NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1826
Version No:1.0
Subject:April Update Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:29 April 2021

Background:

There is no April 2021 release but items need updating before the next release.

This patch updates the NHS Data Model and Dictionary and includes:

A short demonstration is available which describes "How to Read an NHS Data Model and Dictionary Change Request", in an easy to understand screen capture including a voice over and readable captions. This demonstration can be viewed at: https://datadictionary.nhs.uk/elearning/Change_Request/index.html.

Note: if the web page does not open, please copy the link and paste into the web browser. A guide to how to use the demonstration can be found at: Demonstrations.

Summary of changes:

Supporting Information
DATA COORDINATION BOARD   Changed Description
LEARNING DISABILITY   Changed Description
SUPPORTING DATA SETS MESSAGE DOCUMENTATION   Changed Description
SUPPORTING DATA SETS MESSAGE DOCUMENTATION MENU   Changed Description
VENOUS THROMBOEMBOLISM RISK ASSESSMENT DATA SET OVERVIEW   Changed Description
 
Attribute Definitions
ACTIVITY LOCATION TYPE CODE   Changed Description
CRITICAL CARE UNIT FUNCTION   Changed Description
MAIN SPECIALTY CODE   Changed Description
 
Data Elements
AMBULANCE INCIDENT DATE AND TIME   Changed Description
CARE ACTIVITY IDENTIFIER   Changed Description
CARE ACTIVITY IDENTIFIER (BABY)   Changed Description
CARE ACTIVITY IDENTIFIER (MOTHER)   Changed Description
CARE CONTACT IDENTIFIER   Changed Description
CARE CONTACT IDENTIFIER (AMBULANCE SERVICE)   Changed Description
CLINICAL CONTACT DURATION OF CARE ACTIVITY   Changed Description
CLINICAL CONTACT DURATION OF CARE CONTACT   Changed Description
CRITICAL CARE DISCHARGE DESTINATION   Changed Description
DATE OF NON PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED)   Changed Description
DATE OF PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED)   Changed Description
DIAGNOSIS DATE   Changed Description
DIAGNOSIS DATE IN UNITED KINGDOM (HIV)   Changed Description
DURATION OF INTERNET ENABLED THERAPY IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE PROFESSIONAL CLINICAL TIME   Changed Description
EARLIEST CLINICALLY APPROPRIATE DATE   Changed Description
FINANCIAL YEAR   Changed Description
FINANCIAL YEAR (PATIENT LEVEL INFORMATION COSTING)   Changed Description
NUMBER OF GROUP THERAPY FACILITATORS   Changed Description
NUMBER OF GROUP THERAPY PARTICIPANTS   Changed Description
POSTCODE   Changed Description
PROVISIONAL DIAGNOSIS DATE   Changed Description
 
XML Schema Constraint
CRITICAL CARE MINIMUM DATA SET CONSTRAINTS   New XML Schema Constraint
 

Date:29 April 2021
Sponsor:Nicholas Oughtibridge, Head of Clinical Data Architecture, 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.

Click here for a printer friendly view of this page.


DATA COORDINATION BOARD

Change to Supporting Information: Changed Description

The Data Coordination Board (DCB) closed on 19 November 2020.

Responsibility for the approval of Information Standard and Collection (including Extractions) has transferred to the Data Alliance Partnership Board (DAPB). The following definition will remain in the NHS Data Model and Dictionary as it is relevant for Information Standard and Collection (including Extractions) that were assured and approved by the Data Coordination Board

The following definition will remain in the NHS Data Model and Dictionary as it is relevant for Information Standard and Collection (including Extractions) that were assured and approved by the Data Coordination Board.

The Data Coordination Board replaced the Standardisation Committee for Care Information (SCCI) on 1 April 2017.

The Data Coordination Board is one of three sub-groups of the Digital Delivery Board, the other two being the Enterprise Architecture Board and the Technology and Data Investment Board.

