Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1289
Version No:1.0
Subject:Update Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:2 February 2012

Background:

This patch updates the NHS Data Model and Dictionary and includes:

To view a demonstration on "How to Read an NHS Data Model and Dictionary Change Request", visit the NHS Data Model and Dictionary help pages at: http://www.datadictionary.nhs.uk/Flash_Files/changerequest.htm.

Note: if the web page does not open, please copy the link and paste into the web browser.

Summary of changes:

Diagrams
ORGANISATION DIAGRAM   Changed Diagram
 
Data Set
DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET   Changed Description
DIAGNOSTICS WAITING TIMES CENSUS DATA SET   Changed Description
GENITOURINARY MEDICINE CLINIC ACTIVITY DATA SET   Changed Description
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DATA SET   Changed Description
SYSTEMIC ANTI-CANCER THERAPY DATA SET   Changed Description
 
Supporting Information
DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET OVERVIEW   Changed Description
DIAGNOSTICS WAITING TIMES CENSUS DATA SET OVERVIEW   Changed Description
GENITOURINARY MEDICINE CLINIC ACTIVITY DATA SET OVERVIEW   Changed Description
MENTAL HEALTH CARE SPELL   Changed Description
 
Attribute Definitions
ADULT MENTAL HEALTH CARE TEAM TYPE   Changed Aliases
 
Data Elements
SERUM CHOLESTEROL LEVEL   Changed Description
STATUS OF SERVICE REQUEST (MENTAL HEALTH)   Changed Description
 

Date:2 February 2012
Sponsor:Richard Kavanagh, 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.

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ORGANISATION DIAGRAM

Change to Diagram: Changed Diagram

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DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET

Change to Data Set: Changed Description

Diagnostics Waiting Times and Activity Data Set Overview

The Diagnostic waiting times reporting of the monthly waiting times and activity reporting (DM01).

The diagnostic investigations are grouped into categories of Imaging, Physiological Measurement and Endoscopy.

The distinctions between these groups are not absolute and some procedures could be collected under more than one of the clinical groupings. A PATIENT waiting for a diagnostic investigation should be counted only once for each test they are waiting for, wherever the test is to be performed and even if there is any additional therapeutic intervention. Each test should be identified by their OPCS coding where applicable.

The column headed Opt (Optionality) shows whether the data element is Mandatory M or Optional O.

