Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1142
Version No:1.0
Subject:NHS Data Model and Dictionary Modelling Changes
Effective Date:Immediate
Reason for Change:Change to Data Standards
Publication Date:18 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 other data items relating to, for example: Disability, Questionnaires and Person Score, Other Person Observation etc. 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
NATIONAL SERVICE FRAMEWORK FOR CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES   New Supporting Information
 
Class Definitions
CLINICAL INVESTIGATION RESULT ITEM   Changed Attributes
DISABILITY   Changed Attributes
PATIENT DIAGNOSIS   Changed Attributes
PERSON RELATIONSHIP   Changed Attributes
PRESCRIPTION   Changed Relationships
 
Attribute Definitions
NEWBORN HEARING SCREENING OUTCOME   New Attribute
PERCEIVED DISABILITY CODE   New Attribute
PROVISIONAL DIAGNOSIS   New Attribute
RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE   New Attribute
 
Data Elements
CARE PROFESSIONAL (JOB ROLE CODE)   New Data Element
PERCEIVED DISABILITY CODE   New Data Element
PROVISIONAL DIAGNOSIS (ICD)   New Data Element
 

Date:18 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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NATIONAL SERVICE FRAMEWORK FOR CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES

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 National Service Framework for Children, Young People and Maternity Services (referred to as the Children's National Service Framework) was introduced in 2004 and is a 10 year programme intended to stimulate long-term and sustained improvement in children’s health.

It aims to ensure fair, high quality and integrated health and social care from pregnancy, right through to adulthood. Experience before birth and in early life has a significant impact on the life chances of each individual: improving the health and welfare of parents and children is the surest way to a healthier nation.

At the heart of the Children's National Service Framework is a fundamental change in thinking about health and social care services. It is intended to lead to a cultural shift, resulting in services which are designed and delivered around the needs of children and families using those services, not around the needs of organisations. The Children's National Service Framework is aimed at everyone who comes into contact with, or delivers services to children and young people.

For further information on the Children's National Service Framework, see the:

 

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CLINICAL INVESTIGATION RESULT ITEM

Change to Class: Changed Attributes

Attributes of this Class are:
KINVESTIGATION RESULT DATE
KINVESTIGATION RESULT TIME
ARITHMETIC COMPARATOR
BIOPSY REFERRAL OUTCOME
CANCER HISTOLOGICAL TYPE
CANCER MARKER LYMPH NODE STATUS
CANCER VASCULAR OR LYMPHATIC INVASION
CERVICAL SMEAR EXAMINED DATE
CLINICAL INVESTIGATION ITEM UNIT OF MEASURE
CLOSEST MARGIN
CYTOLOGY RESULT TYPE
CYTOLOGY SMEAR REASON
DEVIATING RESULT INDICATOR
EXCISION MARGIN
GRADE OF DIFFERENTIATION
INVASIVE CANCER SPECIAL TYPE INDICATOR
INVASIVE LESION SIZE
INVESTIGATION RESULT TEXT
LYMPH NODE STATUS
MARKER LYMPH NODE RESULT
NECROSIS
NEWBORN HEARING SCREENING OUTCOME
NODES EXAMINED NUMBER
NODES POSITIVE NUMBER
NUMERICAL VALUE
PERINEURAL INVASION
RADIOLOGICAL RESULT VERIFIED DATE
RADIOLOGICAL RESULT VERIFIED TIME
RESULT ITEM STATUS
SARCOMA RELATION TO DEEP FASCIA
SCREENING TEST RESULT
SMEAR INFECTION TYPE
SPECIMEN NATURE
SYNCHRONOUS TUMOUR INDICATOR

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DISABILITY

Change to Class: Changed Attributes

Attributes of this Class are:
PERCEIVED DISABILITY CODE
REGISTERED DISABILITY CODE
REGISTERED DISABILITY END DATE
REGISTERED DISABILITY START DATE

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PATIENT DIAGNOSIS

Change to Class: Changed Attributes

Attributes of this Class are:
ACCIDENT AND EMERGENCY DIAGNOSIS
BASIS OF DIAGNOSIS
DEFINITIVE DIAGNOSIS
PATIENT DIAGNOSIS CODING SIGNIFICANCE
PATIENT DIAGNOSIS IMPLANT INDICATION
PRIMARY DIAGNOSIS
PROVISIONAL DIAGNOSIS
TUMOUR LATERALITY

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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
RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE
RELATION WITH CANCER

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PRESCRIPTION

Change to Class: Changed Relationships

Each PRESCRIPTION
must be a request from one and only one CARE PROFESSIONAL
must be for one and only one PATIENT
must be for one or more PRESCRIBED ITEM
may be for the delivery of one or more ACTIVITY DRUG
may be resultant in one or more DISPENSED ITEM

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NEWBORN HEARING SCREENING OUTCOME

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.

