Mental Health FHIR Store Mappings: Difference between revisions

From Discovery Data Service
Jump to navigation Jump to search
No edit summary
No edit summary
Line 693: Line 693:
Device.extension(suggestion of an extension for PRESCRIPTION TIMESTAMP ASSISTIVE TECHNOLOGY)
Device.extension(suggestion of an extension for PRESCRIPTION TIMESTAMP ASSISTIVE TECHNOLOGY)
|
|
|}
|}<br />
 
=== Social and Personal Circumstances ===
{| class="wikitable"
{| class="wikitable"
|+Social and Personal Circumstances
!Name
!Name
!Description
!Description
Line 713: Line 714:
|
|
|
|
|}
|}<br />
 
=== Overseas Visitor Charging Category ===
{| class="wikitable"
{| class="wikitable"
|+Overseas Visitor Charging Category
!Name
!Name
!Description
!Description
Line 739: Line 741:
|
|
|
|
|}
|}<br />
 
=== Mental Health Currency Model ===
{| class="wikitable"
{| class="wikitable"
|+Mental Health Currency Model
!Name
!Name
!Description
!Description
Line 765: Line 768:
|
|
|
|
|}
|}<br />
 
=== Service or Team Referral ===
{| class="wikitable"
{| class="wikitable"
|+Service or Team Referral
!Name
!Name
!Description
!Description
Line 829: Line 833:
|-
|-
|CLINICAL RESPONSE PRIORITY TYPE
|CLINICAL RESPONSE PRIORITY TYPE
|The clinical response priority of a SERVICE REQUEST.  
|The clinical response priority of a SERVICE REQUEST.
|R
|R
|
|
Line 853: Line 857:
|-
|-
|DECISION TO TREAT TIME (MENTAL HEALTH HOME TREATMENT)
|DECISION TO TREAT TIME (MENTAL HEALTH HOME TREATMENT)
|The time that it was first identified that the patient needs mental health treatment, but the formal service request has not yet been created. However, the patient may be formally under the care of the Home Treatment Service. This applies to home treatments: <nowiki>https://www.cwp.nhs.uk/services-and-locations/services/home-treatment/#:~:text=Home%20Treatment%20(HT)%20teams%20are,to%20admission%20as%20an%20inpatient</nowiki>  
|The time that it was first identified that the patient needs mental health treatment, but the formal service request has not yet been created. However, the patient may be formally under the care of the Home Treatment Service. This applies to home treatments: <nowiki>https://www.cwp.nhs.uk/services-and-locations/services/home-treatment/#:~:text=Home%20Treatment%20(HT)%20teams%20are,to%20admission%20as%20an%20inpatient</nowiki>
|R
|R
|
|
Line 965: Line 969:
|
|
|
|
|}
|}<br />
 
=== Referral to Treatment (RTT) ===
{| class="wikitable"
{| class="wikitable"
|+Referral to Treatment (RTT)
!Name
!Name
!Description
!Description
Line 1,009: Line 1,014:
|
|
|
|
|}
|}<br />
 
=== Onward Referral ===
{| class="wikitable"
{| class="wikitable"
|+Onward Referral
!Name
!Name
!Description
!Description
Line 1,065: Line 1,071:
|
|
|
|
|}
|}<br />
 
=== Discharge Plan Agreement ===
{| class="wikitable"
{| class="wikitable"
|+Discharge Plan Agreement
!Name
!Name
!Description
!Description
Line 1,091: Line 1,098:
|
|
|
|
|}
|}<br />
 
