Community Pharmacy Contraception Services - Data Recording and Transfer Guidance
ID | R14 |
|---|---|
Version | 1.0.0 |
Type | Reference |
Data Recording and Transfer
Community Pharmacy Solutions need to maintain comprehensive and accurate clinical records to support safe and effective ongoing service delivery.
The following table is derived from the Community Pharmacy Contraception Service requirements and outlines the Data Transfer and Recording for each Pharmacy Contraception Consultation record. The columns define:
Pharmacy Contraception Service Consultation Record - Data elements that must be collected and retained within the Pharmacy Contraception Service Consultation record
Implementation Guidance - Implementation guidance to ensure data quality and consistency
Mapping to NHSBSA Claim API Interface - Data items that must be submitted to the NHS Business Services Authority (NHSBSA) to support claims and reporting as per the NHSBSA Claims & Reporting Standard. Fields marked with '-' signify that data does not flow to the NHSBSA.
Mapping to GP Connect Update Record API interface - Data items that must be shared with the Patient’s registered GP Practice following a Pharmacy Contraception Service Consultation as per the GP Connect Update Record Standard, to enable continuity of care. Fields marked with '-' signify that data does not flow via GP Connect Update Record.
Links to GP Connect Implementation Guide and Specifications are provided for data fields that are shared with the Patient’s registered GP Practice. They are provided as a reference and Suppliers are expected to fully understand the implementation requirements and comply with the GP Connect Update Record Standard.
Pharmacy Contraception Service Consultation Record | Implementation Guidance | Mapping to NHSBSA Claim API (M) - Mandatory (O)-Optional | Mapping to GP Connect Update Record API | |
|---|---|---|---|---|
| 1 | IT System ID |
| PLATFORM_DEPOSIT_ID (M) | - |
| 2 | Person demographics | |||
| 3 | Person name |
| - | Part of Profile: CareConnect-GPC-Patient-1 See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 4 | Date of birth |
| - | Part of Profile: CareConnect-GPC-Patient-1 See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 5 | NHS number |
| PATIENT_NHS_NUMBER (M) | Part of Profile: CareConnect-GPC-Patient-1 See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 6 | Person's address + postcode |
| - | Part of Profile: CareConnect-GPC-Patient-1 See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 7 | Person's telephone number |
| - | - |
| 8 | Person's email address |
| - | - |
| 9 | GP practice | |||
| 10 | GP practice identifier (ODS code) |
| PATIENT_GP_ODS (O) | - |
| 11 | Signpost from | |||
| 12 | Date of Signpost |
| REFERRAL_DATE (M) | - |
| 13 | Signpost service type
|
| REFERRER_ORG_TYPE (M) | - |
| 14 | Legal information | |||
| 15 | Consent for treatment record |
| - | - |
| 16 | Consent for sharing with registered GP |
| - | - |
| 17 | Safeguarding concerns & local policy followed |
| - | - |
| 18 | Contacts with professionals | |||
| 19 | Date and time assessment |
| ASSESSMENT_DATE (M) | Part of Profile: CareConnect-Composition-1 See GP Connect - Update Record (ITK3) - Blood pressure check service - Example 2 |
| 20 | Location of contact |
| CLAIMANT_ODS (M) | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 21 | Consultation method
|
| CONSULT_METHOD (O) | - |
| 22 | Service |
| SERVICE_TYPE (M) | Part of Profile: CareConnect-Composition-1 See GP Connect - Update Record (ITK3) - Blood pressure check service - Example 2 |
| 23 | Reason for service
|
| REASON_FOR_SERVICE (M) | - |
| 24 | Outcome of contact
|
| CONSULT_OUTCOME (M)
| See GP Connect - Update Record (ITK3) - Contraception service - Example 1 Specifies Codes defined by NHS Data Model and Dictionary Outcome of Attendance. |
| 25 | Organisation name | | - | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 26 | Organisation address | | - | - |
| 27 | Organisation contact details | | - | - |
| 28 | Clinician name | | - | |
| 29 | Role
|
| PROFESSIONAL_ROLE (M) | |
| 30 | Professional identifier |
| PROFESSIONAL_IDENTIFIER (M) | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 31 | Professional identifier type |
| - | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 32 | Procedures and therapies | |||
| 33 | Current Contraception type |
| CONTRACEPTION_METHOD (M) & CONTRACEPTION_METHOD_OTHER_VALUE (O) (M if CONTRACEPTION_METHOD is OTHER) | - |
| 34 | History | |||
| 35 | Relevant past medical, surgical and mental health history |
| - | See Heading: History FHIR target: ClinicalImpression.summary with a meta tag for 'history'. |
| 36 | Clinical Summary | |||
| 37 | Clinical narrative |
| - | FHIR target: ClinicalImpression.summary with a meta tag for ‘clinical-summary’ |
| 38 | Examination findings | |||
| 39 | Height/length |
| - | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 40 | Weight |
| - | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 41 | BMI |
| - | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 42 | Blood pressure |
| - | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 43 | Systolic blood pressure |
| - | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 44 | Diastolic blood pressure |
| - | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 45 | Site |
| - | |
| 46 | Established Allergies and Adverse Reactions | |||
| 47 | Description of reaction |
| - | - |
| 48 | Medications and medical devices | |||
| 49 | Medication Name (dm+d) |
| MEDICATION_NAME (M) and CONTRACEPTION_PRODUCT (O) (M if CONSULT_OUTCOME is Supply made or Supply Made & Referred/Signposted) | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 50 | Form |
|
| See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 51 | Quantity Supplied |
| QUANTITY_SUPPLIED (M) | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 52 | Supply period |
| DOSE_DURATION (M) | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 53 | Date supplied |
| - | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 54 | Route
|
| - | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 55 | Site |
| - | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 56 | Supply type |
| PRODUCT_SUPPLY_TYPE (O) (M if CONSULT_OUTCOME is SUPPLY_MADE or SUPPLY_MADE_SIGNPOSTED ) | See GP Connect - Update Record (ITK3) - Contraception service - Example 1 |
| 57 | Dose directions description |
| - | Refer Handling Medications FHIR target: MedicationDispense.dosageInstruction[0].text |
| 58 | Additional instructions |
| - | Refer Handling Medications FHIR target: MedicationDispense.dosageInstruction[0].patientInstruction |
| 59 | No supply reason |
| ||