R_Patient - tabular view

Provides information about a patient's demographics and healthcare provision in a way that conforms to the PDS patient structure. 

Indicates that the role is that of a patient.

• Fixed value: "PAT" (Patient)

The NHS number that identifies the patient.

This information is carried using the Identifier External datatype flavour as follows:

• the root element shall contain the value of the Patient NHS Number OID = 2.16.840.1.113883.2.1.4.1
• the extension shall contain the 10 digit NHS number.

A code indicating the type of patient role.

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 shall contain a value from the list of codes in the NHAISRegistration vocabulary.

An address of the person while playing the patient role.

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.

A telecom address of the person while playing the patient role.

A telecom address consists of a telecommunication number of the patient, together with the contact method. 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>

Information about the person who is the identified patient.

Details of the person who is the patient.  

Indicates that the entity is a person.

• Fixed value: "PSN" (Person)

Indicates that the person is a single identifiable instance.

• Fixed value: "INSTANCE" (Specific)

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.

A code indicating the sex of the patient for administrative purposes.

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

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

The date the patient was born.

The Date Only, Date Month or Date Year datatype flavours is used to carry this information as follows:

• The value attribute shall contain the date of birth with one of the precisions indicated.

The date shall be given using one of the following precisions:

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

If the birth date is not known, this can be conveyed as follows:

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

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

The Date Only, Date Month or Date Year datatype flavours is used to carry this information as follows:

• The value attribute shall contain the date of death with one of the precisions indicated.

The date shall be given using one of the following precisions:

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

The Role of the Person as a recipient of healthcare provision.

A Role of a Person as a recipient of healthcare services from a healthcare provider.

Indicates that the role is that of a patient.

• Fixed value: "PAT" (Patient)

A link to the Patient who is the subject of the patient care provision.

Act defining a relationship between a patient and his/her primary care provider.

Indicates that this is a patient care provision.

• Fixed value: "PCPR" (Patient Care Provision).

Indicates that this is a defined patient care provision which has occurred.

• Fixed value: "EVN" (Event)

A code indicating the type of patient care provision, which in this instance is always primary care.

The Coded with Code System datatype flavour shall be used to carry this information as follows:

• The code attribute shall contain a value from the list of codes in the PatientCareProvisionType vocabulary;
• The codeSystem attribute will contain the OID referenced in the PatientCareProvisionType vocabulary.

The provider responsible for the patient care provision, e.g.  a GP with whom the patient is registered.  

Indicates that the role is that of a provider.

• Fixed value: "PROV" (Healthcare provider)

The unique identifier of the SDS registered healthcare provider. 

This information is carried using the Identifier External datatype flavour as follows.

Where the provider is a GP:

• the root element shall contain the value of the User's Unique Identifier OID = 1.2.826.0.1285.0.2.0.65; and
• the extension shall contain the value of the SDS unique identifier.

Where the provider is a GP Practice or Pharmacy:

• the root attribute shall contain the value of the Organisation Id (NACS Organisation Code) OID = 1.2.826.0.1285.0.1.10; and 
• the extension attribute shall contain the Organisation Id, known in the External Interface Specification as the NACS Organisation Code.