=== Medication Prescription ===
{| class="wikitable"
{| class="wikitable"
|+Medication Prescription
!Name
!Name
!Description
!Description
Line 1,100: Line 1,108:
!Value Set
!Value Set
|-
|-
|PRESCRIPTION IDENTIFIER
|The unique identifier of a PRESCRIPTION.
|P
|
|
|
|
|-
|PRESCRIPTION DATE (MEDICATION)
|The date on which the PRESCRIPTION of Medication was signed by the CARE PROFESSIONAL.
|P
|
|
|
|
|-
|PRESCRIPTION TIME (MEDICATION)
|The time on which the PRESCRIPTION of Medication was signed by the CARE PROFESSIONAL.
|P
|
|
|
|}<br />
=== Care Contact ===
{| class="wikitable"
!Name
!Description
!Conformance
!FHIR STU3 Mapping
!Value Set
|-
|-
|CARE CONTACT IDENTIFIER
|The CARE CONTACT IDENTIFIER is used to uniquely identify the CARE CONTACT within the Health Care Provider. It would normally be automatically generated by the local system upon recording a new Care Contact, although could be manually assigned.
|M
|
|
|
|
|-
|CARE PROFESSIONAL TEAM LOCAL IDENTIFIER
|A unique local CARE PROFESSIONAL TEAM IDENTIFIER within a Health Care Provider which may be assigned automatically by the computer system.
|R
|
|
|
|-
|CARE CONTACT DATE
|The date on which a Care Contact took place, or, if cancelled, was scheduled to take place.
|M
|
|
|-
|CARE CONTACT TIME
|The time at which a Care Contact took place.
|R
|
|
|-
|ADMINISTRATIVE CATEGORY CODE
|This is recorded for PATIENT ACTIVITY. A PATIENT who is an Overseas Visitor does not qualify for free NHS healthcare and can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS. The PATIENT's ADMINISTRATIVE CATEGORY CODE may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded. The category 'amenity PATIENT' is only applicable to PATIENTS using a Hospital Bed.
|R
|
|
|
|
|-
|-
|CLINICAL CONTACT DURATION OF CARE CONTACT
|The total duration of the direct clinical contact at a CARE CONTACT in minutes, excluding any administration time prior to or after the CARE CONTACT and the CARE PROFESSIONAL's travelling time to the CARE CONTACT. CLINICAL CONTACT DURATION OF CARE CONTACT includes the time spent on the different CARE ACTIVITIES that may be performed in a single CARE CONTACT. The duration of each CARE ACTIVITY is recorded in CLINICAL CONTACT DURATION OF CARE ACTIVITY. This should be recorded in minutes.
|R
|
|
|
|
|-
|CONSULTATION TYPE
|The type of consultation between the CARE PROFESSIONAL and the PATIENT.
|R
|
|
|
|-
|CARE CONTACT SUBJECT
|The person who was the subject of the Care Contact.
|R
|
|
|-
|CONSULTATION MECHANISM (MENTAL HEALTH)
|The communication mechanism used to relay information between the CARE PROFESSIONAL and the PERSON who is the subject of the consultation, during a CARE CONTACT. A non-face to face consultation should directly support diagnosis and care planning and must replace a face to face Out-Patient Attendance Consultant, Clinic Attendance Nurse or Clinic Attendance Midwife, or other types of CARE CONTACT. A record of the consultation must be retained in the PATIENT's records. Contact with PATIENTS solely for the purpose of informing them of the outcome of Diagnostic Test results, with no other clinical interaction, are not classified as CARE CONTACTS.
|R
|
|
|-
|ACTIVITY LOCATION TYPE CODE
|The type of LOCATION for an ACTIVITY: • where PATIENTS are seen • where SERVICES are provided or • from which requests for SERVICES are sent.
|R
|
|
|-
|PLACE OF SAFETY INDICATOR
|An indication of whether a LOCATION is being used as a PLACE OF SAFETY.
|R
|
|
|-
|ORGANISATION SITE IDENTIFIER (OF TREATMENT)
|The ORGANISATION IDENTIFIER of the Organisation Site where the PATIENT was treated.
|R
|
|
|
|
|}
{| class="wikitable"
|+Care Contact
!Name
!Description
!Conformance
!FHIR STU3 Mapping
!Value Set
|-
|-
|COMMUNITY PERINATAL MENTAL HEALTH PARTNER ASSESSMENT OFFER INDICATOR
|An indication of whether a Community Perinatal Mental Health Partner Assessment has been offered to the partner of a PERSON in contact with a Specialist Perinatal Mental Health Community Service.
|R
|
|
|
|
|-
|PLANNED CARE CONTACT INDICATOR
|An indication as to whether a Care Contact is a result of a Planned Appointment.
|R
|
|
|
|-
|CARE CONTACT PATIENT THERAPY MODE
|The mode of therapy for the patient during a Care Contact.
|R
|
|
|
|
|-
|-
|ATTENDED OR DID NOT ATTEND CODE
|This indicates whether or not an APPOINTMENT for a CARE CONTACT took place. If the APPOINTMENT did not take place it also indicates whether or not advanced warning was given.
|R
|
|
|
|-
|EARLIEST REASONABLE OFFER DATE
|The date of the earliest of the Reasonable Offers made to a PATIENT for an APPOINTMENT or Elective Admission.
|R
|
|
|
|
|-
|EARLIEST CLINICALLY APPROPRIATE DATE
|The earliest DATE that it was clinically appropriate for an ACTIVITY to take place.
|R
|
|
|
|
|-
|-
|CARE CONTACT CANCELLATION DATE
|The date that a Care Contact was cancelled by the Provider or Patient.
|R
|
|
|
|
|-
|CARE CONTACT CANCELLATION REASON
|The reason that a Care Contact was cancelled.
|R
|
|
|
|-
|REASONABLE ADJUSTMENT MADE INDICATOR
|Was a reasonable adjustment made for this patient?
|R
|
|
|
|
Line 1,152: Line 1,269:
!Value Set
!Value Set
|-
|-
|CARE ACTIVITY IDENTIFIER
|The unique identifier for a CARE ACTIVITY. It would normally be automatically generated by the local system upon recording a new activity, although could be manually assigned.
|M
|
|
|
|-
|CLINICAL CONTACT DURATION OF CARE ACTIVITY
|The duration of a CARE ACTIVITY in minutes, excluding any administration time prior to or after the CARE ACTIVITY and the CARE PROFESSIONAL's travelling time to the LOCATION where the CARE ACTIVITY was provided. This is calculated from the Start Time and End Time of the CARE ACTIVITY.
|R
|
|
|
|
|-
|CODED PROCEDURE AND PROCEDURE STATUS (SNOMED CT)
|The SNOMED CT EXPRESSION which is used to identify a procedure plus the status of the procedure.
|R
|
|
|
|
|-
|-
|FINDING SCHEME IN USE (MENTAL HEALTH)
|The code scheme basis of a finding.
|R
|
|
|
|-
|CODED FINDING (CODED CLINICAL ENTRY)
|A unique identifier for a finding from a specific classification or clinical terminology.
|R
|
|
|
|
|-
|CODED OBSERVATION (SNOMED CT)
|A unique identifier for an observation from a specific clinical terminology.
|R
|
|
|
|
|-
|-
|OBSERVATION VALUE
|The numeric value resulting from a clinical observation.
|R
|
|
|
|
|
|-
|UCUM UNIT OF MEASUREMENT
|The unit of measurement used to measure the result of a clinical observation. See <nowiki>http://unitsofmeasure.org/trac/</nowiki>.
|R
|
|
|
|

Revision as of 12:15, 27 January 2023

The Discovery Collaborative commissioned the creation of an expanded set of data ingestion specifications and to work to agree these specifications as Standards for how data will be received and ingested into the Discovery Data Service (“DDS”) in future projects. The expanded data specifications focused on multiple healthcare areas, with one of those being Mental Health. Others include; Social Care, Community, and Acute.

The Mental Health Service Data Set (MHSDS) brings together information captured on clinical systems as part of patient care. It covers not only services provided in hospitals but also outpatient clinics and in the community, where the majority of people in contact with these services are treated.

The MHSDS is a patient level, output based, secondary uses data set which aims to deliver robust, comprehensive, nationally consistent and comparable person-based information for children, young people and adults who are in contact with services for mental health and wellbeing, Learning Disability, autism or other neurodevelopmental conditions.

You can find the expanded data specification for the MHSDS outlined below.

