R_Patient - tabular view

Indicates that the role is that of a patient.

• Fixed value "PAT"

The NHS number that identifies the patient.

• the root element identifies the NHS patient numbering scheme represented by OID 2.16.840.1.113883.2.1.4.1
• the extension contains the 10 digit NHS number.

To indicate the type of patient role in coded form.

This will only be used in the case of a patient who is a private patient choosing not to use normal NHS services as free at point of delivery.

The Coded Only datatype flavour is used to carry this information as follows:

• the code attribute will contain a value from the list of codes in the NHAISRegistration vocabulary.

An address for the Entity while in the Role.

To provide zero or more addresses of the patient.

An address is composed of the following components:

• Between one and five unstructured address lines;
• Postcode;
• A PAF (postal address file) key;
• In the case of a temporary address, a textual description of nature of the address may also be provided;
• An effective from date may be provided for every address; an effective to date may also be provided for any address.

The first of these components is required to be present with any address.

The type of address is required to be identified by using one of the following codes in the use attribute:

• H - usual address;
• TMP - temporary address;
• PST - correspondence address.

The following sub-elements are used to carry the components of an address:

• Between one and five streetAddressLine elements are used to carry unstructured address lines, with the order in which they are carried in the message being significant, i.e. the first occurrence of the streetAddressLine element is used to carry the first line of address, the second occurrence of the streetAddressLine element is used to carry the second line of address etc;
• A postalCode element is used to carry a postcode;
• An addressKey element is used to carry a PAF key;
• For a temporary address only, a desc element is used to carry a textual description of nature of the address.

For any address, the useablePeriod sub-element may be used to indicate dates from and to which the address was/is to be effective. This mechanism allows previous addresses of any of the three types listed above to be carried in the message and distinguished from current addresses. These effective dates are indicated, in the following way:

• The low sub-element of the useablePeriod element may optionally be present with the date from which the address was effective provided in YYYYMMDD format in the value attribute;
• The high sub-element of the useablePeriod element may optionally be present with the date to which the address was/is to be effective provided in YYYYMMDD format in the value attribute.

To provide zero or more telecommunication numbers of the patient, together with the contact method for each. These two items of information are carried in the value attribute, separated by a colon character. The contact method will be one of the following values:

• tel (for telephone numbers);
• fax (for fax numbers);
• mailto (for e-mail addresses).

In addition, for each telecommunication number, zero or more occurrences of the use attribute may be used to indicate the context for the telecommunication number, using the following values:

• H - A communication address at a home;
• HP - The primary home, to reach a person after business hours;
• HV - A vacation home, to reach a person while on vacation;
• WP - An office address;
• AS - An automated answering machine;
• EC - A contact specifically designated to be used for emergencies;
• PG - A paging device suitable to solicit a callback or to leave a very short message;
• MC - A telecommunication device that moves and stays with its owner.

For any telecommunication number, the useablePeriod sub-element may also be used to indicate dates from and to which the telecommunication number was/is to be effective. This mechanism allows previous telecommunication numbers of any of the types listed above to be carried in the message and distinguished from current telecommunication numbers. These effective dates are indicated, in the following way:

• The low sub-element of the useablePeriod element may optionally be present with the date from which the telecommunication number was effective provided in YYYYMMDD format in the value attribute;
• The high sub-element of the useablePeriod element may optionally be present with the date to which the telecommunication number was/is to be effective provided in YYYYMMDD format in the value attribute.

To provide the patient's shared secret (defined as personal information provided by the patient) as a text string.

Example

<certificateText>Grandfather's name is Fred</certificateText>

To indicate the nature of any sensitive information about the patient in coded form.

The Coded Only datatype flavour is used to carry this information as follows:

• the code attribute will contain a value from the list of codes in the Confidentiality vocabulary.

THIS FIELD IS DEPRECATED AND NOT TO BE POPULATED.

Information about the person who is the identified patient.

A role link that links the registered GP to the patient.

Details about the person who is the patient.

Indicates that the entity is a person.

• Fixed value "PSN"

Indicates that the entity is a single identifiable person.

• Fixed value "INSTANCE"

To provide a structured name for the person.

The following sub-elements are used to carry components of a structured name:

• A single instance of the prefix element is used to carry a name title, for example, Mr, Mrs, Ms etc;
• One or more instances of the given element are used to carry given names (or forenames) or initials, with the order in which they are carried in the message being significant, i.e. the first occurrence of the given element is used to carry the first given name, the second occurrence of the given element is used to carry the second given name etc;
• A single instance of the family element is used to carry the family name (or surname);
• A single instance of the suffix element is used to carry a name prefix, for example, Jnr, Snr etc.

To provide the sex of the patient in coded form.

The Coded Only datatype flavour is used to carry this information as follows:

• the code attribute will contain a value from the list of codes in the Sex vocabulary.

To provide the date the patient was born.

The date may be given in one of the following formats:

• YYYYMMDD where the full date of birth is known;
• YYYYMM or YYYY where the full date of birth is not known.

One of the Date Only or Date Month or Date Year datatype flavours is used to carry this information as follows:

• The value attribute will contain the date value in one of the formats indicated.

Alternatively, where the birth date is not known, this can be conveyed in the following way:

• The nullFlavor attribute will contain the value "UNK" (Unknown).

To provide the date (and time where available) the patient died, where relevant.

The date/time may be given in one of the following formats:

• YYYYMMDDHHMM where the full date and time of death is known;
• YYYYMMDD where the full date of death is known;
• YYYYMM or YYYY where the full date of death is not known.

One of the Date and Time, Date Only, Date Month or Date Year datatype flavours is used to carry this information as follows:

• The value attribute will contain the date value in one of the formats indicated.

To provide details of person disabilities, for administrative purposes, in coded form.

This field may be repeated to provide either or both of the following pieces of information:

• Person hearing impairment;
• Person visual impairment.

The Coded Only datatype flavour is used to carry this information as follows:

• The code attribute will contain a value from the list of codes in the PersonDisability vocabulary.

THIS FIELD IS DEPRECATED AND NOT TO BE POPULATED.

Details about the GP the patient is registered with.

Indicates the role of GP the patient is registered with.

• Fixed value "ROL"

An identifier of the GP the patient is registered with.

This shall be represented by OID 1.2.826.0.1285.0.2.0.65 in the root element and the SDS unique identifier in the  extension.