Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1202
Version No:1.0
Subject:Preparatory Change Request
Effective Date:Immediate
Reason for Change:Change to Data Standards
Publication Date:20 October 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 Change Request adds further common items as listed in the summary of changes below to support these new data sets.

Summary of changes:

Supporting Information
HEALTH OF THE NATION OUTCOME SCALE (CHILDREN AND ADOLESCENTS)   New Supporting Information
 
Attribute Definitions
ADMISSION METHOD   Changed Description
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE renamed from PATIENT PHYSICAL STATUS   Changed Description, Name, Aliases
 
Data Elements
ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE renamed from PATIENT PHYSICAL STATUS   Changed Description, Name, Aliases
END DATE (WARD STAY)   New Data Element
HAEMOGLOBIN CONCENTRATION   New Data Element
PERSON OBSERVATION (HEIGHT IN CENTIMETRES)   New Data Element
PERSON OBSERVATION DATE AND TIME   New Data Element
PLATELETS COUNT   New Data Element
START DATE (WARD STAY)   New Data Element
WHITE BLOOD CELL COUNT   New Data Element
 

Date:20 October 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.

Click here for a printer friendly view of this page.


HEALTH OF THE NATION OUTCOME SCALE (CHILDREN AND ADOLESCENTS)

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 Health of the Nation Outcome Scale (Children and Adolescents) (HONOS-CA) is a type of ASSESSMENT TOOL.

The Health of the Nation Outcome Scale (Children and Adolescents) is an outcome measurement tool that assesses the behaviours, impairments, symptoms and social functioning of a child or adolescent with mental health problems.

The allowed responses for each of the 15 questions in the Health of the Nation Outcome Scale (Children and Adolescents) are as follows:

  • 0 - No problem
  • 1 - Minor problem requiring no action
  • 2 - Mild problem but definitely present
  • 3 - Moderately severe problem
  • 4 - Severe to very severe problem
  • 9 - Not known

For further information on the Health of the Nation Outcome Scale (Children and Adolescents), see the Health of the Nation Outcome Scales for Children and Adolescents website

 

This supporting information is also known by these names:
ContextAlias
shortnameHONOS-CA
pluralHealth of the Nation Outcome Scales (Children and Adolescents)

top


ADMISSION METHOD

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. 

The method of admission to a Hospital Provider Spell. A detailed definition of Elective Admission is given in ELECTIVE ADMISSION TYPE.

National Codes:

Elective Admission, when the DECISION TO ADMIT could be separated in time from the actual admission:
11Waiting list
12Booked
13Planned
Note that this does not include a transfer from another Hospital Provider (see 81 below).

Emergency Admission, when admission is unpredictable and at short notice because of clinical need:
21Accident and emergency or dental casualty department of the Health Care Provider 
22GENERAL PRACTITIONER: after a request for immediate admission has been made direct to a Hospital Provider, i.e. not through a Bed bureau, by a GENERAL PRACTITIONER or deputy
23Bed bureau
24Consultant Clinic, of this or another Health Care Provider 
25Admission via Mental Health Crisis Resolution Team
28Other means, examples are:
- admitted from the Accident And Emergency Department of another provider where they had not been admitted
- transfer of an admitted PATIENT from another Hospital Provider in an emergency
- baby born at home as intended

Maternity Admission, of a pregnant or recently pregnant woman to a maternity ward (including delivery facilities) except when the intention is to terminate the pregnancy
31Admitted ante-partum
32Admitted post-partum

Gate-Kept Mental Health Admission
41Admission via Mental Health Crisis Resolution Team

Other Admission not specified above

Other Admission not specified above
82The birth of a baby in this Health Care Provider 
83Baby born outside the Health Care Provider except when born at home as intended.
81Transfer of any admitted PATIENT from other Hospital Provider other than in an emergency

Note: The classification has been listed in logical sequence rather than alphanumeric order.

 

top


ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE  renamed from PATIENT PHYSICAL STATUS

Change to Attribute: Changed Description, Name, Aliases

Identifies the physical status of the PATIENT as recorded by an anaesthetist for an operative procedure.This item is being updated for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care. 

