NHS Connecting for Health
NHS Data Model and Dictionary Service
| Reference: | Change Request 1174 |
| Version No: | 1.0 |
| Subject: | NHS Data Model and Dictionary Modelling Changes |
| Effective Date: | Immediate |
| Reason for Change: | Change to Data Standards |
| Publication Date: | 23 June 2010 |
Background:
The NHS Data Model and Dictionary Service are currently working with the Department of Health and the 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 Information Standards Notice adds common data items and associated data modelling which is required by more than one data set currently in development. The changes are detailed in the Summary of Changes below.
These changes do not need to be implemented in end-user systems until the Information Standards Notice for the specific data sets come into effect. Other specific items will be added to the Data Sets during development.
Summary of changes:
| Date: | 23 June 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
| A and E INCIDENT LOCATION TYPE | ||
| A and E PATIENT GROUP | ||
| ACTIVITY GROUP TYPE | ||
| ADMISSION METHOD | ||
| AMI ADMISSION DIAGNOSIS | ||
| AMI ADMISSION WARD TYPE | ||
| AMI ADMITTING CONSULTANT TYPE | ||
| AMI CAUSE OF DEATH IN HOSPITAL | ||
| AMI DISCHARGE DIAGNOSIS | ||
| AMI HEART RATE | ||
| BABY FEEDING METHOD TYPE | ||
| BONE SARCOMA LOCATION | ||
| BROAD PATIENT GROUP | ||
| CANCER REFERRAL TO TREATMENT PERIOD START DATE | ||
| CANCER STATUS | ||
| CANCER TREATMENT INTENT | ||
| CANCER TREATMENT PERIOD START DATE | ||
| COPD PRESENT | ||
| CORONARY ANGIOGRAPHY PERFORMED | ||
| CPA LEVEL | ||
| DELIVERY FACILITIES ONLY USED | ||
| DELIVERY PLACE CHANGE REASON | ||
| DIAGNOSTIC ROUTE | ||
| DISCHARGE DESTINATION | ||
| DISCHARGE FROM MENTAL HEALTH SERVICE REASON | ||
| DISCHARGE METHOD | ||
| DISTRIBUTION OF LESIONS PRESENT | ||
| ECG DETERMINING TREATMENT | ||
| FIRST REGULAR DAY OR NIGHT ADMISSION | ||
| FULL POSTNATAL EXAMINATION DATE | ||
| GENERAL DENTAL SERVICE INDICATOR | ||
| GENETICALLY DETERMINED SKIN CANCER TYPE | ||
| GENITOURINARY EPISODE TYPE | ||
| INFECTION PROBABLE SOURCE | ||
| INITIAL CONTACT TYPE | ||
| INTENDED DELIVERY PLACE | ||
| INVESTIGATION OR INTERVENTION REFERRAL DATE | ||
| LENGTH OF STAY ADJUSTMENT | ||
| LENGTH OF STAY ADJUSTMENT REASON | ||
| MATERNAL RUBELLA STATUS | ||
| MENSTRUAL STATUS | ||
| MENTAL HEALTH CARE SPELL END CODE | ||
| MIDWIFE EPISODE END REASON | ||
| NEONATAL LEVEL OF CARE | ||
| NURSING EPISODE END REASON | ||
| NUTRITIONAL SUPPORT PROVIDED TYPE | ||
| PATIENT CLASSIFICATION | ||
| POSSUM SCORE (AFTER SURGERY) | ||
| POSSUM SCORE (AT DIAGNOSIS) | ||
| PREGNANCY LEAD PROFESSIONAL TYPE | ||
| PREGNANCY PREVIOUS CAESAREAN SECTIONS | ||
| PREGNANCY PREVIOUS INDUCED ABORTIONS | ||
| PREGNANCY TOTAL LIVE BIRTHS | ||
| PREGNANCY TOTAL NEONATAL DEATHS | ||
| PREGNANCY TOTAL NON-INDUCED ABORTIONS | ||
| PREGNANCY TOTAL PREVIOUS PREGNANCIES | ||
| PREGNANCY TOTAL STILL BIRTHS | ||
| PREVIOUS MATERNAL BLOOD TRANSFUSION | ||
| PREVIOUS TREATMENT ELSEWHERE | ||
| QUALITY OF LIFE | ||
| RADIOTHERAPY INTENT | ||
| REHABILITATION REFERRAL | ||
| RTA FURTHER ADMISSION PLANNED | ||
| SARCOMA CONDITION FIRST SEEN | ||
| SARCOMA LARGEST DIAMETER | ||
| SARCOMA PART SITE | ||
| S CATEGORY FINAL PRETREATMENT | ||
