113883.3.1937.777.28.2.12027--20190531153022",
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"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.name",
"requirements": "Practitioner.name",
"min": 0,
"definition": "The name of the professional.",
"short": "Name",
"type": [ {
"code": "string"
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"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12028--20190531153050",
"maxLength": 70,
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"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.name"
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}, {
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"requirements": "Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12029--20190531153050",
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.role"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the professional.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12030--20190531153050",
"maxLength": 150,
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"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.grade"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.speciality",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The specialty of the professional e.g. physiotherapy, oncology, mental health etc",
"short": "Speciality",
"type": [ {
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} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12031--20190531153050",
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"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.speciality"
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}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.",
"short": "Professional identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12032--20190531153050",
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"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.professional_identifier"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.organisation",
"min": 0,
"definition": "The name of the organisation the professional works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12033--20190531153050",
"base": {
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"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.organisation"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the professional",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.care_and_support_plan.performing_professional.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record",
"min": 0,
"definition": "Details of the person completing the record.",
"short": "Person completing record",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
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"base": {
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"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.name",
"requirements": "Composition.author.Practitioner.name",
"min": 0,
"definition": "The name of the person completing the record.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
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"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.name"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.role",
"requirements": "Composition.author.Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The organisational role of the person completing record.",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12037--20190531153127",
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.role"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the person completing the record.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12038--20190531153127",
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"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.grade"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.specialty",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The main specialty of the person completing the record.",
"short": "Specialty",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12039--20190531153127",
"maxLength": 3,
"base": {
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"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.specialty"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.organisation",
"min": 0,
"definition": "The organisation the person completing the record works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12040--20190531153127",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.organisation"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.",
"short": "Professional identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12041--20190531153127",
"maxLength": 32,
"base": {
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"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.professional_identifier"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.date_completed",
"requirements": "Composition.date",
"min": 0,
"definition": "The date and time the record was completed.",
"short": "Date completed",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
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"max": "1",
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"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.date_completed"
}
}, {
"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the person completing the record.",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12043--20190531153127",
"maxLength": 35,
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"path": "personalised_care_and_support_plan.care_and_support_plan.person_completing_record.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans",
"min": 0,
"definition": "These are the things to do and people to contact, should an individual’s\nhealth or other circumstances get worse.",
"short": "Contingency plans",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.469--20181031000000",
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.trigger_factors",
"min": 1,
"definition": "Signs to watch out for that may indicate a significant change in health or other circumstances e.g. feeling agitated",
"short": "Trigger factors",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.10375--20181031000000",
"base": {
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"min": 1,
"path": "personalised_care_and_support_plan.contingency_plans.trigger_factors"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.trigger_factors.coded_value",
"min": 0,
"definition": "The trigger that leads to instigation of a significant change in health or other circumstances.",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14389--20210706155834",
"base": {
"max": "1",
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"path": "personalised_care_and_support_plan.contingency_plans.trigger_factors.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.trigger_factors.free_text",
"min": 0,
"definition": "The person’s trigger factors (in free text). If the trigger factor is coded then this is any supplementary or personalised information that relates to the coded trigger factor.",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14390--20210706160156",
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.trigger_factors.free_text"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.contingency_plan_name",
"min": 0,
"definition": "When the action evaluation needs to be reviewed.",
"short": "Contingency plan name",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10371--20181031000000",
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.contingency_plan_name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.contingency_plan_name.coded_value",
"min": 0,
"definition": "The coded value for the type of care plan",
"short": "Coded value",
"type": [ {
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} ],