This is an abbreviated version of the American Society of Anesthesiologists Physical Status grading.A classification of the physical status of the PATIENT as recorded by an anaesthetist for an operative procedure.

This is an abbreviated version of the American Society of Anesthesiology patient classification status.

National Codes:

01Fit and healthy
02Mild disease; not incapacitating
03Incapacitating systemic disease
04Life threatening disease
05Expected to die within 24hrs with or without an operation
06A declared brain dead PATIENT whose organs are being removed for donor purposes
01A normal healthy PATIENT
02A PATIENT with mild systemic disease
03A PATIENT with severe systemic disease
04A PATIENT with severe systemic disease that is a constant threat to life
05A moribund PATIENT who is not expected to survive without the operation
06A declared brain-dead PATIENT whose organs are being removed for donor purposes
 

top


ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE  renamed from PATIENT PHYSICAL STATUS

Change to Attribute: Changed Description, Name, Aliases


ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE  renamed from PATIENT PHYSICAL STATUS

Change to Data Element: Changed Description, Name, Aliases

Format/Length:n2
HES Item: 
National Codes:See PATIENT PHYSICAL STATUS
National Codes:See ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE
Default Codes: 

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

Notes:
PATIENT PHYSICAL STATUS is the same as attribute PATIENT PHYSICAL STATUS.ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE is the same as attribute ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE.

 

top


ASA PHYSICAL STATUS CLASSIFICATION SYSTEM CODE  renamed from PATIENT PHYSICAL STATUS

Change to Data Element: Changed Description, Name, Aliases


END DATE (WARD STAY)

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:
The End Date of a Ward Stay.

END DATE (WARD STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'End Date' of the Ward Stay.

 

This data element is also known by these names:
ContextAlias
pluralEND DATES (WARD STAY)

top


END DATE (WARD STAY)

Change to Data Element: New Data Element

END DATE (WARD STAY)
 
Attribute:
ACTIVITY DATE

top


HAEMOGLOBIN CONCENTRATION

Change to Data Element: New Data Element

Format/Length:nn.n
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 outcome of the Clinical Investigation which measures the PERSON's haemoglobin concentration in 'g/dl (grammes per decilitre).'

 

This data element is also known by these names:
ContextAlias
pluralHAEMOGLOBIN CONCENTRATIONS

top


PERSON OBSERVATION (HEIGHT IN CENTIMETRES)

Change to Data Element: New Data Element

Format/Length:nnn.n
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 centimetres.

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

 

This data element is also known by these names:
ContextAlias
pluralPERSON OBSERVATIONS (HEIGHT IN CENTIMETRES)

top


PERSON OBSERVATION DATE AND TIME

Change to Data Element: New Data Element

Format/Length:See DATE AND 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:
The DATE AND TIME on which the observation was made.

 

This data element is also known by these names:
ContextAlias
pluralPERSON OBSERVATION DATES AND TIMES

top


PLATELETS COUNT

Change to Data Element: New Data Element

Format/Length:n4
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 result of the Clinical Investigation of the count of platelets in a PATIENT's blood sample in 'x109/l (i.e. times ten to the power 9 per litre).'

 

This data element is also known by these names:
ContextAlias
pluralPLATELETS COUNTS

top


START DATE (WARD STAY)

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:
The Start Date of a Ward Stay.

START DATE (WARD STAY) is an ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is 'Start Date' of the Ward Stay.

 

This data element is also known by these names:
ContextAlias
pluralSTART DATES (WARD STAY)

top


START DATE (WARD STAY)

Change to Data Element: New Data Element

START DATE (WARD STAY)
 
Attribute:
ACTIVITY DATE

top


WHITE BLOOD CELL COUNT

Change to Data Element: New Data Element

Format/Length:nn.n
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 outcome of the Clinical Investigation which measures the PERSON's white cell blood count in 'x109/l (i.e. times ten to the power 9 per litre).'

 

This data element is also known by these names:
ContextAlias
pluralWHITE BLOOD CELL COUNTS

top


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