NHS Connecting for Health
NHS Data Model and Dictionary Service
| Reference: | Change Request 1202 |
| Version No: | 1.0 |
| Subject: | Preparatory Change Request |
| Effective Date: | Immediate |
| Reason for Change: | Change to Data Standards |
| Publication Date: | 20 October 2010 |
Background:
The NHS Data Model and Dictionary Service are currently working with the Department of Health and The NHS 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 Change Request adds further common items as listed in the summary of changes below to support these new data sets.
Summary of changes:
| Supporting Information | |
| HEALTH OF THE NATION OUTCOME SCALE (CHILDREN AND ADOLESCENTS) | New Supporting Information |
| Attribute Definitions | |
| ADMISSION METHOD | Changed Description |
| ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE renamed from PATIENT PHYSICAL STATUS | Changed Description, Name, Aliases |
| Data Elements | |
| ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE renamed from PATIENT PHYSICAL STATUS | Changed Description, Name, Aliases |
| END DATE (WARD STAY) | New Data Element |
| HAEMOGLOBIN CONCENTRATION | New Data Element |
| PERSON OBSERVATION (HEIGHT IN CENTIMETRES) | New Data Element |
| PERSON OBSERVATION DATE AND TIME | New Data Element |
| PLATELETS COUNT | New Data Element |
| START DATE (WARD STAY) | New Data Element |
| WHITE BLOOD CELL COUNT | New Data Element |
| Date: | 20 October 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 Health of the Nation Outcome Scale (Children and Adolescents) (HONOS-CA) is a type of ASSESSMENT TOOL.
The Health of the Nation Outcome Scale (Children and Adolescents) is an outcome measurement tool that assesses the behaviours, impairments, symptoms and social functioning of a child or adolescent with mental health problems.
The allowed responses for each of the 15 questions in the Health of the Nation Outcome Scale (Children and Adolescents) are as follows:
- 0 - No problem
- 1 - Minor problem requiring no action
- 2 - Mild problem but definitely present
- 3 - Moderately severe problem
- 4 - Severe to very severe problem
- 9 - Not known
For further information on the Health of the Nation Outcome Scale (Children and Adolescents), see the Health of the Nation Outcome Scales for Children and Adolescents website
This supporting information is also known by these names:
| Context | Alias |
|---|---|
| shortname | HONOS-CA |
| plural | Health of the Nation Outcome Scales (Children and Adolescents) |
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.
The method of admission to a Hospital Provider Spell. A detailed definition of Elective Admission is given in ELECTIVE ADMISSION TYPE.
National Codes:
| Elective Admission, when the DECISION TO ADMIT could be separated in time from the actual admission: | |||
| 11 | Waiting list | ||
| 12 | Booked | ||
| 13 | Planned | ||
| Note that this does not include a transfer from another Hospital Provider (see 81 below). | |||
Emergency Admission, when admission is unpredictable and at short notice because of clinical need: | |||
| 21 | Accident and emergency or dental casualty department of the Health Care Provider | ||
| 22 | GENERAL PRACTITIONER: after a request for immediate admission has been made direct to a Hospital Provider, i.e. not through a Bed bureau, by a GENERAL PRACTITIONER or deputy | ||
| 23 | Bed bureau | ||
| 24 | Consultant Clinic, of this or another Health Care Provider | ||
| 25 | Admission via Mental Health Crisis Resolution Team | ||
| 28 | Other means, examples are: - admitted from the Accident And Emergency Department of another provider where they had not been admitted - transfer of an admitted PATIENT from another Hospital Provider in an emergency - baby born at home as intended | ||
Maternity Admission, of a pregnant or recently pregnant woman to a maternity ward (including delivery facilities) except when the intention is to terminate the pregnancy | |||
| 31 | Admitted ante-partum | ||
| 32 | Admitted post-partum | ||
Other Admission not specified above | |||
| 82 | The birth of a baby in this Health Care Provider | ||
| 83 | Baby born outside the Health Care Provider except when born at home as intended. | ||
| 81 | Transfer of any admitted PATIENT from other Hospital Provider other than in an emergency | ||
Note: The classification has been listed in logical sequence rather than alphanumeric order.
