Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1135
Version No:1.0
Subject:NHS Data Model and Dictionary Modelling Changes
Effective Date:Immediate
Reason for Change:Change to Data Standards
Publication Date:8 February 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 common data items and associated data modelling that has been identified since the production of data items relating to: Disability, Questionnaires and Person Score, Other Person Observation, Communication, Education, Employment, Activity Offer, Refugee / Asylum Seeker, Accommodation and Sexual Orientation. 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.

Summary of changes:

Diagrams
PERSON AND PERSON PROPERTY   Changed Diagram
 
Supporting Information
CHILD PROTECTION PLAN   New Supporting Information
CHILDREN ACT 2004   New Supporting Information
CLINICAL INVESTIGATION   New Supporting Information
COMMON ASSESSMENT FRAMEWORK (FOR CHILDREN AND YOUNG PEOPLE)   New Supporting Information
LOOKED AFTER CHILD   New Supporting Information
UNACCOMPANIED ASYLUM SEEKING CHILD   New Supporting Information
 
Class Definitions
CARE PLAN   Changed Description
CLINICAL INTERVENTION   Changed Description
PERSON DEATH DETAILS   Changed Attributes
PERSON RELATIONSHIP   Changed Attributes
 
Attribute Definitions
CARE PLAN TYPE   Changed Description
CLINICAL INTERVENTION TYPE   Changed Description
PERSON DEATH TIME   New Attribute
PERSON RELATIONSHIP CODING TYPE   New Attribute
UNACCOMPANIED ASYLUM SEEKING CHILD INDICATOR   Changed Description
 
Data Elements
AGE AT REFERRAL REQUEST RECEIVED DATE   New Data Element
CLINICAL CONTACT DURATION OF APPOINTMENT   New Data Element
DATE AND TIME   New Data Element
PERSON DEATH TIME   New Data Element
PERSON OBSERVATION (HEIGHT IN METRES)   New Data Element
PRESCRIPTION DATE   New Data Element
SERVICE REQUEST DATE   New Data Element
START TIME (HOSPITAL PROVIDER SPELL)   New Data Element
 

Date:8 February 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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PERSON AND PERSON PROPERTY

Change to Diagram: Changed Diagram

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CHILD PROTECTION PLAN

Change to Supporting Information: New Supporting Information

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 Child Protection Plan is a CARE PLAN.

A Child Protection Plan should:

  • assess the likelihood of the child suffering harm and look at ways that the child can be protected;
  • decide upon short and long term aims to reduce the likelihood of harm to the child and to protect the child’s welfare;
  • clarify people’s responsibilities and actions to be taken; and
  • outline ways of monitoring and evaluating progress.

For further information on Child Protection Plans, see the Children's Legal Centre website.

 

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CHILDREN ACT 2004

Change to Supporting Information: New Supporting Information

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

The Children Act 2004 provides a legislative spine for the wider strategy for improving children's lives. This covers the universal services which every child accesses, and more targeted services for those with additional needs.

The overall aim is to encourage integrated planning, commissioning and delivery of services as well as improve multi-disciplinary working, remove duplication, increase accountability and improve the coordination of individual and joint inspections in Local Authorities. The legislation is enabling rather than prescriptive and provides Local Authorities with a considerable amount of flexibility in the way they implement its provisions.

The Children Act 2004 places a duty on Local Authorities to promote the educational achievement of Looked After Children.

For further information on the Children Act 2004, see the Department for Children Schools and Families website.

 

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CLINICAL INVESTIGATION

Change to Supporting Information: New Supporting Information

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

Clinical Investigation is a CLINICAL INTERVENTION.

A clinical test or investigation offered to or carried out on a PERSON.

Clinical Investigations may include blood tests for specific antibodies, scans or physical examinations for specific diseases.

 

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COMMON ASSESSMENT FRAMEWORK (FOR CHILDREN AND YOUNG PEOPLE)

Change to Supporting Information: New Supporting Information

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

The Common Assessment Framework (For Children and Young People) is a standardised approach to conducting assessments of children's additional needs and deciding how these should be met. The Common Assessment Framework (For Children and Young People) is a key part of delivering frontline services that are integrated, and are focused around the needs of children and young people. It can be used by practitioners across children's services in England.

