| Type: | Patch |
| Reference: | 1689 |
| Version No: | 1.0 |
| Subject: | NHS England Data Sets Preparatory Items |
| Effective Date: | Immediate |
| Reason for Change: | Preparatory Items for new Information Standards |
| Publication Date: | 24 September 2018 |
Background:
NHS England have four data sets in development which share common data items. These data sets are:
- Aggregate Contract Monitoring
- Patient Level Contract Monitoring
- Patient Level Devices Contract Monitoring
- Patient Level Drugs Contract Monitoring.
Preparatory (shared) items have been created to facilitate the development of these four data sets.
This Change Request adds new and updates existing Preparatory Items and supporting definitions to the NHS Data Model and Dictionary to support the development of the four NHS England Information Standards.
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.
Note: if the web page does not open, please copy the link and paste into the web browser.
Summary of changes:
| Date: | 24 September 2018 |
| Sponsor: | Alex Elias, Standards Delivery and Cross-Government Programmes Director, 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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Change to Supporting Information: New Supporting Information
This item is being used for development purposes and has not yet been approved.
Change to Supporting Information: New Supporting Information
This item is being used for development purposes and has not yet been approved.
Change to Supporting Information: New Supporting Information
This item is being used for development purposes and has not yet been approved.
This supporting information is also known by these names:
| Context | Alias |
|---|---|
| shortname | DLP |
Change to Supporting Information: New Supporting Information
An Implant is a MEDICAL DEVICE.
An Implant is an artificial component made from metal, high density polyethylene or ceramic to replace a diseased or worn out joint.
An Implant may be used to replace a diseased or worn out joint in Joint Replacement Surgery.
This supporting information is also known by these names:
| Context | Alias |
|---|---|
| plural | Implants |
Change to Supporting Information: Changed Description
Joint Replacement Surgery is a CLINICAL INTERVENTION.
There are two types of Joint Replacement Surgery referred to in the National Joint Registry Data Set:
- Primary Joint Replacement Surgery
This usesIMPLANTSmade from metal, high density polyethylene or ceramic to replace a diseased or worn out joint andThis uses Implants made from metal, high density polyethylene or ceramic to replace a diseased or worn out joint and
- Revision Joint Replacement Surgery
This involves removingIMPLANTSthat were inserted during PrimaryJoint Replacement Surgery, and usually involves replacing them with newIMPLANTS.This involves removing Implants that were inserted during Primary Joint Replacement Surgery, and usually involves replacing them with new Implants.
Change to Supporting Information: New Supporting Information
This item is being used for development purposes and has not yet been approved.
This supporting information is also known by these names:
| Context | Alias |
|---|---|
| shortname | MFF |
Change to Supporting Information: Changed Description
The National Joint Registry (NJR) is an Organisation.
The National Joint Registry is managed by the Healthcare Quality Improvement Partnership (HQIP).
The National Joint Registry for England, Wales and Northern Ireland collects information on Joint Replacement Surgery and monitors the performance of joint replacement IMPLANTS.The National Joint Registry for England, Wales and Northern Ireland collects information on Joint Replacement Surgery and monitors the performance of joint replacement Implants.
For further information on the National Joint Registry, see the National Joint Registry website at: About the NJR.
Change to Supporting Information: New Supporting Information
This item is being used for development purposes and has not yet been approved.
This supporting information is also known by these names:
| Context | Alias |
|---|---|
| shortname | POC |
| plural | Packages of Care |
Change to Supporting Information: Changed Description
Primary Ankle Replacement Surgery is a CLINICAL INTERVENTION.
Primary Ankle Replacement Surgery uses IMPLANTS made from metal, high density polyethylene or ceramic to replace a diseased or worn out ankle joint.Primary Ankle Replacement Surgery uses Implants made from metal, high density polyethylene or ceramic to replace a diseased or worn out ankle joint. The primary procedure is the PATIENT’s first joint replacement procedure on a specific joint.
Change to Supporting Information: Changed Description
Primary Elbow Replacement Surgery is a CLINICAL INTERVENTION.
Primary Elbow Replacement Surgery uses IMPLANTS made from metal, high density polyethylene or ceramic to replace a diseased or worn out Elbow joint.Primary Elbow Replacement Surgery uses Implants made from metal, high density polyethylene or ceramic to replace a diseased or worn out Elbow joint. The primary procedure is the PATIENT’s first joint replacement procedure on a specific joint.
