Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1212
Version No:1.0
Subject:Preparatory Change Request Update
Effective Date:Immediate
Reason for Change:Change to Data Standards
Publication Date:11 November 2010

Background:

This Change Request updates preparatory items introduced in previous Change Requests.

Summary of changes:

Supporting Information
CLINICAL DATA SETS MENU   Changed Description
MATERNITY AND CHILDRENS DATA SETS SUBMISSION REQUIREMENTS renamed from CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES DATA SETS SUBMISSION REQUIREMENTS   Changed Description, Name
 
Attribute Definitions
STATUS OF SERVICE REQUEST FOR MENTAL HEALTH   Changed Description
 
Data Elements
DATA SET IDENTIFIER (MATERNITY AND CHILDRENS DATA SETS) renamed from DATA SET IDENTIFIER (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)   Changed Aliases, Name
DATA SET ROW TYPE (MATERNITY AND CHILDRENS DATA SETS) renamed from DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)   Changed Aliases, Name
DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET) renamed from DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES DATA SET)   Changed Aliases, Name
DATA SET SEGMENT IDENTIFIER (CHILDRENS AND YOUNG PEOPLES HEALTH SERVICES SECONDARY USES DATA SET) renamed from DATA SET SEGMENT IDENTIFIER (NATIONAL CHILDREN'S AND YOUNG PEOPLE'S HEALTH SERVICES DATA SET)   Changed Aliases, Name
DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES SECONDARY USES DATA SET) renamed from DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES DATA SET)   Changed Aliases, Name
FIRST ATTENDANCE   Changed Description
FIRST ATTENDANCE CODE   Changed Description
HONOS-CA RATING 10 SCORE   Changed Description
HONOS-CA RATING 11 SCORE   Changed Description
HONOS-CA RATING 12 SCORE   Changed Description
HONOS-CA RATING 13 SCORE   Changed Description
HONOS-CA RATING 1 SCORE   Changed Description
HONOS-CA RATING 2 SCORE   Changed Description
HONOS-CA RATING 3 SCORE   Changed Description
HONOS-CA RATING 4 SCORE   Changed Description
HONOS-CA RATING 5 SCORE   Changed Description
HONOS-CA RATING 6 SCORE   Changed Description
HONOS-CA RATING 7 SCORE   Changed Description
HONOS-CA RATING 8 SCORE   Changed Description
HONOS-CA RATING 9 SCORE   Changed Description
HONOS-CA RATING B14 SCORE   Changed Description
HONOS-CA RATING B15 SCORE   Changed Description
 

Date:11 November 2010
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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CLINICAL DATA SETS MENU

Change to Supporting Information: Changed Description


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MATERNITY AND CHILDRENS DATA SETS SUBMISSION REQUIREMENTS  renamed from CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES DATA SETS SUBMISSION REQUIREMENTS

Change to Supporting Information: Changed Description, Name

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 data carried in the three National Service Framework for Children Young People and Maternity Services Data Sets (Maternity Data Set, National Children's and Young People's Health Services Data Set and Child and Adolescent Mental Health Services Data Set) must be structured in a particular way for submission nationally.The data carried in the three Maternity and Children's Data Sets which support the National Service Framework for Children Young People and Maternity Services Data Sets (Maternity Services Secondary Uses Data Set, Children’s and Young People’s Health Services Secondary Uses Data Set and Child and Adolescent Mental Health Services Secondary Uses Data Set) must be structured in a particular way for submission nationally. Data items in the files, including the items in the header records, are tilde-delimited (~ character).

Each data set submission file of data is structured in the following way:

  • Data Set File Header Row
  • Data Set Segment Row(s)
  • Data Set File Footer Row

See below for the file structure for each data set row:

  • Data Set File Header Row

This contains information about the submission file, and is structured as follows, for all three data sets:

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value HDR in a file header row)
DATA SET IDENTIFIER (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)
DATA SET ROW TYPE (MATERNITY AND CHILDRENS DATA SETS) (note - always value HDR in a file header row)
DATA SET IDENTIFIER (MATERNITY AND CHILDRENS DATA SETS)
DATA SET VERSION NUMBER 
ORGANISATION CODE (CODE OF PROVIDER) 
REPORTING PERIOD START DATE 
REPORTING PERIOD END DATE 
DATE AND TIME DATA SET CREATED 
DATA SET SEGMENT RECORDS TOTAL

The Data Set File Header row is present only once, as the first record in the submission file.