Master Patient Index

Name Description Conformance FHIR STU3 Mapping Value Set
LOCAL PATIENT IDENTIFIER (EXTENDED) This is a number used to identify a PATIENT uniquely within a Health Care Provider. It may be different from the PATIENT's casenote number and may be assigned automatically by the computer system. LOCAL PATIENT IDENTIFIER (EXTENDED) is used where IT systems have a LOCAL PATIENT IDENTIFIER which is longer than 10 characters and LOCAL PATIENT IDENTIFIER cannot be used for data submission. M Patient.Identifier
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER) The ORGANISATION IDENTIFIER of the organisation that assigned the local patient identifier. M Patient.Organization.identifier
ORGANISATION IDENTIFIER (EDUCATIONAL ESTABLISHMENT) ORGANISATION IDENTIFIER (EDUCATIONAL ESTABLISHMENT) is the ORGANISATION IDENTIFIER of the Educational Establishment, including Schools. R Patient.Organization.identifier
NHS NUMBER A number used to identify a PATIENT uniquely within the NHS in England and Wales R Patient.identifier(nhsnumber)
NHS NUMBER STATUS INDICATOR CODE (MENTAL HEALTH AND MATERNITY) The NHS NUMBER STATUS INDICATOR of the PATIENT R CareConnect-NHSNumberVerificationStatus-1
https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1
01- Number present and verified

02- Number present but not traced

03- Trace required

04- Trace attempted - No match or multiple match found

05- Trace needs to be resolved - (NHS Number or patient detail conflict)

06- Trace in progress

07- Number not present and trace not required

PERSON BIRTH DATE The date on which a PERSON was born or is officially deemed to have been born R Patient.birthDate
POSTCODE OF USUAL ADDRESS The POSTCODE of the ADDRESS nominated by the PATIENT with ADDRESS ASSOCIATION TYPE 'Main Permanent Residence' or 'Other Permanent Residence' R Patient.address.postalCode
GENDER IDENTITY CODE The gender identity of a PERSON as stated by the PERSON R Patient.gender.code 1- Male (including trans man)

2- Female (including trans woman)

3- Non-binary

4- Other (not listed)

X- Not Known (not recorded)

Z- Not Stated (person asked but declined to provide a response)

GENDER IDENTITY SAME AT BIRTH INDICATOR An indication of whether the patient's gender identity is the same as their gender assigned at birth. R Patient.gender.extension(suggestion of an extension for GENDER IDENTITY SAME AT BIRTH INDICATOR) Y- Yes - the person's gender identity is the same as their gender assigned at birth

N- No - the person's gender identity is not the same as their gender assigned at birth

X- Not Known (not asked)

Z- Not Stated (person asked but declined to provide a response)

PERSON STATED GENDER CODE The gender of a PERSON.
PERSON STATED GENDER CODE is self declared or inferred by observation for those unable to declare their PERSON STATED GENDER.
R Patient.gender.code 1- Male

2- Female

9- Indeterminate (unable to be classified as either male or female)

X- Not Known (PERSON STATED GENDER CODE not recorded)

PERSON MARITAL STATUS The legal marital status of a PERSON. R Patient.maritalStatus S- Single

M- Married/Civil Partner

D- Divorced/Person whose Civil Partnership has been dissolved

W- Widowed/Surviving Civil Partner

P- Separated

N- Not disclosed

8- Not applicable

9- Not known

ETHNIC CATEGORY The ethnicity of a PERSON, as specified by the PERSON. R Patient.extension(ethnicCategory) A- White - British

B- White - Irish

C- White - Any other White background

D- Mixed - White and Black Caribbean

E- Mixed - White and Black African

F- Mixed - White and Asian

G- Mixed - Any other mixed background

H- Asian or Asian British - Indian

J- Asian or Asian British - Pakistani

K- Asian or Asian British - Bangladeshi

L- Asian or Asian British - Any other Asian background

M- Black or Black British - Caribbean

N- Black or Black British - African

P- Black or Black British - Any other Black background

R- Other Ethnic Groups - Chinese

S- Other Ethnic Groups - Any other ethnic group

Z- Not stated

99- Not known

ETHNIC CATEGORY 2021 Placeholder data item to accommodate the 2021 census when it goes live P Patient.extension(suggestion of an extension for ETHNIC CATEGORY 2021)
LANGUAGE CODE (PREFERRED) LANGUAGE CODE (PREFERRED) is the language the PATIENT prefers to use for communication with a Health Care Provider. LANGUAGE CODE is based on the ISO 639-1 two character language codes, see the ISO 639.2 Registration Authority website, plus five communication method extensions. R Patient.communication.language All Spoken Languages

ISO 639-1 codes at http://www.loc.gov/standards/iso639-2/php/code_list.php

Extensions

q1- Braille (for people who are unable to see)

q2- American Sign Language

q3- Australian Sign Language

q4- British Sign Language

q5- Makaton (devised for children and adults with a variety of communication and Learning Disabilities)

PERSON DEATH DATE The date on which a person died or is officially deemed to have died, as recorded on the death certificate. R Patient.deceased[x].deceasedDateTime


GP Practice Registration

Name Description Conformance FHIR STU3 Mapping Value Set
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) The ORGANISATION CODE of the GP Practice that the PATIENT is registered with. M Patient.generalPractitioner
START DATE (GMP PATIENT REGISTRATION) Start Date on which the PERSON registered with a General Medical Practitioner Practice. R Patient.generalPractitioner.extension(suggestion of an extension for START DATE (GMP PATIENT REGISTRATION))
END DATE (GMP PATIENT REGISTRATION) The DATE on which the PERSON ceased to be registered with a General Medical Practitioner Practice. R Patient.generalPractitioner.extension(suggestion of an extension for END DATE (GMP PATIENT REGISTRATION))


Accommodation Status

Name Description Conformance FHIR STU3 Mapping Value Set
ACCOMMODATION TYPE An indication of the type of accommodation that a PATIENT currently has. This should be based on the PATIENT's main or permanent residence. M Patient.address.extension(suggestion of an extension for Accommodation Type) 01- Owner occupier

02- Tenant - Local Authority/Arms Length Management Organisation/registered social housing provider

03- Tenant - private landlord

04- Living with family

05- Living with friends

06- University or College accommodation

07- Accommodation tied to job (including Armed Forces)

