Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1201
Version No:1.0
Subject:NHS Data Model and Dictionary Modelling Changes - Location Type
Effective Date:Immediate
Reason for Change:Change to Data Standards
Publication Date:24 February 2011

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 Change Request adds the common data items and associated data modelling changes for "Activity Location Type" 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 a new “Activity Location Type Code” Attribute and Data Element 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.

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:

Diagrams
ACTIVITY DIAGRAM   Changed Diagram
ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION DIAGRAM   Changed Diagram
ORGANISATION DIAGRAM   Changed Diagram
REFERRAL REQUEST DIAGRAM   Changed Diagram
 
Supporting Information
DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET OVERVIEW   Changed Description
FACE TO FACE CONTACT COMMUNITY CARE   Changed Description
FACE TO FACE CONTACT CPA CARE COORDINATOR   Changed Description
FACE TO FACE CONTACT SOCIAL WORKER   Changed Description
FACE TO FACE CONTACT SURVEILLANCE   Changed Description
HPV IMMUNISATION PROGRAMME VACCINE MONITORING ANNUAL MINIMUM DATA SET OVERVIEW   Changed Description
LOCATION TYPE CODES (RETIRED) renamed from LOCATION TYPE CODES   Changed status to Retired, Name, Description
PROFESSIONAL ADVICE AND SUPPORT CONTACT   Changed Description
PROFESSIONAL STAFF GROUP CONTACT   Changed Description
SUPPORTING INFORMATION INTRODUCTION   Changed Description
SUPPORTING INFORMATION MENU   Changed Description
 
Class Definitions
LOCATION   Changed Attributes, Description
LOCATION TYPE (RETIRED) renamed from LOCATION TYPE   Changed status to Retired, Name, Description
 
Attribute Definitions
ACTIVITY LOCATION TYPE CODE   New Attribute
LOCATION TYPE CODE   Changed Description
LOCATION TYPE CODING TYPE   New Attribute
 
Data Elements
ACTIVITY LOCATION TYPE CODE   New Data Element
LOCATION TYPE   Changed Description
LOCATION TYPE (HUMAN PAPILLOMAVIRUS VACCINE)   Changed Description
 

Date:24 February 2011
Sponsor:Nicholas Oughtibridge, Acting Director - Data Standards and Products, Technology Office, Department of Health Informatics Directorate

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 DIAGRAM

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ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION DIAGRAM

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ORGANISATION DIAGRAM

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REFERRAL REQUEST DIAGRAM

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DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Diagnostics Waiting Times and Activity Data Set provides definitions to support the national data collections on DIAGNOSTIC TESTS, a key element towards monitoring waits from referral to treatment. ORGANISATIONS responsible for the DIAGNOSTIC TEST activity report the DIAGNOSTIC TEST waiting times and the number of tests completed.

This data set is for the monthly return covering 15 key DIAGNOSTIC TESTS as below:

IMAGING
Magnetic Resonance Imaging
Computer Tomography
Non-obstetric ultrasound
Barium Enema
DEXA Scan (Dual-energy X-ray absorptiometry)

PHYSIOLOGICAL MEASUREMENT
Audiology - audiological assessments
Cardiology - echocardiography
Cardiology - electrophysiology
Neurophysiology - peripheral neurophysiology
Respiratory physiology - sleep studies
Urodynamics - pressures & flows

ENDOSCOPY
Colonoscopy
Flexible sigmoidoscopy
Cystoscopy
Gastroscopy

Aggregated numbers of PATIENTS waiting for a DIAGNOSTIC TEST/procedure funded by the NHS should be included. This includes all referral routes (i.e. whether the PATIENT was referred by a GENERAL PRACTITIONER or by a hospital-based clinician or other route) and also all settings (i.e. Out-Patient Clinic, WARD, Imaging Department or a LOCATION TYPE such as a Health Centre). This includes all referral routes (i.e. whether the PATIENT was referred by a GENERAL PRACTITIONER or by a hospital-based clinician or other route) and also all settings (i.e. Out-Patient Clinic, WARD, Imaging Department or a type of LOCATION such as a Health Centre). It is recognised that there will be some overlap between PATIENTS reported in this data set and PATIENTS reported in the other waiting times data sets.

