ADW-WithdrawalNotice

ADW-Cancel-ReferralRequest-1

ADW-Cancel-ReferralRequest-1

ReferralRequest
Definition

Used to record and send details about a request for referral service of a patient to the care of another provider or provider organization.

Control 0..*
Type ReferralRequest
Must Support True
Comments

This was designed to be compliant with the information standard for a set of Care Act 2014 compliant Assessment, Discharge and Withdrawal (ADW) Notices

ReferralRequest.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Control 0..1 ?
Type Id
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.

ReferralRequest.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

Control 0..1 ?
Type Meta
Comments
ReferralRequest.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

Control 0..1 ?
Type Uri
Is Modifier True
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element as much as possible.

ReferralRequest.language
Definition

The base language in which the resource is written.

Control 0..1 ?
Binding

A human language.

The codes SHALL be taken from http://tools.ietf.org/html/bcp47

Type Code
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

ReferralRequest.text
Definition

A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Control 0..1 ?
Type Narrative
Aliases narrative, html, xhtml, display
Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.

ReferralRequest.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Control 0..*
Type Resource
Aliases inline resources, anonymous resources, contained resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

ReferralRequest.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control 0..* ?
Type Extension
Aliases extensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

ReferralRequest.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Control 0..* ?
Type Extension
Is Modifier True
Aliases extensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

ReferralRequest.status(The Transfer Status)
Definition

The workflow status of the Referral Request notice.

Control 0..*
Must Support True
Comments
Fixed Value cancelled
ReferralRequest.identifier(Referral Request Identifier)
Definition
Control 1..1
Must Support True
Comments
ReferralRequest.identifier.id
Definition

unique id for the element within a resource (for internal references).

Control 0..1 ?
Type Id
Comments

RFC 4122

ReferralRequest.identifier.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control 0..* ?
Type Extension
Aliases extensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

ReferralRequest.identifier.value(UUID)
Definition
Control 1..*
Must Support True
Comments

This will be a UUID

Example 311fcae7-32a7-4a8e-a15c-eebae3a246b9
ReferralRequest.patient
Definition

The patient who is the subject of a Referral Request notice.

Control 1..*
Type https://fhir.hl7.org.uk/StructureDefinition/CareConnect-Patient-1
Must Support True
Comments
ReferralRequest.patient.id
Definition

unique id for the element within a resource (for internal references).

Control 0..1 ?
Type Id
Comments

RFC 4122

ReferralRequest.patient.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control 0..* ?
Type Extension
Aliases extensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

ReferralRequest.patient.reference
Definition
Control 1..*
Comments
ReferralRequest.patient.display
Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Control 0..1 ?
Type String
Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

ReferralRequest.requester(Hospital Liaison)
Definition

The healthcare provider or provider organization who/which initiated the Referral Request.

Control 1..*
Type https://fhir.hl7.org.uk/StructureDefinition/CareConnect-Practitioner-1
Must Support True
Comments
ReferralRequest.requester.id
Definition

unique id for the element within a resource (for internal references).

Control 0..1 ?
Type Id
Comments

RFC 4122

ReferralRequest.requester.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control 0..* ?
Type Extension
Aliases extensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

ReferralRequest.requester.reference
Definition
Control 1..*
Comments
ReferralRequest.requester.display
Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Control 0..1 ?
Type String
Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

ReferralRequest.recipient(Local Authority organisation)
Definition

The provider organization(s) who/which is to receive the Referral Request.

Control 1..1
Type https://fhir.hl7.org.uk/StructureDefinition/CareConnect-Organization-1
Must Support True
Comments

None

ReferralRequest.recipient.id
Definition

unique id for the element within a resource (for internal references).

Control 0..1 ?
Type Id
Comments

RFC 4122

ReferralRequest.recipient.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control 0..* ?
Type Extension
Aliases extensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

ReferralRequest.recipient.reference
Definition
Control 1..*
Comments
ReferralRequest.recipient.display
Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Control 0..1 ?
Type String
Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

ReferralRequest.encounter(The Inpatient Stay)
Definition

The encounter at which the request for referral is initiated.

Control 1..*
Type https://fhir.nhs.uk/StructureDefinition/CareConnect-ADW-Encounter-1
Must Support True
Comments
ReferralRequest.encounter.id
Definition

unique id for the element within a resource (for internal references).

Control 0..1 ?
Type Id
Comments

RFC 4122

ReferralRequest.encounter.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control 0..* ?
Type Extension
Aliases extensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

ReferralRequest.encounter.reference
Definition
Control 1..*
Comments
ReferralRequest.encounter.display
Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Control 0..1 ?
Type String
Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

ReferralRequest.supportingInformation(Further Information)
Definition

Reference to additional information to support the Referral Request notice.

Control 0..*
Comments
ReferralRequest.supportingInformation.id
Definition

unique id for the element within a resource (for internal references).

Control 0..1 ?
Type Id
Comments

RFC 4122

ReferralRequest.supportingInformation.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Control 0..* ?
Type Extension
Aliases extensions, user content
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

ReferralRequest.supportingInformation.reference
Definition
Control 1..*
Comments
ReferralRequest.supportingInformation.display
Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Control 0..1 ?
Type String
Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.