Gives information about the Attendance details section
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Attendance Details Section content
The Attendance details section carries information about the patient’s attendance at the Outpatient department. PRSB Elements should be formatted as subheadings in any HTML sent:
| Section | Description | Card. | MRO* | FHIR Target and Guidance |
|---|---|---|---|---|
| Attendance details | The details of the patient contact. | 1 only | M | Carried in the CodeableConcept of Composition.section.code FHIR element. |
| PRSB Element | Description | Card. | MRO* | FHIR Target and Guidance |
| Date and time of contact | Date and time of the appointment, contact or attendance. | 1 only | M | The date and time of appointment as recorded on the Patient Administration System (PAS) as text and carried in the Encounter.period.start and Encounter.period.end FHIR element. |
| Contact type | First contact, follow-up contact. | 0 to 1 | O | Text. Contact type may come from those recorded on the local PAS.NHS Data dictionary First attendance.
|
| Consultation method | CONSULTATION METHOD USED identifies the communication mechanism used to relay information between the CARE PROFESSIONAL and the PERSON who is the subject of the consultation, during the Outpatient encounter | 0 to 1 | R | Text only, but may be derived from Consultation method from NHS Data Dictionary.
|
| Responsible healthcare professional | The name and designation of the consultant, nurse consultant, midwife, allied health professional who has overall responsibility for the patient (may not actually see the patient) | 1 only | M | The name and identifier of the consultant from a recognised source such as the Spine Directory Service, or a local identifier. Any identifiers MUST NOT be carried as text. The following FHIR Elements SHOULD be populated in the Practitioner and PractitionerRole Resources:
|
| Specialty | Specialties designated by royal colleges and faculties. E.g. orthopaedics, renal medicine, endocrinology, etc | 0 to 1 | R | Text for either the main specialty of the responsible clinician (as held on the Spine Directory Service), or the department from which the patient is attending. The specialty SHOULD be populated in the PractitionerRole.specialty FHIR element. The profile is currently bound to the FHIR ValueSet c80-practice-codes as preferred. This is proposed to be replaced by NHS Data main specialty code and therefore the current guidance is to not use the preferred ValueSet but to replace it using a code from MAIN SPECIALTY CODE. The FHIR CodeSystem element should be populated with "https://www.datadictionary.nhs.uk". As an alternative this element may be populated with a SNOMED CT concept and the FHIR CodeSystem element populated with "http://snomed.info/sct". Note further guidance will be issues in a later release of the specification. |
| Service | Treatment functions or services. E.g. hand surgery, back surgery, hand clinic, TIA clinic, falls clinic, speech and language therapy, dialysis, family therapy, pre-admission assessment clinic, etc | 0 to 1 | R | Text only. |
| Seen by | Doctor, nurse or other healthcare professional that sees the patient. Record the most senior member of staff present. Includes name, role, telephone number | 1 to many | M | The name and identifier of the consultant from a recognised source such as the Spine Directory Service, or a local identifier. Any identifiers MUST NOT be carried as text. The following FHIR Elements SHOULD be populated in the Practitioner and PractitionerRole Resources:
|
| Care professionals present | The name, designation of the additional individuals or team members including consultant(s), nurse consultant(s), allied health professional(s), social worker(s) | 0 to many | O | The name and identifier of the consultant from a recognised source such as the Spine Directory Service, or a local identifier. Any identifiers MUST NOT be carried as text. The following FHIR Elements SHOULD be populated in the Practitioner and PractitionerRole Resources:
|
| Person accompanying patient | Identify, where clinically relevant, others accompanying the patient, e.g. relative, friend, informal carer, advocate. If the patient was not present, was an authorised representative present? Includes: Name, Relationship, Role (patient advocate) | 0 to 1 | O | Information provided by patient or person accompanying patient.Text and where possible the name and identifier of the consultant from a recognised source such as the Spine Directory Service, or a local identifier. Any identifiers MUST NOT be carried as text. The following FHIR Elements SHOULD be populated in the Practitioner and PractitionerRole Resources:
|
| Outcome of outpatient attendance | This records the outcome of an Out-Patient Attendance | 0 to 1 | R | Text and carried in the FHIR extension CareConnect-OutcomeOfAttendance-1 of the ITK3 Encounter Profile CareConnect-ITK-Encounter-1. |
| * M=Mandatory R=Required O=Optional | ||||
Example Attendance Details Section
Coded Resources
This text section should be linked to the following FHIR Resources to provide the textual information in a coded format.
- The ITK3 FHIR Outpatient Letter does not currently support coded Attendance details.