The Data Coordination Board:

            • has delegated authority from the Secretary of State to approve Information Standard and Collection (including Extractions) (ISCEs) for health and social care
            • provides the authority to publish Information Standards Notices (ISN) under section 250 of the Health and Social Care Act 2012
            • has responsibility for the approval of requests to change, deprecate and retire existing Information Standard and Collection (including Extractions)
            • prioritises the progression of Information Standard and Collection (including Extractions)
            • works to minimise the burden from Data Sets, and maximise the benefit received from available data
            • takes its membership from a wide range of national bodies and ORGANISATIONS involved in the provision and management of health and social care services in England. This ensures a system-wide, joined-up approach to decision-making.
.

 For further information on the Data Coordination Board, see the NHS Digital website at: Data Coordination Board.

 

top


LEARNING DISABILITY

Change to Supporting Information: Changed Description

A Learning Disability (formerly known as a Mental Handicap and referred to as an Intellectual Disability) is a type of DISABILITY.

A Learning Disability usually has a significant impact on a PERSON's life. A PERSON with a Learning Disability finds it harder than others to learn, understand and communicate.

People with Profound and Multiple Learning Disabilities need full-time help with every aspect of their lives, including eating, drinking, washing, dressing and toileting etc.

Learning Disability includes the presence of a significantly reduced ability to understand new or complex information, to learn new skills (impaired intelligence), with

  • a reduced ability to cope independently (impaired social functioning)
  • which started before adulthood, with a lasting effect on development.

Further information regarding people covered by definition can be found in the document 'Valuing People: A New Strategy for Learning Disability for the 21st Century'.

Although, from a social care perspective, an Intelligence Quotient (IQ) of seventy or less is not sufficient reason for deciding if an individual should be provided with additional health and social care support, the following definition is applied within the Mental Health Services Data Set in the specific circumstance where data providers do not have an explicit data item to capture whether a PATIENT has a Learning Disability

Someone is considered to have a Learning Disability when they function at a level of intellectual ability which is significantly lower than their chronological age. This is usually considered to be equivalent to having an IQ of seventy or less:

  • Mild Learning Disability (roughly equivalent to an IQ of fifty to seventy) is comparable to the educational term 'Moderate Learning Difficulty'. It is usually caused by a combination of restricted learning and social opportunities plus a high rate of low to average intellectual ability and Learning Disability in close relatives.

  • Moderate-to-profound Learning Disability (roughly equivalent to an IQ below fifty) is comparable to the educational term 'Severe Learning Difficulty'. It usually has a specific biological cause.

Note: A Learning Difficulty is a type of Special Education Need which affects areas of learning, such as reading, writing, spelling, mathematics etc.

Further information on Learning Disabilities, can be found on the internet, for example:

 

top


VENOUS THROMBOEMBOLISM RISK ASSESSMENT DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The purpose of the Venous Thromboembolism Risk Assessment Data Set is to quantify the number of PATIENTS (aged 16 and over) admitted to hospital, who are risk assessed for Venous Thromboembolism using the Venous Thromboembolism Risk Assessment Tool to allow appropriate preventative treatment based on guidance from the National Institute for Health and Care Excellence (NICE).

Collection and submission

All providers of NHS funded acute hospital care (including NHS Foundation Trusts and Independent Providers of acute NHS services) must complete this data collection.

Data on Venous Thromboembolism risk assessments is uploaded onto the Strategic Data Collection Service (SDCS) each month no later than 20 working days after the month end. Revisions to the data set before the cut off date are allowed, however revisions made after the cut off date must be made in liaison with NHS Improvement.

Further guidance

For further guidance on the Venous Thromboembolism Risk Assessment Data Set, see the:

Mandation

The Mandation column indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present.

top


ACTIVITY LOCATION TYPE CODE

Change to Attribute: Changed Description

The type of LOCATION for an ACTIVITY:

Notes:

Further information on the groupings and scope of each ACTIVITY LOCATION TYPE CODE is provided at: Activity Location Type Codes.