Change to Supporting Information: Changed Description
Primary Hip Replacement Surgery is a CLINICAL INTERVENTION.
Primary Hip Replacement Surgery uses IMPLANTS made from metal, high density polyethylene or ceramic to replace a diseased or worn out hip joint.Primary Hip Replacement Surgery uses Implants made from metal, high density polyethylene or ceramic to replace a diseased or worn out hip joint. The primary procedure is the PATIENT’s first joint replacement procedure on a specific joint.
Change to Supporting Information: Changed Description
Primary Knee Replacement Surgery is a CLINICAL INTERVENTION.
Primary Knee Replacement Surgery uses IMPLANTS made from metal, high density polyethylene or ceramic to replace a diseased or worn out knee joint.Primary Knee Replacement Surgery uses Implants made from metal, high density polyethylene or ceramic to replace a diseased or worn out knee joint. The primary procedure is the PATIENT’s first joint replacement procedure on a specific joint.
Change to Supporting Information: Changed Description
Primary Shoulder Replacement Surgery is a CLINICAL INTERVENTION.
Primary Shoulder Replacement Surgery uses IMPLANTS made from metal, high density polyethylene or ceramic to replace a diseased or worn out Shoulder joint.Primary Shoulder Replacement Surgery uses Implants made from metal, high density polyethylene or ceramic to replace a diseased or worn out Shoulder joint. The primary procedure is the PATIENT’s first joint replacement procedure on a specific joint.
Change to Supporting Information: Changed Description
Revision Ankle Replacement Surgery is a CLINICAL INTERVENTION.
Revision Ankle Replacement Surgery involves removing IMPLANTS that were inserted during Primary Ankle Replacement Surgery, and usually involves replacing them with new IMPLANTS.Revision Ankle Replacement Surgery involves removing Implants that were inserted during Primary Ankle Replacement Surgery, and usually involves replacing them with new Implants.
Revision Ankle Replacement Surgery includes the following procedure types:
- Ankle Single Stage Revision
- Ankle Stage 1 of 2 Stage Revision
- Ankle Stage 2 of 2 Stage Revision
- Ankle Conversion to Arthrodesis
- Ankle Amputation
Change to Supporting Information: Changed Description
Revision Elbow Replacement Surgery is a CLINICAL INTERVENTION.
Revision Elbow Replacement Surgery involves removing IMPLANTS that were inserted during Primary Elbow Replacement Surgery, and usually involves replacing them with new IMPLANTS.Revision Elbow Replacement Surgery involves removing Implants that were inserted during Primary Elbow Replacement Surgery, and usually involves replacing them with new Implants.
Revision Elbow Replacement Surgery includes the following procedure types:
- Elbow Single Stage Revision
- Elbow Stage 1 of 2 Stage Revision
- Elbow Stage 2 of 2 Stage Revision
- Conversion to Arthrodesis
- Excision Arthroplasty
- Amputation
Change to Supporting Information: Changed Description
Revision Hip Replacement Surgery is a CLINICAL INTERVENTION.
Revision Hip Replacement Surgery involves removing IMPLANTS that were inserted during Primary Hip Replacement Surgery, and usually involves replacing them with new IMPLANTS.Revision Hip Replacement Surgery involves removing Implants that were inserted during Primary Hip Replacement Surgery, and usually involves replacing them with new Implants.
Revision Hip Replacement Surgery includes the following procedure types:
- Hip Single Stage Revision
- Hip Stage 1 of 2 Stage Revision
- Hip Stage 2 of 2 Stage Revision
- Hip Excision Arthroplasty
Change to Supporting Information: Changed Description
Revision Knee Replacement Surgery is a CLINICAL INTERVENTION.
Revision Knee Replacement Surgery involves removing IMPLANTS that were inserted during Primary Knee Replacement Surgery, and usually involves replacing them with new IMPLANTS.Revision Knee Replacement Surgery involves removing Implants that were inserted during Primary Knee Replacement Surgery, and usually involves replacing them with new Implants.
Revision Knee Replacement Surgery includes the following procedure types:
- Knee Single Stage Revision
- Knee Stage 1 of 2 Stage Revision
- Knee Stage 2 of 2 Stage Revision
- Knee Conversion to Arthrodesis
- Knee Amputation
Change to Supporting Information: Changed Description
Revision Shoulder Replacement Surgery is a CLINICAL INTERVENTION.