OptData Set Data Elements
Organisation and Reporting Period
MORGANISATION CODE (CODE OF COMMISSIONER)
MORGANISATION CODE (CODE OF PROVIDER)
MREPORTING PERIOD START DATE
MREPORTING PERIOD END DATE
Patients Still Waiting - at month end.
Imaging divided into Magnetic Resonance Imaging, Computer Tomography, Non-obstetric ultrasound, Barium Enema and dual energy X-ray absorptiometry (DEXA) scans
Many occurrences of this Group are permitted.
Patients Still Waiting - at month end.
Imaging divided into Magnetic Resonance Imaging, Computer Tomography, Non-obstetric ultrasound, Barium Enema and dual energy X-ray absorptiometry (DEXA) scans
Multiple occurrences of this group are permitted.
MDIAGNOSTIC TEST (IMAGING)
MDIAGNOSTICS REPORTING TIME BAND
MPATIENTS WAITING FOR DIAGNOSTIC TEST
Patients still waiting - at month end.
Physiological Measurement divided into Audiology - audiological assessments, Cardiology - echocardiography and electrophysiology, Neurophysiology - peripheral neurophysiology, Respiratory physiology - sleep studies and Urodynamics - pressures & flows.
Many occurrences of this group are permitted.
Patients still waiting - at month end.
Physiological Measurement divided into Audiology - audiological assessments, Cardiology - echocardiography and electrophysiology, Neurophysiology - peripheral neurophysiology, Respiratory physiology - sleep studies and Urodynamics - pressures & flows.
Multiple occurrences of this group are permitted.
MDIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT)
MDIAGNOSTICS REPORTING TIME BAND
MPATIENTS WAITING FOR DIAGNOSTIC TEST
Patients still waiting - at month end.
Endoscopy divided into Colonoscopy, Flexible sigmoidoscopy, Cystoscopy and Gastroscopy.
Many occurrences of this group are permitted.
Patients still waiting - at month end.
Endoscopy divided into Colonoscopy, Flexible sigmoidoscopy, Cystoscopy and Gastroscopy.
Multiple occurrences of this group are permitted.
MDIAGNOSTIC TEST (ENDOSCOPY)
MDIAGNOSTICS REPORTING TIME BAND
MPATIENTS WAITING FOR DIAGNOSTIC TEST
Activity - number of tests/procedures carried out during the month.
Imaging divided into Magnetic Resonance Imaging, Computer Tomography, Non-obstetric ultrasound, Barium Enema and
dual energy X-ray absorptiometry (DEXA) scans.
Many occurrences of this group are permitted.
Activity - number of tests/procedures carried out during the month.
Imaging divided into Magnetic Resonance Imaging, Computer Tomography, Non-obstetric ultrasound, Barium Enema and
dual energy X-ray absorptiometry (DEXA) scans.
Multiple occurrences of this group are permitted.
MDIAGNOSTIC TEST (IMAGING)
MWAITING LIST DIAGNOSTIC TESTS DONE
MPLANNED DIAGNOSTIC TESTS DONE
MUNSCHEDULED DIAGNOSTIC TESTS DONE
MDIAGNOSTIC TESTS DONE TOTAL
MDIAGNOSTIC TESTS COMMISSIONED FROM INDEPENDENT SECTOR
Activity - number of tests/procedures carried out during the month.
Physiological Measurement divided into Audiology - audiological assessments, Cardiology - echocardiography and electrophysiology, Neurophysiology - peripheral neurophysiology, Respiratory physiology - sleep studies and Urodynamics - pressures & flows.
Many occurrences of this group are permitted.
Activity - number of tests/procedures carried out during the month.
Physiological Measurement divided into Audiology - audiological assessments, Cardiology - echocardiography and electrophysiology, Neurophysiology - peripheral neurophysiology, Respiratory physiology - sleep studies and Urodynamics - pressures & flows.
Multiple occurrences of this group are permitted.
MDIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT)
MWAITING LIST DIAGNOSTIC TESTS DONE
MPLANNED DIAGNOSTIC TESTS DONE
MUNSCHEDULED DIAGNOSTIC TESTS DONE
MDIAGNOSTIC TESTS DONE TOTAL
MDIAGNOSTIC TESTS COMMISSIONED FROM INDEPENDENT SECTOR
Activity - number of tests/procedures carried out during the month.
Endoscopy divided into Colonoscopy, Flexible sigmoidoscopy, Cystoscopy and Gastroscopy.
Many occurrences of this group are permitted.
Activity - number of tests/procedures carried out during the month.
Endoscopy divided into Colonoscopy, Flexible sigmoidoscopy, Cystoscopy and Gastroscopy.
Multiple occurrences of this group are permitted.
MDIAGNOSTIC TEST (ENDOSCOPY)
MWAITING LIST DIAGNOSTIC TESTS DONE
MPLANNED DIAGNOSTIC TESTS DONE
MUNSCHEDULED DIAGNOSTIC TESTS DONE
MDIAGNOSTIC TESTS DONE TOTAL
MDIAGNOSTIC TESTS COMMISSIONED FROM INDEPENDENT SECTOR

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DIAGNOSTICS WAITING TIMES CENSUS DATA SET

Change to Data Set: Changed Description

Diagnostics Waiting Times Census Data Set Overview

The Diagnostic Census of the waiting times for DIAGNOSTIC TEST REQUESTS.

The diagnostic investigations are grouped into categories of Endoscopy, Imaging, Pathology and Physiological Measurement.

The distinctions between these groups are not absolute and some procedures could be collected under more than one of the clinical groupings. A PATIENT waiting for a diagnostic investigation should be counted only once for each test they are waiting for, wherever the test is to be performed and even if there is any additional therapeutic intervention. Each test should be identified by their OPCS coding where applicable.

The column headed Opt (Optionality) shows whether the data element is Mandatory M or Optional O.

OptData Set Data Elements
Organisation and Reporting Period
MORGANISATION CODE (CODE OF COMMISSIONER)
MORGANISATION CODE (CODE OF PROVIDER)
MREPORTING PERIOD START DATE
MREPORTING PERIOD END DATE
Patients Still Waiting - at census
Endoscopy
Many occurrences of this Group are permitted.
Patients Still Waiting - at census
Endoscopy
Multiple occurrences of this group are permitted.
MDIAGNOSTIC TEST (ENDOSCOPY CENSUS) 
MDIAGNOSTICS REPORTING TIME BAND
MPATIENTS WAITING FOR DIAGNOSTIC TEST
Patients still waiting - at census.
Imaging
Many occurrences of this group are permitted.
Patients still waiting - at census.
Imaging
Multiple occurrences of this group are permitted.
MDIAGNOSTIC TEST (IMAGING CENSUS) 
MDIAGNOSTICS REPORTING TIME BAND
MPATIENTS WAITING FOR DIAGNOSTIC TEST
Patients still waiting - at census.
Pathology
Many occurrences of this group are permitted.
Patients still waiting - at census.
Pathology
Multiple occurrences of this group are permitted.
MDIAGNOSTIC TEST (PATHOLOGY CENSUS) 
MDIAGNOSTICS REPORTING TIME BAND 
MPATIENTS WAITING FOR DIAGNOSTIC TEST
Patients still waiting - at census.
Physiological Measurement
Many occurrences of this group are permitted.
Patients still waiting - at census.
Physiological Measurement
Multiple occurrences of this group are permitted.
MDIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT CENSUS) 
MDIAGNOSTICS REPORTING TIME BAND
MPATIENTS WAITING FOR DIAGNOSTIC TEST

