NHS Connecting for Health
NHS Data Model and Dictionary Service
| Reference: | Change Request 1228 |
| Version No: | 1.0 |
| Subject: | Preparatory Update Change Request |
| Effective Date: | Immediate |
| Reason for Change: | Change to Data Standards |
| Publication Date: | 28 February 2011 |
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 and updates existing items as listed in the summary of changes below to support these new data sets.
Summary of changes:
| Supporting Information | |
| BODY MASS INDEX | Changed Description |
| Class Definitions | |
| CATEGORY VALUED PERSON OBSERVATION | Changed Description |
| CLINICAL INTERVENTION | Changed Description |
| MEASURED PERSON OBSERVATION | Changed Description |
| Attribute Definitions | |
| SOURCE OF REFERRAL FOR MENTAL HEALTH | Changed Description |
| Data Elements | |
| BODY MASS INDEX | New Data Element |
| CIDS COPY RECIPIENT IDENTITY | New Data Element |
| CIDS PRIME RECIPIENT IDENTITY | New Data Element |
| CIDS UNIQUE IDENTIFIER | New Data Element |
| ORGANISATION CODE (PROVIDER AT RECORD CREATION) | New Data Element |
| PERSON HEIGHT IN CENTIMETRES renamed from PERSON OBSERVATION (HEIGHT IN CENTIMETRES) | Changed Aliases, Name |
| PERSON HEIGHT IN METRES renamed from PERSON OBSERVATION (HEIGHT IN METRES) | Changed Aliases, Name |
| PERSON OBSERVATION (BMI) | Changed Description |
| Date: | 28 February 2011 |
| Sponsor: | Nicholas Oughtibridge, Acting Director - Data Standards and Products, Technology Office, Department of Health Informatics Directorate |
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: Changed Description
Body Mass Index is a PERSON PROPERTY.
Body Mass Index is derived from Weight and Height.For further information on Body Mass Index, see the NHS Choices website.
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 TYPE provides coded classifications of observations about a PERSON.
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 Description
This item is being updated for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
A subtype of CARE ACTIVITY.
Information about medical or surgical actions performed on or planned to be performed on a PATIENT.
CLINICAL INTERVENTION TYPE provides a list of CLINICAL INTERVENTIONS.
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.
A type of PERSON PROPERTYMEASURED PERSON OBSERVATION allows for recording of measurements about a PERSON.
A PERSON PROPERTY with a declared value defined as a number. An example would be "75 beats per minute" as a pulse rate.MEASURED PERSON OBSERVATION TYPE CODE provides a list of MEASURED PERSON OBSERVATIONS.
MEASURED PERSON OBSERVATION allows for recording of measurements about a PERSON and includes:
Diastolic PressureFEV1 PercentageFEV1 Absolute AmountHbA1cHeightSerum Cholesterol LevelSerum Creatinine LevelSystolic PressureUrinary Albumin LevelWeight
Note: CATEGORY VALUED PERSON OBSERVATION allows coded classifications of observations 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 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 | Jobcentre Plus** |
| M6 | Other service or agency |
** Note: this National Code can only be used for the Mental Health Minimum Data Set and Child and Adolescent Mental Health Services Data Set, if referrals from Jobcentre Plus are accepted.
National Codes: RetiredThe retired codes are for use in all versions of the Mental Health Minimum Data Set prior to Mental Health Minimum Data Set version 4-0
| 00 | GENERAL MEDICAL PRACTITIONER |
| 01 | Self |
| 02 | Local Authority Social Services |
| 03 | Accident And Emergency Department |
| 04 | Employer |
| 05 | Education Service |
| 06 | Police |
| 07 | Other clinical specialty |
| 08 | Carer |
| 09 | Courts |
| 10 | Probation Service |
| 11 | High security |
| 12 | Medium security |
| 13 | Other |
| 20 | Temporary transfer from mental health unit |
| 21 | Permanent transfer from mental health unit |
| 22 | Transfer by graduation from local child and adolescent mental health services |
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:
BODY MASS INDEX (BMI) records the Body Mass Index of the PERSON.
BODY MASS INDEX replaces PERSON OBSERVATION (BMI) and should be used for all new and developing data sets and for XML messages.
This data element is also known by these names:
| Context | Alias |
|---|---|
| shortname | BMI |
Change to Data Element: New Data Element
| Format/Length: | min an3 max an12 |
| HES Item: | |
| National Codes: | See ORGANISATION CODE |
| ODS Default Codes: | VPP00 - Private PATIENTS / Overseas Visitor liable for charges |
| YDD82 - Episodes funded directly by the National Commissioning Group for England |
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:
CIDS COPY RECIPIENT IDENTITY is the ORGANISATION CODE (or valid Organisation Data Service Default Code) for an ORGANISATION indicated as a Copy Recipient of the Community Information Data Set data.
A Copy Recipient may be an agency or service provider that carries out the receiving (and perhaps other) processes on behalf of the NHS ORGANISATION that ultimately uses the data. There may be multiple copy recipients for Community Information Data Set data.