Revision Shoulder Replacement Surgery involves removing IMPLANTS that were inserted during Primary Shoulder Replacement Surgery, and usually involves replacing them with new IMPLANTS.Revision Shoulder Replacement Surgery involves removing Implants that were inserted during Primary Shoulder Replacement Surgery, and usually involves replacing them with new Implants.
Revision Shoulder Replacement Surgery includes the following procedure types:
- Shoulder Single Stage Revision
- Shoulder Stage 1 of 2 Stage Revision
- Shoulder Stage 2 of 2 Stage Revision
- Conversion to Arthrodesis
- Excision Arthroplasty
- Amputation
Change to Supporting Information: New Supporting Information
This item is being used for development purposes and has not yet been approved.
This supporting information is also known by these names:
| Context | Alias |
|---|---|
| plural | Specialised Services |
Change to Class: Changed Attributes
| A and E INCIDENT LOCATION TYPE | ||
| A and E PATIENT GROUP | ||
| ACTIVITY GROUP TYPE | ||
| ADMISSION METHOD | ||
| ASSAULT METHOD | ||
| BABY FIRST FEED BREAST MILK STATUS | ||
| BREASTFEEDING STATUS | ||
| CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS | ||
| CANCER TRANSFER REASON FOR INTER PROVIDER TRANSFER | ||
| CANCER TREATMENT INTENT | ||
| CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR | ||
| CARER RESIDENT INDICATION CODE FOR NATIONAL NEONATAL DATA SET | ||
| CHILDREN TEENAGERS AND YOUNG ADULTS AGE CATEGORY | ||
| COMMUNITY TREATMENT ORDER END REASON | ||
| COMPLEX SOCIAL FACTORS INDICATOR | ||
| DAUGHTER BORN AT THIS ENCOUNTER INDICATOR | ||
| DELIVERY PLACE CHANGE REASON | ||
| DISCHARGE DESTINATION | ||
| DISCHARGED TO HOSPITAL AT HOME SERVICE INDICATOR | ||
| DISCHARGE METHOD | ||
| EMERGENCY CARE ATTENDANCE CATEGORY | ||
| ESTIMATED DATE OF DELIVERY | ||
| ESTIMATED DATE OF DELIVERY METHOD | ||
| FEMALE GENITAL MUTILATION AGE CATEGORY | ||
| FIRST REGULAR DAY OR NIGHT ADMISSION | ||
| IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE SPELL END CODE | ||
| IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES OPT IN DATE | ||
| IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES STEPPED CARE INTENSITY DELIVERED | ||
| IN LABOUR BEFORE CAESARIAN SECTION INDICATOR | ||
| INTENDED DELIVERY PLACE | ||
| INTRAVESICAL CHEMOTHERAPY RECEIVED INDICATOR | ||
| INTRAVESICAL IMMUNOTHERAPY RECEIVED INDICATOR | ||
| LENGTH OF STAY ADJUSTMENT | ||
| LENGTH OF STAY ADJUSTMENT REASON | ||
| MATERNAL CRITICAL INCIDENT TYPE | ||
| MECONIUM PRESENT IN LIQUOR INDICATOR | ||
| MENTAL HEALTH ABSOLUTE DISCHARGE RESPONSIBILITY | ||
| MENTAL HEALTH CONDITIONAL DISCHARGE END REASON | ||
| MENTAL HEALTH DELAYED DISCHARGE ATTRIBUTABLE TO INDICATION CODE | ||
| MENTAL HEALTH DELAYED DISCHARGE REASON | ||
| METHOD OF COMMUNICATION FOR END OF CANCER FASTER DIAGNOSIS PATHWAY | ||
| MONITORING INTENT | ||
| MOTHER ANTENATALLY BOOKED INDICATOR | ||
| NEONATAL CRITICAL INCIDENT TYPE | ||
| NEONATAL LEVEL OF CARE | ||
| NON SMOKING CONFIRMATION STATUS AT 4 WEEKS | ||
| ORGAN OR TISSUE UNSUITABLE ORGAN CODE RENAL TRANSPLANT | ||
| OUTCOME AT 4 WEEK FOLLOW UP FOR STOP SMOKING | ||
| PAEDIATRIC NEPHROLOGY REGISTRY STATUS CODE | ||
| PALLIATIVE CARE SPECIALIST SEEN INDICATOR | ||
| PALLIATIVE TREATMENT REASON CODE FOR UPPER GASTROINTESTINAL | ||
| PATIENT CLASSIFICATION | ||
| PATIENT RECEIVING ONE TO ONE NURSING CARE INDICATOR | ||
