Social Care Assessment, Discharge and Withdrawal

ADW-Message-Bundle-1

The ADW-Message-Bundle-1 bundle is used in ADW as a container to collect the ADW profiles listed below:-

The following example has been saved as a .txt file only to allow correct viewing within a web browser; xml copies are available in the examples folder within this specification.

An instance of a DocumentReference and a Binary resource have been added to the end of this Discharge bundle to illustrate how a supporting document, in this case a pdf, could be attached to the message.

Example of the Discharge Notice Bundle for viewing in a web browser ADW-Message-Discharge-Notice-Bundle-1-Example-2.txt

ADW Data set Mapping for ADW Discharge Notice message bundle.

REQUIRED DATA FIELD FHIR PROFILE ELEMENT
Discharge Notice
Discharge Notice Issued Date MessageHeader.timestamp (ADW Message Sent Time)
Patient Identifiers
Patient NHS Number Patient.nhsNumber
NHS Number Status Indicator Patient.identifier.nhsNumberVerificationStatus
Hospital Patient Identifier Patient.localIdentifier
Patient Name
Family Name Patient.name.family
First Given Name Patient.name.given
Patient Birth Date
Patient Birth Date Patient.birthDate
Person Stated Gender
Patient Stated Gender Patient.gender
Patient Address
Address Line 1 Patient.address.line
Address Line 2 Patient.address.line
Address Line 3 Patient.address.line
Address Line 4 Patient.address.city
Address Line 5 Patient.address.district
Postcode Patient.address.postalCode
Hospital
Organization Site Code Organization.identifier (Organisation Site Code)
Hospital Name Organization.name
Ward Name Location.name
Proposed Discharge Date
Proposed Discharge Date Encounter.period.end
Discharge Date Informed Status
Discharge Notice Patient Consulted Indicator QuestionnaireResponse.group.Patient Consultation
Discharge Notice Carer Consulted Indicator QuestionnaireResponse.group.Carer Consultation
Lead Clinician Name
Family Name Practitioner.name.family
First Given Name Practitioner.name.given
Hospital Liaison Name
Family Name Practitioner.name.family
First Given Name Practitioner.name.given
Hospital Liaison Contact Details
Hospital Liaison Email Address Practitioner.telecom.value
Hospital Liaison Telephone Number Practitioner.telecom.value
Carer Name
Family Name Patient.contact.name.family
First Given Name Patient.contact.name.given
Carer Contact Details
Carer Email Address Patient.contact.telecom.value
Carer Telephone Number Patient.contact.telecom.value
Local Authority
Organization Code Organization.identifier (ODS Organisation Code)
Local Authority Name Organization.name
Social Services Team Organization.name

Profile Referencing Diagram for a Discharge Notice

The FHIR profiles in the message are referenced in the XML instance instead of being contained.

This means only one instance is required for each instance of the profile.

The diagram shows the referencing for a typical Discharge Notice message. It is intended for illustrative purposes only. The diagram can be viewed here:

Profile Referencing Diagram for a Discharge Notice

Further Information

For more information about message profiles visit the Profiling FHIR and for resource Metadata visit Base Resource Definitions.

The various downloads (including Schema files) and reference implementations are available on the FHIR website.

NameCard.TypeDescription & Constraints
..BundleResourceContains a collection of ADW message resources

...id0..1IdLogical id of this artifact

...meta0..1MetaMetadata about the resource

...implicitRules0..1UriA set of rules under which this content was created

...language0..1CodeLanguage of the resource content
Binding A human language. (http://tools.ietf.org/html/bcp47)
Binding Strength Required

...type1..1CodeBundle identified by bundle type 'message'.
Binding Bundle identified by bundle type 'message'. (http://hl7.org/fhir/DSTU2/valueset-bundle-type.html)
Binding Strength Required
Fixed Value message

...entry1..*BackboneElementEntry in the bundle - will have a resource, or information

....id0..1Idxml:id (or equivalent in JSON)

....fullUrl0..1UriAbsolute URL for resource (server address, or UUID/OID)

....resource1..1ResourceA resource in the bundle

.....id0..1IdLogical id of this artifact

.....meta0..1MetaMetadata about the resource

.....implicitRules0..1UriA set of rules under which this content was created

.....language0..1CodeLanguage of the resource content
Binding A human language. (http://tools.ietf.org/html/bcp47)
Binding Strength Required

Path Name Binding Strength ValueSet
.Bundle.language language Required http://tools.ietf.org/html/bcp47
.Bundle.type type Required http://hl7.org/fhir/DSTU2/valueset-bundle-type.html
.Bundle.entry.search.mode mode Required http://hl7.org/fhir/DSTU2/valueset-search-entry-mode.html
.Bundle.entry.request.method method Required http://hl7.org/fhir/DSTU2/valueset-http-verb.html
.Bundle.signature.type type Preferred http://hl7.org/fhir/DSTU2/valueset-signature-type.html
.Bundle.signature.contentType contentType Required http://www.rfc-editor.org/bcp/bcp13.txt

ADW-Message-Bundle-1

Examples Description XML File
ADW-Message-Discharge-Notice-Bundle-1-Example-1 Example of an ADW Discharge Notice Bundle with an attached document