08- Mobile accommodation

09- Care home without nursing

10- Care home with nursing

11- Specialist Housing (with suitable adaptations to meet impairment needs and support to live independently)

12- Rough sleeper

13- Squatting

14- Sofa surfing (sleeps on different friends floor each night)

15- Staying with friends/family as a short term guest

16- Bed and breakfast accommodation to prevent or relieve homelessness

17- Sleeping in a night shelter

18- Hostel to prevent or relieve homelessness

19- Temporary housing to prevent or relieve homelessness

20- Admitted patient settings

21- Criminal justice settings

98- Other (not listed)

SETTLED ACCOMMODATION INDICATOR An indication of whether the main/permanent residence of the patient is settled accommodation. R Patient.address.extension(suggestion of an extension for Settled Accommodation Indicator) Y- Yes - Settled Accommodation

N- No - Non-settled Accommodation

Z- Not Stated (PATIENT asked but declined to provide a response)

9- Not known (Not Recorded)

ACCOMMODATION TYPE RECORDED DATE The PERSON PROPERTY RECORDED DATE when the ACCOMMODATION TYPE was recorded. R Patient.address.extension(suggestion of an extension for ACCOMMODATION TYPE RECORDED DATE)
SECURE CHILDRENS HOME PLACEMENT TYPE The type of placement for a child or young person accommodated in a Secure Children's Home. R Patient.address.extension(SECURE CHILDRENS HOME PLACEMENT TYPE) 1- Secure welfare placement

2- Youth justice placement

ACCOMMODATION TYPE START DATE The date that the patient's accommodation type started. R Patient.address.extension(suggestion of an extension for ACCOMMODATION TYPE START DATE)
ACCOMMODATION TYPE END DATE The date that the patient's accommodation type ended. R Patient.address.extension(suggestion of an extension for ACCOMMODATION TYPE START END)


Employment Status

Name Description Conformance FHIR STU3 Mapping Value Set
EMPLOYMENT STATUS The current PRIMARY EMPLOYMENT status of a PERSON. M Patient.extension(suggestion of an extension for EMPLOYMENT STATUS) 01- Employed

02- Unemployed and actively seeking work

03- Undertaking full (at least 16 hours per week) or part-time (less than 16 hours per week) education or training as a student and not working or actively seeking work

04- Long-term sick or disabled, those receiving government sickness and disability benefits

05- Looking after the family or home as a homemaker and not working or actively seeking work

06- Not receiving government sickness and disability benefits and not working or actively seeking work

07- Unpaid voluntary work and not working or actively seeking work

08- Retired

ZZ- Not Stated (PERSON asked but declined to provide a response)

EMPLOYMENT STATUS START DATE The date that the patient's employment status started. R Patient.extension(suggestion of an extension for EMPLOYMENT STATUS START DATE)
EMPLOYMENT STATUS END DATE The date that the patient's employment status ended. R Patient.extension(suggestion of an extension for EMPLOYMENT STATUS END DATE)
EMPLOYMENT STATUS RECORDED DATE The date that the patient's employment status details were recorded by the healthcare professional. R Patient.extension(suggestion of an extension for EMPLOYMENT STATUS RECORD DATE)
WEEKLY HOURS WORKED The number of hours worked in a typical week. R Patient.extension(suggestion of an extension for WEEKLY HOURS WORKED) 01- 30+ hours

02- 16-29 hours

03- 5-15 hours

04- 1-4 hours

97- Not Stated (PERSON asked but declined to provide a response)

98- Not applicable (PERSON not employed)

99- Number of hours worked not known


Patient Indicators

Name Description Conformance FHIR STU3 Mapping Value Set
CONSTANT SUPERVISION AND CARE REQUIRED DUE TO DISABILITY INDICATOR An indication of whether a disabled PATIENT needs constant (round the clock) care and/or supervision for maintenance of their safety and/or wellbeing. R Patient.extension(disability)
PARENTAL RESPONSIBILITIES INDICATOR An indication of whether a PATIENT has Parental Responsibilities for a child or young person, as stated by the PATIENT. R Patient.link.other(RelatedPerson)
YOUNG CARER INDICATOR An indication of whether a child or young person (PATIENT) has a caring role for an ill or disabled Parent/Carer/Sibling. R Patient.extension(suggestion of an extension for YOUNG CARER INDICATOR)
LOOKED AFTER CHILD INDICATOR An indication of whether a PATIENT is a Looked After Child. R Patient.extension(suggestion of an extension for LOOKED AFTER CHILD INDICATOR)
LOOKED AFTER CHILD LEGAL STATUS The legal status of the Looked After Child. This refers to the Children's Act 1989: see details https://www.legislation.gov.uk/ukpga/1989/41/contents R Patient.extension(suggestion of an extension for LOOKED AFTER CHILD LEGAL STATUS)
EDUCATIONAL ASSESSMENT OUTCOME The outcome of an EDUCATIONAL ASSESSMENT. R Patient.extension(suggestion of an extension for EDUCATIONAL ASSESSMENT OUTCOME)
CHILD PROTECTION PLAN INDICATION CODE An indication of whether the child or young person (PATIENT) is/has previously been subject to a child protection plan. R Patient.extension(suggestion of an extension for CHILD PROTECTION PLAN INDICATION CODE)
EX-BRITISH ARMED FORCES INDICATOR An indication of whether the PATIENT is an ex-member of the British Armed Forces, i.e. army, navy or air force, or is a dependant of a person who is an ex-services member. R Patient.extension(suggestion of an extension for EX-BRITISH ARMED FORCES INDICATOR)
OFFENCE HISTORY INDICATION CODE An indication of whether the PATIENT has a history of offences, including index offences (i.e. is recordable, committed in England and Wales, prosecuted by the police and is not a breach of the peace).

This is completed by CARE PROFESSIONALS based on the PATIENT history, informed by referral information.

R Patient.extension(suggestion of an extension for OFFENCE HISTORY INDICATION CODE)
PRODROME PSYCHOSIS DATE Date at which first noticeable change in behaviour or mental state occurred prior to emergence of full-blown psychosis for the patient. There should be a clear deterioration in functioning from previous levels.