How the data set is transmitted

Information is to be submitted onto the Unify2 database that has been developed and maintained by the Department of Health. Full guidance on Unify2 can be found at the following address:
Unify2 Forum

Further guidance

Guidance on extracting the data sets and PATIENT PATHWAYS, including OPCS Classification of Interventions and Procedures, can be found at:
Department of Health - Monthly and Biannual Diagnostics Statistics - Definitions
and NHS 18 weeks - Guidance.

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FACE TO FACE CONTACT COMMUNITY CARE

Change to Supporting Information: Changed Description

Face To Face Contact Community Care is a CARE CONTACT.

A contact which is made by one or more nurses or community support workers (nursing) with a PATIENT or his/her proxy during a Community Episode. The contact occurs when a PATIENT or their proxy attends a clinic or when the nurse or community support worker (nursing) makes a domiciliary visit to see the PATIENT.

A proxy contact is a single occasion involving contact between a proxy and one or more members of a community nurse staff group within a Nursing In The Community Programme. Contacts with proxies only count if the contact is in lieu of the contact with the PATIENT, and the proxy is able more effectively than the PATIENT to ensure that the specified advice/treatment devised for the PATIENT is followed. This is most likely to be the case where the PATIENT is unable to communicate effectively say for an infant, or for a PERSON who is mentally ill or has learning disabilities.

One or more nurses or community support workers (nursing) in the same or different Nursing In The Community Programmes may be in contact with a PATIENT at the same time.

Contacts should be recorded as follows:

a.If one or more NURSES or community support workers (nursing) from the same programme are in contact with one PATIENT at the same time, this should be recorded as one face-to-face contact
b.If one or more NURSES or community support workers (nursing) from different programmes are in contact with one PATIENT at the same time, this should be recorded as one contact for each programme involved
c.For contacts at a Day Care Facility, where repeated contacts may occur during the course of a day, this should be recorded as one contact for each programme involved
d.If two NURSES of different disciplines but both classed in the community nurse staff group other community nurses, such as stomatherapist and a continuing care nurse, are in contact with one PATIENT at the same time, this should be recorded as two face-to-face contacts, one for each discipline

Group activity, where, for example, general advice is given to several PATIENTS at the same time should not be recorded as Nurse or Midwife Contacts.

A Face To Face Contact Community Care may involve activities attributable to a structured programme, such as the following:

a.Screening Test 
b.Group Session 
c.Health Promotion Other Activity
d.EDUCATIONAL ASSESSMENT
e.Test Of Immunity 
f.Immunisation Dose Given 
g.Face To Face Contact Surveillance 

For such activities they must be recorded as part of the respective structured programmes as well as attributed to the Nursing In The Community Programmes.

If the PATIENT is currently subject to a Mental Health Care Spell and the contact NURSE is also their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

For domiciliary visits, an indication of whether the Face To Face Contact Community Care is the first occasion on which a PATIENT is seen should be recorded as an initial contact. A LOCATION TYPE should also be recorded. A LOCATION type should also be recorded.

Information recorded for a Face To Face Contact Community Care includes:

Contact Date
First Contact In Financial Year
Initial Contact (applies to domiciliary visits only)
LOCATION (applies to domiciliary visits only)
LOCATION TYPE (applies to domiciliary visits only)
 

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FACE TO FACE CONTACT CPA CARE COORDINATOR

Change to Supporting Information: Changed Description

Face To Face Contact CPA Care Coordinator is a CARE CONTACT.

A face to face contact between a PATIENT subject to a Care Programme Approach Episode, and their currently allocated care programme approach care coordinator

In cases where contact arises due to:

both the Face To Face Contact CPA Care Coordinator and the other contact or attendance should be recorded.

Each contact must have a Care Programme Approach Care Co-ordinator Allocation.

Information recorded for a Face To Face Contact CPA Care Coordinator includes:

Contact Date
LOCATION TYPE
LOCATION  

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FACE TO FACE CONTACT SOCIAL WORKER

Change to Supporting Information: Changed Description

Face To Face Contact Social Worker is a CARE CONTACT.

A face to face contact between a PATIENT subject to a Mental Health Care Spell and a Local Authority Social Services Social Worker. The Social Worker may be a Mental Health Care Team Member. When the contact involves the presence of more than one Social Worker at the same time, then it is still considered as a single occurrence of a face to face contact.

In the case of contact arising due to a Social Services Statutory Assessment then both the Face To Face Contact Social Worker and the Social Services Statutory Assessment will be recorded.