"mustSupport": true,
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"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.contingency_plan_name.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.contingency_plan_name.free_text",
"min": 0,
"definition": "Free text if no coded value is available.",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.contingency_plans.contingency_plan_name.free_text"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.what_should_happen",
"min": 0,
"definition": "Guidance on specific actions or interventions that may be required or should be avoided in specific situations. This may include circumstances where action needs to be taken if a carer is unable to care for the person. A statement of suggested actions. Usually expressed as: in the event of X do Y.",
"short": "What should happen",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.what_should_happen"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.what_should_happen.coded_value",
"min": 0,
"definition": "The coded value for what should happen",
"short": "Coded value",
"type": [ {
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} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.contingency_plans.what_should_happen.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.what_should_happen.free_text",
"min": 0,
"definition": "What should happen (in free text). If 'what should happen' is coded then this is any supplementary or personalised information that relates to the coded value for 'what should happen'.",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
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}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted",
"min": 0,
"definition": "Who should be contacted in the event of significant problems or deterioration in health or wellbeing. e.g. name, role and contact details.",
"short": "Who should be contacted",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted.name",
"min": 0,
"definition": "The name of the professional with responsibility for the care of the person.",
"short": "Name",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
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"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted.name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted.role",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14406--20210707135748",
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted.role"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted.contact_details",
"min": 0,
"definition": "Contact details of the personal contact (e.g. telephone number, address, email address etc.)",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14407--20210707135915",
"maxLength": 70,
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.who_should_be_contacted.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative",
"min": 0,
"definition": "Indicates whether the plan was discussed and agreed with the person or legitimate representative.",
"short": "Agreed with person or legitimate representative",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10369--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative.person_or_legitimate_representative",
"min": 0,
"definition": "Indicates whether the plan was discussed and agreed with the person or legitimate representative",
"short": "Person or legitimate representative",
"type": [ {
"code": "boolean"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14339--20210701191112",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative.person_or_legitimate_representative"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative.person_full_name",
"requirements": "Patient.name.text",
"min": 0,
"definition": "The full name of the person in text representation.",
"short": "Person full name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14340--20210701191345",
"maxLength": 70,
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative.person_full_name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative.role",
"min": 0,
"definition": "The role the professional has in relation to the person.",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14341--20210701191523",
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.agreed_with_person_or_legitimate_representative.role"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.date_this_plan_was_last_updated",
"min": 0,
"definition": "The date that this contingency plan was last updated.",
"short": "Date this plan was last updated",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10372--20181031000000",
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.date_this_plan_was_last_updated"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.planned_review_dateinterval",
"min": 0,
"definition": "This is the date/interval when this contingency plan will next be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |",
"short": "Planned review date/interval",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10373--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.planned_review_dateinterval"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review",
"min": 0,
"definition": "This is who has responsibility for arranging review of this information.",
"short": "Responsibility for review",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10374--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review.name",
"min": 0,
"definition": "The name of the professional with responsibility for the care of the person.",
"short": "Name",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14342--20210701193829",
"maxLength": 70,
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review.name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review.role",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14343--20210701193946",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review.role"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review.contact_details",
"min": 0,
"definition": "Contact details of the professional (e.g. telephone number, email address etc.).",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14344--20210701194059",
"maxLength": 35,
"base": {
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"path": "personalised_care_and_support_plan.contingency_plans.responsibility_for_review.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies",
"min": 0,
"definition": "Details of coping strategies used",
"short": "Coping strategies",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.13850--20210108163756",
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies.coping_strategy",
"min": 0,
"definition": "The coping strategies are defined as thoughts and behaviours that people use to manage the internal and external demands of situations that are appraised as stressful. This should also include a record of any tools used to carry out the coping strategy.",
"short": "Coping strategy",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13851--20210108164537",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies.coping_strategy"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies.start_date",
"min": 0,
"definition": "The date when the coping strategy started",
"short": "Start date",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13852--20210108164718",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies.start_date"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies.end_date",
"min": 0,
"definition": "The date when the coping strategy ended",
"short": "End date",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13853--20210108164858",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.coping_strategies.end_date"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.relapse_indicators__early_warning_signs",
"min": 0,