National Codes:

A01PATIENT's Home
A02Carer's Home
A03PATIENT's Workplace
A04Other PATIENT Related Location
B01Primary Care Health Centre
B02Polyclinic
C01General Medical Practitioner Practice
C02Dental Practice
C03OPHTHALMIC MEDICAL PRACTITIONER Premises
D01Walk In Centre
D02Out of Hours Centre
D03Emergency Community Dental Service
E01Out-Patient Clinic
E02WARD
E03Day Hospital
E04Emergency Care Department or Minor Injuries Department
E99Other Departments
F01Hospice
G01Care Home Without Nursing
G02Care Home With Nursing
G03Children's Home
G04Integrated Care Home Without Nursing and Care Home With Nursing
H01Day Centre
J01Resource Centre
K01Sure Start Children’s Centre
K02Child Development Centre
L01School
L02Further Education College
L03University
L03University
L04Nursery Premises
L05Other Childcare Premises
L06Training Establishments
L99Other Educational Premises
M01Prison
M02Probation Service Premises
M03Police Station / Police Custody Suite
M04Young Offender Institution
M05Immigration Removal Centre
M06Young Offender Institution (15-17)
M07Young Offender Institution (18-21)
N01Street or other public open space
N02Other publicly accessible area or building
N03Voluntary or charitable agency premises
N04Dispensing Optician Premises
N05Dispensing Pharmacy Premises
X01Other locations not elsewhere classified
 

top


CRITICAL CARE UNIT FUNCTION

Change to Attribute: Changed Description

The type of area to which the PATIENT was admitted during a CRITICAL CARE PERIOD. This is the principal clinical service provided within the WARD.

The principal type of Critical Care clinical service provided within the WARD to which a PATIENT was admitted to during a CRITICAL CARE PERIOD.

Further detail on CRITICAL CARE UNIT FUNCTIONS is described on CRITICAL CARE PERIOD.

Note:

  • National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.
  • Facilities are described by the category of PATIENT predominantly treated, as follows:
    • Adult Facilities (PATIENTS more than 19 years old on admission predominate)
    • Children and Young People Facilities (PATIENTS aged greater than or equal to 29 days to less than 19 years predominate)
    • Neonatal Facilities (PATIENTS aged less than 29 days on admission predominate)
    • Other settings

National Codes:
Adult Facilities (PATIENTS more than 19 years old on admission predominate)

01Non-specific, general adult critical care PATIENTS  predominate
02Surgical adult PATIENTS (unspecified specialty)
03Medical adult PATIENTS (unspecified specialty)
05Neurosciences adult PATIENTS predominate
06Cardiac surgical adult PATIENTS predominate
07Thoracic surgical adult PATIENTS predominate
08Burns and plastic surgery adult PATIENTS predominate
09Spinal adult PATIENTS predominate
10Renal adult PATIENTS predominate
11Liver adult PATIENTS predominate
12Obstetric and gynaecology critical care PATIENTS predominate
90Non standard LOCATION using a WARD area

Children and Young People Facilities (PATIENTS aged greater than or equal to 29 days to less than 19 years predominate)
12Obstetric and gynaecology adult critical care PATIENTS predominate
90Adult: Non standard LOCATION using a WARD area
04Paediatric Intensive Care Unit (Paediatric critical care PATIENTS predominate)
16WARD for children and young people
17High Dependency Unit for children and young people
18Renal Unit for children and young people
19Burns Unit for children and young people
92Non standard LOCATION using the operating department for children and young people

Neonatal Facilities (Patients aged less than 29 days on admission predominate)
13Neonatal Intensive Care Unit (Neonatal critical care PATIENTS predominate)
14Facility for Babies on a Neonatal Transitional Care WARD
15Facility for Babies on a Maternity WARD
14Facility for Babies (Neonates) on a Neonatal Transitional Care WARD
15Facility for Babies (Neonates) on a Maternity WARD
91Other settings: non standard LOCATION using the operating department

Other settings
91Non standard LOCATION using the operating department
 

top


MAIN SPECIALTY CODE

Change to Attribute: Changed Description

A unique code identifying each MAIN SPECIALTY designated by Royal Colleges. This is the same as the NHS OCCUPATION CODES describing specialties.