When the Social Worker is also the allocated care programme approach care coordinator for the PATIENT then a Face To Face Contact CPA Care Coordinator should also be recorded.

Information recorded for a Face To Face Contact Social Worker includes:

Contact Date
LOCATION TYPE
LOCATION  

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FACE TO FACE CONTACT SURVEILLANCE

Change to Supporting Information: Changed Description

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HPV IMMUNISATION PROGRAMME VACCINE MONITORING ANNUAL MINIMUM DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Department of Health requires summary details from Primary Care Trusts to monitor the implementation and effectiveness of the Human Papillomavirus (HPV) Immunisation Programme.

The Human Papillomavirus Vaccination Programme for England commenced in September 2008, the first TARGET POPULATION being for females born between 1st September 1995 and 31st August 1996. This is the first HEALTH PROGRAMME STAGE for a routine annual Immunisation Programme for all 12-13 year old females.

Details of the routine and catch-up collections for the Human Papillomavirus Immunisation Programme are available at: Department of Health Key Vaccine Information

It is recommended for the vaccine delivery to be in Schools/Colleges but Primary Care Trusts are responsible for implementing the programme according to their local needs.

Each Primary Care Trust will collect and return data on the females in a particular TARGET POPULATION. Primary Care Trusts are recommended to run a Schools-based programme, but some may choose not to. The ANNUAL TARGET DENOMINATOR (HUMAN PAPILLOMAVIRUS VACCINE) will either be Schools based or non-Schools based.

The Human Papillomavirus vaccine requires 3 separate doses to complete a full course. It is recommended that this full course is given within a 6 month period, but it may be given in a period of up to 12 months. However, to allow for those that missed one or more doses in their TARGET POPULATION year, summary data will be collected every year for each TARGET POPULATION until those PERSONS reach 18 years old.

Although data is collected monthly in the HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set, it is recognised that Primary Care Trusts may not be aware of the number of other females they are responsible for at the start of the HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set campaign year. However by the end of the School Year, Primary Care Trusts will have had opportunity to complete vaccinations for any others they are responsible for and these will be included in the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set together with the HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Sets.

The HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set requires information on the number of doses administered as well as the administration LOCATION TYPES.The HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set requires information on the number of doses administered as well as the administration LOCATION TYPE CODES.

Collection and Submission of the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set

Synopsis of the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set
  1. Primary Care Trust, HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE), REPORTING PERIOD and ANNUAL TARGET DENOMINATOR (HUMAN PAPILLOMAVIRUS VACCINE)
  2. Doses administered (by each of the three doses)
  3. Doses administered by LOCATION TYPE.
  4. Doses administered by LOCATION TYPE CODE.

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LOCATION TYPE CODES (RETIRED)  renamed from LOCATION TYPE CODES

Change to Supporting Information: Changed status to Retired, Name, Description


  • The codes enable the classification of LOCATION TYPE. This is the type of physical location where PATIENTS are seen or where services are provided or from which requests for services are sent.

  • Each LOCATION must be classified by one, and only one, LOCATION TYPE, i.e. once a building (or department or unit within that building) has been allocated a specific LOCATION TYPE, that LOCATION TYPE should be used by all users regardless of the type of activity, specialty or client group involved. The LOCATION TYPE should only be altered if there is a complete change in use.

  • Note that the term Professional Staff Group refers to health professional staff and covers Chiropody, Clinical Psychology, Dietetics, Occupational Therapy, Physiotherapy and Speech and Language Therapy.

  • Please note that the following Central Return forms have been discontinued with effect from the 1st April 2004:
    KC56 - Patient Care in the Community: District Nursing
    KC57 - Patient Care in the Community: Community Psychiatric Nursing
    KC58 - Patient Care in the Community: Learning Disability Nursing

  • Tables 1 to 3 gives the groupings used on the following Central Returns:

    KC56: Patient Care in the Community: District Nursing
    KC57: Patient Care in the Community: Community Psychiatric Nursing
    KC58: Patient Care in the Community: Learning Disability Nursing

  • Note that the leading zero of Location Type Code should be omitted for use with the cdstab/CDS.