"definition": "Details of the relapse indicators for the person. These may also be called 'early warning signs'",
"short": "Relapse indicators / early warning signs",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.13854--20210108164959",
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.relapse_indicators__early_warning_signs"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.relapse_indicators__early_warning_signs.coded_value",
"min": 0,
"definition": "The coded value for relapse indicators/early warning signs",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14401--20210707133810",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.relapse_indicators__early_warning_signs.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.relapse_indicators__early_warning_signs.free_text",
"min": 0,
"definition": "Any supplementary or personalised information regarding the relapse indicators/early warning signs",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14402--20210707134246",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.relapse_indicators__early_warning_signs.free_text"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement",
"min": 0,
"definition": "Written requests and preferences made by a person with capacity conveying their wishes, beliefs and values for their future care should they lose capacity.",
"short": "Advance statement",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10777--20190319171220",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.date",
"min": 0,
"definition": "The date when the advanced statements was made.",
"short": "Date",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12267--20190531163920",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.date"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location",
"min": 0,
"definition": "The location where the advanced statement was made.",
"short": "Location",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12268--20190531163959",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location.coded_value",
"min": 0,
"definition": "The coded value for location",
"short": "Coded value",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13698--20200909171446",
"maxLength": 5,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location.free_text",
"min": 0,
"definition": "Free text field to be used if no code is available",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13699--20200909171621",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location.free_text"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.advance_statement",
"min": 0,
"definition": "Does the person have an advance statement.",
"short": "Advance statement",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13695--20200909170633",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.advance_statement"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.advance_statement.coded_value",
"min": 0,
"definition": "The coded value for advance statement",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13696--20200909170921",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.advance_statement.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.advance_statement.free_text",
"min": 0,
"definition": "Free text field to be used if no code is available",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13697--20200909171048",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.advance_statement.free_text"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location_of_document",
"min": 0,
"definition": "The location of where the advanced statement is held.",
"short": "Location of document",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13760--20200929145349",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.location_of_document"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional",
"min": 0,
"definition": "The professional who made the advance statement.",
"short": "Performing professional",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12269--20190531164044",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.name",
"requirements": "Practitioner.name",
"min": 0,
"definition": "The name of the professional.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12270--20190531164101",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.role",
"requirements": "Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12271--20190531164101",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.role"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the professional.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12272--20190531164101",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.grade"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.speciality",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The specialty of the professional e.g. physiotherapy, oncology, mental health etc",
"short": "Speciality",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12273--20190531164101",
"maxLength": 3,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.speciality"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.",
"short": "Professional identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12274--20190531164101",
"maxLength": 32,
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.professional_identifier"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.organisation",
"min": 0,
"definition": "The name of the organisation the professional works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12275--20190531164101",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.organisation"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the professional",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12276--20190531164101",
"maxLength": 35,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.performing_professional.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record",
"min": 0,
"definition": "Details of the person completing the record.",
"short": "Person completing record",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12277--20190531164155",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.name",
"requirements": "Composition.author.Practitioner.name",
"min": 0,
"definition": "The name of the person completing the record.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12278--20190531164215",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.role",
"requirements": "Composition.author.Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The organisational role of the person completing record.",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12279--20190531164215",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.role"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the person completing the record.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12280--20190531164215",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.grade"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.specialty",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The main specialty of the person completing the record.",
"short": "Specialty",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12281--20190531164215",
"maxLength": 3,
"base": {
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"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.specialty"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.organisation",
"min": 0,
"definition": "The organisation the person completing the record works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12282--20190531164215",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.organisation"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.",
"short": "Professional identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12283--20190531164215",
