# Logical Record Architecture for Health and Social Care
## Discharge Summary Release 0.02

Contents
# Requirements Specification for Distribution List
The parties that will be provided copies of the discharge summary. [A Clinician’s Guide to Record Standards – Part 2: Standards for the structure and content of medical records and communications when patients are admitted to hospital (Academy of Medical Royal Colleges, October 2008)]. NOTE: there may be a link (managed mentally by the Discharge Summary author) between Living Alone information, and Patient's wishes, concerns, etc. re communications and the parties on this list. The LRA DS Expert Group 2011 noted that in principle, patient consent for all parties on the distribution list should be managed and also noted that this may be achieved in various ways operationally so as to be efficient within the care workflow.
## Recipient Name ### Business Definition The name of a person who is intended to receive a copy of the Discharge Summary. ### Requirement Reference A Clinician’s Guide to Record Standards – Part 2:Standards for the structure and content of medical records and communications when patients are admitted to hospital (Academy of Medical Royal Colleges, October 2008). ### Proposed Data Values [Prefixes][Given names][Family names][Suffixes]. ### Data Use Information governance. ### Data Source EHR system user identification. ### Available Data Standards ISO 21090 Health informatics data types, HL7 V3 Data Types, NHS MIM data types.
## Organisation Name ### Business Definition The name of the organisation associated with the Recipient. ### Requirement Reference LRA DS expert group 2011 – for information governance. ### Proposed Data Values Organisation name associated with coded identifier. ### Data Use Information governance. ### Data Source PAS or previous record entry. ### Available Data Standards This is the organisational code used within the NHS England and Wales and provided and maintained by SDS. This information is optional and needs to be completed only if the discharge summary is being sent to an organisation or department rather than an individual.
## Recipient Address ### Business Definition The address of the Recipient. ### Requirement Reference LRA DS expert group 2011 – for information governance. ### Proposed Data Values Address Prefix, Building Name and Building Number; Dependent Street or Road Name, and Street or Road Name; Dependent Locality and Double dependent locality; Postal Town; Postal County; Postal Code; PAF Key - unique ID for an address allocated by the Royal Mail. ### Data Use Information governance. ### Data Source PAS. ### Available Data Standards BS7666 address standard.
## Relationship To Patient ### Business Definition The relationship that the recipient of the information has with the patient. This may include the patient himself/herself or a person who represents the patient. ### Requirement Reference LRA DS expert group 2011 – for information governance. ### Proposed Data Values - Self - Carer - Spouse or civil partner - Parent or Guardian - Son or daughter - Sibling - Grandparent - Grandchild - Uncle or aunt - Nephew or Niece - Power of Attorney - Proxy; Contact - Proxy; Communication - Proxy; Contact and Communication - Other ### Data Use Information governance. ### Data Source Coded manual entry. ### Available Data Standards A potential extension of the NHS Data Model & Dictionary Version 3.