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GENITOURINARY MEDICINE CLINIC ACTIVITY DATA SET

Change to Data Set: Changed Description

Genitourinary Medicine Clinic Activity Data Set Overview

The Opt (Optionality) column indicates the NHS recommendation for the inclusion of data:

M = Mandatory - This data element is mandatory, the message will be rejected by the Health Protection Agency if this data element is absent

R = Required - This data is required as part of NHS business rules and must be included where available or applicable.

The Genitourinary Medicine Clinic Activity Data Set provides essential public health information about sexually transmitted infection diagnoses, treatments and services provided by genitourinary medicine services.

Please note: A PATIENT may have more than one diagnosis, treatment and service per attendance, therefore a row should be transmitted for each SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE or DIAGNOSTIC OR PROCEDURE CODING (SEXUAL HEALTH AND HUMAN IMMUNODEFICIENCY VIRUS RELEVANT READ CODES)  recorded.

OptData Set Data Elements
M
SITE CODE (OF TREATMENT)
M
LOCAL PATIENT IDENTIFIER
R

R
SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE
or
DIAGNOSTIC OR PROCEDURE CODING (SEXUAL HEALTH AND HUMAN IMMUNODEFICIENCY VIRUS RELEVANT READ CODES)
R
PERSON GENDER CURRENT
R
AGE AT ATTENDANCE DATE
R
SEXUAL ORIENTATION (CURRENT)
R
ETHNIC CATEGORY
R
COUNTRY CODE (BIRTH)
R
ORGANISATION CODE (PCT OF RESIDENCE)
R
LOWER LAYER SUPER OUTPUT AREA (RESIDENCE)
R
FIRST ATTENDANCE
M
ATTENDANCE DATE
M
SITE CODE (OF TREATMENT)
M
LOCAL PATIENT IDENTIFIER
R

R
SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE
or
DIAGNOSTIC OR PROCEDURE CODING (SEXUAL HEALTH AND HUMAN IMMUNODEFICIENCY VIRUS RELEVANT READ CODES)
R
PERSON GENDER CURRENT
R
AGE AT ATTENDANCE DATE
R
SEXUAL ORIENTATION (CURRENT)
R
ETHNIC CATEGORY
R
COUNTRY CODE (BIRTH)
R
ORGANISATION CODE (PCT OF RESIDENCE)
R
LOWER LAYER SUPER OUTPUT AREA (RESIDENCE)
R
FIRST ATTENDANCE
M
ATTENDANCE DATE

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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DATA SET

Change to Data Set: Changed Description

Improving Access to Psychological Therapies Data Set Overview

The Improving Access to Psychological Therapies Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012.

The Improving Access to Psychological Therapies Data Set provides an agreed national standard for data collection for commissioned providers of psychological therapy for anxiety and depression.

The Mandatory or Required (M/R) column indicates the recommendation for the inclusion of data:

  • M = Mandatory: this data element is mandatory, the message will be rejected if this data element is absent
  • R = Required: this data element is required as part of NHS business rules and must be included where available or applicable
PERSONAL AND DEMOGRAPHIC DETAILS

Patient details:
To carry Patient Demographic details.
One occurrence of this group is permitted.
M/RData Set Data Elements
RNHS NUMBER
RNHS NUMBER STATUS INDICATOR CODE
MLOCAL PATIENT IDENTIFIER
MORGANISATION CODE (CODE OF PROVIDER)
MPERSON BIRTH DATE
RPERSON GENDER CODE CURRENT
MPOSTCODE OF USUAL ADDRESS
RGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
RETHNIC CATEGORY
RRELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE
RSEXUAL ORIENTATION (CURRENT)
REX-BRITISH ARMED FORCES INDICATOR
RLONG TERM PHYSICAL HEALTH CONDITION INDICATOR (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)

DISABILITY

Patient Disability details:
To carry details of the Patient's Perceived Disability.
Many occurrences of this group are permitted (one for each disability).
M/RData Set Data Elements
RNHS NUMBER
RLOCAL PATIENT IDENTIFIER
RORGANISATION CODE (CODE OF PROVIDER)
RDISABILITY CODE

