Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1228
Version No:1.0
Subject:Preparatory Update Change Request
Effective Date:Immediate
Reason for Change:Change to Data Standards
Publication Date:28 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 further common items and updates existing items as listed in the summary of changes below to support these new data sets.

Summary of changes:

Supporting Information
BODY MASS INDEX   Changed Description
 
Class Definitions
CATEGORY VALUED PERSON OBSERVATION   Changed Description
CLINICAL INTERVENTION   Changed Description
MEASURED PERSON OBSERVATION   Changed Description
 
Attribute Definitions
SOURCE OF REFERRAL FOR MENTAL HEALTH   Changed Description
 
Data Elements
BODY MASS INDEX   New Data Element
CIDS COPY RECIPIENT IDENTITY   New Data Element
CIDS PRIME RECIPIENT IDENTITY   New Data Element
CIDS UNIQUE IDENTIFIER   New Data Element
ORGANISATION CODE (PROVIDER AT RECORD CREATION)   New Data Element
PERSON HEIGHT IN CENTIMETRES renamed from PERSON OBSERVATION (HEIGHT IN CENTIMETRES)   Changed Aliases, Name
PERSON HEIGHT IN METRES renamed from PERSON OBSERVATION (HEIGHT IN METRES)   Changed Aliases, Name
PERSON OBSERVATION (BMI)   Changed Description
 

Date:28 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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BODY MASS INDEX

Change to Supporting Information: Changed Description

Body Mass Index is a PERSON PROPERTY.

 Body Mass Index is derived from Weight and Height.

For further information on Body Mass Index, see the NHS Choices website.

 

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CATEGORY VALUED PERSON OBSERVATION

Change to Class: 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 type of PERSON PROPERTY.

Observations made regarding a PERSON. These observations do not include information about a treatment or intervention.

CATEGORY VALUED PERSON OBSERVATION TYPE provides coded classifications of observations about a PERSON.

Note: MEASURED PERSON OBSERVATION allows for recording of measurements about a PERSON and OTHER PERSON OBSERVATION is where the PERSON states, for example, when they first experienced symptoms, the number of days on which alcohol has been consumed etc.

 

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CLINICAL INTERVENTION

Change to Class: Changed Description

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

A subtype of CARE ACTIVITY.

Information about medical or surgical actions performed on or planned to be performed on a PATIENT.

CLINICAL INTERVENTION TYPE provides a list of CLINICAL INTERVENTIONS.

 

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MEASURED PERSON OBSERVATION

Change to Class: 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 type of PERSON PROPERTY.

A type of PERSON PROPERTYMEASURED PERSON OBSERVATION allows for recording of measurements about a PERSON.

A PERSON PROPERTY with a declared value defined as a number. An example would be "75 beats per minute" as a pulse rate.MEASURED PERSON OBSERVATION TYPE CODE provides a list of MEASURED PERSON OBSERVATIONS.

MEASURED PERSON OBSERVATION allows for recording of measurements about a PERSON and includes:

Note: CATEGORY VALUED PERSON OBSERVATION allows coded classifications of observations about a PERSON and OTHER PERSON OBSERVATION is where the PERSON states, for example, when they first experienced symptoms, the number of days on which alcohol has been consumed etc.

 

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SOURCE OF REFERRAL 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. 

A classification which identifies the source of referral of a Mental Health Care Spell.

National Codes:

 Primary Health Care
A1GENERAL MEDICAL PRACTITIONER
A2Health Visitor
A3Other Primary Health Care
 Self Referral
B1Self
B2Carer
 Local Authority Services
C1Social Services
C2Education Service
 Employer
D1Employer
 Justice System
E1Police
E2Courts
E3Probation Service
E4Prison
E5Court Liaison and Diversion Service
 Child Health
F1School Nurse
F2Hospital-based Paediatrics
F3Community-based Paediatrics
 Independent/Voluntary Sector
G1Independent sector - Medium Secure Inpatients
G2Independent Sector - Low Secure Inpatients
G3Other Independent Sector Mental Health Services
G4Voluntary Sector
 Acute Secondary Care
H1Accident And Emergency Department
H2Other secondary care specialty
 Other Mental Health NHS Trust
I1Temporary transfer from another Mental Health NHS Trust
I2Permanent transfer from another Mental Health NHS Trust
 Internal referrals  from Community Mental Health Team (within own NHS Trust)
J1Community Mental Health Team (Adult Mental Health)
J2Community Mental Health Team (Older People)
J3Community Mental Health Team (Learning Disabilities)
J4Community Mental Health Team (Child and Adolescent Mental Health)
 Internal referrals from Inpatient Service (within own NHS Trust)
K1Inpatient Service (Adult Mental Health)
K2Inpatient Service (Older People)
K3Inpatient Service (Forensics)
K4Inpatient Service (Child and Adolescent Mental Health)
K5Inpatient Service (Learning Disabilities)
 Transfer by graduation (within own NHS Trust)
L1Transfer by graduation from Child and Adolescent Mental Health Services to Adult Mental Health Services
L2Transfer by graduation from Adult Mental Health Services to Older Peoples Mental Health Services
 Other
M1Asylum Services
M2NHS Direct
M3Out of Area Agency
M4Drug Action Team / Drug Misuse Agency
M5Jobcentre Plus**
M6Other service or agency

** Note: this National Code can only be used for the Mental Health Minimum Data Set and Child and Adolescent Mental Health Services Data Set, if referrals from Jobcentre Plus are accepted.

 National Codes: Retired
The retired codes are for use in all versions of the Mental Health Minimum Data Set prior to Mental Health Minimum Data Set version 4-0

00GENERAL MEDICAL PRACTITIONER
01Self
02Local Authority Social Services
03Accident And Emergency Department
04Employer
05Education Service
06Police
07Other clinical specialty
08Carer
09Courts
10Probation Service
11High security
12Medium security
13Other
20Temporary transfer from mental health unit
21Permanent transfer from mental health unit
22Transfer by graduation from local child and adolescent mental health services


 

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BODY MASS INDEX

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:
BODY MASS INDEX (BMI) records the Body Mass Index of the PERSON.

BODY MASS INDEX replaces PERSON OBSERVATION (BMI) 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
shortnameBMI

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CIDS COPY RECIPIENT IDENTITY

Change to Data Element: New Data Element

Format/Length:min an3 max an12
HES Item: 
National Codes:See ORGANISATION CODE
ODS Default Codes:VPP00 - Private PATIENTS / Overseas Visitor liable for charges
 YDD82 - Episodes funded directly by the National Commissioning Group for England

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:
CIDS COPY RECIPIENT IDENTITY is the ORGANISATION CODE (or valid Organisation Data Service Default Code) for an ORGANISATION indicated as a Copy Recipient of the Community Information Data Set data.

A Copy Recipient may be an agency or service provider that carries out the receiving (and perhaps other) processes on behalf of the NHS ORGANISATION that ultimately uses the data. There may be multiple copy recipients for Community Information Data Set data.

Organisation Data Service Default Codes for CIDS COPY RECIPIENT IDENTITIES are detailed in the Commissioning and Community Information Data Sets Addressing Grid.

 

This data element is also known by these names:
ContextAlias
pluralCIDS COPY RECIPIENT IDENTITIES
fullnameCOMMUNITY INFORMATION DATA SET COPY RECIPIENT IDENTITY

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CIDS COPY RECIPIENT IDENTITY

Change to Data Element: New Data Element

CIDS COPY RECIPIENT IDENTITY
 
Attribute:
ORGANISATION CODE

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CIDS PRIME RECIPIENT IDENTITY

Change to Data Element: New Data Element

Format/Length:min an3 max an12
HES Item: 
National Codes:See ORGANISATION CODE
ODS Default Codes:VPP00 - Private PATIENTS / Overseas Visitor liable for charges
 YDD82 - Episodes funded directly by the National Commissioning Group for England

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:
CIDS PRIME RECIPIENT IDENTITY is the ORGANISATION CODE (or valid Organisation Data Service Default Code) representing the ORGANISATION determined to be the Prime Recipient of the Community Information Data Set Message as indicated in the Commissioning and Community Information Data Sets Addressing Grid. 

The required ORGANISATION CODES or Organisation Data Service Default Codes for CIDS PRIME RECIPIENT IDENTITIES are detailed in the Commissioning and Community Information Data Sets Addressing Grid.

