Core Information Standard: Release Notes
Core information standard v2.0 logical model (page 1 of 1) in Core information standard v2.0 logical model (chapter 3 of 3) within Core Information Standard: Release Notes
Publication Date: August 2021
Updates have been made as part of the logical model project to:
- Alignment with other completed standards projects since the previous release (Dec 2018).
- Maintenance issues logged since the previous release.
- Updated more succinct valuesets for many elements for mapping to latest release of SNOMED CT, NHS data dictionary and to align to UK core R4 FHIR profiles
- FHIR Target added to represent the link to the UK core FHIR R4 where clinical and technical assurance has taken place
- Datatypes added to reflect a logical model
- Standard JSON extract exported to SPARX EA and UML entity and attribute diagrams developed
- SNOMED Tags added in places where clinical agreement of SNOMED CT codes has taken place to improve interoperability
- Elements decomposed: the data models for clinical concepts have been enhanced to be more structured. Includes:
- addition of ‘coded’ and ‘free text’ fields for all coded elements, or
- restructuring (eg) ‘Patient Address’ to include elements for each line of the address. This aligns standards closer to the associated technical specifications and therefore makes them more implementable.
Section: Person Demographics
| Elements | Update | Detail |
|---|---|---|
| Person demographics | Updated section name Elements decomposed Metadata added | ‘Patient demographics’ > ‘Person Demographics’ |
| Person name | ‘Person Name’ has been restructured into a cluster with additional elements. | New elements added: - Person first name - Person Family Name - Person preferred name - Title - Person name suffix - Person full name All new elements include updated value sets |
| NHS | New | Added to person demographics section to align to PDS and core |
| number status indicator | element | information standard. |
| Person's address | Element restructured into a cluster with additional elements. | New elements for: - Address Line 1, - Address Line 2 - Address Line 3 - Address Line 4 - Address Line 5 - Postcode - Address Type All new elements include updated value sets |
| Person's contact details | New cluster | Cluster includes new elements for: - Preferred contact method - Person's telephone number details (cluster – see below) - Person's Email Address details (cluster – see below) - Other contact information (optional field) |
| Person's telephone number details | New cluster | Associated elements: - Person's telephone number - Person's telephone number type - Preference of telephone number |
| Person's email address details | New cluster. | Associated elements: - Person's email address - Person's email address type - Preference of email address |
| Organ and tissue donation | Moved element to 'person demographics' section. | Previously recorded under 'Legal Information'. Added to person demographics to align to PDS. |
| Photograph | New element | Added to person demographics section to align to social care standards. |
| Overseas visitor status | New element | Added to person demographics section to align to PDS. |
| Place of Birth | New element | Added to person demographics section to align to PDS. |
| FHIR Target | New column added | To align to UK core FHIR profiles https://simplifier.net/guide/HL7FHIRUKCoreR4Release1/Home/Profiles/ProfileUKCore-Patient |
Section: Individual Requirements
| Elements | Update | Detail |
|---|---|---|
| Individual Requirement | Element renamed to 'Reasonable adjustment' | Updated to align SCR |
| Individual Requirement | New element added | Reasonable adjustment flag to align |
with SCR
Section: Participation in Research
| Elements | Update | Detail |
|---|---|---|
| Participation in research | New element added | Identification code description: Identification code of research study |
Section: Procedures and Therapies (previously ‘Procedures’)
| Elements | Update | Detail |
|---|---|---|
| Procedures | Section renamed to 'Procedures and therapies' Description updated Elements decomposed Metadata added |
Section description: "The details of any procedures performed. Includes both psychological and medical therapies and procedures (e.g. cognitive behaviour therapy, hip replacement)" |
Section: Risks
| Elements | Update | Detail |
|---|---|---|
| Risk type | New element added Other sections removed to improve modelling: - Risk to others Risk from others Risk to self Risk of infection |
Includes start and end dates for risks. |
Section: Allergies and Adverse Reactions
| Elements | Update | Detail |
|---|---|---|
| Allergies and adverse reactions | 1. Elements decomposed | |
| Allergies and adverse reactions > 'Reaction details' cluster | Two new elements added Metadata elements added |
New elements: - Substance - Route of exposure - Allergy end date - Comment |
| FHIR Target | New column added | To align to UK core FHIR profiles https://simplifier.net/guide/HL7FHIRUKCoreR4Release1/Home/ |
| Profiles/ProfileUKCore-AllergyIntolerance |
Section: Medications and Medical Devices
| Elements | Update | Detail | |
|---|---|---|---|
| Medications and Medical Devices | 1. 'Medications discontinued' cluster > 'Description of Amendment' element removed. | 'Comment' section retained and description updated to include reference to amendments. New element Medications and Medical Devices > Medication Item cluster > 'Over the counter medication flag' 'Medication prescribed by' 'Medication trade family' |
|
| 2. New elements added | Medications and Medical Devices > Medication Item cluster > Structured dose direction cluster > 'Dose type' 'Maxdoseperperiod' 'Maxdoseperadministration' |
||
| 3. Existing elements decomposed. | |||
| FHIR Target | New column added | To align to UK core FHIR profiles :- https://simplifier.net/guide/HL7FHIRUKCoreR4Release1/Home/Profiles/ProfileUKCore-MedicationStatement |
Section: About Me
| About Me | Includes 8 new elements | Description: New elements: - What is most important to me - People who are important to me - How I communicate and how to communicate with me - My wellness - Please do and please don't - How and when to support me - Also worth knowing about me - Supported to write this by |
Section: Care and Support Plan
| Elements | Update | Detail |
|---|---|---|
| Care and support plan | 3 new elements | New elements: - Goal importance score - Goal status - Stage goal outcome |
Section: Services and care
| Elements | Update | Detail |
|---|---|---|
| Services and care | 4 new elements | New elements:
|
Section: Equipment and adaptations
| Elements | Update | Detail |
|---|---|---|
| Equipment and adaptions | New section added | The name of the equipment (e.g. 'Keysafe', 'Handrail' 'Lifeline Alarm', etc.)
New elements:
|
Section: Primary support reason
| Elements | Update | Detail |
|---|---|---|
| Primary support reason | New section added | To align with Social care standards
New elements:
|
Page last updated: 08 July 2026