Examples include poor attendance/worsening performance at school/work, trouble sleeping, withdrawing from/fighting with friends/family, attenuated psychotic symptoms (increased suspiciousness,/jealously, occasionally hearing name being called when no' ones around, whisperings, slight confusion in thinking etc.).

R DetectedIssue.date

Condition.onset[x].onsetDateTime(PRODROME PSYCHOSIS DATE)

EMERGENT PSYCHOSIS DATE Date at which there was first clear evidence of a positive psychotic symptom for the patient (i.e. delusion, hallucination, or thought disorder), regardless of its duration.

Such a symptom would be scored 4 or more on the PANSS.

R DetectedIssue.date

Condition.onset[x].onsetDateTime(EMERGENT PSYCHOSIS DATE)

MANIFEST PSYCHOSIS DATE Date at which a positive psychotic symptom has lasted for a week for the patient. This is usually just 7 days after the date of the first psychotic symptom. R DetectedIssue.date

Condition.onset[x].onsetDateTime(MANIFEST PSYCHOSIS DATE)

FIRST PRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION) Date the patient was first prescribed anti-psychotic medication following referral into an Early Intervention in Psychosis (EIP) Service. R MedicationRequest.authoredOn

DetectedIssue.mitigation.date

PSYCHOSIS FIRST TREATMENT START DATE Date the patient first commenced prescribed (not PRN) anti-psychotic medication, following referral into an Early Intervention in Psychosis (EIP) Service, and thereafter was compliant for at least 75% of the time during the subsequent month (using clinical judgement).

Note: For the majority of people this will be the same date as the date of prescription.

R MedicationRequest.authoredOn

DetectedIssue.mitigation.date

REASONABLE ADJUSTMENT REQUIRED INDICATOR An indicator to alert the clinician that this patient may need a reasonable adjustment made R Patient.extension(proposition of an extension for REASONABLE ADJUSTMENT REQUIRED INDICATOR)


Mental Health Care Coordinator

Name Description Conformance FHIR STU3 Mapping Value Set
START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD) The start date of a Mental Health Care Coordinator Assignment Period for a patient. M CareTeam.period.start
CARE PROFESSIONAL LOCAL IDENTIFIER A unique local CARE PROFESSIONAL IDENTIFIER within a Health Care Provider which may be assigned automatically by the computer system.


R CareTeam.participant.member
END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD) The end date of a Mental Health Care Coordinator Assignment Period for a patient. R CareTeam.period.end
CARE PROFESSIONAL SERVICE OR TEAM TYPE ASSOCIATION (MENTAL HEALTH) The type of service or team the Care Professional is associated with. R CareTeam.participant.role


DisabilityType

Name Description Conformance FHIR STU3 Mapping Value Set
DISABILITY CODE The DISABILITY of a PERSON.

This could be where:

the PERSON has been diagnosed as disabled or

the PERSON considers themself to be disabled.

M Condition.code
DISABILITY IMPACT PERCEPTION The patient's perception of whether their day-to-day activities are limited because of a health problem or disability which has lasted, or is expected to last, at least 12 months. R Condition.extension(suggestion of an extension for DISABILITY IMPACT PERCEPTION)


Care Plan Type

Name Description Conformance FHIR STU3 Mapping Value Set
CARE PLAN IDENTIFIER A unique identifierfor Care Plan. M CarePlan.identifier
CARE PLAN TYPE (MENTAL HEALTH) The type of Care Plan for the patient, recorded by the service. M CarePlan.category
CARE PLAN CREATION DATE The date that a Care Plan was created for a patient. M CarePlan.extension(suggestion of an extension for CARE PLAN CREATION DATE)
CARE PLAN CREATION TIME The time that a Care Plan was created for a patient. R CarePlan.extension(suggestion of an extension for CARE PLAN CREATION TIME)
CARE PLAN LAST UPDATED DATE The date that the Care Plan was last updated for a patient.

Where the Care Plan has not otherwise been updated this will be the same as the Care Plan Creation Date.

R CarePlan.extension(suggestion of an extension for CARE PLAN LAST UPDATE DATE)
CARE PLAN LAST UPDATED TIME The time that the Care Plan was last updated for a patient.

Where the Care Plan has not otherwise been updated this will be the same as the Care Plan Creation Time.

R CarePlan.extension(suggestion of an extension for CARE PLAN LAST UPDATE TIME)
CARE PLAN IMPLEMENTATION DATE The date that the Care Plan was implemented for a patient. R CarePlan.period.date


Care Plan Agreement

Name Description Conformance FHIR STU3 Mapping Value Set
FAMILY INVOLVED IN CARE PLAN INDICATOR An indication of whether a member of the patient's family is currently involved in the patient's care plan.

This only needs to be captured for inpatients that are in scope of Transforming Care.

R Consent.actor.role

Consent.actor.reference

FAMILY NOT INVOLVED IN CARE PLAN REASON The reason that the patient's family is not currently involved in the patient's care plan.

This only needs to be captured for inpatients that are in scope of Transforming Care.

R
CARE PLAN CONTENT AGREED BY The type of PERSON, SERVICE or ORGANISATION that agreed the content of the CARE PLAN for the PATIENT. M Consent.consentingParty
CARE PLAN CONTENT AGREED DATE The date on which the content of the CARE PLAN was agreed by a PATIENT or Patient Proxy. R Consent.dateTime
CARE PLAN CONTENT AGREED TIME The time on which the content of the CARE PLAN was agreed by a PATIENT or Patient Proxy R Consent.dateTime


Assistive Technology to Support Disability Type

Name Description Conformance FHIR STU3 Mapping Value Set
ASSISTIVE TECHNOLOGY FINDING (SNOMED CT) The SNOMED CT concept ID which is used to identify the finding relating to the assistive technology that a PATIENT is dependent on. M Device.extension(suggestion of an extension for ASSISTIVE TECHNOLOGY FINDING (SNOMED CT))
PRESCRIPTION TIMESTAMP (ASSISTIVE TECHNOLOGY) The date, time and time zone for the prescription of Assistive Technology. R DeviceRequest.authoredOn

OR

Device.extension(suggestion of an extension for PRESCRIPTION TIMESTAMP ASSISTIVE TECHNOLOGY)