| PHARMACOTHERAPY STOP SMOKING AID RECEIVED | ||
| PREGNANCY OUTCOME CODE | ||
| PREGNANCY PREVIOUS CAESAREAN SECTIONS | ||
| PREGNANCY TOTAL LIVE BIRTHS | ||
| PREGNANCY TOTAL PREVIOUS LOSSES LESS THAN 24 WEEKS | ||
| PREGNANCY TOTAL PREVIOUS PREGNANCIES | ||
| PREGNANCY TOTAL STILL BIRTHS | ||
| PREVIOUS NEGATIVE HIV TEST INDICATOR | ||
| RADIOTHERAPY INTENT | ||
| RENAL DIALYSIS SCHEDULE TYPE | ||
| SOURCE OF ADMISSION | ||
| TIME BETWEEN DELIVERY AND SPONTANEOUS RESPIRATION CODE |
Change to Class: Changed Relationships
| must be the reason for using one and only one MACHINE | |
| may be the reason for administering one or more ANAESTHETIC OR ANALGESIC | |
| may be the provider of one or more CLINICAL INVESTIGATION RESULT ITEM | |
| may be classified as one and only one CODED CLINICAL ENTRY | |
| may be the user of one or more MEDICAL DEVICE | |
| may be the user of one and only one SAMPLE |
Change to Class: Changed status to Retired, Attributes, Description, Name
An IMPLANT is an artificial component made from metal, high density polyethylene or ceramic to replace a diseased or worn out joint.This item has been retired from the NHS Data Model and Dictionary.
An example being the use of an IMPLANT in Primary Joint Replacement Surgery, where an IMPLANT is used to replace a diseased or worn out joint.The last live version of this item is available in the July 2018 release of the NHS Data Model and Dictionary.
Change to Class: Changed status to Retired, Attributes, Description, Name
Change to Class: Changed status to Retired, Attributes, Description, Name
- Retired IMPLANT
- Changed Attributes
- Changed Description
- Changed Name from Data_Dictionary.Classes.I.IMPLANT to Retired.Data_Dictionary.Classes.I.IMPLANT
Change to Class: New Class
This item is being used for development purposes and has not yet been approved.
This class is also known by these names:
| Context | Alias |
|---|---|
| plural | MEDICAL DEVICES |
Change to Class: New Class
| K | MEDICAL DEVICE IDENTIFIER | |
| IMPLANT BATCH OR LOT NUMBER | ||
| IMPLANT CATALOGUE NUMBER |
Change to Class: New Class
| must be used in one and only one CLINICAL INTERVENTION |
Change to Class: Changed Attributes
| FINANCIAL ALLOCATION OR SPEND TYPE FOR STOP SMOKING | ||
| FINANCIAL AMOUNT | ||
| FINANCIAL MONTH | ||
| FINANCIAL YEAR | ||
| NATIONAL TARIFF INDICATOR | ||
| VALUE ADDED TAX CHARGED INDICATOR FOR CONTRACT MONITORING |
Change to Class: Changed Attributes
| BEST PRACTICE TARIFF CODE | ||
| COMMISSIONED SERVICE CATEGORY CODE | ||
| HEALTHCARE RESOURCE GROUP CODE | ||
| LOCAL POINT OF DELIVERY DESCRIPTION | ||
| LOCAL POINT OF DELIVERY DESCRIPTION ADDITIONAL DETAIL | ||
| POINT OF DELIVERY CODE | ||
| POINT OF DELIVERY FURTHER DETAIL CODE | ||
| POINT OF DELIVERY FURTHER DETAIL DESCRIPTION | ||
| SERVICE PROVIDED UNDER AGREEMENT TEXT STRING | ||
| SPECIALISED MENTAL HEALTH SERVICE CODE | ||
| SPECIALISED SERVICE CODE | ||
| SPECIALIST SERVICES FLAG |
Change to Attribute: Changed Description
The type of ACTIVITY GROUP.
National Codes:
Note:
The list is not in alphabetical order.
Change to Attribute: New Attribute
This item is being used for development purposes and has not yet been approved.
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | BEST PRACTICE TARIFF CODES |
Change to Attribute: Changed Description
The IMPLANT BATCH OR LOT NUMBER of an IMPLANT.The IMPLANT BATCH OR LOT NUMBER of an Implant.
