Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1093
Version No:1.0
Subject:NHS Data Model and Dictionary Modelling Changes - Communication
Effective Date:Immediate
Reason for Change:Change to Data Standards
Publication Date:19 January 2010

Background:

The NHS Data Model and Dictionary Service are currently working with the Department of Health and 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 Data Set Change Notice adds the common data items and associated data modelling changes for "Communication (Language, Fluency and Interpreters)" into the NHS Data Model and Dictionary in preparation for these Data Sets. The changes are detailed in the "Summary of changes" below.

The primary purpose is to introduce new items into the NHS Data Model and Dictionary to support the new data sets currently under development. This will enable the new data sets to use the generic data items and codes for reporting Language, Fluency and Interpreter requirements.

These changes do not need to be implemented in end-user systems until the Data Set Change Notices for the specific data sets come into effect. Other specific items will be added to the Data Sets during development.

Summary of changes:

Diagrams
ACTIVITY   Changed Diagram
ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION   Changed Diagram
APPOINTMENTS   Changed Diagram
CATEGORY VALUED PERSON OBSERVATION   Changed Diagram
LISTS   Changed Diagram
ORGANISATION   Changed Diagram
PATIENT PATHWAY   Changed Diagram
PERSON AND PERSON PROPERTY   Changed Diagram
PRESCRIBING AND DISPENSING   Changed Diagram
RADIOTHERAPY   Changed Diagram
REFERRAL REQUEST   Changed Diagram
 
Class Definitions
ACTIVITY   Changed Attributes
CATEGORY VALUED PERSON OBSERVATION   Changed Description
LANGUAGE CLASSIFICATION   Changed Attributes
LANGUAGE FLUENCY   New Class
PATIENT   Changed Attributes
 
Attribute Definitions
CATEGORY VALUED PERSON OBSERVATION TYPE   Changed Description
INTERPRETER REQUIRED INDICATOR   Changed Description, Aliases
LANGUAGE COMMUNICATION TYPE   New Attribute
PREFERRED LANGUAGE   New Attribute
 
Data Elements
INTERPRETER REQUIRED INDICATOR (SPOKEN)   New Data Element
PREFERRED LANGUAGE   New Data Element
 

Date:19 January 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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ACTIVITY

Change to Diagram: Changed Diagram

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ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION

Change to Diagram: Changed Diagram

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APPOINTMENTS

Change to Diagram: Changed Diagram

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CATEGORY VALUED PERSON OBSERVATION

Change to Diagram: Changed Diagram

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LISTS

Change to Diagram: Changed Diagram

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ORGANISATION

Change to Diagram: Changed Diagram

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PATIENT PATHWAY

Change to Diagram: Changed Diagram

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PERSON AND PERSON PROPERTY

Change to Diagram: Changed Diagram

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PRESCRIBING AND DISPENSING

Change to Diagram: Changed Diagram

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RADIOTHERAPY

Change to Diagram: Changed Diagram

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REFERRAL REQUEST

Change to Diagram: Changed Diagram

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ACTIVITY

Change to Class: Changed Attributes

Attributes of this Class are:
KACTIVITY IDENTIFIER
INTERPRETER REQUIRED INDICATOR
REFERRAL TO TREATMENT PERIOD STATUS

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CATEGORY VALUED PERSON OBSERVATION

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 allows coded classifications of observations about a PERSON and includes:

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.

 

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LANGUAGE CLASSIFICATION

Change to Class: Changed Attributes

Attributes of this Class are:
LANGUAGE CLASSIFICATION CODE
LANGUAGE COMMUNICATION TYPE
PREFERRED LANGUAGE

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LANGUAGE FLUENCY

Change to Class: New Class

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 of the level of fluency with which a PERSON can communicate.

 

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LANGUAGE FLUENCY

Change to Class: New Class

This class has no attributes.

