Patient Flags - NHS England - Implementation Guide STU1 - Local Development build (v0.4.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Data Model

Patient Flag Data Model

A Patient Flag API record is made up of a Flag resource and any other ‘detail’ resources that are provided as part of the Flag record in the specific domain

Reasonable Adjustments

The RA record is made up of Flag, Provenance and Condition resources.

The presence of and entitlement to reasonable adjustments is represented by a PatientFlag resource. It can be interpreted as meaning ‘this patient has reasonable adjustments’.

Individual adjustments are represented as ProgrammeFlag resource instances. They can be interpreted as meaning e.g.’this patient requires Easy read’

Patients may optionally request details of underlying conditions are recorded and shared where this enhances healthcare. These are represented as FlagCondition resources

Provenance of all resources that make up an RA record must be stored. This is modelled here as a contained resource, and as such has no lifetime outside of the constituent RA record resources.

Female Genital Mutilation

The FGM record is made up of a PatientFlag resource.

Authorised healthcare workers can:

• query to determine if a patient has a FGM family history indicator
• create a FGM family history indicator for a patient – must be gender ‘female’, ‘unknown’ or indeterminate’ according to PDS – must be under the age of 18 according to PDS – must not already have a FGM family history indicator on FGM-IS – must have a verified NHS number
• delete a FGM family history indicator for a patient

The FGM flag is interpreted as:

• an indicator that a child with female genitalia has a family history of FGM
• the date that the FGM assessment was carried out