NHS Connecting for Health
NHS Data Model and Dictionary Service
| Reference: | Change Request 1142 |
| Version No: | 1.0 |
| Subject: | NHS Data Model and Dictionary Modelling Changes |
| Effective Date: | Immediate |
| Reason for Change: | Change to Data Standards |
| Publication Date: | 18 February 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 common data items and associated data modelling that has been identified since the production of other data items relating to, for example: Disability, Questionnaires and Person Score, Other Person Observation etc. The changes are detailed in the "Summary of changes" below.
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 | |
| PERSON AND PERSON PROPERTY | Changed Diagram |
| Supporting Information | |
| NATIONAL SERVICE FRAMEWORK FOR CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES | New Supporting Information |
| Class Definitions | |
| CLINICAL INVESTIGATION RESULT ITEM | Changed Attributes |
| DISABILITY | Changed Attributes |
| PATIENT DIAGNOSIS | Changed Attributes |
| PERSON RELATIONSHIP | Changed Attributes |
| PRESCRIPTION | Changed Relationships |
| Attribute Definitions | |
| NEWBORN HEARING SCREENING OUTCOME | New Attribute |
| PERCEIVED DISABILITY CODE | New Attribute |
| PROVISIONAL DIAGNOSIS | New Attribute |
| RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE | New Attribute |
| Data Elements | |
| CARE PROFESSIONAL (JOB ROLE CODE) | New Data Element |
| PERCEIVED DISABILITY CODE | New Data Element |
| PROVISIONAL DIAGNOSIS (ICD) | New Data Element |
| Date: | 18 February 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 Supporting Information: New Supporting Information
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
The National Service Framework for Children, Young People and Maternity Services (referred to as the Children's National Service Framework) was introduced in 2004 and is a 10 year programme intended to stimulate long-term and sustained improvement in children’s health.
It aims to ensure fair, high quality and integrated health and social care from pregnancy, right through to adulthood. Experience before birth and in early life has a significant impact on the life chances of each individual: improving the health and welfare of parents and children is the surest way to a healthier nation.
At the heart of the Children's National Service Framework is a fundamental change in thinking about health and social care services. It is intended to lead to a cultural shift, resulting in services which are designed and delivered around the needs of children and families using those services, not around the needs of organisations. The Children's National Service Framework is aimed at everyone who comes into contact with, or delivers services to children and young people.
For further information on the Children's National Service Framework, see the:
Change to Class: Changed Attributes
| K | INVESTIGATION RESULT DATE | |
| K | INVESTIGATION RESULT TIME | |
| ARITHMETIC COMPARATOR | ||
| BIOPSY REFERRAL OUTCOME | ||
| CANCER HISTOLOGICAL TYPE | ||
| CANCER MARKER LYMPH NODE STATUS | ||
| CANCER VASCULAR OR LYMPHATIC INVASION | ||
| CERVICAL SMEAR EXAMINED DATE | ||
| CLINICAL INVESTIGATION ITEM UNIT OF MEASURE | ||
| CLOSEST MARGIN | ||
| CYTOLOGY RESULT TYPE | ||
| CYTOLOGY SMEAR REASON | ||
| DEVIATING RESULT INDICATOR | ||
| EXCISION MARGIN | ||
| GRADE OF DIFFERENTIATION | ||
| INVASIVE CANCER SPECIAL TYPE INDICATOR | ||
| INVASIVE LESION SIZE | ||
| INVESTIGATION RESULT TEXT | ||
| LYMPH NODE STATUS | ||
| MARKER LYMPH NODE RESULT | ||
| NECROSIS | ||
| NEWBORN HEARING SCREENING OUTCOME | ||
| NODES EXAMINED NUMBER | ||
| NODES POSITIVE NUMBER | ||
| NUMERICAL VALUE | ||
| PERINEURAL INVASION | ||
| RADIOLOGICAL RESULT VERIFIED DATE | ||
| RADIOLOGICAL RESULT VERIFIED TIME | ||
| RESULT ITEM STATUS | ||
| SARCOMA RELATION TO DEEP FASCIA | ||
| SCREENING TEST RESULT | ||
| SMEAR INFECTION TYPE | ||
| SPECIMEN NATURE | ||
| SYNCHRONOUS TUMOUR INDICATOR |
Change to Class: Changed Attributes
| PERCEIVED DISABILITY CODE | ||
| REGISTERED DISABILITY CODE | ||