  • Data Set Segment Row

This contains Segment type and PATIENT identification information followed by segment content data items, and is structured as follows:

DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES DATA SET)
or
DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES DATA SET)
or
DATA SET SEGMENT IDENTIFIER (NATIONAL CHILDREN'S AND YOUNG PEOPLE'S HEALTH SERVICES DATA SET)
DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES SECONDARY USES DATA SET)
or
DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET)
or
DATA SET SEGMENT IDENTIFIER (CHILDRENS AND YOUNG PEOPLES HEALTH SERVICES SECONDARY USES DATA SET)

This is followed in the same row by the segment content data items, which vary depending on which segment is being submitted. This structure is repeated for each data record within the file.
  • Data Set File Footer Row

This contains some of the same information as the Data Set File Header row, plus a count of all segment records within the file, as a data quality check, and is structured as follows:

DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES) (note - always value TRL in a file footer row)
DATA SET IDENTIFIER (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)
DATA SET ROW TYPE (MATERNITY AND CHILDRENS DATA SETS) (note - always value TRL in a file footer row)
DATA SET IDENTIFIER (MATERNITY AND CHILDRENS DATA SETS)
DATA SET VERSION NUMBER 
ORGANISATION CODE (CODE OF PROVIDER) 
REPORTING PERIOD START DATE 
REPORTING PERIOD END DATE 
DATE AND TIME DATA SET CREATED
DATA SET SEGMENT RECORDS TOTAL

The Data Set File Footer Row is present only once, as the last record in the submission file.

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STATUS OF SERVICE REQUEST FOR MENTAL HEALTH

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.

The status of a SERVICE REQUEST received by an Adult Mental Health Care Team or Child and Adolescent Mental Health Care Team.

National Codes:

 Pending
01Pending action
 Accepted
02Accepted for immediate action
03Accepted and placed on APPOINTMENT WAITING LIST
01Accepted for immediate action
02Accepted and placed on APPOINTMENT WAITING LIST
 Not Accepted
04SERVICE REQUEST passed back to referrer
05SERVICE REQUEST redirected to another agency
03SERVICE REQUEST passed back to referrer
04SERVICE REQUEST redirected to another agency
 Closed
06PATIENT declined to be treated
07PATIENT died
05PATIENT declined to be treated
06PATIENT died
 

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DATA SET IDENTIFIER (MATERNITY AND CHILDRENS DATA SETS)  renamed from DATA SET IDENTIFIER (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)

Change to Data Element: Changed Aliases, Name


DATA SET ROW TYPE (MATERNITY AND CHILDRENS DATA SETS)  renamed from DATA SET ROW TYPE (CHILDREN YOUNG PEOPLE AND MATERNITY SERVICES)

Change to Data Element: Changed Aliases, Name


DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DATA SET)  renamed from DATA SET SEGMENT IDENTIFIER (CHILD AND ADOLESCENT MENTAL HEALTH SERVICES DATA SET)

Change to Data Element: Changed Aliases, Name


DATA SET SEGMENT IDENTIFIER (CHILDRENS AND YOUNG PEOPLES HEALTH SERVICES SECONDARY USES DATA SET)  renamed from DATA SET SEGMENT IDENTIFIER (NATIONAL CHILDREN'S AND YOUNG PEOPLE'S HEALTH SERVICES DATA SET)

Change to Data Element: Changed Aliases, Name


DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES SECONDARY USES DATA SET)  renamed from DATA SET SEGMENT IDENTIFIER (MATERNITY SERVICES DATA SET)

Change to Data Element: Changed Aliases, Name


FIRST ATTENDANCE

Change to Data Element: Changed Description

Format/length:n1
HES item: 
National Codes:See FIRST ATTENDANCE
Default Codes: 

Notes:
This indicates whether a PATIENT is making a FIRST ATTENDANCE or follow-up attendance or contact and whether the CONSULTATION MEDIUM USED was a face to face contact or telephone/telemedicine consultation.This indicates whether a PATIENT is making a FIRST ATTENDANCE or follow-up attendance or contact and whether the CONSULTATION MEDIUM USED national code was 'Face to face communication', 'Telephone' or 'Telemedicine web camera'.  

A FIRST ATTENDANCE is the first in a series, or only attendance of an APPOINTMENT which took place regardless of how many previous APPOINTMENTS were made which did not take place for whatever reason. All subsequent attendances in the series which take place should be recorded as follow-up.