 

This data element is also known by these names:
ContextAlias
pluralCIDS PRIME RECIPIENT IDENTITIES
fullnameCOMMUNITY INFORMATION DATA SET PRIME RECIPIENT IDENTITY

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CIDS PRIME RECIPIENT IDENTITY

Change to Data Element: New Data Element

CIDS PRIME RECIPIENT IDENTITY
 
Attribute:
ORGANISATION CODE

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CIDS UNIQUE IDENTIFIER

Change to Data Element: New Data Element

Format/Length:max an35
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 CIDS UNIQUE IDENTIFIER is used in conjunction with the ORGANISATION CODE (PROVIDER AT RECORD CREATION) to uniquely identify a record within a Community Information Data Set submission to the Secondary Uses Service.

When Net Change Community Information Data Set Submission Protocol is used, the CIDS UNIQUE IDENTIFIER and ORGANISATION CODE (PROVIDER AT RECORD CREATION) originally assigned to a record must be retained, otherwise duplicate Community Information Data Set records will be created in the Secondary Uses Service database.

When the CIDS UNIQUE IDENTIFIER is used in a Bulk Update Community Information Data Set Submission Protocol submission, it may be used to uniquely identify the record within that submission only, if systems are unable to maintain it across the life of the record in submissions to the Secondary Uses Service.  However, it is strongly advised that users of the Bulk Replacement Community Information Data Set Submission Protocol do move towards the maintenance of a correctly generated CDS UNIQUE IDENTIFIER within the Community Information Data Set data. This will establish a migration path towards the use of the Net Change submission protocol, and will also then minimise the risk of creating duplicate Commissioning Data Set data in the Secondary Uses Service database.

 

This data element is also known by these names:
ContextAlias
pluralCIDS UNIQUE IDENTIFIERS
fullnameCOMMUNITY INFORMATION DATA SET UNIQUE IDENTIFIER

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ORGANISATION CODE (PROVIDER AT RECORD CREATION)

Change to Data Element: New Data Element

Format/Length:min an3 max an12
HES Item: 
National Codes:See ORGANISATION 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:
ORGANISATION CODE (PROVIDER AT RECORD CREATION) is the ORGANISATION CODE (CODE OF PROVIDER) at the time that a CIDS UNIQUE IDENTIFIER for a record in a Community Information Data Set For Secondary Uses submission to the Secondary Uses Service was first created.

The Secondary Uses Service uses the ORGANISATION CODE (PROVIDER AT RECORD CREATION) and the CIDS UNIQUE IDENTIFIER to uniquely identify a Community Information Data Set record over its lifetime, when the Net Change Community Information Data Set Update Mechanism is used. 

Therefore when using Net Change Submission Mechanism, it is imperative that, even if the ORGANISATION CODE (CODE OF PROVIDER) of the Health Care Provider changes (for example, there is a merger with another ORGANISATION), the ORGANISATION CODE (PROVIDER AT RECORD CREATION) carried in the record remains the same if the record is resubmitted to the Secondary Uses Service.  If this is not done, a duplicate record will be created.

 

This data element is also known by these names:
ContextAlias
pluralORGANISATION CODES (PROVIDER AT RECORD CREATION)

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ORGANISATION CODE (PROVIDER AT RECORD CREATION)

Change to Data Element: New Data Element

ORGANISATION CODE (PROVIDER AT RECORD CREATION)
 
Attribute:
ORGANISATION CODE

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PERSON HEIGHT IN CENTIMETRES  renamed from PERSON OBSERVATION (HEIGHT IN CENTIMETRES)

Change to Data Element: Changed Aliases, Name


PERSON HEIGHT IN METRES  renamed from PERSON OBSERVATION (HEIGHT IN METRES)

Change to Data Element: Changed Aliases, Name


PERSON OBSERVATION (BMI)

Change to Data Element: Changed Description

Format/Length:nn.n
HES Item: 
National Codes: 
Default Codes: 

Notes:
PERSON OBSERVATION (BMI) records the Body Mass Index of the PERSON.

This value is derived from Weight in kilograms divided by Height in metres squared (kg/m²).

 PERSON OBSERVATION (BMI) will be replaced with body PERSON OBSERVATION (BMI), which should be used for all new and developing data sets and for XML messages. 

 

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