    Location Type Codes

    CodeDescription
    001Client's or Patient's Home
    002Health Centre
    003GP Practice premises other than Health Centre
    004Ward on NHS Hospital Site
    006Hospice
    007Other Voluntary or Private Hospital or Nursing Home
    008Group Home managed by the NHS
    009Group Home managed by Local Authority
    010Group Home managed by Voluntary or Private Agents
    011Other Residential Care Homes managed by Local Authority
    012Other Residential Care Homes managed by Voluntary or Private Agents
    013NHS Day Care Facility on NHS Hospital Site
    014NHS Day Care Facility on Other Sites
    015Day Centre managed by Local Authority
    016Day Centre managed by Voluntary or Private Agents
    017NHS Consultant Clinic Premises on a NHS Hospital site
    018NHS Consultant Clinic Premises off a NHS Hospital site
    019Health Clinic managed by the NHS
    020Health Clinic managed by Voluntary or Private Agents
    021Resource Centre on NHS Hospital Site
    022Resource Centre managed by the NHS off NHS Hospital Site
    023Resource Centre managed by Local Authority
    024Resource Centre managed by Voluntary or Private Agents
    025Professional Staff Group Department on NHS Hospital Site
    026Professional Staff Group Department managed by the NHS off NHS Hospital Site
    027Professional Staff Group Department managed by Local Authority
    028Professional Staff Group Department managed by Voluntary or Private Agents
    029Educational Establishment Premises managed by Local Authority or Grant Maintained
    030Educational Establishment Premises managed by Voluntary or Private Agents
    031Other Health or Local Authority Facility on NHS Hospital Site
    032Other Health or Local Authority Site managed by the NHS off NHS Hospital Site
    033Other Health or Local Authority Site managed by Local Authority
    034Other Health or Local Authority Site managed by Voluntary or Private Agents
    035Prison Department Establishments
    036Public Place or Street, or Police Station
    037Other locations not classified elsewhere
    038NHS Nursing Home
    039Other Residential Care Homes managed by the NHS

Location Type Codes has been retired from the NHS Data Model and Dictionary.  The codes have been added to the Attribute LOCATION TYPE CODE.

The last live version of the Location Codes is available in the January 2011 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing datastandards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

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LOCATION TYPE CODES (RETIRED)  renamed from LOCATION TYPE CODES

Change to Supporting Information: Changed status to Retired, Name, Description

  • Retired Location Type Codes
  • Changed Name from Web_Site_Content.Supporting_Information.Location_Type_Codes to Retired.Web_Site_Content.Supporting_Information.Location_Type_Codes
  • Changed Description

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PROFESSIONAL ADVICE AND SUPPORT CONTACT

Change to Supporting Information: Changed Description

Professional Advice And Support Contact is a CARE CONTACT.

A contact by one or more members of a PROFESSIONAL ADVICE AND SUPPORT STAFF GROUP with a PATIENT, and/or the PATIENT's proxy e.g. PATIENT looking after elderly relative, at a specific LOCATION TYPE and occurring as a result of a Professional Advice And Support Programme.A contact by one or more members of a PROFESSIONAL ADVICE AND SUPPORT STAFF GROUP with a PATIENT, and/or the PATIENT's proxy e.g. PATIENT looking after elderly relative, at a specific type of LOCATION and occurring as a result of a Professional Advice And Support Programme.

A proxy contact is a single occasion involving contact between a proxy, and one or more members of a PROFESSIONAL ADVICE AND SUPPORT STAFF GROUP within a Professional Advice And Support Programme. Contacts with proxies only count if the contact is in lieu of the contact with the PERSON, and the proxy is able more effectively than the PERSON to ensure that specific professional advice is followed. This is most likely to be the case where the PERSON is unable to communicate effectively say for an infant, or for a PERSON who is mentally ill or has learning disabilities.

Where both the proxy and the PERSON are present at the contact, only one face-to-face contact should be recorded.

Contacts by student health visitors with clients in the absence of a registered Specialist Community Public Health Nurse - Health Visitor should be included.

Generally a contact will be pre-arranged but, in exceptional circumstances, an un-planned meeting may result in a substantial amount of advice or support being given and this should then be recorded.

If a contact made by a PROFESSIONAL ADVICE AND SUPPORT STAFF GROUP includes an ACTIVITY which is part of one of the Structured Programmes, it should not be counted as part of a Professional Advice And Support Programme.