Specialties are divisions of clinical work which may be defined by body systems (dermatology), age (paediatrics), clinical technology (nuclear medicine), clinical function (rheumatology), group of diseases (oncology) or combinations of these factors. Only Specialty titles recognised by the Royal Colleges and Faculties should be used. This list is maintained by the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998.

Each CONSULTANT should be assigned a MAIN SPECIALTY by the ORGANISATION to which the CONSULTANT is contracted. For physicians and surgeons with a generalist component to their work, the MAIN SPECIALTY should be general medicine or general surgery. The hallmark of a general physician or general surgeon is the continued care of unselected emergency referrals. The MAIN SPECIALTY is specific to a Health Care Provider. If, for example, a CONSULTANT physician working in two Health Care Providers has a generalist component to the work in one and not the other, general medicine is only assigned as the MAIN SPECIALTY in the former case. CONSULTANTS in general medicine or general surgery may also have specialist interests and these should be recorded as well as the MAIN SPECIALTY.

The initial source of the information should be the designation on the CONSULTANT's contract. This should be checked periodically against the work a CONSULTANT is actually doing so that the statistics can relate to a CONSULTANT's current type of work.

The MAIN SPECIALTY only should be used for the purpose of producing Specialty costing statistics and for Workforce statistics where links with ACTIVITY and finance are required. Other specialist interests of CONSULTANTS may be recorded for workforce planning purposes.

This will be used to indicate the skill level of medical and dental employees.

Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff e.g. 560, 950 and 960.

The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice.

Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic.

For further information, contact NHS Digital by email at: enquiries@nhsdigital.nhs.uk with the subject "Main Specialty and Treatment Function Codes".

Further information on the groupings and each MAIN SPECIALTY CODE is provided at: Main Specialty and Treatment Function Codes Table.

Note:

National Codes:

100General Surgery
101Urology
107Vascular Surgery
110Trauma and Orthopaedics
120Ear Nose and Throat
130Ophthalmology
140Oral Surgery
141Restorative Dentistry
142Paediatric Dentistry
143Orthodontics
145Oral and Maxillofacial Surgery
146Endodontics
147Periodontics
148Prosthodontics
149Surgical Dentistry
150Neurosurgery
160Plastic Surgery
170Cardiothoracic Surgery
171Paediatric Surgery
191Pain Management  (Retired 1 April 2004)
180Emergency Medicine
190Anaesthetics
192Intensive Care Medicine
200Aviation and Space Medicine
300General Internal Medicine
301Gastroenterology
302Endocrinology and Diabetes
303Clinical Haematology
304Clinical Physiology
305Clinical Pharmacology
310Audio Vestibular Medicine
311Clinical Genetics
312CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010)
National Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010
313Clinical Immunology
314Rehabilitation Medicine
315Palliative Medicine
317Allergy
320Cardiology
321Paediatric Cardiology
100General Surgery
101Urology
107Vascular Surgery
110Trauma and Orthopaedics
120Ear Nose and Throat
130Ophthalmology
140Oral Surgery
141Restorative Dentistry
142Paediatric Dentistry
143Orthodontics
145Oral and Maxillofacial Surgery
146Endodontics
147Periodontics
148Prosthodontics
149Surgical Dentistry
150Neurosurgery
160Plastic Surgery
170Cardiothoracic Surgery
171Paediatric Surgery
191Pain Management  (Retired 1 April 2004)
180Emergency Medicine
190Anaesthetics
192Intensive Care Medicine
200Aviation and Space Medicine
300General Internal Medicine
301Gastroenterology
302Endocrinology and Diabetes
303Clinical Haematology
304Clinical Physiology
305Clinical Pharmacology
310Audio Vestibular Medicine
311Clinical Genetics
312CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010)
National Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010
313Clinical Immunology
314Rehabilitation Medicine
315Palliative Medicine
317Allergy
320Cardiology
321Paediatric Cardiology
325Sport and Exercise Medicine
326Acute Internal Medicine
330Dermatology
340Respiratory Medicine
350Infectious Diseases
352Tropical Medicine
360Genitourinary Medicine
361Renal Medicine
370Medical Oncology
371Nuclear Medicine
400Neurology
401Clinical Neurophysiology
410Rheumatology
420Paediatrics
421Paediatric Neurology
430Geriatric Medicine
450Dental Medicine
330Dermatology
340Respiratory Medicine
350Infectious Diseases
352Tropical Medicine
360Genitourinary Medicine
361Renal Medicine
370Medical Oncology
371Nuclear Medicine
400Neurology
401Clinical Neurophysiology
410Rheumatology
420Paediatrics
421Paediatric Neurology
430Geriatric Medicine
450Dental Medicine
451Special Care Dentistry
460Medical Ophthalmology
460Medical Ophthalmology
500Obstetrics and Gynaecology
National Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
501Obstetrics
502Gynaecology
504Community Sexual and Reproductive Health
510Antenatal Clinic (Retired 1 April 2004)
520Postnatal Clinic (Retired 1 April 2004)
560Midwifery
600General Medical Practice
601General Dental Practice
610Maternity Function (Retired 1 April 2004)
620Other than Maternity (Retired 1 April 2004)
700Learning Disability
710Adult Mental Illness
711Child and Adolescent Psychiatry
712Forensic Psychiatry
713Medical Psychotherapy
715Old Age Psychiatry
800Clinical Oncology
810Radiology
820General Pathology
821Blood Transfusion
822Chemical Pathology
823Haematology
824Histopathology
830Immunopathology
831Medical Microbiology and Virology
832Neuropathology (Retired 1 April 2004)
713Medical Psychotherapy
715Old Age Psychiatry
800Clinical Oncology
810Radiology
820General Pathology
821Blood Transfusion
822Chemical Pathology
823Haematology
824Histopathology
830Immunopathology
831Medical Microbiology and Virology
832Neuropathology (Retired 1 April 2004)
833Medical Microbiology
834Medical Virology
900Community Medicine
901Occupational Medicine
902Community Health Services Dental
903Public Health Medicine
904Public Health Dental
950Nursing
960Allied Health Professional
990Joint Consultant Clinics (Retired 1 April 2004)
900Community Medicine
901Occupational Medicine
902Community Health Services Dental
903Public Health Medicine
904Public Health Dental
950Nursing
960Allied Health Professional
990Joint Consultant Clinics (Retired 1 April 2004)
 

top


AMBULANCE INCIDENT DATE AND TIME

Change to Data Element: Changed Description

Format/Length:an19 CCYY-MM-DDThh:mm:ss
National Codes: 
Default Codes: 

Notes:
AMBULANCE INCIDENT DATE AND TIME is the same as attribute ACTIVITY DATE and ACTIVITY TIME where the ACTIVITY DATE AND TIME TYPE is Ambulance Incident Date And Time.AMBULANCE INCIDENT DATE AND TIME is the same as attribute ACTIVITY DATE and ACTIVITY TIME where the ACTIVITY DATE AND TIME TYPE is National Code 'Ambulance Incident Date And Time'. 

top


CARE ACTIVITY IDENTIFIER

Change to Data Element: Changed Description

Format/Length:max an20
National Codes: 
Default Codes: 

Notes:
CARE ACTIVITY IDENTIFIER is the ACTIVITY IDENTIFIER for a CARE ACTIVITY.CARE ACTIVITY IDENTIFIER is the same as attribute ACTIVITY IDENTIFIER for a CARE ACTIVITY. 

top


CARE ACTIVITY IDENTIFIER (BABY)

Change to Data Element: Changed Description

Format/Length:max an20
National Codes: 
Default Codes: 