Social and Personal Circumstances

Name Description Conformance FHIR STU3 Mapping Value Set
SOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT) The SNOMED CT concept ID which is used to identify a Social and Personal Circumstance for a person. M
SOCIAL AND PERSONAL CIRCUMSTANCE RECORDED TIMESTAMP The date, time and time zone on which the Social and Personal Circumstance was recorded. R


Overseas Visitor Charging Category

Name Description Conformance FHIR STU3 Mapping Value Set
OVERSEAS VISITOR CHARGING CATEGORY The charging category relating to an OVERSEAS VISITOR STATUS. M
OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE FROM DATE The date when the PATIENT's OVERSEAS VISITOR CHARGING CATEGORY was applicable from. If the applicable date is not available, this should be the date the OVERSEAS VISITOR CHARGING CATEGORY was recorded. R
OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE END DATE The date the OVERSEAS VISITOR CHARGING CATEGORY was applicable until. R


Mental Health Currency Model

Name Description Conformance FHIR STU3 Mapping Value Set
MENTAL HEALTH RESOURCE GROUP TYPE (SNOMED CT) The SNOMED CT EXPRESSION which is used to identify the Mental Health Resource Group type. P
START DATE (MENTAL HEALTH RESOURCE GROUP) When a PATIENT is assessed in a Mental Health Service and assigned a Mental Health Resource Group P
END DATE (MENTAL HEALTH RESOURCE GROUP) When a PATIENT either changes their Mental Health Resource Group or leaves the Mental Health Service. P


Service or Team Referral

Name Description Conformance FHIR STU3 Mapping Value Set
SERVICE REQUEST IDENTIFIER The unique identifier for a SERVICE REQUEST. It would normally be automatically generated by the local system upon recording a new Referral, although could be manually assigned. M
ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) This is the ORGANISATION IDENTIFIER of the ORGANISATION commissioning health care. M
REFERRAL REQUEST RECEIVED DATE This is the date the REFERRAL REQUEST was received by the Health Care Provider. M
REFERRAL REQUEST RECEIVED TIME This records the time the REFERRAL REQUEST was received. This item is only required for 'urgent' priority referrals into services with target waiting times measured in hours e.g. rapid response teams or urgent care. R
NHS SERVICE AGREEMENT LINE NUMBER A number (alphanumeric) to provide a unique identifier for a line within a NHS SERVICE AGREEMENT. An NHS SERVICE AGREEMENT is a formal agreement between a commissioner Organisation and one or more Health Care Provider Organisations for the provision of PATIENT care SERVICES. R
SPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE The category of the specialised Mental Health Service provided in a SERVICE PROVIDED UNDER AGREEMENT. The SPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE National Codes are published by NHS England and can be accessed at Specialised Services Reporting Requirements. R
SOURCE OF REFERRAL FOR MENTAL HEALTH SERVICES DATA SET The source of referral to a Mental Health Service. R
ORGANISATION IDENTIFIER (REFERRING) The ORGANISATION IDENTIFIER of the Organisation from which the referral is made, such as a GP Practice, NHS Trust or NHS Foundation Trust. R
REFERRING CARE PROFESSIONAL STAFF GROUP (MENTAL HEALTH) The will indicate the STAFF GROUP of the Care Professional referring the patient into the mental health service. This data item is not required where the referrer is not a care professional e.g. self-referral, carer or employer. R
CLINICAL RESPONSE PRIORITY TYPE The clinical response priority of a SERVICE REQUEST. R
PRIMARY REASON FOR REFERRAL (MENTAL HEALTH) This is the primary presenting condition or symptom for which the patient was referred to a Mental Health Service R
REASON FOR OUT OF AREA REFERRAL (ADULT ACUTE MENTAL HEALTH) The reason why a SERVICE has received a REFERRAL REQUEST, for a PATIENT: -with assessed acute mental health needs requiring adult mental health acute inpatient care and -who is resident outside of the ORGANISATION's usual local network of SERVICES. R
DECISION TO TREAT DATE (MENTAL HEALTH HOME TREATMENT) The date that it was first identified that the patient needs mental health treatment, but the formal service request has not yet been created. However, the patient may be formally under the care of the Home Treatment Service. This applies to home treatments: https://www.cwp.nhs.uk/services-and-locations/services/home-treatment/#:~:text=Home%20Treatment%20(HT)%20teams%20are,to%20admission%20as%20an%20inpatient R
DECISION TO TREAT TIME (MENTAL HEALTH HOME TREATMENT) The time that it was first identified that the patient needs mental health treatment, but the formal service request has not yet been created. However, the patient may be formally under the care of the Home Treatment Service. This applies to home treatments: https://www.cwp.nhs.uk/services-and-locations/services/home-treatment/#:~:text=Home%20Treatment%20(HT)%20teams%20are,to%20admission%20as%20an%20inpatient R
DISCHARGE PLAN CREATION DATE The date that a Discharge Plan was created for a patient. R
DISCHARGE PLAN CREATION TIME The time that a Discharge Plan was created for a patient. R
DISCHARGE PLAN LAST UPDATED DATE The date that the Discharge Plan was last updated for a patient. Where the Discharge Plan has not otherwise been updated this will be the same as the Discharge Plan Creation Date. R
DISCHARGE PLAN LAST UPDATED TIME The time that a Discharge Plan was last updated for a patient. Where the Discharge Plan has not otherwise been updated this will be the same as the Discharge Plan Creation Time. R
SERVICE DISCHARGE DATE Service Discharge Date is the date a PATIENT was discharged from a SERVICE. This would occur once all the services or teams (for example as part of a multidisciplinary team) have finished treating a patient under a specific referral. R
SERVICE DISCHARGE TIME Service Discharge Time is the time a PATIENT was discharged from a SERVICE. This would occur once all the services or teams (for example as part of a multidisciplinary team) have finished treating a patient under a specific referral. R


Other Reason for Referral

Name Description Conformance FHIR STU3 Mapping Value Set
OTHER REASON FOR REFERRAL (MENTAL HEALTH) The secondary presenting conditions or symptoms for which the patient was referred to a Mental Health Service. M


