NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1646
Version No:1.0
Subject: html fixes
Effective Date:Immediate
Reason for Change:Patch
Publication Date:4 April 2018

Background:

Work on the new version of the dictionary has identified html which needs correcting on a number of items.

This patch updates the html in the NHS Data Model and Dictionary as follows:

To view a demonstration on "How to Read an NHS Data Model and Dictionary Change Request", visit the NHS Data Model and Dictionary help pages at: http://www.datadictionary.nhs.uk/Flash_Files/changerequest.htm.

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Summary of changes:

Attribute Definitions
EMPLOYMENT HISTORY LEAVING REASON CODE   Changed Description
PROCEDURE SIDE RENAL DIALYSIS ACCESS CONSTRUCTION CODE   Changed Description
RADIOTHERAPY TREATMENT REGION   Changed Description
RENAL DIALYSIS ACCESS TYPE   Changed Description
RENAL TREATMENT MODALITY CHANGE REASON CODE   Changed Description
 
Data Elements
CARE PROFESSIONAL TYPE CODE (PREGNANCY FIRST CONTACT)   Changed Description
LEAD CARE PROFESSIONAL TYPE (MATERNITY)   Changed Description
MATERNITY CARE PLAN TYPE   Changed Description
MATERNITY OBSTETRIC DIAGNOSIS TYPE (CURRENT PREGNANCY)   Changed Description
MATERNITY PREVIOUS COMPLICATING OBSTETRIC DIAGNOSIS TYPE (MOTHER AT BOOKING)   Changed Description
PERSON GENOTYPIC SEX (NATIONAL NEONATAL DATA SET)   Changed Description
PREVIOUS BONY INFECTION INDICATOR (TIBIA OR HINDFOOT)   Changed Description
RENAL SUPPORT DAYS   Changed Description
 

Date:4 April 2018
Sponsor:Nicholas Oughtibridge BSc FBCS CITP, Head of Information Standards, NHS Digital

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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EMPLOYMENT HISTORY LEAVING REASON CODE

Change to Attribute: Changed Description

The reason given for an EMPLOYEE to be leaving their employment with an Organisation.

The reason specifies either the EMPLOYEE's, or the Employing Organisation's, reason for terminating the employment.

National Codes:

01Death in Service
02Dismissal - Capability
03Dismissal - Conduct
04Dismissal - Some Other Substantial Reason
05Dismissal - Statutory Reason
06End of Fixed Term Contract - Completion of Training Scheme
07End of Fixed Term Contract - End of Work Requirement
08End of Fixed Term Contract - External Rotation
09End of Fixed Term Contract - Other
10Initial Pension Ended
11Pregnancy
12Redundancy - Compulsory
13Redundancy - Voluntary
14Retirement - Age
15Retirement - Ill Health
16Voluntary Early Retirement - no Actuarial Reduction
17Voluntary Early Retirement - with Actuarial Reduction
18Voluntary Resignation - Adult Dependants
19Voluntary Resignation - Better Reward Package
20Voluntary Resignation - Child Dependants
21Voluntary Resignation - Health
22Voluntary Resignation - Incompatible Working Relationships
23Voluntary Resignation - Lack of Opportunities
24Voluntary Resignation - Other/Not Known
25Voluntary Resignation - Promotion
26Voluntary Resignation - Relocation
27Voluntary Resignation - Work Life Balance
28Voluntary Resignation - To undertake further education or training
29Bank staff not fulfilled minimum work requirement
30Mutually Agreed Resignation - National Scheme with Repayment
31Mutually Agreed Resignation - Local Scheme with Repayment
32Mutually Agreed Resignation - Local Scheme without Repayment - Retired 01 January 2016
32Mutually Agreed Resignation - Local Scheme without Repayment (Retired 01 January 2016)
 

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PROCEDURE SIDE RENAL DIALYSIS ACCESS CONSTRUCTION CODE

Change to Attribute: Changed Description

The side of the PATIENT's body for construction of a Renal Dialysis access.