 

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PROFESSIONAL STAFF GROUP CONTACT

Change to Supporting Information: Changed Description

Professional Staff Group Contact is a CARE CONTACT.

A single occasion involving contact between a PATIENT or his/her proxy and one or more members of a professional staff group discipline from a Professional Staff Group Department, including paid support staff working for a professional staff group discipline.

A Professional Staff Group Contact may follow from an Out-Patient Appointment Non-Consultant, in this event the time seen should be recorded.

A proxy contact is a single occasion involving contact between a client/PATIENT or his/her proxy, and one or more members of a professional staff group discipline or relevant staff group for community service. Contacts with proxies count as face-to-face contacts only if the contact is in lieu of the contact with the client, and the proxy is able more effectively than the client to ensure that specific professional advice devised for the client is followed. This is most likely to be the case where the client is unable to communicate effectively say for an infant, or for a PERSON who is mentally ill or learning disabilities.

For Professional Staff Group Services, face to face contacts comprise both:

a.Attendances lasting from the arrival to the departure of the PATIENT 
b.Visits lasting from the arrival to the departure of professional staff group staff

One or more members of the professional staff group discipline may be in contact with one or more PATIENTS at the same time and PATIENTS may be seen in association with staff from other disciplines. Contacts should be recorded as follows:

a.If one or more staff of the same discipline are in contact with one PATIENT at the same time, this should be recorded as one face to face contact
b.If staff see a PATIENT with staff of other disciplines, this should be recorded as one face to face contact for each discipline involved
c.If one or more staff of one discipline are in contact with a group of PATIENTS at the same time, each PATIENT should be recorded as one face to face contact
d.If staff from different disciplines are in contact with a group of PATIENTS at the same time, each PATIENT should be recorded as one face to face contact for each discipline involved

For physiotherapy, it may not be practical to collect data about all face-to-face contacts; however as a minimum, initial contacts and first contacts in financial year should be recorded.

For occupational therapy, the contact duration should be recorded in half-hour units.

If the PATIENT is currently subject to a Mental Health Care Spell and the member of the professional staff group discipline in contact is also their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

Note: When face-to-face contacts are used for attributing professional staff group costs to MAIN SPECIALTIES, it will be necessary to distinguish between those contacts by PATIENTS using a Hospital Bed, attenders at Consultant Clinics and attenders at Day Care Facilities.

Information recorded for a Professional Staff Group Contact includes:

 

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LOCATION

Change to Class: Changed Attributes, 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 physical LOCATION where PATIENTS are seen or where services exist or from which requests for ACTIVITIES are sent or any other place of interest to an ORGANISATION which is not recorded as an ORGANISATION or an ORGANISATION SITE.A physical LOCATION:

For ACTIVITIES provided by staff groups, LOCATIONS are places where a face-to-face contact or a Group Session occurs.

For diagnostic activities, LOCATIONS either define the whereabouts of the ACTIVITY or the places from which requests are sent.For diagnostic ACTIVITIES, LOCATIONS either define the whereabouts of the ACTIVITY or the places from which requests are sent.

Each LOCATION must be classified by one and only one LOCATION TYPE and the same classification must be used by all users.Each LOCATION must be classified by one and only one type of LOCATION and the same classification must be used by all users.

 

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LOCATION

Change to Class: Changed Attributes, Description

Attributes of this Class are:
KLOCATION CODE
ACTIVITY LOCATION TYPE CODE
LOCATION NAME
LOCATION TYPE CODE
LOCATION TYPE CODING TYPE

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LOCATION TYPE (RETIRED)  renamed from LOCATION TYPE

Change to Class: Changed status to Retired, Name, Description

The type of physical LOCATION where PATIENTS are seen or where SERVICES are provided or from which requests for services are sent.LOCATION TYPE has been retired from the NHS Data Model and Dictionary.

Codes and definitions have been devised to enable the classification of LOCATION TYPE. Each LOCATION must be classified by one, and only one, LOCATION TYPE, i.e. once a building (or DEPARTMENT or unit within that building) has been allocated a specific LOCATION TYPE, that LOCATION TYPE should be used by all users regardless of the type of ACTIVITY, specialty or client group involved. The LOCATION TYPE should only be altered if there is a complete change in use.The last live version of LOCATION TYPE is available in the January 2011 release of the NHS Data Model and Dictionary.

