PRSB has revised and aligned its standards to support the digital exchange of health and care records and communications using Fast Healthcare Interoperability Resources (FHIR). When combined, standardised care records and FHIR technology allows information to flow directly from one IT system to another, helping people to access safe, high quality, timely and efficient care. 

The PRSB structure and content of health and care records is the essential resource that describes the standardised information that should be gathered and shared in care records so that they can be exchanged digitally across the NHS and social care, whenever and wherever it is needed.

The document replaced the 2013 Standards for the Clinical Structure and Content of Patient Records and has been published to reflect current professional practice and incorporates new or changed record structures and content resulting from the development of detailed transfer of care standards and integrated care standards.

The following PRSB standards have been updated in this release. Detailed release notes are available for each standard outlining the changes made. Please use the links below.

• eDischarge summary 
• Mental health inpatient discharge 
• Emergency care discharge 
• Outpatient letters
• Crisis care summary

How has PRSB completed this work?

The standards have been developed with input from thousands of professionals from all health and social care specialties, carers and people who access services. They agreed what information is essential to share in order to provide timely, high quality care efficiently that is well-coordinated and meets an individual’s needs.

For more information or help with queries contact the PRSB at info@theprsb.org.