Notes:
CARE ACTIVITY IDENTIFIER (BABY) is the ACTIVITY IDENTIFIER for a CARE ACTIVITY for a baby.CARE ACTIVITY IDENTIFIER (BABY) is the same as attribute ACTIVITY IDENTIFIER for a CARE ACTIVITY for a baby. 

top


CARE ACTIVITY IDENTIFIER (MOTHER)

Change to Data Element: Changed Description

Format/Length:max an20
National Codes: 
Default Codes: 

Notes:
CARE ACTIVITY IDENTIFIER (MOTHER) is the ACTIVITY IDENTIFIER for a CARE ACTIVITY for the mother.CARE ACTIVITY IDENTIFIER (MOTHER) is the same as attribute ACTIVITY IDENTIFIER for a CARE ACTIVITY for the mother. 

top


CARE CONTACT IDENTIFIER

Change to Data Element: Changed Description

Format/Length:max an20
National Codes: 
Default Codes: 

Notes:
CARE CONTACT IDENTIFIER is the ACTIVITY IDENTIFIER for a CARE CONTACT.CARE CONTACT IDENTIFIER is the same as attribute ACTIVITY IDENTIFIER for a CARE CONTACT. 

top


CARE CONTACT IDENTIFIER (AMBULANCE SERVICE)

Change to Data Element: Changed Description

Format/Length:max an20
National Codes: 
Default Codes: 

Notes:
CARE CONTACT IDENTIFIER (AMBULANCE SERVICE) is the ACTIVITY IDENTIFIER for a CARE CONTACT allocated by the Ambulance Service.CARE CONTACT IDENTIFIER (AMBULANCE SERVICE) is the same as attribute ACTIVITY IDENTIFIER for a CARE CONTACT allocated by the Ambulance Service.

CARE CONTACT IDENTIFIER (AMBULANCE SERVICE) is an identifier allocated to each Ambulance Incident for each PATIENT.

The PATIENT can have more than one CARE CONTACT IDENTIFIER (AMBULANCE SERVICE) if the PATIENT is treated more than once in separate Ambulance Incidents.

 

top


CLINICAL CONTACT DURATION OF CARE ACTIVITY

Change to Data Element: Changed Description

Format/Length:max n4
National Codes: 
Default Codes: 

Notes:
CLINICAL CONTACT DURATION OF CARE ACTIVITY is the duration of a CARE ACTIVITY in minutes, excluding any administration time prior to or after the CARE ACTIVITY and the CARE PROFESSIONAL's travelling time to the LOCATION where the CARE ACTIVITY was provided.CLINICAL CONTACT DURATION OF CARE ACTIVITY is the same as attribute ACTIVITY DURATION.

CLINICAL CONTACT DURATION OF CARE ACTIVITY is the total duration of a CARE ACTIVITY in minutes, excluding any administration time prior to or after the CARE ACTIVITY and the CARE PROFESSIONAL's travelling time to the LOCATION where the CARE ACTIVITY was provided.

CLINICAL CONTACT DURATION OF CARE ACTIVITY is calculated from the Start Time and End Time of the CARE ACTIVITY.

 

top


CLINICAL CONTACT DURATION OF CARE CONTACT

Change to Data Element: Changed Description

Format/Length:max n4
National Codes: 
Default Codes: 

Notes:
CLINICAL CONTACT DURATION OF CARE CONTACT is the same as attribute ACTIVITY DURATION.

CLINICAL CONTACT DURATION OF CARE CONTACT is the total duration of the direct clinical contact at CARE CONTACT in minutes, excluding any administration time prior to or after the CARE CONTACT and the CARE PROFESSIONAL's travelling time to the CARE CONTACT.

CLINICAL CONTACT DURATION OF CARE CONTACT includes the time spent on the different CARE ACTIVITIES that may be performed in a single CARE CONTACT.  The duration of each CARE ACTIVITY is recorded in CLINICAL CONTACT DURATION OF CARE ACTIVITY.