 Access to this version can be obtained by emailing datastandards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

 

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LOCATION TYPE (RETIRED)  renamed from LOCATION TYPE

Change to Class: Changed status to Retired, Name, Description

  • Retired LOCATION TYPE
  • Changed Name from Data_Dictionary.Classes.L.LOCATION_TYPE to Retired.Data_Dictionary.Classes.L.LOCATION_TYPE
  • Changed Description

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ACTIVITY LOCATION TYPE 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 type of LOCATION for an ACTIVITY:

ACTIVITY LOCATION TYPE CODE replaces LOCATION TYPE CODE and should be used for all new and developing data sets and for XML messages.

National Codes:

CODEVALUENOTES
 PATIENT Main Residence or Related Location
A01PATIENT's Home 
A02Carer's Home 
A03PATIENT's Workplace 
A04Other PATIENT Related Locatione.g. temporary address
 Health Centre Premises
B01Primary Care Health CentrePrimary Care Health Centre with or without GP Practice(s) based in it, providing community-based healthcare services such as podiatry, community dentistry, ophthalmology, minor injuries nursing etc, Sexual and Reproductive Health Service, health promotion etc, and sometimes hosting outreach services from NHS Trusts
B02PolyclinicProvide similar services to Primary Care Health Centre but also additional services such as diagnostics, minor procedures, Out-Patient Appointments, urgent care etc. and also co-located services with Local Authority Social Care.  May also provide extended/out of hours services.
 GENERAL PRACTITIONER and OPHTHALMIC MEDICAL PRACTITIONER
 C01General Medical Practitioner PracticeStand-alone GP Practice premises, not part of a Primary Care Health Centre
 C02General Dental PracticeStand-alone GP Practice premises, not part of a Primary Care Health Centre 
 C03OPHTHALMIC MEDICAL PRACTITIONER Premises 
 Walk In Centres, Out of Hours Premises and Emergency Community Dental Services
D01Walk In CentreMay be NHS GENERAL PRACTITIONER Led, NURSE-led, or provided by private company.  May be sited in different areas – Primary Care Trust premises, on hospital sites, in retail premises etc
D02Out of Hours CentreMay be NHS GENERAL PRACTITIONER-Led, NURSE-led, or provided by private company.  May be sited in different areas – Primary Care Trust premises, on hospital sites, in retail premises etc
D03Emergency Community Dental ServiceRun by Community Dental Services not GENERAL DENTAL PRACTITIONERS
 Locations on Hospital Premises
E01Out-Patient Clinic 
E02WARD 
E03Day Hospital 
E04Accident and Emergency or Minor Injuries Department 
E99Other Departmentse.g. Pathology Laboratories, physiotherapy, diagnostic imaging, Occupational Therapy, pharmacy etc
 Hospice Premises
F01Hospice 
 Nursing and Residential Homes
G01Residential Care Home 
G02Nursing HomeSee appropriate section of Care Home 
G03Children's Home

 

 Day Centre Premises
H01Day CentreFacilities operated by the NHS, Social Services or private or voluntary bodies, providing day care and respite care for elderly or disabled people
 Resource Centre Premises
J01Resource CentrePremises where information and support for PATIENTS and their families/carers is provided.
 Dedicated Facilities for Children and Families
K01Sure Start Children’s CentreChildren’s centres are service hubs where children under five years old and their families can receive seamless integrated services and information. Services vary according to centre but may include:
  • Integrated early education and childcare
  • Support for parents including advice on parenting, local childcare options and access to specialist services for families
  • Child and family health services
  • Helping parents into work
K02Child Development Centre 
 Educational, Childcare  and Training Establishments
L01SchoolIncluding Extended Services, where provided on School premises (where provided off School premises, use other appropriate location)
L02Further Education College 
L03University 
L04Nursery PremisesPre-school Nurseries attached to Schools would be classed as Schools in their own right
L05Other Childcare Premisese.g. Childminder
L06Training Establishments 
L99Other Educational PremisesSuch as Teenage Pregnancy Units, School Preparation Units (for toddlers), Pupil Referral Units (excluded older children and young people), units providing specialist education e.g. deaf children, autistic children etc
 Justice and Home Office Premises
M01Prison 
M02Probation Service Premises 
M03Police Station 
M04Young Offenders Institution 
M05Immigration Centre 
 Public Locations
N01Street or other public open spacePublic areas such as streets, parks, outdoor sports facilities etc
N02Other publicly accessible area or buildingPublicly accessible premises such as Youth Centres, supermarkets, shops and other retail locations such as shopping centres, community facilities such as libraries, church halls, community centres etc
N03Voluntary or charitable agency premises 
N04Dispensing Optician Premises 
N05Dispensing Pharmacy PremisesWhere it is not on a Hospital Site
 Other Locations
 X01Other locations not elsewhere classified 
 

