Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1101
Version No:1.0
Subject:NHS Data Model and Dictionary Modelling Changes - Sexual Orientation
Effective Date:Immediate
Reason for Change:Change to Data Standards
Publication Date:18 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 "Sexual Orientation" into the NHS Data Model and Dictionary in preparation for these Data Sets. The changes are detailed in the "Summary of changes" below.

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.

The primary purpose is to introduce new National Codes of 4 "Person asked and does not know or is not sure" and Z "Not stated (Person asked but declined to provide a response)" as valid Sexual Orientation codes to support new and existing data sets. This will enable all data sets to use this generic data item and codes for reporting the sexual orientation of the patient.

Note: these new codes are not required for the Genitourinary Medicine Clinic Activity Data Set, therefore there is no mandate to add these additional items to Sexual Health systems at this time. National Codes 4 and Z should be mapped to "9 Unknown" for central reporting purposes.

Summary of changes:

Attribute Definitions
SEXUAL ORIENTATION CODE   Changed Description
 
Data Elements
SEXUAL ORIENTATION (CURRENT)   Changed Description
 

Date:18 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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SEXUAL ORIENTATION CODE

Change to Attribute: Changed Description

This item is being updated for development purposes. Codes "4" and "Z" have not yet been assured by the Information Standards Board for Health and Social Care.

The SEXUAL ORIENTATION of a PATIENT.

National codes:

1Heterosexual
2Homosexual
3Bi-sexual
4PERSON asked and does not know or is not sure  *
ZNot Stated (PERSON asked but declined to provide a response)  *
 Note:
Code not to be used for the Genitourinary Medicine Clinic Activity Data Set.

 

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SEXUAL ORIENTATION (CURRENT)

Change to Data Element: Changed Description

Format/length:n1
Format/length:an1
HES item: 
National Codes:See SEXUAL ORIENTATION CODE for the National Codes
Default Codes: 
National Codes:See SEXUAL ORIENTATION CODE
Default Codes:9 - Unknown

This item is being used for development purposes. Codes "4" and "Z" have not yet been assured by the Information Standards Board for Health and Social Care.  

Notes:  
SEXUAL ORIENTATION (CURRENT) is the same as attribute SEXUAL ORIENTATION CODE.

The current SEXUAL ORIENTATION of a PERSON

For the purposes of the Genitourinary Medicine Clinic Activity Data Set, there is no requirement to report National Codes 4 'PERSON asked and does not know or is not sure' and 'Z Not Stated (PERSON asked but declined to provide a response)'.  National Codes 4 and Z should be mapped to '9 Unknown' for central reporting purposes.

 

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