
<record target>
COMPOSITION.other_participations is of type PARTICIPATION
PARTICIPATION:
@type = RCT

PERSON_ROLE: Patient Role
Specializes: SubjectOfCareRole
@id: II.NhsNumber = NHS Number
@address (use=home) = Patient address
- structured or unstructured? If structured which address parts are allowable?
@telecom = Patient telephone number(s)

<played by>

PERSON_ENTITY: Person Entity
Specializes: PersonEntity
@name: EN.PN.NhsStandard
- name.part (type=family) = Patient surname
- name.part (type=given) = Patient forename
- name.part (type=given; use=pseudonym) = Name known as
@birthTime = Date of birth
@gender = Gender

<registered with>
ROLE_RELATIONSHIP.type = registered with
** Amendment required - Relationship does not currently exists in SubjectOfCare Domain Model **

PERSON_ROLE: GP Role
Specializes: IdentifiablePersonInOrganisationRole
@id.nullFlavor.enum = NA

<played by>

PERSON_ENTITY: Person Entity
Specializes: PersonEntity
@name = GP Name
- structured or unstructured name?

<is scoped by>
ROLE_RELATIONSHIP.type = is scoped by

ORGANISATIONAL_ROLE: GP Practice Role
Specializes: IdentifiableOrganisationalRole
@id = GP practice code
@address = GP practice address

ENTRY: Admission Details
** New ENTRY Domain Model required **

???_ELEMENT: Admission
** New ENTRY Domain Model required **
Is this an admission event or procedure (i.e. FINDING_OBSERVATION_ELEMENT or GENERAL_ACTIVITY_ELEMENT)?
Will the event/procedure include admission method/source?
@obs_time = Date of admission and Time of admission

<location>
ENTRY.other_participants is of type PARTICIPATION
PARTICIPATION.type = LOC

ORGANISATIONAL_ROLE: Hospital Site Role
Specializes: IdentifiableOrganisationalRole
What details are required of hospital site - id, name, address, telecom details?
= Hospital site

<is scoped by>

ORGANISATIONAL_ROLE: Hospital Trust Role
Specializes: IdentifiableOrganisationalRole
What details are required of hospital trust - id, name, address, telecom details?
= Responsible trust

ENTRY: Discharge Details
** New ENTRY Domain Model required **

???_ELEMENT: Discharge
** New ENTRY Domain Model required **
Is this a discharge event or procedure (i.e. FINDING_OBSERVATION_ELEMENT or GENERAL_ACTIVITY_ELEMENT)?
Will the event/procedure include discharge method?
@obs_time = Date of discharge and Time of discharge

<has care context>

FINDING_OBSERVATION_ELEMENT: Home Environment Status
** New ENTRY Domain Model required **
@meaning = Living alone (105529008 | lives alone | with finding context = definitely present OR definitely not present?)

<destination>
ENTRY.other_participants is of type PARTICIPATION
PARTICIPATION.type = DST

ORGANISATIONAL_ROLE: Identifiable Service Delivery Location Role
Specializes: IdentifiableServiceDeliveryLocationRole
@type = Type of destination
@address = Destination address

ENVIRONMENT_ROLE: Supporting or Provider Organisation Role
Specializes: SupportingOrProviderOrganisationRole
@type = Type of destination
@address = Destination address

ENVIRONMENT_ROLE: Non-Identifiable Service Delivery Location Role
Specializes: NonIdentifiableServiceDeliveryLocationRole
@type = Type of destination
@address = Destination address (not required if patient's home)

<attender>
ENTRY.other_participants is of type PARTICIPATION
PARTICIPATION.type = ATND

PERSON_ROLE: HCP Role
Specializes: IdentifiablePersonInOrganisationRole
@mainSpecialtyCode = Discharging specialty/department
Is this specific to the discharge event/procedure or is it consultant applicable at the discharge summary level?
What details are required for the consultant?

<composer>
COMPOSITION.composer is of type FUNCTIONAL_ROLE

PERSON_ROLE: HCP Role
Specializes: IdentifiablePersonInOrganisationRole
@id.nullFlavor.enum = NA
@type = Grade
** Specialty - currently only have mainSpecialtyCode for consultants. Is this 'inherited' by all member's of the consultant's team? **

<played by>

PERSON_ENTITY: Person Entity
Specializes: PersonEntity
@name = Doctor's name
- structured or unstructured name?

<primary information recipient>
COMPOSITION.other_participants is of type PARTICIPATION
PARTICIPATION.type = PRCP
Primary information recipients or trackers (or both?)
What details are required for each?
= Distribution List

ENTRY: Provision of Advice and Information
** New ENTRY domain model required **

GENERAL_ACTIVITY_ELEMENT: Discharge Discussion
Specializes: GenericDiscussion
@meaning = <<223482009 | discussion |
- (should this be 409073007 | education | ?)
- subject relationship context = Differentiation required between information given to patients, carers and any other authorised representatives (details of subjects other than patient required?)

<has annotation>

UNBOUND_DATA_ELEMENT: Advice and Information Provided
Specializes: Text
@value = Information given to patient and/or authorised representative

GENERAL_ACTIVITY_ELEMENT: Provision of Written Advice
** New ELEMENT domain model required **
@meaning = SNOMED CT concept equivalent to 'provision of written advice' ?
- subject relationship context = Differentiation required between information given to patients, carers and any other authorised representatives (details of subjects other than patient required?)

<has annotation>

UNBOUND_DATA_ELEMENT: Advice and Information Provided
Specializes: Text
@value = Information given to patient and/or authorised representative

ENTRY: Concerns, Expectations and Wishes
** New ENTRY domain model required **

FINDING_OBSERVATION_ELEMENT: Concerns
** New ELEMENT domain model required **
@meaning = SNOMED CT concept equivalent to finding of 'patient exhibits concern' ?

<has annotation>

UNBOUND_DATA_ELEMENT: Concerns, Expectations and Wishes
Specializes: Text
@value = Patient's concerns, expectations and wishes

FINDING_OBSERVATION_ELEMENT: Expectations
** New ELEMENT domain model required **
@meaning = SNOMED CT concept equivalent to finding of 'patient exhibits expectations' ?

<has annotation>

UNBOUND_DATA_ELEMENT: Concerns, Expectations and Wishes
Specializes: Text
@value = Patient's concerns, expectations and wishes

FINDING_OBSERVATION_ELEMENT: Wishes
** New ELEMENT domain model required **
@meaning = SNOMED CT concept equivalent to finding of 'patient exhbits wishes/preferences' ?

<has annotation>

UNBOUND_DATA_ELEMENT: Concerns, Expectations and Wishes
Specializes: Text
@value = Patient's concerns, expectations and wishes