Service or Team Type Referred To

Name Description Conformance FHIR STU3 Mapping Value Set
CARE PROFESSIONAL TEAM LOCAL IDENTIFIER A unique local CARE PROFESSIONAL TEAM IDENTIFIER within a Health Care Provider which may be assigned automatically by the computer system. R
SERVICE OR TEAM TYPE REFERRED TO (MENTAL HEALTH) The type of service or team within a Mental Health Service that a patient was referred to M
REFERRAL CLOSURE DATE The date the Referral Request to a Health Care Provider's Service was closed by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient. R
REFERRAL CLOSURE TIME The time the Referral Request to a Health Care Provider's Service was closed by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient. R
REFERRAL REJECTION DATE The date the Referral Request to a Health Care Provider's Service was rejected by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient. R
REFERRAL REJECTION TIME The time the Referral Request to a Health Care Provider's Service was rejected by the Health Care Provider's Service. The overarching referral may remain open if another service or team involved in the same referral is still actively treating the patient. R
REFERRAL CLOSURE REASON The reason that a Referral Request has been closed. A Referral Request can be closed as a result of a Patient being discharged from the SERVICE. Cancelled referrals such as those entered onto a system in error should not be submitted within the data set. R
REFERRAL REJECTION REASON The reason that a Referral Request has been rejected by the SERVICE. R


Referral to Treatment (RTT)

Name Description Conformance FHIR STU3 Mapping Value Set
PATIENT PATHWAY IDENTIFIER An identifier, which together with the ORGANISATION CODE of the issuer, uniquely identifies a PATIENT PATHWAY. R
ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER) This is the ORGANISATION IDENTIFIER of the ORGANISATION issuing the PATIENT PATHWAY IDENTIFIER. R
WAITING TIME MEASUREMENT TYPE (MENTAL HEALTH) The type of waiting time measurement methodology which may be applied during a PATIENT PATHWAY. The methodology applied may be for one part of a PATIENT PATHWAY, such as the measurement of a REFERRAL TO TREATMENT PERIOD, or other parts of the PATIENT PATHWAY according to Department of Health policy. M
REFERRAL TO TREATMENT PERIOD START DATE The start date of a REFERRAL TO TREATMENT PERIOD. R
REFERRAL TO TREATMENT PERIOD END DATE The end date of a REFERRAL TO TREATMENT PERIOD. R
REFERRAL TO TREATMENT PERIOD STATUS The status of an ACTIVITY (or anticipated ACTIVITY) for the REFERRAL TO TREATMENT PERIOD decided by the lead CARE PROFESSIONAL. R


Onward Referral

Name Description Conformance FHIR STU3 Mapping Value Set
DECISION TO REFER DATE (ONWARD REFERRAL) DECISION TO REFER DATE (ONWARD REFERRAL) is the DATE on which a decision was made to refer the PATIENT from one SERVICE to another SERVICE, which may be in the same or a different ORGANISATION. R
DECISION TO REFER TIME (ONWARD REFERRAL) DECISION TO REFER TIME (ONWARD REFERRAL) is the TIME on which a decision was made to refer the PATIENT from one SERVICE to another SERVICE, which may be in the same or a different ORGANISATION. R
ONWARD REFERRAL DATE The date the patient was referred to another service, which may be in the same or a different organisation. M
ONWARD REFERRAL TIME The time the patient was referred to another service, which may be in the same or a different organisation. R
ONWARD REFERRAL REASON (MENTAL HEALTH SERVICES DATA SET) The reason why the PATIENT was referred to another service, which may be in the same or a different organisation. R
REFERRED OUT OF AREA REASON (ADULT ACUTE MENTAL HEALTH) The reason that a patient with assessed acute mental health needs requiring adult mental health acute inpatient care is being referred to a unit that does not form part of the organisation's usual local network of services, where the patient's Mental Health Care Coordinator cannot visit the patient as often as stated in the Organisation's policy. R
ORGANISATION IDENTIFIER (RECEIVING) ORGANISATION IDENTIFIER (RECEIVING) is the ORGANISATION IDENTIFIER of the ORGANISATION that is receiving the PATIENT from another Health Care Provider. R
CODED REFERRAL PROCEDURE AND PROCEDURE STATUS (SNOMED CT) The SNOMED CT EXPRESSION which is used to identify a procedure plus the status of the procedure. Allows a specific purpose for the onward referral to be attributed. R


Discharge Plan Agreement

Name Description Conformance FHIR STU3 Mapping Value Set
DISCHARGE PLAN CONTENT AGREED BY The type of PERSON, SERVICE or ORGANISATION that agreed the content of the Discharge Plan for the PATIENT. M
DISCHARGE PLAN CONTENT AGREED DATE The date on which the content of the Discharge Plan was agreed by a PATIENT or Patient Proxy. R
DISCHARGE PLAN CONTENT AGREED TIME RThe time at which the content of the Discharge Plan was agreed by a PATIENT or Patient Proxy. R


Medication Prescription

Name Description Conformance FHIR STU3 Mapping Value Set
PRESCRIPTION IDENTIFIER The unique identifier of a PRESCRIPTION. P
PRESCRIPTION DATE (MEDICATION) The date on which the PRESCRIPTION of Medication was signed by the CARE PROFESSIONAL. P
PRESCRIPTION TIME (MEDICATION) The time on which the PRESCRIPTION of Medication was signed by the CARE PROFESSIONAL. P


