Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1171
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 June 2010

Background:

The NHS Data Model and Dictionary Service are currently working with the Department of Health and The NHS 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 Information Standards 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 Information Standards Notices for the specific data sets come into effect. Other specific items will be added to the Data Sets during development.

Summary of changes:

Class Definitions
CLINICAL INTERVENTION   Changed Attributes
 
Attribute Definitions
NEWBORN HEARING INCOMPLETE REASON CODE   New Attribute
NEWBORN HEARING SCREENING OUTCOME   Changed Description
 
Data Elements
NEWBORN HEARING SCREENING OUTCOME   New Data Element
 

Date:8 June 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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CLINICAL INTERVENTION

Change to Class: Changed Attributes

Attributes of this Class are:
ACCIDENT AND EMERGENCY INVESTIGATION
ACCIDENT AND EMERGENCY TREATMENT
ANATOMICAL EXAMINATION SITE
BODY IRRADIATION
BRACHYTHERAPY ACTUAL FRACTION
BRACHYTHERAPY DELIVERY TYPE
BRACHYTHERAPY DOSE RATE
BRACHYTHERAPY ISOTOPE TYPE
BRACHYTHERAPY PRESCRIBED FRACTIONS
BRACHYTHERAPY TYPE
BREAST ASSESSMENT / TEST OUTCOME
CANCER IMAGING MODALITY
CANCER TREATMENT MODALITY
CLINICAL EXAMINATION FINDINGS
CLINICAL INTERVENTION TYPE
COLONOSCOPY INCOMPLETE REASON
CONTRACEPTION METHOD STATUS
CORONARY INTERVENTION PERFORMED
CYTOLOGY SCREENING ACTION TYPE
DENTAL TREATMENT CLASSIFICATION
DISCHARGE THERAPY TYPE
DRUG ADMINISTRATION DURATION
DRUG ADMINISTRATION STATUS
DRUG DAYS SUPPLY
DRUG DOSAGE AND ADMIN SPECIFICATION
DRUG IDENTIFICATION
DRUG INFORMATION COMMENT
DRUG INFORMATION TYPE
DRUG PROGRAMME RESPONSE
DRUG QUANTITY SUPPLIED
DRUG REGIMEN ACRONYM
DRUG ROUTE OF ADMINISTRATION
DRUG THERAPY TYPE
DRUG TREATMENT COST
DRUG TREATMENT INTENT
ENDOCRINE THERAPY TYPE
FIRST DEFINITIVE TREATMENT PROVIDED
FIRST DIAGNOSTIC TEST
FRACTION NUMBER
GESTATION LENGTH (LABOUR ONSET)
HIP REPLACEMENT BONEGRAFT
HIP SURGERY INCISION TYPE
HIP SURGERY PATIENT POSITION
HIP SURGERY TROCHANTER INDICATOR
IMAGE GUIDED SURGERY INDICATOR
IMAGING EVENT NUMBER
IMAGING INTERVENTION INDICATOR
IMAGING MODALITY
IMMUNITY TEST RESULT
INTERVENTION SESSION TYPE
INTERVENTION SETTING
JOINT REPLACEMENT PRIMARY OR REVISION
JOINT REPLACEMENT REVISION NUMBER
KNEE REPLACEMENT CEMENT INDICATOR
KNEE SURGERY FAT PAD REMOVED
KNEE SURGERY SKIN INCISION METHOD
KNEE SURGERY SURGICAL APPROACH
KNEE SURGERY TOURNIQUET USED
LABOUR FIRST STAGE LENGTH
LABOUR OR DELIVERY ONSET METHOD
LABOUR PROFESSIONAL PRIOR INVOLVEMENT
LABOUR SECOND STAGE LENGTH
MINIMALLY INVASIVE SURGERY INDICATOR
MINOR SURGERY TYPE
NATURE OF RISK AREA CODE
NEWBORN HEARING INCOMPLETE REASON CODE
NEW LESIONS TREATED NUMBER
NUMBER OF TELETHERAPY FIELDS
OPERATIVE PATIENT PROCEDURE INDICATOR
OPPORTUNISTIC SCREENING TYPE
PATHOLOGY INVESTIGATION PRIORITY
PATHOLOGY RESULT REPORTED DATE
PATHOLOGY SPECIMEN TYPE
PATIENT PHYSICAL STATUS
PATIENT PROCEDURE IMPLANT INDICATION
PATIENT PROCEDURE RESULT
PLANNED TREATMENT CHANGE REASON
POST MORTEM TYPE
PRIMARY OR SUBSEQUENT COURSE
PRIMARY SCREENING
RADIOTHERAPY ACTUAL DOSE
RADIOTHERAPY ANAESTHETIC
RADIOTHERAPY ANATOMICAL TREATMENT SITE
RADIOTHERAPY PRESCRIBED DOSE
RADIOTHERAPY PRESCRIBED DURATION
RADIOTHERAPY TREATMENT COURSE STATUS
RADIOTHERAPY TREATMENT MODALITY
RATE OF GMP PAYMENT
RECURRENT LESIONS TREATED NUMBER
RESULT SENT DIRECT
ROUTINE OR EMERGENCY
SARCOMA SURGICAL MARGIN
SARCOMA SURGICAL PROCEDURE TYPE
SCHEDULED SESSION DURING OR OUTSIDE
SURGICAL DEFAULT TECHNIQUE INDICATOR
SURGICAL URGENCY
TELETHERAPY ACTUAL FRACTIONS
TELETHERAPY BEAM TYPE
TELETHERAPY COMPLEXITY GROUP
TELETHERAPY ELECTRON ENERGY
TELETHERAPY FIELDS
TELETHERAPY MULTIPLE PLANNING
TELETHERAPY PHOTON ENERGY
TELETHERAPY PRESCRIBED FRACTIONS
THROMBO PROPHYLAXIS REGIME TYPE
TREATMENT EXPOSURE TYPE
TYPE OF ANAESTHETIC
UNSEALED SOURCE ISOTOPE TYPE
UNSEALED SOURCE PATIENT TYPE
VACCINATION REASON INDICATOR