CLINICAL CONTACT DURATION OF CARE CONTACT is calculated from the Start Time and End Time of the CARE CONTACT.

 

top


CRITICAL CARE DISCHARGE DESTINATION

Change to Data Element: Changed Description

Format/Length:n2
Format/Length:an3
National Codes:See CRITICAL CARE DISCHARGE DESTINATION
Default Codes: 

Notes:
CRITICAL CARE DISCHARGE DESTINATION  is the same as attribute CRITICAL CARE DISCHARGE DESTINATIONNote: the Format/Length has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

top


DATE OF NON PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED)

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
DATE OF NON PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED) is the same as data element DIAGNOSIS DATE.DATE OF NON PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED) is the same as attribute PERSON PROPERTY OBSERVED DATE for the PATIENT DIAGNOSIS.

DATE OF NON PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED) is the date where the Non Primary Cancer PATIENT DIAGNOSIS was confirmed or agreed.

 

top


DATE OF PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED)

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
DATE OF PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED) is the same as data element DIAGNOSIS DATE.DATE OF PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED) is the same as attribute PERSON PROPERTY OBSERVED DATE for the PATIENT DIAGNOSIS.

DATE OF PRIMARY CANCER DIAGNOSIS (CLINICALLY AGREED) is either the date:

 

top


DIAGNOSIS DATE

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
DIAGNOSIS DATE is the PERSON PROPERTY OBSERVED DATE for the PATIENT DIAGNOSIS.DIAGNOSIS DATE is the same as attribute PERSON PROPERTY OBSERVED DATE for the PATIENT DIAGNOSIS. 

top


DIAGNOSIS DATE IN UNITED KINGDOM (HIV)

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
DIAGNOSIS DATE IN UNITED KINGDOM (HIV) is the same as the data element DIAGNOSIS DATE.DIAGNOSIS DATE IN UNITED KINGDOM (HIV) is the same as attribute PERSON PROPERTY OBSERVED DATE for the PATIENT DIAGNOSIS.

DIAGNOSIS DATE IN UNITED KINGDOM (HIV) is the date the PATIENT was first diagnosed as Human Immunodeficiency Virus (HIV) positive in the United Kingdom.

DIAGNOSIS DATE IN UNITED KINGDOM (HIV) is recorded where the NEW HIV DIAGNOSIS IN UNITED KINGDOM INDICATOR National Code is 'Yes - the PATIENT was newly diagnosed with Human Immunodeficiency Virus (HIV) in the United Kingdom at the current HIV Clinic Attendance'.

If the DIAGNOSIS DATE IN UNITED KINGDOM (HIV) is not known, the DATE FIRST SEEN should be recorded.

 

top


DURATION OF INTERNET ENABLED THERAPY IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE PROFESSIONAL CLINICAL TIME

Change to Data Element: Changed Description

top


EARLIEST CLINICALLY APPROPRIATE DATE

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes:
Default Codes: 

Notes:
EARLIEST CLINICALLY APPROPRIATE DATE is the same as attribute ACTIVITY DATE.

EARLIEST CLINICALLY APPROPRIATE DATE is the earliest date that it was clinically appropriate for an ACTIVITY to take place.

For the Radiotherapy Data Set, EARLIEST CLINICALLY APPROPRIATE DATE is the:

For the Community Services Data Set, Mental Health Services Data Set and Commissioning Data Sets (version 6-2 onwards), the EARLIEST CLINICALLY APPROPRIATE DATE may be used locally to inform waiting time calculations. It can be used to account for periods of time where it is not appropriate to treat the PATIENT for clinical reasons, for example:

  • where the PATIENT has been admitted to hospital for an unrelated condition and the SERVICE cannot commence planned treatment until the PATIENT has been discharged
  • where the PATIENT is frail and cannot be treated until their condition improves, but it is not appropriate to discharge the PATIENT from the SERVICE.
 

top


FINANCIAL YEAR

Change to Data Element: Changed Description

Format/Length:an6
National Codes: 
Default Codes: 

Notes:
FINANCIAL YEAR is the same as attribute FINANCIAL YEAR.