Care Contact

Name Description Conformance FHIR STU3 Mapping Value Set
CARE CONTACT IDENTIFIER The CARE CONTACT IDENTIFIER is used to uniquely identify the CARE CONTACT within the Health Care Provider. It would normally be automatically generated by the local system upon recording a new Care Contact, although could be manually assigned. M
CARE PROFESSIONAL TEAM LOCAL IDENTIFIER A unique local CARE PROFESSIONAL TEAM IDENTIFIER within a Health Care Provider which may be assigned automatically by the computer system. R
CARE CONTACT DATE The date on which a Care Contact took place, or, if cancelled, was scheduled to take place. M
CARE CONTACT TIME The time at which a Care Contact took place. R
ADMINISTRATIVE CATEGORY CODE This is recorded for PATIENT ACTIVITY. A PATIENT who is an Overseas Visitor does not qualify for free NHS healthcare and can choose to pay for NHS treatment or for private treatment. If they pay for NHS treatment then they should be recorded as NHS PATIENTS. The PATIENT's ADMINISTRATIVE CATEGORY CODE may change during an episode or spell. For example, the PATIENT may opt to change from NHS to private health care. In this case, the start and end dates for each new ADMINISTRATIVE CATEGORY PERIOD (episode or spell) should be recorded. The category 'amenity PATIENT' is only applicable to PATIENTS using a Hospital Bed. R
CLINICAL CONTACT DURATION OF CARE CONTACT The total duration of the direct clinical contact at a CARE CONTACT in minutes, excluding any administration time prior to or after the CARE CONTACT and the CARE PROFESSIONAL's travelling time to the CARE CONTACT. CLINICAL CONTACT DURATION OF CARE CONTACT includes the time spent on the different CARE ACTIVITIES that may be performed in a single CARE CONTACT. The duration of each CARE ACTIVITY is recorded in CLINICAL CONTACT DURATION OF CARE ACTIVITY. This should be recorded in minutes. R
CONSULTATION TYPE The type of consultation between the CARE PROFESSIONAL and the PATIENT. R
CARE CONTACT SUBJECT The person who was the subject of the Care Contact. R
CONSULTATION MECHANISM (MENTAL HEALTH) The communication mechanism used to relay information between the CARE PROFESSIONAL and the PERSON who is the subject of the consultation, during a CARE CONTACT. A non-face to face consultation should directly support diagnosis and care planning and must replace a face to face Out-Patient Attendance Consultant, Clinic Attendance Nurse or Clinic Attendance Midwife, or other types of CARE CONTACT. A record of the consultation must be retained in the PATIENT's records. Contact with PATIENTS solely for the purpose of informing them of the outcome of Diagnostic Test results, with no other clinical interaction, are not classified as CARE CONTACTS. R
ACTIVITY LOCATION TYPE CODE The type of LOCATION for an ACTIVITY: • where PATIENTS are seen • where SERVICES are provided or • from which requests for SERVICES are sent. R
PLACE OF SAFETY INDICATOR An indication of whether a LOCATION is being used as a PLACE OF SAFETY. R
ORGANISATION SITE IDENTIFIER (OF TREATMENT) The ORGANISATION IDENTIFIER of the Organisation Site where the PATIENT was treated. R
COMMUNITY PERINATAL MENTAL HEALTH PARTNER ASSESSMENT OFFER INDICATOR An indication of whether a Community Perinatal Mental Health Partner Assessment has been offered to the partner of a PERSON in contact with a Specialist Perinatal Mental Health Community Service. R
PLANNED CARE CONTACT INDICATOR An indication as to whether a Care Contact is a result of a Planned Appointment. R
CARE CONTACT PATIENT THERAPY MODE The mode of therapy for the patient during a Care Contact. R
ATTENDED OR DID NOT ATTEND CODE This indicates whether or not an APPOINTMENT for a CARE CONTACT took place. If the APPOINTMENT did not take place it also indicates whether or not advanced warning was given. R
EARLIEST REASONABLE OFFER DATE The date of the earliest of the Reasonable Offers made to a PATIENT for an APPOINTMENT or Elective Admission. R
EARLIEST CLINICALLY APPROPRIATE DATE The earliest DATE that it was clinically appropriate for an ACTIVITY to take place. R
CARE CONTACT CANCELLATION DATE The date that a Care Contact was cancelled by the Provider or Patient. R
CARE CONTACT CANCELLATION REASON The reason that a Care Contact was cancelled. R
REASONABLE ADJUSTMENT MADE INDICATOR Was a reasonable adjustment made for this patient? R
Care Activity
Name Description Conformance FHIR STU3 Mapping Value Set
CARE ACTIVITY IDENTIFIER The unique identifier for a CARE ACTIVITY. It would normally be automatically generated by the local system upon recording a new activity, although could be manually assigned. M
CLINICAL CONTACT DURATION OF CARE ACTIVITY The duration of a CARE ACTIVITY in minutes, excluding any administration time prior to or after the CARE ACTIVITY and the CARE PROFESSIONAL's travelling time to the LOCATION where the CARE ACTIVITY was provided. This is calculated from the Start Time and End Time of the CARE ACTIVITY. R
CODED PROCEDURE AND PROCEDURE STATUS (SNOMED CT) The SNOMED CT EXPRESSION which is used to identify a procedure plus the status of the procedure. R
FINDING SCHEME IN USE (MENTAL HEALTH) The code scheme basis of a finding. R
CODED FINDING (CODED CLINICAL ENTRY) A unique identifier for a finding from a specific classification or clinical terminology. R
CODED OBSERVATION (SNOMED CT) A unique identifier for an observation from a specific clinical terminology. R
OBSERVATION VALUE The numeric value resulting from a clinical observation. R
UCUM UNIT OF MEASUREMENT The unit of measurement used to measure the result of a clinical observation. See http://unitsofmeasure.org/trac/. R
Other in Attendance
Name Description Conformance FHIR STU3 Mapping Value Set
Indirect Activity
Name Description Conformance FHIR STU3 Mapping Value Set
Group Session
Name Description Conformance FHIR STU3 Mapping Value Set
Mental Health Drop In Contact
Name Description Conformance FHIR STU3 Mapping Value Set
Mental Health Act Legal Status Classification Assignment Period
Name Description Conformance FHIR STU3 Mapping Value Set
Mental Health Responsible Clinician Assignment Period
Name Description Conformance FHIR STU3 Mapping Value Set
Conditional Discharge
Name Description Conformance FHIR STU3 Mapping Value Set
Community Treatment Order Recall
Name Description Conformance FHIR STU3 Mapping Value Set
Community Treatement Order Recall
Name Description Conformance FHIR STU3 Mapping Value Set
Hospital Provider Spell
Name Description Conformance FHIR STU3 Mapping Value Set
Ward Stay
Name Description Conformance FHIR STU3 Mapping Value Set