| Package | supportedhospitaldischarge.stu3 |
| Resource Type | Questionnaire |
| Id | Questionnaire-example |
| FHIR Version | R3 |
| Source | https://simplifier.net/resolve?scope=supportedhospitaldischarge.stu3@0.1.5&canonical=https://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/RSC-Questionnaire-InitialSafeguardingContact |
| URL | https://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/RSC-Questionnaire-InitialSafeguardingContact |
| Version | 0.0.1 |
| Status | draft |
| Date | 2021-07-22T15:00:00+01:00 |
| Name | Questionnaire-InitialSafegaurdingContact |
| Title | Questionnaire-InitialSafegaurdingContact |
| Description | Initial Safegaurding Contact is used by Emergency Service and Health and Care Agencies to refer safegaurding concerns to the Loacal Authority |
| Purpose | Initial Safegaurding Contact is used by Emergency Service and Health and Care Agencies to refer safegaurding concerns to the Loacal Authority |
No resources found
No resources found
No narrative content found in resource
FHIR{
"resourceType": "Questionnaire",
"url": "https://fhir.nottinghamshire.gov.uk/STU3/Questionnaire/RSC-Questionnaire-InitialSafeguardingContact",
"version": "0.0.1",
"name": "Questionnaire-InitialSafegaurdingContact",
"title": "Questionnaire-InitialSafegaurdingContact",
"status": "draft",
"date": "2021-07-22T15:00:00+01:00",
"publisher": "NottsCC",
"description": "Initial Safegaurding Contact is used by Emergency Service and Health and Care Agencies to refer safegaurding concerns to the Loacal Authority",
"purpose": "Initial Safegaurding Contact is used by Emergency Service and Health and Care Agencies to refer safegaurding concerns to the Loacal Authority",
"item": [
{
"linkId": "1",
"text": "General",
"type": "group",
"item": [
{
"linkId": "1.1",
"text": "Referral Type",
"type": "text"
},
{
"linkId": "1.2",
"text": "Referring Organisation",
"type": "text"
},
{
"linkId": "1.3",
"text": "Contact Name",
"type": "text"
},
{
"linkId": "1.4",
"text": "Contact Email",
"type": "text"
},
{
"linkId": "1.5",
"text": "Contact Phone",
"type": "text"
},
{
"linkId": "1.6",
"text": "Date/Time of Referral",
"type": "dateTime"
},
{
"linkId": "1.7",
"text": "Rationale for Referral",
"type": "text"
},
{
"linkId": "1.8",
"text": "Incident Number / ID",
"type": "text"
},
{
"linkId": "1.9",
"text": "Incident Description",
"type": "text"
},
{
"linkId": "1.10",
"text": "Date / Time of Incident",
"type": "dateTime"
},
{
"linkId": "1.11",
"text": "Location of Incident",
"type": "text"
},
{
"linkId": "1.12",
"text": "Attending Persons",
"type": "text"
},
{
"linkId": "1.13",
"text": "Other Involved Agencies",
"type": "text",
"repeats": true
}
]
},
{
"linkId": "2",
"text": "People Involved",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "2.1",
"text": "Name",
"type": "text"
},
{
"linkId": "2.2",
"text": "NHS Number",
"type": "text"
},
{
"linkId": "2.3",
"text": "Date of Birth",
"type": "dateTime"
},
{
"linkId": "2.4",
"text": "Age at time of event",
"type": "text"
},
{
"linkId": "2.5",
"text": "Category",
"type": "text"
},
{
"linkId": "2.6",
"text": "Relationship to victim/subject",
"type": "text"
},
{
"linkId": "2.7",
"text": "Relation to other",
"type": "text"
},
{
"linkId": "2.8",
"text": "Involvement",
"type": "text"
},
{
"linkId": "2.9",
"text": "Employment",
"type": "text"
},
{
"linkId": "2.10",
"text": "Address",
"type": "text"
},
{
"linkId": "2.11",
"text": "Postcode",
"type": "text"
},
{
"linkId": "2.12",
"text": "Home Phone",
"type": "text"
},
{
"linkId": "2.13",
"text": "Mobile Phone",
"type": "text"
},
{
"linkId": "2.14",
"text": "Email",
"type": "text"
},
{
"linkId": "2.15",
"text": "SAFE Telephone Numbers (if recorded)",
"type": "text"
},
{
"linkId": "2.16",
"text": "Other contact details",
"type": "text"
},
{
"linkId": "2.17",
"text": "Preferred means of contact",
"type": "text"
},
{
"linkId": "2.18",
"text": "Ethnicity",
"type": "text"
},
{
"linkId": "2.19",
"text": "Gender",
"type": "text"
},
{
"linkId": "2.20",
"text": "Relevant aggravating factors",
"type": "text"
},
{
"linkId": "2.21",
"text": "GP name",
"type": "text"
},
{
"linkId": "2.22",
"text": "GP ODS code",
"type": "text"
},
{
"linkId": "2.23",
"text": "GP surgery",
"type": "text"
},
{
"linkId": "2.24",
"text": "GP address",
"type": "text"
},
{
"linkId": "2.25",
"text": "GP telephone",
"type": "text"
},
{
"linkId": "2.26",
"text": "School",
"type": "text"
},
{
"linkId": "2.27",
"text": "Present at time of the incident?",
"type": "text"
},
{
"linkId": "2.28",
"text": "Welfare check of children made?",
"type": "text"
},
{
"linkId": "2.29",
"text": "Any communication barriers?",
"type": "text"
},
{
"linkId": "2.30",
"text": "Interpreter required?",
"type": "text"
},
{
"linkId": "2.31",
"text": "Are there any passport/legal status issues?",
"type": "text"
},
{
"linkId": "2.32",
"text": "Any other comments?",
"type": "text"
}
]
},
{
"linkId": "3",
"text": "Additional Information",
"type": "group",
"repeats": true,
"item": [
{
"linkId": "3.1",
"text": "Question",
"type": "text"
},
{
"linkId": "3.2",
"text": "Answer",
"type": "text"
}
]
}
]
}