Organisation Data Service Default Codes for CIDS COPY RECIPIENT IDENTITIES are detailed in the Commissioning and Community Information Data Sets Addressing Grid.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | CIDS COPY RECIPIENT IDENTITIES |
| fullname | COMMUNITY INFORMATION DATA SET COPY RECIPIENT IDENTITY |
Change to Data Element: New Data Element
| Format/Length: | min an3 max an12 |
| HES Item: | |
| National Codes: | See ORGANISATION CODE |
| ODS Default Codes: | VPP00 - Private PATIENTS / Overseas Visitor liable for charges |
| YDD82 - Episodes funded directly by the National Commissioning Group for England |
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:CIDS PRIME RECIPIENT IDENTITY is the ORGANISATION CODE (or valid Organisation Data Service Default Code) representing the ORGANISATION determined to be the Prime Recipient of the Community Information Data Set Message as indicated in the Commissioning and Community Information Data Sets Addressing Grid.
The required ORGANISATION CODES or Organisation Data Service Default Codes for CIDS PRIME RECIPIENT IDENTITIES are detailed in the Commissioning and Community Information Data Sets Addressing Grid.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | CIDS PRIME RECIPIENT IDENTITIES |
| fullname | COMMUNITY INFORMATION DATA SET PRIME RECIPIENT IDENTITY |
Change to Data Element: New Data Element
| Format/Length: | max an35 |
| 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 CIDS UNIQUE IDENTIFIER is used in conjunction with the ORGANISATION CODE (PROVIDER AT RECORD CREATION) to uniquely identify a record within a Community Information Data Set submission to the Secondary Uses Service.
When Net Change Community Information Data Set Submission Protocol is used, the CIDS UNIQUE IDENTIFIER and ORGANISATION CODE (PROVIDER AT RECORD CREATION) originally assigned to a record must be retained, otherwise duplicate Community Information Data Set records will be created in the Secondary Uses Service database.
When the CIDS UNIQUE IDENTIFIER is used in a Bulk Update Community Information Data Set Submission Protocol submission, it may be used to uniquely identify the record within that submission only, if systems are unable to maintain it across the life of the record in submissions to the Secondary Uses Service. However, it is strongly advised that users of the Bulk Replacement Community Information Data Set Submission Protocol do move towards the maintenance of a correctly generated CDS UNIQUE IDENTIFIER within the Community Information Data Set data. This will establish a migration path towards the use of the Net Change submission protocol, and will also then minimise the risk of creating duplicate Commissioning Data Set data in the Secondary Uses Service database.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | CIDS UNIQUE IDENTIFIERS |
| fullname | COMMUNITY INFORMATION DATA SET UNIQUE IDENTIFIER |
Change to Data Element: New Data Element
| Format/Length: | min an3 max an12 |
| HES Item: | |
| National Codes: | See ORGANISATION 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:ORGANISATION CODE (PROVIDER AT RECORD CREATION) is the ORGANISATION CODE (CODE OF PROVIDER) at the time that a CIDS UNIQUE IDENTIFIER for a record in a Community Information Data Set For Secondary Uses submission to the Secondary Uses Service was first created.
The Secondary Uses Service uses the ORGANISATION CODE (PROVIDER AT RECORD CREATION) and the CIDS UNIQUE IDENTIFIER to uniquely identify a Community Information Data Set record over its lifetime, when the Net Change Community Information Data Set Update Mechanism is used.
Therefore when using Net Change Submission Mechanism, it is imperative that, even if the ORGANISATION CODE (CODE OF PROVIDER) of the Health Care Provider changes (for example, there is a merger with another ORGANISATION), the ORGANISATION CODE (PROVIDER AT RECORD CREATION) carried in the record remains the same if the record is resubmitted to the Secondary Uses Service. If this is not done, a duplicate record will be created.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | ORGANISATION CODES (PROVIDER AT RECORD CREATION) |
Change to Data Element: Changed Aliases, Name
- Alias Changes
Name Old Value New Value plural PERSON OBSERVATIONS (HEIGHT IN CENTIMETRES) - Changed Name from Data_Dictionary.Data_Field_Notes.P.Pers.PERSON_OBSERVATION_(HEIGHT_IN_CENTIMETRES) to Data_Dictionary.Data_Field_Notes.P.Pers.PERSON_HEIGHT_IN_CENTIMETRES
Change to Data Element: Changed Aliases, Name
- Alias Changes
Name Old Value New Value plural PERSON OBSERVATIONS (HEIGHT IN METRES) - Changed Name from Data_Dictionary.Data_Field_Notes.P.Pers.PERSON_OBSERVATION_(HEIGHT_IN_METRES) to Data_Dictionary.Data_Field_Notes.P.Pers.PERSON_HEIGHT_IN_METRES
Change to Data Element: Changed Description
| Format/Length: | nn.n |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
PERSON OBSERVATION (BMI) records the Body Mass Index of the PERSON.
This value is derived from Weight in kilograms divided by Height in metres squared (kg/m²).
PERSON OBSERVATION (BMI) will be replaced with body PERSON OBSERVATION (BMI), which should be used for all new and developing data sets and for XML messages.For enquiries about this Change Request, please email datastandards@nhs.net