The Common Assessment Framework (For Children and Young People) promotes more effective, earlier identification of additional needs, particularly in universal services. It aims to provide a simple process for a holistic assessment of children's needs and strengths; taking account of the roles of parents, carers and environmental factors on their development. Practitioners are then better placed to agree with children and families about appropriate modes of support. The Common Assessment Framework (For Children and Young People) also aims to improve integrated working by promoting coordinated service provisions.

For further information on the Common Assessment Framework (For Children and Young People), see the Department for Children, Schools and Families website.

 

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LOOKED AFTER CHILD

Change to Supporting Information: New Supporting Information

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 Looked After Child (also referred to as a Child Looked After) is a PERSON.

A Looked After Child is a child in the care of a Local Authority either:

  • through a Care Order made by a court or
  • voluntary agreement with their parent(s) to accommodate them.

They may be looked after:

All Unaccompanied Asylum Seeking Children are also Looked After Children.

For further information on Looked After Children, see the Department for Children Schools and Families website.

 

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UNACCOMPANIED ASYLUM SEEKING CHILD

Change to Supporting Information: New Supporting Information

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 Unaccompanied Asylum Seeking Child is a PERSON.

An Unaccompanied Asylum Seeking Child is a child who is:

  1. applying for asylum in their own right and
  2. is separated from both parents and is not being cared for by an adult who by law has responsibility to do so.

A child may move between the unaccompanied and accompanied categories whilst their applications are under consideration, e.g.

  • where a child arrives alone but is later united with other family members in the UK
  • a child arrives with their parents or close relatives but is later abandoned
  • a trafficked child
  • one brought in on false papers with an adult claiming to be a relative.

All Unaccompanied Asylum Seeking Children are also Looked After Children.

For further information on Unaccompanied Asylum Seeking Children, see the Home Office UK Border Agency website.

 

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CARE PLAN

Change to Class: Changed Description

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

A plan of the treatment or health care to be provided to a PATIENT for a CARE ACTIVITY or within an ACTIVITY GROUP.

An ACTIVITY GROUP may include more than one CARE PLAN. Often the effectiveness of a CARE PLAN is reviewed periodically and as a result of the review, a new CARE PLAN may be developed.

CARE PLANS include:

 

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CLINICAL INTERVENTION

Change to Class: Changed Description

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PERSON DEATH DETAILS

Change to Class: Changed Attributes

Attributes of this Class are:
KPERSON DEATH DATE
DEATH CAUSE IDENTIFICATION METHOD
DEATH CODE DISCREPANCY ORIGINATOR
DEATH LOCATION TYPE
PERSON DEATH TIME

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PERSON RELATIONSHIP

Change to Class: Changed Attributes

Attributes of this Class are:
KPERSON RELATIONSHIP CODING TYPE
KPERSON RELATIONSHIP TYPE
LEAD CONTACT INDICATOR
PERSON RELATIONSHIP END DATE
PERSON RELATIONSHIP START DATE
RELATIONSHIP TO PERSON
RELATION WITH CANCER

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CARE PLAN TYPE

Change to Attribute: Changed Description

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

A type of CARE PLAN.

National Codes:

01Cancer Care Plan
02Child Protection Plan
 

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CLINICAL INTERVENTION TYPE

Change to Attribute: Changed Description

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PERSON DEATH TIME

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.

The TIME at which a PERSON died or is officially deemed to have died.

This is as recorded on the Death Certificate.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 1 January 2002.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

 

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PERSON DEATH TIME

Change to Attribute: New Attribute

PERSON DEATH TIME
 
Data Elements:
PERSON DEATH TIME

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PERSON RELATIONSHIP CODING 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.

The type of coding system used to classify the role of the second PERSON in a PERSON RELATIONSHIP.

PERSON RELATIONSHIP CODING TYPE details the coding structure applied to the second PERSON in a PERSON RELATIONSHIP in the following circumstances:

National Codes:

1PERSON RELATIONSHIP TYPE
2RELATIONSHIP TO PERSON
 

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UNACCOMPANIED ASYLUM SEEKING CHILD INDICATOR

Change to Attribute: Changed Description

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 a PERSON with a REFUGEE OR ASYLUM SEEKER INDICATOR of National Code "Y - Yes", is an Unaccompanied Asylum Seeking Child (UASC).An indication of whether a PERSON with a REFUGEE OR ASYLUM SEEKER INDICATOR of National Code "Y - Yes", is an Unaccompanied Asylum Seeking Child (UASC).

