Requirements Specification for Hospital Advice Recommendations And Future Plan
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| Actions required/that will be carried out by the hospital department. To include:
- Action (e.g. outpatient, pending investigations and results, outstanding issues)
- Person responsible
- Appropriate date and time.
[A Clinician’s Guide to Record Standards – Part 2: Standards for the structure and content of medical records and communications
when patients are admitted to hospital (Academy of Medical Royal Colleges, October 2008 )].
Includes ‘any planned follow-up arrangements’ (2011/12 Standard Terms and Conditions for Acute Hospital Services (Department
of Health, April 2011)).
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Hospital Actions
Business DefinitionActions required to be taken up by the hospital post discharge of the patient e.g. Outpatient activities, planned investigations,
and other outstanding issues).
Requirement Reference A Clinician’s Guide to Record Standards – Part 2: Standards for the structure and content of medical records and communications
when patients are admitted to hospital (Academy of Medical Royal Colleges, October 2008).
Proposed Data ValuesCoded value (free text as exception).
Data UsePatient information and continuing care.
Data SourceCopied from previous record (e.g. procedure waiting list, investigations planned, planned clinic appointments) or manual entry
where necessary.
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Contact Person
Business DefinitionThe person, in the capacity of the role they play in the hospital, responsible for performing the action.
Requirement Reference A Clinician’s Guide to Record Standards – Part 2: Standards for the structure and content of medical records and communications
when patients are admitted to hospital (Academy of Medical Royal Colleges, October 2008).
Proposed Data Values[Prefixes][Given names][Family names][Suffixes].
Data UseFuture communication.
Data SourceCopied from previous record or new record entry.
Available Data StandardsISO 21090 Health informatics data types, HL7 V3 Data Types, NHS MIM data types.
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Specialty Department Responsible For Action
Business DefinitionThe speciality/department responsible for action.
Requirement Reference A Clinician’s Guide to Record Standards – Part 2: Standards for the structure and content of medical records and communications
when patients are admitted to hospital (Academy of Medical Royal Colleges, October 2008).
Proposed Data ValuesThe list of Specialty codes defined by the National Workforce Data set (NWD) v2.2 approved by the NHS Information Centre.
Data UsePatient information, continuing care.
Data SourceCopied from previous record or new entry.
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Date For Actions
Business DefinitionThe date and optionally time when the action is planned to be executed by the hospital.
Requirement Reference A Clinician’s Guide to Record Standards – Part 2: Standards for the structure and content of medical records and communications
when patients are admitted to hospital (Academy of Medical Royal Colleges, October 2008).
Proposed Data ValuesA string with the format "YYYYMMDDHHMMSS.UUUU[+|-ZZzz]".
Data UsePatient information, continuing care.
Data SourceCopied from previous record entry or new entry.
Available Data StandardsISO 11404 - Point in Time, NHS ISB 1502: Common User Interface - Date and Time Input, NHS ISB 1503: Common User Interface
- Date Display, NHS ISB 1501: Common User Interface - Time Display.
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Comments
Business DefinitionOpportunity to record additional information about the future action. May include the status of the action in terms of Booked,
Proposed or Requested.
Requirement Reference LRA DS expert group 2011 – potentially useful for added detail at the author's discretion.
Proposed Data ValuesFree text.
Data UsePatient information, continuing care.
Data SourceCopied from previous record entry or new entry.
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