The format of the data element is the full 4-digit starting year, followed by the last two digits of the end year (with no separator).  For example, FINANCIAL YEAR 2017 to 2018 would be reported as "201718".

For the Aggregate Contract Monitoring Data Set and the Patient Level Contract Monitoring Data Set, where an ACTIVITY spans more than one FINANCIAL YEAR (for example, a Hospital Provider Spell), this is the FINANCIAL YEAR in which the ACTIVITY ended.

For the Devices Patient Level Contract Monitoring Data Set, this is the FINANCIAL YEAR in which the High Cost Tariff Excluded Device was inserted in or provided to the PATIENT.

For the Drugs Patient Level Contract Monitoring Data Set, this is the FINANCIAL YEAR in which the PRESCRIBED ITEM was administered.

 

top


FINANCIAL YEAR (PATIENT LEVEL INFORMATION COSTING)

Change to Data Element: Changed Description

Format/Length:an9 FYCCYY-YY
National Codes: 
Default Codes: 

Notes:
FINANCIAL YEAR (PATIENT LEVEL INFORMATION COSTING) is the same as attribute FINANCIAL YEAR for the purposes of reporting Patient Level Information Costing.

Note: For Patient Level Information Costing System Acute Data Set, the format is the text "FY" followed by the start and end of FINANCIAL YEARS, e.g. FY2019-20.Note: For the Patient Level Information Costing System Acute Data Set, the format is the text "FY" followed by the start and end of FINANCIAL YEARS, e.g. FY2019-20.

 

top


NUMBER OF GROUP THERAPY FACILITATORS

Change to Data Element: Changed Description

Format/Length:max an2
National Codes: 
Default Codes: 

Notes:
NUMBER OF GROUP THERAPY FACILITATORS is the same as attribute PERSON COUNT.

NUMBER OF GROUP THERAPY FACILITATORS is the number of CARE PROFESSIONALS who facilitated the Group Therapy.  

top


NUMBER OF GROUP THERAPY PARTICIPANTS

Change to Data Element: Changed Description

Format/Length:max an3
National Codes: 
Default Codes: 

Notes:
NUMBER OF GROUP THERAPY PARTICIPANTS is the same as attribute PERSON COUNT.

NUMBER OF GROUP THERAPY PARTICIPANTS is the number of PERSONS who participated in the Group Therapy, excluding the CARE PROFESSIONALS.  

top


POSTCODE

Change to Data Element: Changed Description

Format/Length:max an8
NWDS ID:SPOC
NWDS Field Name:Post Code
National Codes: 
Default Codes: 

Notes:
POSTCODE is the same as attribute POSTCODE.

For further information on POSTCODES, see:

If a POSTCODE is not known, (for example, the PATIENT has no fixed abode, the PATIENT is an Overseas Visitor etc.) the appropriate Organisation Data Service pseudo POSTCODE should be used.

The pseudo POSTCODES can be found on the Organisation Data Service pages of the NHS Digital website at: Office for National Statistics data. The look_ups file contains the Pseudo Country Postcode files.

 

top


PROVISIONAL DIAGNOSIS DATE

Change to Data Element: Changed Description

Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
PROVISIONAL DIAGNOSIS DATE is the same as attribute PERSON PROPERTY OBSERVED DATE.

PROVISIONAL DIAGNOSIS DATE is the date on which a PROVISIONAL DIAGNOSIS was made.  

top


CRITICAL CARE MINIMUM DATA SET CONSTRAINTS

Change to XML Schema Constraint: New XML Schema Constraint

Data Set constraints applied to the Critical Care Minimum Data Set.

Data ElementFormat/LengthRangePattern MatchReason / Comment
CRITICAL CARE DISCHARGE DESTINATIONn2NoneNoneExisting Format/Length states max an3 -Data Set allows n2

top


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

ISO 9001 CERTIFICATION EUROPE