Change to Attribute: Changed Description
The IMPLANT CATALOGUE NUMBER of an IMPLANT.The IMPLANT CATALOGUE NUMBER of an Implant.
Change to Attribute: New Attribute
This item is being used for development purposes and has not yet been approved.
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | MACHINE IDENTIFIERS |
Change to Attribute: New Attribute
This item is being used for development purposes and has not yet been approved.
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | POINT OF DELIVERY FURTHER DETAIL CODES |
Change to Attribute: New Attribute
This item is being used for development purposes and has not yet been approved.
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | POINT OF DELIVERY FURTHER DETAIL DESCRIPTIONS |
Change to Attribute: New Attribute
This item is being used for development purposes and has not yet been approved.
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | SERVICE PROVIDED UNDER AGREEMENT TEXT STRINGS |
Change to Attribute: New Attribute
This item is being used for development purposes and has not yet been approved.
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | SPECIALIST SERVICES FLAGS |
Change to Attribute: New Attribute
This item is being used for development purposes and has not yet been approved.
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | VALUE ADDED TAX CHARGED INDICATORS FOR CONTRACT MONITORING |
Change to Attribute: New Attribute
Data Elements:
| VALUE ADDED TAX CHARGED INDICATOR (CONTRACT MONITORING) |
Change to Data Element: New Data Element
This item is being used for development purposes and has not yet been approved.
Change to Data Element: Changed Description
| Format/Length: | an1 |
| National Codes: | See COMPONENT REMOVAL INDICATOR FOR JOINT REPLACEMENT |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | an1 |
| National Codes: | See COMPONENT REMOVAL INDICATOR FOR JOINT REPLACEMENT |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | an1 |
| National Codes: | See COMPONENT REMOVAL INDICATOR FOR JOINT REPLACEMENT |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | an1 |
| National Codes: | See COMPONENT REMOVAL INDICATOR FOR JOINT REPLACEMENT |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | an1 |
| National Codes: | See COMPONENT REMOVAL INDICATOR FOR JOINT REPLACEMENT |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | an1 |
| National Codes: | See COMPONENT REMOVAL INDICATOR FOR JOINT REPLACEMENT |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | an1 |
| National Codes: | See COMPONENT REMOVAL INDICATOR FOR JOINT REPLACEMENT |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | an1 |
| National Codes: | See COMPONENT REMOVAL INDICATOR FOR JOINT REPLACEMENT |
| Default Codes: |
Notes:
Change to Data Element: Changed Description
| Format/Length: | an1 |
| National Codes: | See COMPONENT REMOVAL INDICATOR FOR JOINT REPLACEMENT |
| Default Codes: |
Notes:
Change to Data Element: New Data Element
This item is being used for development purposes and has not yet been approved.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | POINT OF DELIVERY FURTHER DETAIL CODES |
Change to Data Element: New Data Element
This item is being used for development purposes and has not yet been approved.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | POINT OF DELIVERY FURTHER DETAIL DESCRIPTIONS |
Change to Data Element: New Data Element
This item is being used for development purposes and has not yet been approved.
This data element is also known by these names:
| Context | Alias |
|---|---|
| snomedctsubsetoriginalid | 30201000001137 |
| snomedctrefsetname | ePrescribing route of administration simple reference set (foundation metadata concept) |
| snomedctsubsetname | NHS e-Prescribing route of administration subset |
| plural | ROUTES OF ADMINISTRATION (SNOMED CT DM+D) |
| snomedctrefsetid | 999000051000001100 |
Change to Data Element: New Data Element
This item is being used for development purposes and has not yet been approved.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | TARIFF CODES |
Change to Data Element: New Data Element
Change to Data Element: Changed Name
- Changed Name from Data_Dictionary.Data_Field_Notes.A.Act.ACTIVITY_TOTAL_COST to Data_Dictionary.Data_Field_Notes.T.To.TOTAL_COST
Change to Data Element: New Data Element
This item is being used for development purposes and has not yet been approved.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | UNITS OF MEASUREMENT (SNOMED CT DM+D) |
Change to Data Element: New Data Element
This item is being used for development purposes and has not yet been approved.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | VALUE ADDED TAX CHARGED INDICATORS (CONTRACT MONITORING) |
Change to Data Element: New Data Element
For enquiries about this Change Request, please email information.standards@nhs.net