Change to Attribute: Changed Description, Name, Aliases
Identifies the physical status of the PATIENT as recorded by an anaesthetist for an operative procedure.This item is being updated for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
This is an abbreviated version of the American Society of Anesthesiologists Physical Status grading.A classification of the physical status of the PATIENT as recorded by an anaesthetist for an operative procedure.
This is an abbreviated version of the American Society of Anesthesiology patient classification status.
National Codes:
| 01 | A normal healthy PATIENT |
| 02 | A PATIENT with mild systemic disease |
| 03 | A PATIENT with severe systemic disease |
| 04 | A PATIENT with severe systemic disease that is a constant threat to life |
| 05 | A moribund PATIENT who is not expected to survive without the operation |
| 06 | A declared brain-dead PATIENT whose organs are being removed for donor purposes |
Change to Attribute: Changed Description, Name, Aliases
- Changed Description
- Changed Name from Data_Dictionary.Attributes.P.Pati.PATIENT_PHYSICAL_STATUS to Data_Dictionary.Attributes.A.Ari.ASA_PHYSICAL_STATUS_CLASSIFICATION_SYSTEM_CODE
- Alias Changes
Name Old Value New Value plural PATIENT PHYSICAL STATUSES ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODES formerly PATIENT PHYSICAL STATUS fullname AMERICAN SOCIETY OF ANESTHESIOLOGISTS PHYSICAL STATUS CLASSIFICATION SYSTEM CODE
Change to Data Element: Changed Description, Name, Aliases
| Format/Length: | n2 |
| HES Item: | |
| National Codes: | See ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE |
| Default Codes: |
This item is being updated for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:PATIENT PHYSICAL STATUS is the same as attribute PATIENT PHYSICAL STATUS.ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE is the same as attribute ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE.
Change to Data Element: Changed Description, Name, Aliases
- Changed Description
- Changed Name from Data_Dictionary.Data_Field_Notes.P.PATIENT_PHYSICAL_STATUS to Data_Dictionary.Data_Field_Notes.A.Ana.ASA_PHYSICAL_STATUS_CLASSIFICATION_SYSTEM_CODE
- Alias Changes
Name Old Value New Value plural PATIENT PHYSICAL STATUSES ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODES formerly PATIENT PHYSICAL STATUS fullname AMERICAN SOCIETY OF ANESTHESIOLOGISTS PHYSICAL STATUS CLASSIFICATION SYSTEM CODE
Change to Data Element: New Data Element
| Format/Length: | See DATE |
| 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:
The End Date of a Ward Stay.
END DATE (WARD STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Ward Stay.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | END DATES (WARD STAY) |
Change to Data Element: New Data Element
| Format/Length: | nn.n |
| 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:
The outcome of the Clinical Investigation which measures the PERSON's haemoglobin concentration in 'g/dl (grammes per decilitre).'
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | HAEMOGLOBIN CONCENTRATIONS |
Change to Data Element: New Data Element
| Format/Length: | nnn.n |
| 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:
This records the Height of the PERSON in centimetres.
This corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE is 'Height' and MEASUREMENT VALUE TYPE CODE is 'Centimetres'.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | PERSON OBSERVATIONS (HEIGHT IN CENTIMETRES) |
Change to Data Element: New Data Element
| Format/Length: | See DATE AND TIME |
| 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:
The DATE AND TIME on which the observation was made.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | PERSON OBSERVATION DATES AND TIMES |
Change to Data Element: New Data Element
| Format/Length: | n4 |
| 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:
The result of the Clinical Investigation of the count of platelets in a PATIENT's blood sample in 'x109/l (i.e. times ten to the power 9 per litre).'
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | PLATELETS COUNTS |
Change to Data Element: New Data Element
| Format/Length: | See DATE |
| 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:
The Start Date of a Ward Stay.
START DATE (WARD STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Ward Stay.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | START DATES (WARD STAY) |
Change to Data Element: New Data Element
| Format/Length: | nn.n |
| 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:
The outcome of the Clinical Investigation which measures the PERSON's white cell blood count in 'x109/l (i.e. times ten to the power 9 per litre).'
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | WHITE BLOOD CELL COUNTS |
For enquiries about this Change Request, please email datastandards@nhs.net