Adult Social Care Digital Social Care Record: Minimum Operational Data Standard (MODS): data specification
Adult Social Care Digital Social Care Record: Minimum Operational Data Standard (MODS)Observations
A record of something a care actor has seen, heard, or noticed in reference to the health or social wellbeing of a person. These can include objective and subjective observations and can be recorded by healthcare professionals and/or other care actors.
Relationships
- Children
- Alert
- Allergies and adverse reactions
- Circumstances
- Daily living
- Goal
- Incident
- Investigation result
- Need
- Outcome
- Preference
- Problem
- Risk
- Safeguarding concern
- Strengths
- Wish
- Also used in these standards
- Adult Social Care Digital Social Care Record: Minimum Operational Data Standard (MODS)
Subclasses
Filters (0)
| Name | Description |
|---|---|
| Incident | An incident that occurred in relation to care services resulting in unexpected or avoidable death, harm or injury to patient, carer, staff or visitor. |
| Circumstances | Used to record observed circumstances that impact a person’s health and wellbeing. |
| Problem | Healthcare problems associated with the Subject of care. |
| Need | All health and care needs, including emotional, social, cultural, religious and spiritual needs, should be included in assessments about the care and treatment people receive. |
| Risk | Risks identified as part of a risk assessment |
| Wish | A record of a person's aspirations and a description of things they want someone supporting them to do (or not to do) |
| Preference | A description of what is most important to a person, the people who are important to a person and things a person wants someone supporting them to do or not to do. |
| Strengths | A description of strengths and assets the person has relating to their goals and hopes about their health and well-being. |
| Alert | Details of an alert, which should be determined locally. They might, for example, include the fact that the person has a dangerous dog. It is important that alerts are managed and removed when they are no longer relevant - e.g. 'the dangerous dog' alert if the dog is no longer present. The alerts displayed to users viewing the core information may vary by use case and user's role. |
| Allergies and adverse reactions | Details about the Subject of care's allergies or adverse reactions. |
| Investigation result | Healthcare activity with the intention to clarify one or more health conditions of a subject of care. This can include a report which may have results for multiple tests. |
| Outcome | End result, change or benefit for an individual who uses social care and support services. |
| Goal | The overall goals, hopes, aims or targets that the person has. Including anything that the person wants to achieve that relates to their future health and wellbeing. Each goal may include a description of why it is important to the person. Goals may also be ranked in order of importance or priority to the person. |
| Safeguarding concern | Identified safeguarding concerns protecting vulnerable people from neglect or physical, financial, psychological, verbal or other forms of abuse. Implementation guidance: It is recognised that local authorities may not record the details of safeguarding concerns as a matter of policy. In such scenarios, health and social care organisations enquiring about a safeguarding flag may be directed to the local Multi-Agency Safeguarding Hub (MASH) team. |
| Daily living | Observation of activities relating to personal care and mobility about the home that are basic to daily living. |