For further information on Unaccompanied Asylum Seeking Children, see the Home Office UK Border Agency website.

National Codes:

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

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AGE AT REFERRAL REQUEST RECEIVED DATE

Change to Data Element: New Data Element

Format/Length:n3
HES Item: 
National Codes: 
Default Codes:999 - Not known i.e. date of birth not known and age cannot be estimated

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:
This is derived as the number of completed years between the PERSON BIRTH DATE and the REFERRAL REQUEST RECEIVED DATE.

 

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CLINICAL CONTACT DURATION OF APPOINTMENT

Change to Data Element: New Data Element

Format/Length:n3
HES Item: 
National Codes: 
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:
The duration of the direct clinical contact at an APPOINTMENT in minutes, excluding any administration time prior to or after the contact.

This is calculated from the Start Time and End Time of the clinical contact at an APPOINTMENT.

Start Time is the same as attribute ACTIVITY TIME, where ACTIVITY DATE TIME TYPE is National Code 61 'Start Time'.

End Time is the same as attribute ACTIVITY TIME, where ACTIVITY DATE TIME TYPE is National Code 56 'End Time'.

 

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DATE AND TIME

Change to Data Element: New Data Element

Format/Length:an19 YYYY-MM-DDThh:mm:ss  (e.g. 2009-12-02T14:20:20)
HES Item: 
National Codes: 
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:
The combined date and time of an event.

This is the e-Government Interoperability Framework (e-GIF) standard for Date and Time, but not including the Time Zone Designator.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 1.0, Agreed 23 November 2004.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

 

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PERSON DEATH TIME

Change to Data Element: New Data Element

Format/Length:see TIME
HES Item: 
National Codes: 
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:
PERSON DEATH TIME is the same as attribute PERSON DEATH TIME.

References:
The e-GIF version approved for use in NHS England is:
Government Data Standards Catalogue: (GDSC), Version 2.0, Agreed 1 January 2002.
GDSC: http://www.cabinetoffice.gov.uk/govtalk/schemasstandards/e-gif/datastandards.aspx.

 

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PERSON DEATH TIME

Change to Data Element: New Data Element

PERSON DEATH TIME
 
Attribute:
PERSON DEATH TIME

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PERSON OBSERVATION (HEIGHT IN METRES)

Change to Data Element: New Data Element

Format/Length:n.nn
HES Item: 
National Codes: 
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:
This records the Height of the PERSON in metres.

This corresponds to MEASURED OBSERVATION VALUE where the MEASURED PERSON OBSERVATION TYPE CODE is 'Height' and MEASUREMENT VALUE TYPE CODE is 'Metres'.

 

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PRESCRIPTION DATE

Change to Data Element: New Data Element

Format/Length:see DATE 
HES Item: 
National Codes: 
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:
PRESCRIPTION DATE is the same as attribute PRESCRIPTION DATE.

 

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PRESCRIPTION DATE

Change to Data Element: New Data Element

PRESCRIPTION DATE
 
Attribute:
ACTIVITY DATE
PRESCRIPTION DATE

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SERVICE REQUEST DATE

Change to Data Element: New Data Element

Format/Length:see DATE 
HES item: 
National Codes: 
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:
SERVICE REQUEST DATE is the same as attribute SERVICE REQUEST DATE.

The date on which the referral was made, as recorded on the REFERRAL REQUEST.

 

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SERVICE REQUEST DATE

Change to Data Element: New Data Element

SERVICE REQUEST DATE
 
Attribute:
SERVICE REQUEST DATE

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START TIME (HOSPITAL PROVIDER SPELL)

Change to Data Element: New Data Element

Format/Length:see TIME
HES Item: 
National Codes: 
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:
START TIME (HOSPITAL PROVIDER SPELL) is the same as the attribute ACTIVITY TIME where the ACTIVITY DATE TIME TYPE is National Code 61 'Start Time' of the Hospital Provider Spell.

 

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START TIME (HOSPITAL PROVIDER SPELL)

Change to Data Element: New Data Element

START TIME (HOSPITAL PROVIDER SPELL)
 
Attribute:
ACTIVITY TIME

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