Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1240
Version No:1.0
Subject:Preparatory Update Change Request
Effective Date:Immediate
Reason for Change:Change to Data Standards
Publication Date:11 April 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:

Diagrams
PERSON AND PERSON PROPERTY DIAGRAM   Changed Diagram
 
Supporting Information
ELECTROCARDIOGRAM   New Supporting Information
HEART RATE   New Supporting Information
 
Class Definitions
PERSON PROPERTY   Changed Attributes
 
Attribute Definitions
PATIENT HISTORY INDICATOR   New Attribute
 
Data Elements
SERUM CHOLESTEROL LEVEL renamed from SERUM CHOLESTEROL   Changed Name, Aliases, Description
SMOKING STATUS   Changed Aliases, Description
SMOKING STATUS CODE   New Data Element
 

Date:11 April 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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PERSON AND PERSON PROPERTY DIAGRAM

Change to Diagram: Changed Diagram

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ELECTROCARDIOGRAM

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.

An Electrocardiogram (ECG) is a Clinical Investigation.

An Electrocardiogram records the rhythm and electrical activity of the heart.

For further information on Electrocardiograms, see the NHS Choices website.

 

This supporting information is also known by these names:
ContextAlias
shortnameECG
pluralElectrocardiograms

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HEART RATE

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.

Heart Rate is a MEASURED PERSON OBSERVATION.

Heart Rate is the number of heartbeats per unit of time, usually expressed as beats per minute (bpm).

 

This supporting information is also known by these names:
ContextAlias
pluralHeart Rates

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PERSON PROPERTY

Change to Class: Changed Attributes

Attributes of this Class are:
KPERSON PROPERTY IDENTIFIER
AMI HISTORY ITEM TYPE
FREE PRESCRIPTIONS INDICATOR
LAST MENSTRUAL PERIOD DATE
PATIENT HISTORY INDICATOR
PERSON BLOOD GROUP
PERSON PROPERTY EFFECTIVE DATE
PERSON PROPERTY EFFECTIVE END DATE
PERSON PROPERTY EFFECTIVE END TIME
PERSON PROPERTY EFFECTIVE TIME
PERSON PROPERTY OBSERVED DATE
PERSON PROPERTY OBSERVED TIME
PERSON PROPERTY RECORDED DATE
PERSON PROPERTY RECORDED TIME
PERSON RHESUS FACTOR
PREGNANCY STATUS

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PATIENT HISTORY INDICATOR

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.

An indication of whether the PATIENT has a history of a medical condition, for example Angina, Acute Myocardial Infarction, Human Papillomavirus (HPV) etc.

National Codes:

YYes
NNo
 

This attribute is also known by these names:
ContextAlias
pluralPATIENT HISTORY INDICATORS

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SERUM CHOLESTEROL LEVEL  renamed from SERUM CHOLESTEROL

Change to Data Element: Changed Name, Aliases, Description

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

Notes:
SERUM CHOLESTEROL is the Serum Cholesterol Level of a PATIENT.SERUM CHOLESTEROL LEVEL is the Serum Cholesterol Level of a PATIENT measured in 'mmol/L (millimoles per litre)'.

A fasting sample ideally taken within 24 hours of admission

Central Cardiac Audit Database (CCAD) item name:
Serum cholesterol

SERUM CHOLESTEROL replaces PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) and should be used for all new and developing data sets and for XML messages.SERUM CHOLESTEROL LEVEL replaces PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) and should be used for all new and developing data sets and for XML messages.

 

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SERUM CHOLESTEROL LEVEL  renamed from SERUM CHOLESTEROL

Change to Data Element: Changed Name, Aliases, Description


SMOKING STATUS

Change to Data Element: Changed Aliases, Description

Format/length:n1
HES item: 
Format/Length:n1
HES Item: 
National Codes:See SMOKING STATUS
Default Codes:9 - Unknown


Notes:
SMOKING STATUS is the same as attribute SMOKING STATUS.

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

 

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SMOKING STATUS

Change to Data Element: Changed Aliases, Description


SMOKING STATUS CODE

Change to Data Element: New Data Element

Format/Length:an1
HES Item: 
National Codes:See SMOKING STATUS
Default Codes:9 - Unknown

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:
SMOKING STATUS CODE is the same as attribute SMOKING STATUS.

SMOKING STATUS CODE replaces SMOKING STATUS 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
pluralSMOKING STATUS CODES

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SMOKING STATUS CODE

Change to Data Element: New Data Element

SMOKING STATUS CODE
 
Attribute:
SMOKING STATUS

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