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LANGUAGE FLUENCY

Change to Class: New Class

Each LANGUAGE FLUENCY
may be the category for one or more CATEGORY VALUED PERSON OBSERVATION

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PATIENT

Change to Class: Changed Attributes

Attributes of this Class are:
KNHS NUMBER
CARER PERMISSION DATE
CARER SUPPORT INDICATOR
CHRONICALLY SICK OR DISABLED
DRUG MISUSE DATABASE NUMBER
DRUG MISUSER INJECTED EVER
DRUG MISUSER SHARED NEEDLE EVER
EMPLOYMENT STATUS
ENLISTMENT DATE
INJECTED IN LAST 4 WEEKS
INTERPRETER REQUIRED INDICATOR
LAST DISCHARGE DATE
NHS NUMBER OLD
OVERSEAS VISITOR UK ARRIVAL DATE
REFUGEE OR STATELESS PERSON INDICATOR
SHARED NEEDLE OR SYRINGE IN LAST 4 WEEKS
YEAR OF FIRST KNOWN PSYCHIATRIC CARE

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CATEGORY VALUED PERSON OBSERVATION TYPE

Change to Attribute: Changed Description

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INTERPRETER REQUIRED INDICATOR

Change to Attribute: Changed Description, Aliases

Identifies whether an interpreter is required for the purposes of communication between a CARE PROFESSIONAL and a PATIENT, during a course of treatment.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.

Classification:Identifies whether an interpreter is required for the purposes of communication, including Sign Language, between a CARE PROFESSIONAL and a PERSON.

National Codes:

a.Yes
b.No
YYes
NNo
ZNot Stated (PERSON asked but declined to provide a response)
 

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INTERPRETER REQUIRED INDICATOR

Change to Attribute: Changed Description, Aliases


LANGUAGE COMMUNICATION TYPE

Change to Attribute: New Attribute

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Identifies the LANGUAGE COMMUNICATION TYPE for the purposes of communication between a CARE PROFESSIONAL and a PERSON.

National Codes:

01Spoken, including Sign Language
02Written
03Spoken, including Sign Language and Written
 

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PREFERRED LANGUAGE

Change to Attribute: New Attribute

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

An indication of whether the LANGUAGE CLASSIFICATION CODE is the LANGUAGE PERSON prefers to use in the ACTIVITY communication.

National Codes:

YYes
NNo
ZNot Stated (PERSON asked but declined to provide a response)
 

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PREFERRED LANGUAGE

Change to Attribute: New Attribute

PREFERRED LANGUAGE
 
Data Elements:
PREFERRED LANGUAGE

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INTERPRETER REQUIRED INDICATOR (SPOKEN)

Change to Data Element: New Data Element

Format/Length:an1
HES Item: 
National Codes:See INTERPRETER REQUIRED INDICATOR
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:  
INTERPRETER REQUIRED INDICATOR (SPOKEN) is the same as attribute INTERPRETER REQUIRED INDICATOR where the LANGUAGE COMMUNICATION TYPE is National Code:

  • '01 - Spoken, including Sign Language' and
  • '03 - Spoken, including Sign Language and Written'.

INTERPRETER REQUIRED INDICATOR (SPOKEN) identifies whether an interpreter is required for the purposes of spoken communication, including Sign Language, between a CARE PROFESSIONAL and a PERSON.

 

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INTERPRETER REQUIRED INDICATOR (SPOKEN)

Change to Data Element: New Data Element

INTERPRETER REQUIRED INDICATOR (SPOKEN)
 
Attribute:
INTERPRETER REQUIRED INDICATOR

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PREFERRED LANGUAGE

Change to Data Element: New Data Element

Format/Length:an1
HES Item: 
National Codes:See PREFERRED LANGUAGE
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:  
PREFERRED LANGUAGE is the same as attribute PREFERRED LANGUAGE.

 

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PREFERRED LANGUAGE

Change to Data Element: New Data Element

PREFERRED LANGUAGE
 
Attribute:
PREFERRED LANGUAGE

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For enquiries about this Data Set Change Notice, please email datastandards@nhs.net