| SERUM TUMOUR MARKER PSA | ||
| SKIN TCELL CLINICAL VARIANT | ||
| SKIN TCELL SURFACE AREA | ||
| SOFT TISSUE SARCOMA LOCATION | ||
| SOURCE OF ADMISSION | ||
| SUPERVISED COMMUNITY TREATMENT END REASON | ||
| SUPERVISION REGISTER RISK | ||
| TELEPHONE CONTACT INDICATOR | ||
| TREATMENT START DATE CANCER | ||
| WARD STAY TERMINATION REASON |
Change to Class: Changed Attributes
| A and E ARRIVAL MODE | ||
| A and E ATTENDANCE CATEGORY | ||
| A and E ATTENDANCE DISPOSAL | ||
| A and E INITIAL ASSESSMENT TRIAGE CATEGORY | ||
| A and E STREAM | ||
| ACUTE HOME-BASED TELEPHONE CONTACT | ||
| ANTENATAL OR POSTNATAL INDICATOR | ||
| BREAST CANCER NURSE SEEN | ||
| CARE ACTIVITY INFORMATION | ||
| CARE CONTACT TYPE | ||
| COLPOSCOPY PRIME PROCEDURE TYPE | ||
| CONSULTATION MEDIUM USED | ||
| CONTRACEPTIVE SERVICE TYPE | ||
| CPA REVIEW OUTCOME | ||
| DENTAL HAEMORRHAGE SERVICE TYPE | ||
| DENTAL REFERRAL INDICATOR | ||
| ELIGIBILITY OUTCOME | ||
| EMERGENCY TREATMENT FEE | ||
| EMERGENCY TREATMENT TYPE | ||
| FIRST ATTENDANCE | ||
| GENITOURINARY CONTACT TYPE CODE | ||
| HEALTH PROMOTION STAFF GROUP | ||
| HOME HELP USE | ||
| INITIAL CONTACT | ||
| INITIAL CONTACT WITHIN FIVE DAYS | ||
| IUD APPLICATION DATE | ||
| MARKER RESPONSE STATUS | ||
| MATERNITY MEDICAL SERVICE TYPE | ||
| MATERNITY VISIT CALL REASON | ||
| MEDICAL STAFF TYPE SEEING PATIENT | ||
| METASTATIC STATUS | ||
| NODAL STATUS | ||
| NON-NHS COMMUNITY BED USE | ||
| NON-NHS DAY CARE FACILITY USE | ||
| OUTCOME OF ATTENDANCE | ||
| PATIENT INFORMED OF OUTCOME DATE | ||
| PATIENT REPORTED SYMPTOMS INDICATOR | ||
| PATIENT REPORTED WAIT | ||
| PATIENT TRIAL STATUS | ||
| PAYMENT FROM PATIENT RECEIVED | ||
| POSTNATAL CARE INDICATOR | ||
| PRIMARY TUMOUR STATUS | ||
| REVIEW TYPE | ||
| SETTLED ACCOMMODATION INDICATOR | ||
| SHELTERED WORK FACILITY USE | ||
| SIGHT TEST DOMICILIARY VISIT TYPE | ||
| SIGHT TEST FORM COMPLETED | ||
| SIGHT TEST PERSON SUBSIDY TYPE | ||
| SKIN TUMOUR STATUS | ||
| STATUTORY ASSESSMENT TYPE | ||
| SURVEILLANCE RESULT |
Change to Class: Changed Attributes
| K | PATIENT PATHWAY IDENTIFIER | |
| PATIENT PATHWAY START DATE | ||
| WAITING TIME MEASUREMENT TYPE |
Change to Class: Changed Attributes
| K | REFERRAL TO TREATMENT PERIOD START DATE | |
| ALLIED HEALTH PROFESSIONAL FIRST DEFINITIVE TREATMENT DELIVERED INDICATOR | ||
| REFERRAL TO TREATMENT PERIOD END DATE |
Change to Class: Changed Attributes
| K | SERVICE REQUEST IDENTIFIER | |
| APPOINTMENT CLASSIFICATION CODE | ||
| APPOINTMENT OFFER VERBAL OR WRITTEN | ||
| DECISION TO OFFER AN APPOINTMENT DATE | ||
| DIAGNOSTIC SERVICE REQUEST TYPE | ||
| ORIGINAL REFERRAL REQUEST RECEIVED DATE | ||
| REFERRAL REQUEST CANCELLED DATE | ||
| REFERRAL REQUEST RECEIVED DATE | ||
| SERVICE REQUEST DATE | ||
| SERVICE REQUEST RAISED REASON | ||
| SERVICE REQUEST TIME | ||
| STATUS OF SERVICE REQUEST FOR MENTAL HEALTH |
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 indicator which is used to identify the delivery of First Definitive Treatment to a PATIENT by a multi-disciplinary Allied Health Professional team. It is only used where multiple REFERRAL TO TREATMENT PERIODS are being measured concurrently within the same PATIENT PATHWAY, one for each type of Allied Health Professional within the multi-disciplinary team.