This attribute is also known by these names:
ContextAlias
pluralACTIVITY LOCATION TYPE CODES

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ACTIVITY LOCATION TYPE CODE

Change to Attribute: New Attribute

ACTIVITY LOCATION TYPE CODE
 
Data Elements:
ACTIVITY LOCATION TYPE CODE

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LOCATION TYPE CODE

Change to Attribute: 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 code identifying the type of LOCATION.

See Location Type Codes for the codes.LOCATION TYPE CODE will be replaced with ACTIVITY LOCATION TYPE CODE, which should be used for all new and developing data sets and for XML messages.

 National Codes:

001Client's or PATIENT's Home
002Health Centre
003GP Practice premises other than Health Centre
004WARD on NHS Hospital Site
006Hospice
007Other Voluntary or Private Hospital or Nursing Home
008Group Home managed by the NHS
009Group Home managed by Local Authority
010Group Home managed by Voluntary or Private Agents
011Other Residential Care Homes managed by Local Authority
012Other Residential Care Homes managed by Voluntary or Private Agents
013NHS Day Care Facility on NHS Hospital Site
014NHS Day Care Facility on Other Sites
015Day Centre managed by Local Authority
016Day Centre managed by Voluntary or Private Agents
017NHS Consultant Clinic Premises on a NHS Hospital site
018NHS Consultant Clinic Premises off a NHS Hospital site
019Health Clinic managed by the NHS
020Health Clinic managed by Voluntary or Private Agents
021Resource Centre on NHS Hospital Site
022Resource Centre managed by the NHS off NHS Hospital Site
023Resource Centre managed by Local Authority
024Resource Centre managed by Voluntary or Private Agents
025Professional Staff Group Department on NHS Hospital Site
026Professional Staff Group Department managed by the NHS off NHS Hospital Site
027Professional Staff Group Department managed by Local Authority
028Professional Staff Group Department managed by Voluntary or Private Agents
029Educational Establishment Premises managed by Local Authority or Grant Maintained
030Educational Establishment Premises managed by Voluntary or Private Agents
031Other Health or Local Authority Facility on NHS Hospital Site
032Other Health or Local Authority Site managed by the NHS off NHS Hospital Site
033Other Health or Local Authority Site managed by Local Authority
034Other Health or Local Authority Site managed by Voluntary or Private Agents
035Prison Department Establishments
036Public Place or Street, or Police Station
037Other locations not classified elsewhere
038NHS Nursing Home
039Other Residential Care Homes managed by the NHS
 

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LOCATION TYPE 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 type of LOCATION.

LOCATION TYPE CODING TYPE details the coding structure applied in the following circumstances:

National Codes:

1LOCATION TYPE CODE
2ACTIVITY LOCATION TYPE CODE
 

This attribute is also known by these names:
ContextAlias
pluralLOCATION TYPE CODING TYPES

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ACTIVITY LOCATION TYPE CODE

Change to Data Element: New Data Element

Format/Length:an3
HES Item: 
National Codes:See ACTIVITY LOCATION TYPE 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:
ACTIVITY LOCATION TYPE CODE is the same as attribute ACTIVITY LOCATION TYPE CODE.

ACTIVITY LOCATION TYPE CODE replaces LOCATION TYPE and should be used for all new and developing data sets and for XML messages.

 

This data element is also known by these names:
ContextAlias
pluralACTIVITY LOCATION TYPE CODES

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ACTIVITY LOCATION TYPE CODE

Change to Data Element: New Data Element

ACTIVITY LOCATION TYPE CODE
 
Attribute:
ACTIVITY LOCATION TYPE CODE

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LOCATION TYPE

Change to Data Element: Changed Description

Format/Length:n2
HES Item: 
National Codes:See LOCATION TYPE CODE
Default Codes: 

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.

Notes:
LOCATION TYPE is the same as attribute LOCATION TYPE CODE.