A coded CLINICAL INVESTIGATION RESULT ITEM for a Clinical Investigation of a newborn hearing screening.

National Codes:

01Clear response, no follow up required
02Clear response, targeted follow up required
03No clear response, bilateral referral
04No clear response, unilateral referral
05Incomplete
 

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PERCEIVED DISABILITY CODE

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 Perceived DISABILITY of a PERSON.

This indicates whether the PERSON considers themself to be disabled.

The PERSON can have more than one Perceived DISABILITY.

National Codes:

01Behaviour and Emotional
02Hearing
03Manual Dexterity
04Memory or ability to concentrate, learn or understand (Learning Disability)
05Mobility and Gross Motor
06Perception of Physical Danger
07Personal, Self Care and Continence
08Progressive Conditions and Physical Health (such as HIV, cancer, multiple sclerosis, fits etc)
09Sight
10Speech
XOther
NNo Perceived DISABILITY
ZNot Stated (PERSON asked but declined to provide a response)
 

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PERCEIVED DISABILITY CODE

Change to Attribute: New Attribute

PERCEIVED DISABILITY CODE
 
Data Elements:
PERCEIVED DISABILITY CODE

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PROVISIONAL DIAGNOSIS

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.

This is the provisional PATIENT DIAGNOSIS for the main condition treated or investigated during the relevant episode of healthcare.

 

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PROVISIONAL DIAGNOSIS

Change to Attribute: New Attribute

PROVISIONAL DIAGNOSIS
 
Data Elements:
PROVISIONAL DIAGNOSIS (ICD)

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RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE

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 relationship of the second PERSON to the first PERSON (the PATIENT) as used in the Child and Adolescent Mental Health Services Data Set and National Children's and Young People's Health Services Data Set.

This is used to identify, for example, with whom the child or young person is living in a permanent context or the relationship with the main carer etc.

National Codes:

BPXBiological Parent
BPMBiological mother
BPFBiological father
SPXStep-Parent
SPMStepmother
SPFStepfather
GPXGrandparent
GPMGrandmother
GPFGrandfather
ORXOther Relative
ORAAunt
ORUUncle
ORSSister
ORBBrother
OROOther
APXAdoptive Parent
APMAdoptive mother
APFAdoptive father
FPXFoster Parent
FPMFoster mother
FPFFoster father
RCXResidential Carer
OTXOther
 

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CARE PROFESSIONAL (JOB ROLE CODE)

Change to Data Element: New Data Element

Format/Length:an5
HES Item: 
National Codes:See JOB ROLE CODE
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:
CARE PROFESSIONAL (JOB ROLE CODE) is the same as attribute JOB ROLE CODE.

 

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CARE PROFESSIONAL (JOB ROLE CODE)

Change to Data Element: New Data Element

CARE PROFESSIONAL (JOB ROLE CODE)
 
Attribute:
JOB ROLE CODE

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PERCEIVED DISABILITY CODE

Change to Data Element: New Data Element

Format/Length:an2
HES Item: 
National Codes:See PERCEIVED DISABILITY CODE
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:
PERCEIVED DISABILITY CODE is the same as attribute PERCEIVED DISABILITY CODE.

 

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PERCEIVED DISABILITY CODE

Change to Data Element: New Data Element

PERCEIVED DISABILITY CODE
 
Attribute:
PERCEIVED DISABILITY CODE

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PROVISIONAL DIAGNOSIS (ICD)

Change to Data Element: New Data Element

Format/length:an6
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:
See DIAGNOSTIC CODING for details on coding and PROVISIONAL DIAGNOSIS for the standardised definition of PROVISIONAL DIAGNOSIS.

 

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PROVISIONAL DIAGNOSIS (ICD)

Change to Data Element: New Data Element

PROVISIONAL DIAGNOSIS (ICD)
 
Attribute:
PROVISIONAL DIAGNOSIS

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