The ALLIED HEALTH PROFESSIONAL FIRST DEFINITIVE TREATMENT DELIVERED INDICATOR should only be recorded where the WAITING TIME MEASUREMENT TYPE is recorded as National Code 02 'Allied Health Professional Referral To Treatment Measurement (Uni-Disciplinary Team)' for ALL the concurrent REFERRAL TO TREATMENT PERIODS within the PATIENT PATHWAY. This occurs when the Allied Health Professional Multi-Disciplinary Team responsible for the PATIENT do not decide who is to deliver First Definitive Treatment when the CARE PLAN is agreed.
National codes:
| Y | First Definitive Treatment was delivered |
| N | First Definitive Treatment was not delivered |
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | ALLIED HEALTH PROFESSIONAL FIRST DEFINITIVE TREATMENT DELIVERED INDICATORS |
Change to Attribute: New Attribute
Change to Attribute: Changed Name, Description
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 level of Care Programme Approach which has been determined as applicable for a PATIENT's Care Programme Approach Episode. Health Care Providers may develop expanded local classifications to meet local requirements. However, local classifications must map back to the national classifications and only National Codes should be used for central reporting.
National Codes:
| 0 | No care |
| 1 | Non-Care Programme Approach care |
| 2 | New Care Programme Approach care |
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.
This is the total number of days within a Consultant Episode (Hospital Provider) that a discrete period of activity such as Rehabilitation or Specialist Palliative Care occurred, which requires an adjustment to the total length of stay for Payment by Results purposes.
The LENGTH OF STAY ADJUSTMENT should be calculated using the Payment by Results rules (i.e. count of midnights). The LENGTH OF STAY ADJUSTMENT REASON should also be recorded.
Where several discrete periods of applicable activity occur within one Consultant Episode (Hospital Provider), the number of days should be totalled and reported in a single LENGTH OF STAY ADJUSTMENT.
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | LENGTH OF STAY ADJUSTMENTS |
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.
The reason that a LENGTH OF STAY ADJUSTMENT is required for a Consultant Episode (Hospital Provider).National Codes:
| 01 | Rehabilitation |
| 02 | Specialist Palliative Care |
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | LENGTH OF STAY ADJUSTMENT REASONS |
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.
The type of formal review of care carried out during a CARE CONTACT.National Codes:
| 01 | Care Programme Approach Review |
| 02 | Mental Health Act Review |
| 03 | 6-8 week Review |
| 04 | Health Review |
| 05 | Annual Review |
| 99 | Other review |
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | REVIEW TYPES |
Change to Attribute: Changed Description
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 which identifies the source of referral of a Mental Health Care Spell.
National Codes:
| Primary Health Care | |
| A1 | GENERAL MEDICAL PRACTITIONER |
| A2 | Health Visitor |
| A3 | Other Primary Health Care |
| Self Referral | |
| B1 | Self |
| B2 | Carer |
| Local Authority Services | |
| C1 | Social Services |
| C2 | Education Service |
| Employer | |
| D1 | Employer |
| Justice System | |
| E1 | Police |
| E2 | Courts |
| E3 | Probation Service |
| E4 | Prison |
| E5 | Court Liaison and Diversion Service |
| Child Health | |
| F1 | School Nurse |
| F2 | Hospital-based Paediatrics |
| F3 | Community-based Paediatrics |
| Independent/Voluntary Sector | |
| G1 | Independent sector - Medium Secure Inpatients |
| G2 | Independent Sector - Low Secure Inpatients |
| G3 | Other Independent Sector Mental Health Services |
| G4 | Voluntary Sector |
| Acute Secondary Care | |
| H1 | Accident And Emergency Department |
| H2 | Other secondary care specialty |
| Other Mental Health NHS Trust | |
| I1 | Temporary transfer from another Mental Health NHS Trust |
| I2 | Permanent transfer from another Mental Health NHS Trust |
| Internal referrals from Community Mental Health Team (within own NHS Trust) | |
| J1 | Community Mental Health Team (Adult Mental Health) |
| J2 | Community Mental Health Team (Older People) |
| J3 | Community Mental Health Team (Learning Disabilities) |
| J4 | Community Mental Health Team (Child and Adolescent Mental Health) |
| Internal referrals from Inpatient Service (within own NHS Trust) | |
| K1 | Inpatient Service (Adult Mental Health) |
| K2 | Inpatient Service (Older People) |
| K3 | Inpatient Service (Forensics) |
| K4 | Inpatient Service (Child and Adolescent Mental Health) |
| K5 | Inpatient Service (Learning Disabilities) |
| Transfer by graduation (within own NHS Trust) | |
| L1 | Transfer by graduation from Child and Adolescent Mental Health Services to Adult Mental Health Services |
| L2 | Transfer by graduation from Adult Mental Health Services to Older Peoples Mental Health Services |
| Other | |
| M1 | Asylum Services |
| M2 | NHS Direct |
| M3 | Out of Area Agency |
| M4 | Drug Action Team / Drug Misuse Agency |
| M5 | Other service or agency |
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.