"maxLength": 32,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.professional_identifier"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.date_completed",
"requirements": "Composition.date",
"min": 0,
"definition": "The date and time the record was completed.",
"short": "Date completed",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12284--20190531164215",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.date_completed"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the person completing the record.",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12285--20190531164215",
"maxLength": 35,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.advance_statement.person_completing_record.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.anticipatory_medicinesequipment",
"min": 0,
"definition": "Medicines or equipment available that may be required in specific situations and their location. A statement regarding the availability or location of the anticipatory medicines/equipment. SNOMED CT Tag : - 871021000000106 | Prescription of palliative care anticipatory medication (procedure) |",
"short": "Anticipatory medicines/equipment",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.10370--20181031000000",
"maxLength": 150,
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.anticipatory_medicinesequipment"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.location",
"min": 0,
"definition": "The location where the contingency plan was prepared.",
"short": "Location",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.12079--20190531153945",
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.location"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.location.coded_value",
"min": 0,
"definition": "The coded value for location",
"short": "Coded value",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13667--20200908221958",
"maxLength": 5,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.location.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.location.free_text",
"min": 0,
"definition": "Free text field to be used if no code is available",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13668--20200908222139",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.location.free_text"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional",
"min": 0,
"definition": "The professional who prepared the contingency plans.",
"short": "Performing professional",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12045--20190531153320",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.name",
"requirements": "Practitioner.name",
"min": 0,
"definition": "The name of the professional.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12046--20190531153338",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.role",
"requirements": "Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12047--20190531153338",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.role"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the professional.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12048--20190531153338",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.grade"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.speciality",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The specialty of the professional e.g. physiotherapy, oncology, mental health etc",
"short": "Speciality",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12049--20190531153338",
"maxLength": 3,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.speciality"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.",
"short": "Professional identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12050--20190531153338",
"maxLength": 32,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.professional_identifier"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.organisation",
"min": 0,
"definition": "The name of the organisation the professional works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12051--20190531153338",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.organisation"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the professional",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12052--20190531153338",
"maxLength": 35,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.performing_professional.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record",
"min": 0,
"definition": "Details of the person completing the record.",
"short": "Person completing record",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12053--20190531153349",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.name",
"requirements": "Composition.author.Practitioner.name",
"min": 0,
"definition": "The name of the person completing the record.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12054--20190531153415",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.name"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.role",
"requirements": "Composition.author.Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The organisational role of the person completing record.",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12055--20190531153415",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.role"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the person completing the record.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12056--20190531153415",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.grade"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.specialty",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The main specialty of the person completing the record.",
"short": "Specialty",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12057--20190531153415",
"maxLength": 3,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.specialty"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.organisation",
"min": 0,
"definition": "The organisation the person completing the record works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12058--20190531153415",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.organisation"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the person completing the record e.g. GMC number, HCPC number etc, or the personal identifier used by the local organisation.",
"short": "Professional identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12059--20190531153415",
"maxLength": 32,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.professional_identifier"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.date_completed",
"requirements": "Composition.date",
"min": 0,
"definition": "The date and time the record was completed.",
"short": "Date completed",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12060--20190531153415",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.date_completed"
}
}, {
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.contact_details",
"requirements": "Practitioner.telecom\r\nPractitionerRole.telecom\r\nOrganisation.telcom",
"min": 0,
"definition": "Contact details of the person completing the record.",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12061--20190531153415",
"maxLength": 35,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.contingency_plans.person_completing_record.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans",
"min": 0,
"definition": "Additional support plans",
"short": "Additional support plans",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "*",
"id": "2.16.840.1.113883.3.1937.777.28.2.502--20181031000000",
"base": {
"max": "*",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_name",
"min": 0,
"definition": "The name of the particular additional supporting plan, e.g. dieticians plan, wound management plan, discharge management plan and behaviour support plan.",