National Codes:National Codes:

01Right
02Left
 

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RADIOTHERAPY TREATMENT REGION

Change to Attribute: Changed Description

The specific region of the body being treated with Radiotherapy.

National CodesNational Codes:

PPrimary
RRegional Nodes
PRPrimary and Regional Nodes
ANon-anatomically specific primary site
OProphylactic (to non-primary site)
MMetastasis
 

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RENAL DIALYSIS ACCESS TYPE

Change to Attribute: Changed Description

The access type used for Renal Dialysis.

National CodesNational Codes:

01Non-tunnelled line
02Tunnelled line
03Arteriovenous fistula
04Arteriovenous graft
05Vein loop
06Peritoneal dialysis catheter
07Peritoneal catheter temp
 

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RENAL TREATMENT MODALITY CHANGE REASON CODE

Change to Attribute: Changed Description

The reason that the PATIENT had a change to their RENAL TREATMENT MODALITY CODE.

National CodesNational Codes:

 Peritoneal Dialysis to Haemodialysis:
201PATIENT /partner choice
202Loss of supporting partner
203Other change of personal circumstances
204Inability to perform peritoneal dialysis
205Other reasons
211Frequent / recurrent peritonitis with or without loss of ultrafiltration
212Unresolving peritonitis
213Catheter loss through exit site infection
214Loss of ultrafiltration
215Inadequate clearance
216Abdominal surgery or complications
 Haemodialysis to Peritoneal Dialysis:
221PATIENT / partner choice
222Loss of supporting partner
223Other change of personal circumstances
224Lack of Haemodialysis facilities
225Other reasons
231Loss of vascular access
232Haemodynamic instability
233Elective after temporary Haemodialysis
 

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CARE PROFESSIONAL TYPE CODE (PREGNANCY FIRST CONTACT)

Change to Data Element: Changed Description

Format/Length:an3
National Codes: 
Default Codes: 

Notes:
CARE PROFESSIONAL TYPE CODE (PREGNANCY FIRST CONTACT) is the same as attribute CARE PROFESSIONAL TYPE CODE.

CARE PROFESSIONAL TYPE CODE (PREGNANCY FIRST CONTACT) is the CARE PROFESSIONAL TYPE CODE of the first CARE PROFESSIONAL seen by the mother within a Maternity Episode for Antenatal care.

Permitted National Codes:Permitted National Codes:

060CONSULTANT 
160GENERAL MEDICAL PRACTITIONER
170MIDWIFE
XXXOther
 

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LEAD CARE PROFESSIONAL TYPE (MATERNITY)

Change to Data Element: Changed Description

Format/Length:an3
National Codes: 
Default Codes: 

Notes:
LEAD CARE PROFESSIONAL TYPE (MATERNITY) is the same as CARE PROFESSIONAL TYPE CODE.

LEAD CARE PROFESSIONAL TYPE (MATERNITY) is the type of CARE PROFESSIONAL identified in the CARE PLAN with overall responsibility for care of the mother during the Maternity Episode.

Permitted National Codes:Permitted National Codes:

060CONSULTANT Obstetrician
160GENERAL MEDICAL PRACTITIONER
170MIDWIFE
 

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MATERNITY CARE PLAN TYPE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
MATERNITY CARE PLAN TYPE is the same as attribute CARE PLAN TYPE for a Maternity Episode.

Permitted National Codes:

05Antenatal Care Plan
06Birth Care Plan
07Postpartum Care Plan
 

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MATERNITY OBSTETRIC DIAGNOSIS TYPE (CURRENT PREGNANCY)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
MATERNITY OBSTETRIC DIAGNOSIS TYPE (CURRENT PREGNANCY) is the same as attribute OBSTETRIC DIAGNOSIS for the current Pregnancy Episode, where the following Permitted National Codes apply.

