Logical Record Architecture for Health and Social Care

Discharge Summary Release 0.02

Requirements Specification for Patients Concerns Expectations And Wishes

The patient’s expressed wishes, expectations and concerns. 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).

Patients Concerns Expectations And Wishes

Business Definition

This will be a free text field, examples of use include: - Continuity of care in the community to avoid gaps in the service when leaving the hospital setting, providing care where required, wherever the patient may be. - Patients with long term conditions, e.g. requiring recovery time from operations, radiotherapy. chemotherapy and many more, may require social services for sickness and disability benefits for the patient and their families to be able to manage financially whilst off work sick. - Ensuring correct support systems for the parents of children with long term conditions, including both mental and physical.

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

Free text.

Data Use

Patient influence in ongoing care.

Data Source

Copied from previous record or new entry.