NHS Connecting for Health
NHS Data Model and Dictionary Service
| Reference: | Change Request 1093 |
| Version No: | 1.0 |
| Subject: | NHS Data Model and Dictionary Modelling Changes - Communication |
| Effective Date: | Immediate |
| Reason for Change: | Change to Data Standards |
| Publication Date: | 19 January 2010 |
Background:
The NHS Data Model and Dictionary Service are currently working with the Department of Health and Information Centre for Health and Social Care to develop a number of Data Sets.
During the business analysis stage, it has been identified that these Data Sets cover a number of common areas which are either not currently in the NHS Data Model and Dictionary or amendments are required to make the current information suitable for use in these Data Sets.
This Data Set Change Notice adds the common data items and associated data modelling changes for "Communication (Language, Fluency and Interpreters)" into the NHS Data Model and Dictionary in preparation for these Data Sets. The changes are detailed in the "Summary of changes" below.
The primary purpose is to introduce new items into the NHS Data Model and Dictionary to support the new data sets currently under development. This will enable the new data sets to use the generic data items and codes for reporting Language, Fluency and Interpreter requirements.
These changes do not need to be implemented in end-user systems until the Data Set Change Notices for the specific data sets come into effect. Other specific items will be added to the Data Sets during development.
Summary of changes:
| Diagrams | |
| ACTIVITY | Changed Diagram |
| ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION | Changed Diagram |
| APPOINTMENTS | Changed Diagram |
| CATEGORY VALUED PERSON OBSERVATION | Changed Diagram |
| LISTS | Changed Diagram |
| ORGANISATION | Changed Diagram |
| PATIENT PATHWAY | Changed Diagram |
| PERSON AND PERSON PROPERTY | Changed Diagram |
| PRESCRIBING AND DISPENSING | Changed Diagram |
| RADIOTHERAPY | Changed Diagram |
| REFERRAL REQUEST | Changed Diagram |
| Class Definitions | |
| ACTIVITY | Changed Attributes |
| CATEGORY VALUED PERSON OBSERVATION | Changed Description |
| LANGUAGE CLASSIFICATION | Changed Attributes |
| LANGUAGE FLUENCY | New Class |
| PATIENT | Changed Attributes |
| Attribute Definitions | |
| CATEGORY VALUED PERSON OBSERVATION TYPE | Changed Description |
| INTERPRETER REQUIRED INDICATOR | Changed Description, Aliases |
| LANGUAGE COMMUNICATION TYPE | New Attribute |
| PREFERRED LANGUAGE | New Attribute |
| Data Elements | |
| INTERPRETER REQUIRED INDICATOR (SPOKEN) | New Data Element |
| PREFERRED LANGUAGE | New Data Element |
| Date: | 19 January 2010 |
| Sponsor: | Ken Lunn, Director of Data Standards and Products, NHS Connecting for Health |
Note: New text is shown with a blue background. Deleted text is crossed out. Retired text is shown in grey. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.
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Change to Class: Changed Attributes
| K | ACTIVITY IDENTIFIER | |
| INTERPRETER REQUIRED INDICATOR | ||
| REFERRAL TO TREATMENT PERIOD STATUS |
Change to Class: Changed Description
This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.
A type of PERSON PROPERTY.
Observations made regarding a PERSON. These observations do not include information about a treatment or intervention.
CATEGORY VALUED PERSON OBSERVATION allows coded classifications of observations about a PERSON and includes:
- ACCOMMODATION
- ALCOHOL STATUS
- ASPIRIN THERAPY LOCATION
- BLEED COMPLICATION
- DISABILITY
- DISABILITY SEVERITY
- ETHNIC CATEGORY
- JOINT REPLACEMENT REVISION CLASSIFICATION
- LANGUAGE CLASSIFICATION
- LANGUAGE FLUENCY
- LEGAL STATUS CLASSIFICATION
- PATIENT CLINICAL GROUP
- PERFORMANCE STATUS
- PERSON GENDER
- PERSON MARITAL STATUS
- RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION
- RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP
- SARCOMA PREDISPOSING CONDITION
- SEXUAL ORIENTATION
- SKIN LYMPHOMA MORPHOLOGY
Note: MEASURED PERSON OBSERVATION allows for recording of measurements about a PERSON and OTHER PERSON OBSERVATION is where the PERSON states, for example, when they first experienced symptoms, the number of days on which alcohol has been consumed etc.