The status of a SERVICE REQUEST received by an Adult Mental Health Care Team or Child and Adolescent Mental Health Care Team.National Codes:
| Pending | |
| 01 | Pending action |
| Accepted | |
| 02 | Accepted for immediate action |
| 03 | Accepted and placed on APPOINTMENT WAITING LIST |
| Not Accepted | |
| 04 | SERVICE REQUEST passed back to referrer |
| 05 | SERVICE REQUEST redirected to another agency |
| Closed | |
| 06 | PATIENT declined to be treated |
| 07 | PATIENT died |
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | STATUSES OF SERVICE REQUEST FOR MENTAL HEALTH |
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.
The type of waiting time measurement methodology which may be applied during a PATIENT PATHWAY. The methodology applied may be for one part of a PATIENT PATHWAY, such as the measurement of a REFERRAL TO TREATMENT PERIOD, or other parts of the PATIENT PATHWAY according to Department of Health policy.
National Codes:
| 01 | Referral To Treatment Period Included In 18 Weeks Target |
| 02 | Allied Health Professional Referral To Treatment Measurement (Uni-Disciplinary Team) |
| 03 | Allied Health Professional Referral To Treatment Measurement (Multi-Disciplinary Team) |
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | WAITING TIME MEASUREMENT TYPES |
Change to Data Element: New Data Element
| Format/length: | an1 |
| HES item: | |
| National Codes: | see ALLIED HEALTH PROFESSIONAL FIRST DEFINITIVE TREATMENT DELIVERED 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:
ALLIED HEALTH PROFESSIONAL FIRST DEFINITIVE TREATMENT DELIVERED INDICATOR is the same as attribute ALLIED HEALTH PROFESSIONAL FIRST DEFINITIVE TREATMENT DELIVERED INDICATOR.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | ALLIED HEALTH PROFESSIONAL FIRST DEFINITIVE TREATMENT DELIVERED INDICATORS |
Change to Data Element: New Data Element
Change to Data Element: New Data Element
| Format/length: | an1 |
| HES item: | |
| National Codes: | see CARE PROGRAMME APPROACH LEVEL |
| 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 PROGRAMME APPROACH LEVEL is the same as attribute CARE PROGRAMME APPROACH LEVEL.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | CARE PROGRAMME APPROACH LEVELS |
Change to Data Element: New Data Element
| Format/length: | n3 |
| HES item: | |
| National Codes: | see LENGTH OF STAY ADJUSTMENT |
| 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:
LENGTH OF STAY ADJUSTMENT is the same as attribute LENGTH OF STAY ADJUSTMENT.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | LENGTH OF STAY ADJUSTMENTS |
Change to Data Element: New Data Element
| Format/length: | an2 |
| HES item: | |
| National Codes: | see LENGTH OF STAY ADJUSTMENT REASON |
| 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:
LENGTH OF STAY ADJUSTMENT REASON is the same as attribute LENGTH OF STAY ADJUSTMENT REASON.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | LENGTH OF STAY ADJUSTMENT REASONS |
Change to Data Element: New Data Element
| Format/length: | see DATE |
| HES item: | |
| National Codes: | |
| Default Codes: |
Notes:
The DATE of a formal review of care carried out during a CARE CONTACT.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | REVIEW DATES |
Change to Data Element: New Data Element
| Format/length: | an2 |
| HES item: | |
| National Codes: | see STATUS OF SERVICE REQUEST FOR MENTAL HEALTH |
| 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:
STATUS OF SERVICE REQUEST (MENTAL HEALTH) is the same as attribute STATUS OF SERVICE REQUEST FOR MENTAL HEALTH.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | STATUSES OF SERVICE REQUEST (MENTAL HEALTH) |
Change to Data Element: New Data Element
| Format/length: | an2 |
| HES item: | |
| National Codes: | see WAITING TIME MEASUREMENT TYPE |
| 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:
WAITING TIME MEASUREMENT TYPE is the same as attribute WAITING TIME MEASUREMENT TYPE.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | WAITING TIME MEASUREMENT TYPES |
For enquiries about this Information Standards Notice, please email datastandards@nhs.net