FIRST ATTENDANCE National Code 5 - "Referral to Treatment Clock Stop Administrative Event" allows the Secondary Uses Service to build accurate PATIENT PATHWAYS for the reporting of 18 weeks activity. It flows through the CDS V6 TYPE 020 - OUTPATIENT CDS structure. See Referral To Treatment Clock Stop Administrative Event.

FIRST ATTENDANCE will be replaced with FIRST ATTENDANCE CODE, which should be used for all new and developing data sets and for XML messages.

 

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FIRST ATTENDANCE CODE

Change to Data Element: Changed Description

Format/Length:an1
HES Item: 
National Codes:See FIRST ATTENDANCE
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:
FIRST ATTENDANCE CODE is the same as attribute FIRST ATTENDANCE.

This indicates whether a PATIENT is making a FIRST ATTENDANCE or follow-up attendance or contact and whether the CONSULTATION MEDIUM USED was a face to face contact or telephone/telemedicine consultation.This indicates whether a PATIENT is making a FIRST ATTENDANCE or follow-up attendance or contact and whether the CONSULTATION MEDIUM USED national code was 'Face to face communication', 'Telephone' or 'Telemedicine web camera'.  

A FIRST ATTENDANCE is the first in a series, or only attendance of an APPOINTMENT which took place regardless of how many previous APPOINTMENTS were made which did not take place for whatever reason. All subsequent attendances in the series which take place should be recorded as follow-up.

FIRST ATTENDANCE National Code 5 - "Referral to Treatment Clock Stop Administrative Event" allows the Secondary Uses Service to build accurate PATIENT PATHWAYS for the reporting of 18 weeks activity. It flows through the CDS V6 TYPE 020 - OUTPATIENT CDS structure. See Referral To Treatment Clock Stop Administrative Event.

FIRST ATTENDANCE CODE replaces FIRST ATTENDANCE, and should be used for all new and developing data sets and for XML messages.

 

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HONOS-CA RATING 10 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item 10 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating 10 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to peer relationships.The rating relates to peer relationships.

 

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HONOS-CA RATING 11 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item 11 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating 11 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to self-care and independence.The rating relates to self-care and independence.

 

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HONOS-CA RATING 12 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item 12 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating 12 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to family life and relationships.The rating relates to family life and relationships.

 

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HONOS-CA RATING 13 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item 13 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating 13 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to poor school attendance.The rating relates to poor school attendance.

 

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HONOS-CA RATING 1 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item 1 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating 1 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to disruptive, antisocial or aggressive behaviour.The rating relates to disruptive, antisocial or aggressive behaviour.

 

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HONOS-CA RATING 2 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item 2 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating 2 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to over activity, attention and concentration.The rating relates to over activity, attention and concentration.

 

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HONOS-CA RATING 3 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item 3 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating 3 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to non-accidental self injury.The rating relates to non-accidental self injury.

 

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HONOS-CA RATING 4 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item 4 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating 4 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to alcohol and substance/solvent misuse.The rating relates to alcohol and substance/solvent misuse.

 

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HONOS-CA RATING 5 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item 5 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating 5 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to scholastic or language skills.The rating relates to scholastic or language skills.

 

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HONOS-CA RATING 6 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item 6 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating 6 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to physical illness or disability problems.The rating relates to physical illness or disability problems.

 

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HONOS-CA RATING 7 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item 7 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating 7 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to hallucinations and delusions.The rating relates to hallucinations and delusions.

 

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HONOS-CA RATING 8 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item 8 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating 8 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to non-organic somatic symptoms.The rating relates to non-organic somatic symptoms.

 

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HONOS-CA RATING 9 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item 9 of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating 9 of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to emotional and related symptoms.The rating relates to emotional and related symptoms.

 

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HONOS-CA RATING B14 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item B14 (section B01) of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating B14 (section B01) of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to problems with knowledge or understanding about the nature of the child or adolescents difficulties (in the previous two weeks).The rating relates to problems with knowledge or understanding about the nature of the child or adolescents difficulties (in the previous two weeks).

 

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HONOS-CA RATING B15 SCORE

Change to Data Element: Changed Description

Format/Length:n1
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 is the PERSON SCORE for item B15 (section B02) of the Health of the Nation Outcome Scale (Children and Adolescents).This is the PERSON SCORE for rating B15 (section B02) of the Health of the Nation Outcome Scale (Children and Adolescents). 

The question relates to problems with lack of information about SERVICES or management of the child or adolescents difficulties.The rating relates to problems with lack of information about SERVICES or management of the child or adolescents difficulties.

 

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