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NEWBORN HEARING INCOMPLETE REASON 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 reason a Newborn Hearing Screening was incomplete, where the NEWBORN HEARING SCREENING OUTCOME is recorded using National Code  '98 - Incomplete'.

National Codes:

05Incomplete - Screening contraindicated
06Incomplete - Baby deceased
07Incomplete - Baby unsettled
08Incomplete - Parent declined screening
09Incomplete - Appointment missed
10Incomplete - Lack of service capacity
11Incomplete - Lost contact
12Incomplete - Out of screening coverage
13Incomplete - Late entry
14Incomplete - Equipment malfunction
15Incomplete - Equipment not available
16Incomplete - Parent withdrew consent
 

This attribute is also known by these names:
ContextAlias
pluralNEWBORN HEARING INCOMPLETE REASON CODES

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NEWBORN HEARING INCOMPLETE REASON CODE

Change to Attribute: New Attribute

NEWBORN HEARING INCOMPLETE REASON CODE
 
Data Elements:
NEWBORN HEARING SCREENING OUTCOME

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NEWBORN HEARING SCREENING OUTCOME

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.

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 - Screening contraindicated
06Incomplete - Baby deceased
07Incomplete - Baby unsettled
08Incomplete - Parent declined screening
09Incomplete - Appointment missed
10Incomplete - Lack of service capacity
11Incomplete - Lost contact
12Incomplete - Out of screening coverage
13Incomplete - Late entry
14Incomplete - Equipment malfunction
15Incomplete - Equipment not available
16Incomplete - Parent withdrew consent
98Incomplete
 

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NEWBORN HEARING SCREENING OUTCOME

Change to Data Element: New Data Element

Format/Length:an2
HES Item: 
National Codes:See NEWBORN HEARING SCREENING OUTCOME and NEWBORN HEARING INCOMPLETE REASON 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: 
The outcome of a Newborn Hearing Screening.

This will be either:

 

This data element is also known by these names:
ContextAlias
pluralNEWBORN HEARING SCREENING OUTCOMES

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NEWBORN HEARING SCREENING OUTCOME

Change to Data Element: New Data Element

NEWBORN HEARING SCREENING OUTCOME
 
Attribute:
NEWBORN HEARING INCOMPLETE REASON CODE
NEWBORN HEARING SCREENING OUTCOME

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For enquiries about this Information Standards Notice, please email datastandards@nhs.net