Change to Class: Changed Attributes
| LANGUAGE CLASSIFICATION CODE | ||
| LANGUAGE COMMUNICATION TYPE | ||
| PREFERRED LANGUAGE |
Change to Class: New Class
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
A classification of the level of fluency with which a PERSON can communicate.
Change to Class: New Class
| may be the category for one or more CATEGORY VALUED PERSON OBSERVATION |
Change to Class: Changed Attributes
| K | NHS NUMBER | |
| CARER PERMISSION DATE | ||
| CARER SUPPORT INDICATOR | ||
| CHRONICALLY SICK OR DISABLED | ||
| DRUG MISUSE DATABASE NUMBER | ||
| DRUG MISUSER INJECTED EVER | ||
| DRUG MISUSER SHARED NEEDLE EVER | ||
| EMPLOYMENT STATUS | ||
| ENLISTMENT DATE | ||
| INJECTED IN LAST 4 WEEKS | ||
| LAST DISCHARGE DATE | ||
| NHS NUMBER OLD | ||
| OVERSEAS VISITOR UK ARRIVAL DATE | ||
| REFUGEE OR STATELESS PERSON INDICATOR | ||
| SHARED NEEDLE OR SYRINGE IN LAST 4 WEEKS | ||
| YEAR OF FIRST KNOWN PSYCHIATRIC CARE |
Change to Attribute: Changed Description
This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.
A classification of a CATEGORY VALUED PERSON OBSERVATION.
National Codes:
Change to Attribute: Changed Description, Aliases
Identifies whether an interpreter is required for the purposes of communication between a CARE PROFESSIONAL and a PATIENT, during a course of treatment.This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.
Classification:Identifies whether an interpreter is required for the purposes of communication, including Sign Language, between a CARE PROFESSIONAL and a PERSON.
National Codes:
| Y | Yes |
| N | No |
| Z | Not Stated (PERSON asked but declined to provide a response) |
Change to Attribute: Changed Description, Aliases
- Changed Description
- Alias Changes
Name Old Value New Value plural INTERPRETER REQUIRED INDICATOR INTERPRETER REQUIRED INDICATORS
Change to Attribute: New Attribute
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Identifies the LANGUAGE COMMUNICATION TYPE for the purposes of communication between a CARE PROFESSIONAL and a PERSON.
National Codes:
| 01 | Spoken, including Sign Language |
| 02 | Written |
| 03 | Spoken, including Sign Language and Written |
Change to Attribute: New Attribute
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
An indication of whether the LANGUAGE CLASSIFICATION CODE is the LANGUAGE a PERSON prefers to use in the ACTIVITY communication.
National Codes:
| Y | Yes |
| N | No |
| Z | Not Stated (PERSON asked but declined to provide a response) |
Change to Data Element: New Data Element
| Format/Length: | an1 |
| HES Item: | |
| National Codes: | See INTERPRETER REQUIRED INDICATOR |
| Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
INTERPRETER REQUIRED INDICATOR (SPOKEN) is the same as attribute INTERPRETER REQUIRED INDICATOR where the LANGUAGE COMMUNICATION TYPE is National Code:
- '01 - Spoken, including Sign Language' and
- '03 - Spoken, including Sign Language and Written'.
INTERPRETER REQUIRED INDICATOR (SPOKEN) identifies whether an interpreter is required for the purposes of spoken communication, including Sign Language, between a CARE PROFESSIONAL and a PERSON.
Change to Data Element: New Data Element
| Format/Length: | an1 |
| HES Item: | |
| National Codes: | See PREFERRED LANGUAGE |
| Default Codes: |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
PREFERRED LANGUAGE is the same as attribute PREFERRED LANGUAGE.
For enquiries about this Data Set Change Notice, please email datastandards@nhs.net