See Location Type Codes for coding and usage.LOCATION TYPE will be replaced with ACTIVITY LOCATION TYPE CODE, which should be used for all new and developing data sets and for XML messages.

The codes used for this Data Element are under review.

Permitted National Codes for use in the Commissioning Data Sets:

01Client's or PATIENT's Home
02Health Centre
03GP Practice premises other than Health Centre
04WARD on NHS Hospital Site
06Hospice
07Other Voluntary or Private Hospital or Nursing Home
08Group Home managed by the NHS
09Group Home managed by Local Authority
10Group Home managed by Voluntary or Private Agents
11Other Residential Care Homes managed by Local Authority
12Other Residential Care Homes managed by Voluntary or Private Agents
13NHS Day Care Facility on NHS Hospital Site
14NHS Day Care Facility on Other Sites
15Day Centre managed by Local Authority
16Day Centre managed by Voluntary or Private Agents
17NHS Consultant Clinic Premises on a NHS Hospital Site
18NHS Consultant Clinic Premises off a NHS Hospital Site
19Health Clinic managed by the NHS
20Health Clinic managed by Voluntary or Private Agents
21Resource Centre on NHS Hospital Site
22Resource Centre managed by the NHS off NHS Hospital Site
23Resource Centre managed by Local Authority
24Resource Centre managed by Voluntary or Private Agents
25Professional Staff Group Department on NHS Hospital Site
26Professional Staff Group Department managed by the NHS off NHS Hospital Site
27Professional Staff Group Department managed by Local Authority
28Professional Staff Group Department managed by Voluntary or Private Agents
29Educational Establishment Premises managed by Local Authority or Grant Maintained
30Educational Establishment Premises managed by Voluntary or Private Agents
31Other Health or Local Authority Facility on NHS Hospital Site
32Other Health or Local Authority Site managed by the NHS off NHS Hospital Site
33Other Health or Local Authority Site managed by Local Authority
34Other Health or Local Authority Site managed by Voluntary or Private Agents
35Prison Department Establishments
36Public Place or Street, or Police Station
37Other locations not classified elsewhere
38NHS Nursing Home
39Other Residential Care Homes managed by the NHS

Use in the Future Outpatient CDS:
If the LOCATION TYPE where treatment is intended to take place is not yet known, this Data Element should be omitted.If the LOCATION TYPE where treatment is intended to take place is not yet known, this Data Element should be omitted.

Please note that the following Central Return forms have been discontinued with effect from 1st April 2004:
KC56: Patient Care in the Community: District Nursing
KC57: Patient Care in the Community: Community Psychiatric Nursing
KC58: Patient Care in the Community: Learning Disabilities Nursing.

 

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LOCATION TYPE (HUMAN PAPILLOMAVIRUS VACCINE)

Change to Data Element: Changed Description

Format/Length:n3
HES Item: 
National Codes: 
Default Codes:096 - Other

Notes:
The LOCATION TYPE where the Human Papillomavirus vaccine was administered.LOCATION TYPE (HUMAN PAPILLOMAVIRUS VACCINE) is the type of LOCATION where the Human Papillomavirus vaccine was administered.

Permitted National Codes:

003GP Practice Premises other than Health Centre
070Health Clinic/Community Clinic. This is derived from Location Type Code 002 'Health Centre', 019 'Health Clinic managed by the NHS' and 020 'Health Clinic managed by Voluntary or Private Agents'
080Educational Establishment Premises. This is derived from Location Type Code 029 'Educational Establishment Premises managed by Local Authority or Grant Maintained' and 030 'Educational Establishment Premises managed by Voluntary or Private Agents'
070Health Clinic/Community Clinic.
This is derived from LOCATION TYPE CODE 002 'Health Centre', 019 'Health Clinic managed by the NHS' and 020 'Health Clinic managed by Voluntary or Private Agents'
080Educational Establishment Premises.
This is derived from LOCATION TYPE CODE 029 'Educational Establishment Premises managed by Local Authority or Grant Maintained' and 030 'Educational Establishment Premises managed by Voluntary or Private Agents'
096Other

Note: If a GP Practice is also based at a Health Centre, those vaccinations administered by the GP Practice should be recorded under 003 'GP Practice Premises other than Health Centre'.

 

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For enquiries about this Change Request, please email datastandards@nhs.net