Permitted National Codes:Permitted National Codes:

01Severe pre-eclampsia requiring pre-term birth
02Haemolytic anaemia, elevated liver enzymes and Low platelet count (HELLP)
03Eclampsia
05Liver cholestasis of pregnancy
06Gestational diabetes mellitus
07Gestational hypertension
08Gestational proteinuria
09Antepartum haemorrhage
11Feto-maternal haemorrhage
18Symphysis pubic dysfunction
19Placenta praevia
20Severe pre-eclampsia
 

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MATERNITY PREVIOUS COMPLICATING OBSTETRIC DIAGNOSIS TYPE (MOTHER AT BOOKING)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
MATERNITY PREVIOUS COMPLICATING OBSTETRIC DIAGNOSIS TYPE (MOTHER AT BOOKING) is a diagnosis or type of OBSTETRIC DIAGNOSIS from previous pregnancies that may present a risk or complicating factor for the current Maternity Episode as identified at the APPOINTMENT DATE (FORMAL ANTENATAL BOOKING), where the following Permitted National Codes apply.

Permitted National Codes:

01Severe pre-eclampsia requiring pre-term birth
02Haemolytic anaemia, elevated liver enzymes and Low platelet count (HELLP)
03Eclampsia
04Puerperal psychosis
05Liver cholestasis of pregnancy
06Gestational diabetes mellitus
07Gestational hypertension
08Gestational proteinuria
09Antepartum haemorrhage
10Postpartum haemorrhage - requiring additional treatment or transfusion
11Feto-maternal haemorrhage
12Antenatal/Postpartum thromboembolic disorder
13Placental abruption
14Uterine rupture
15Retained placenta requiring manual removal in theatre
16Caesarean section
17Extensive vaginal, cervical, or third or fourth degree perineal trauma
18Amniotic Fluid Embolism
 

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PERSON GENOTYPIC SEX (NATIONAL NEONATAL DATA SET)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:X - Genotypic sex not known

Notes:
PERSON GENOTYPIC SEX (NATIONAL NEONATAL DATA SET) is the genotypic (chromosomal) sex of a PERSON, recorded for the purposes of the National Neonatal Data Set - Episodic and Daily Care and the National Neonatal Data Set - Two Year Neonatal Outcomes Assessment.

If the genotypic sex cannot be determined at birth, National Code 'Indeterminate/Intersex' should be used.  Once the chromosomal sex of the baby has been determined, the PERSON GENOTYPIC SEX (NATIONAL NEONATAL DATA SET) should be resubmitted with the correct value. 

Permitted National Codes:Permitted National Codes:

1Male
2Female
9Indeterminate/Intersex
 

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PREVIOUS BONY INFECTION INDICATOR (TIBIA OR HINDFOOT)

Change to Data Element: Changed Description

Format/Length:an1
National codesSee PREVIOUS BONY INFECTION INDICATOR OF TIBIA OR HINDFOOT
Default codesX - Not Available
National Codes:See PREVIOUS BONY INFECTION INDICATOR OF TIBIA OR HINDFOOT
Default Codes:X - Not Available

Notes:
PREVIOUS BONY INFECTION INDICATOR (TIBIA OR HINDFOOT) is the same as attribute PREVIOUS BONY INFECTION INDICATOR OF TIBIA OR HINDFOOT

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RENAL SUPPORT DAYS

Change to Data Element: Changed Description

Format/Length:n3
National Codes: 
Default Codes:000 - 997 days
 998 = 998 or more days of renal support
 999 = occurred but day count not known
 998  - 998 or more days of renal support
 999  - occurred but day count not known

Notes:
RENAL SUPPORT DAYS is the total number of days that the PATIENT received renal system support during a CRITICAL CARE PERIOD.

This is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the ORGAN SYSTEM SUPPORTED is National Code 05 'Renal Support' within the CRITICAL CARE PERIOD.

RENAL SUPPORT DAYS is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 

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For enquiries about this Change Request, please email information.standards@nhs.net

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