"short": "Additional support plan name",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10402--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_name"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_name.coded_value",
"min": 0,
"definition": "The coded value for the type of care plan",
"short": "Coded value",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14397--20210706164030",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_name.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_name.free_text",
"min": 0,
"definition": "Free text if no coded value is available",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14398--20210706164320",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_name.free_text"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_content",
"min": 0,
"definition": "This is the content of any additional care and support plan which the person and/or care professional consider should be shared with others providing care and support. May be structured in different ways, e.g. tables, diagrams, images. This is the content of any additional care and support plan which the individual and/or care professional consider should be shared with others providing care and support. It should be structured as recommended for the care and support plan and if contains additional detail, it may be referenced here.",
"short": "Additional support plan content",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10403--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.additional_support_plan_content"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.planned_review_dateinterval",
"min": 0,
"definition": "This is the date/interval when this information will next be reviewed. SNOMED CT tag : - 425268008 | Review of care plan (procedure) |",
"short": "Planned review date/interval",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10405--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.planned_review_dateinterval"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review",
"min": 0,
"definition": "This is a record of who has responsibility for arranging review of this information. Should include their name, role and contact details.",
"short": "Responsibility for review",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10406--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review.name",
"min": 0,
"definition": "The name of the professional with responsibility for the care of the person.",
"short": "Name",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14348--20210701204451",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review.name"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review.role",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker, key worker, care home manager, care coordinator, LA hospital liaison person, care home contact, hospital clinician, Independent Mental Capacity Advocate (IMCA) etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14349--20210701204607",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review.role"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review.contact_details",
"min": 0,
"definition": "Contact details of the professional (e.g. telephone number, email address etc.).",
"short": "Contact details",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.14350--20210701204937",
"maxLength": 35,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.responsibility_for_review.contact_details"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.date_this_plan_was_last_updated",
"min": 0,
"definition": "This is a record of the date that this information was last updated.",
"short": "Date this plan was last updated",
"type": [ {
"code": "dateTime"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.10407--20181031000000",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.date_this_plan_was_last_updated"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.location",
"min": 0,
"definition": "The location where the additional support plan was prepared.",
"short": "Location",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12080--20190531154038",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.location"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.location.coded_value",
"min": 0,
"definition": "The coded value for location",
"short": "Coded value",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13722--20200914135006",
"maxLength": 5,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.location.coded_value"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.location.free_text",
"min": 0,
"definition": "Free text field to be used if no code is available",
"short": "Free text",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.13723--20200914135248",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.location.free_text"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional",
"min": 0,
"definition": "The professional who prepared the additional support plan.",
"short": "Performing professional",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12062--20190531153617",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.name",
"requirements": "Practitioner.name",
"min": 0,
"definition": "The name of the professional.",
"short": "Name",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12063--20190531153635",
"maxLength": 70,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.name"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.role",
"requirements": "Practitioner.PractitionerRole.code",
"min": 0,
"definition": "The role the professional has in relation to the person e.g. GP, physiotherapist, community nurse, social worker etc",
"short": "Role",
"type": [ {
"code": "CodeableConcept"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12064--20190531153635",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.role"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.grade",
"requirements": "PractitionerRole.code",
"min": 0,
"definition": "The grade of the professional.",
"short": "Grade",
"type": [ {
"code": "markdown"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12065--20190531153635",
"maxLength": 150,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.grade"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.speciality",
"requirements": "PractitionerRole.speciality",
"min": 0,
"definition": "The specialty of the professional e.g. physiotherapy, oncology, mental health etc",
"short": "Speciality",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12066--20190531153635",
"maxLength": 3,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.speciality"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.professional_identifier",
"requirements": "Practitioner.identifier (for professional national identifiers),PractitionerRole.identifier (for local role identifiers)",
"min": 0,
"definition": "Professional identifier for the professional e.g. GMC number, HCPC number etc or the personal identifier used by the local organisation.",
"short": "Professional identifier",
"type": [ {
"code": "string"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12067--20190531153635",
"maxLength": 32,
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.professional_identifier"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.organisation",
"min": 0,
"definition": "The name of the organisation the professional works for.",
"short": "Organisation",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": true,
"max": "1",
"id": "2.16.840.1.113883.3.1937.777.28.2.12068--20190531153635",
"base": {
"max": "1",
"min": 0,
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.organisation"
}
}, {
"path": "personalised_care_and_support_plan.additional_support_plans.performing_professional.contact_details",
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},
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}