| REGISTERED DISABILITY END DATE | ||
| REGISTERED DISABILITY START DATE |
Change to Class: Changed Attributes
| ACCIDENT AND EMERGENCY DIAGNOSIS | ||
| BASIS OF DIAGNOSIS | ||
| DEFINITIVE DIAGNOSIS | ||
| PATIENT DIAGNOSIS CODING SIGNIFICANCE | ||
| PATIENT DIAGNOSIS IMPLANT INDICATION | ||
| PRIMARY DIAGNOSIS | ||
| PROVISIONAL DIAGNOSIS | ||
| TUMOUR LATERALITY |
Change to Class: Changed Attributes
| K | PERSON RELATIONSHIP CODING TYPE | |
| K | PERSON RELATIONSHIP TYPE | |
| LEAD CONTACT INDICATOR | ||
| PERSON RELATIONSHIP END DATE | ||
| PERSON RELATIONSHIP START DATE | ||
| RELATIONSHIP TO PERSON | ||
| RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE | ||
| RELATION WITH CANCER |
Change to Class: Changed Relationships
| must be a request from one and only one CARE PROFESSIONAL | |
| must be for one and only one PATIENT | |
| must be for one or more PRESCRIBED ITEM | |
| may be for the delivery of one or more ACTIVITY DRUG | |
| may be resultant in one or more DISPENSED ITEM |
Change to Attribute: New Attribute
A coded CLINICAL INVESTIGATION RESULT ITEM for a Clinical Investigation of a newborn hearing screening.
National Codes:
| 01 | Clear response, no follow up required |
| 02 | Clear response, targeted follow up required |
| 03 | No clear response, bilateral referral |
| 04 | No clear response, unilateral referral |
| 05 | Incomplete |
Change to Attribute: New Attribute
The Perceived DISABILITY of a PERSON.
This indicates whether the PERSON considers themself to be disabled.
The PERSON can have more than one Perceived DISABILITY.
National Codes:
| 01 | Behaviour and Emotional |
| 02 | Hearing |
| 03 | Manual Dexterity |
| 04 | Memory or ability to concentrate, learn or understand (Learning Disability) |
| 05 | Mobility and Gross Motor |
| 06 | Perception of Physical Danger |
| 07 | Personal, Self Care and Continence |
| 08 | Progressive Conditions and Physical Health (such as HIV, cancer, multiple sclerosis, fits etc) |
| 09 | Sight |
| 10 | Speech |
| X | Other |
| N | No Perceived DISABILITY |
| Z | Not Stated (PERSON asked but declined to provide a response) |
Change to Attribute: New Attribute
This is the provisional PATIENT DIAGNOSIS for the main condition treated or investigated during the relevant episode of healthcare.
Change to Attribute: New Attribute
The relationship of the second PERSON to the first PERSON (the PATIENT) as used in the Child and Adolescent Mental Health Services Data Set and National Children's and Young People's Health Services Data Set.
This is used to identify, for example, with whom the child or young person is living in a permanent context or the relationship with the main carer etc.
National Codes:
| BPX | Biological Parent | |
| BPM | Biological mother | |
| BPF | Biological father | |
| SPX | Step-Parent | |
| SPM | Stepmother | |
| SPF | Stepfather | |
| GPX | Grandparent | |
| GPM | Grandmother | |
| GPF | Grandfather | |
| ORX | Other Relative | |
| ORA | Aunt | |
| ORU | Uncle | |
| ORS | Sister | |
| ORB | Brother | |
| ORO | Other | |
| APX | Adoptive Parent | |
| APM | Adoptive mother | |
| APF | Adoptive father | |
| FPX | Foster Parent | |
| FPM | Foster mother | |
| FPF | Foster father | |
| RCX | Residential Carer | |
| OTX | Other | |
Change to Data Element: New Data Element
| Format/Length: | an5 |
| HES Item: | |
| National Codes: | See JOB ROLE CODE |
| 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:
CARE PROFESSIONAL (JOB ROLE CODE) is the same as attribute JOB ROLE CODE.
Change to Data Element: New Data Element
| Format/Length: | an2 |
| HES Item: | |
| National Codes: | See PERCEIVED DISABILITY CODE |
| 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:
PERCEIVED DISABILITY CODE is the same as attribute PERCEIVED DISABILITY CODE.
Change to Data Element: New Data Element
| Format/length: | an6 |
| HES item: | |
| National Codes: | |
| 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:
See DIAGNOSTIC CODING for details on coding and PROVISIONAL DIAGNOSIS for the standardised definition of PROVISIONAL DIAGNOSIS.
For enquiries about this Data Set Change Notice, please email datastandards@nhs.net