REFERRAL DETAILS

Improving Access to Psychological Therapies Referral details:
To carry details of the Referral.
Many occurrences of this group are permitted (one occurrence for each Referral).
M/RData Set Data Elements
RNHS NUMBER
MLOCAL PATIENT IDENTIFIER
MORGANISATION CODE (CODE OF PROVIDER)
MSERVICE REQUEST IDENTIFIER
RREFERRAL REQUEST RECEIVED DATE
RSOURCE OF REFERRAL FOR MENTAL HEALTH
RSERVICE REQUEST ACCEPTANCE INDICATOR
RORGANISATION CODE (CODE OF COMMISSIONER)
RPROVISIONAL DIAGNOSIS (ICD)
RYEAR AND MONTH OF SYMPTOMS ONSET (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
RPREVIOUS SYMPTOM INDICATOR
RIMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE SPELL END CODE
REND DATE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)

APPOINTMENT DETAILS

Improving Access to Psychological Therapies Appointment details:
To carry details of each Appointment.
Many occurrences of this group are permitted (one occurrence for each Appointment).
M/RData Set Data Elements
RNHS NUMBER
MLOCAL PATIENT IDENTIFIER
MORGANISATION CODE (CODE OF PROVIDER)
MSERVICE REQUEST IDENTIFIER
MAPPOINTMENT DATE
RCARE PROFESSIONAL ROLE CODE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
MATTENDED OR DID NOT ATTEND CODE
RCLINICAL CONTACT DURATION OF APPOINTMENT
RAPPOINTMENT TYPE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
RCONSULTATION MEDIUM USED
RTHERAPY TYPE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)
(Up to four types may be recorded for each APPOINTMENT)
REMPLOYMENT STATUS
REMPLOYMENT SUPPORT SUITABILITY INDICATOR
REMPLOYMENT SUPPORT REFERRAL DATE
RPSYCHOTROPIC MEDICATION USAGE
RSTATUTORY SICK PAY INDICATOR
RPHQ-9 TOTAL SCORE
RGENERALISED ANXIETY DISORDER SCORE
RWORK AND SOCIAL ADJUSTMENT SCALE SCORE
RAGORAPHOBIA MOBILITY INVENTORY SCORE (WHEN ACCOMPANIED)
RAGORAPHOBIA MOBILITY INVENTORY SCORE (WHEN ALONE)
RAGORAPHOBIA SCORE
RGENERALISED ANXIETY DISORDER PENN STATE WORRY SCORE
RHEALTH ANXIETY INVENTORY SHORT WEEK SCALE SCORE
ROBSESSIVE COMPULSIVE DISORDER INVENTORY SCORE
RPANIC DISORDER SEVERITY SCALE SCORE
RPOST TRAUMATIC STRESS DISORDER IMPACT OF EVENTS SCALE REVISED SCORE
RSOCIAL PHOBIA INVENTORY SCORE
RSOCIAL PHOBIA SCORE
RSPECIFIC PHOBIA SCORE

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SYSTEMIC ANTI-CANCER THERAPY DATA SET

Change to Data Set: Changed Description

Systemic Anti-Cancer Therapy Data Set Overview

The Systemic Anti-Cancer Therapy Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012.

The Systemic Anti-Cancer Therapy Data Set is intended to collect clinical management information on PATIENTS undergoing Chemotherapy in (or funded by) the NHS in England.

The Mandatory, Required or Optional (M/R/O) column indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory, the message will be rejected if this data element is absent
  • R = Required: data is required as part of NHS business rules and must be included where available or applicable
  • O = Optional: the flow of this data is optional. It should be included at the discretion of the submitting organisation and their commissioners as required for local purposes.
DEMOGRAPHICS AND CONSULTANT

To carry personal, organisation and consultant details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MNHS NUMBER
MPERSON BIRTH DATE
RPERSON GENDER CODE CURRENT
RETHNIC CATEGORY
MPOSTCODE OF USUAL ADDRESS
RGENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
RCONSULTANT CODE (INITIATED SYSTEMIC ANTI-CANCER THERAPY)
RCARE PROFESSIONAL MAIN SPECIALTY CODE (START SYSTEMIC ANTI-CANCER THERAPY)
MORGANISATION CODE (CODE OF PROVIDER)

CLINICAL STATUS

To carry the clinical status details.
One occurrence of this group is required.
M/R/OData Set Data Elements
MPRIMARY DIAGNOSIS (ICD AT START SYSTEMIC ANTI-CANCER THERAPY)
and/or
MORPHOLOGY (ICD-O AT START SYSTEMIC ANTI-CANCER THERAPY)
RTNM CATEGORY (FINAL PRETREATMENT)

PROGRAMME AND REGIMEN

To carry details of the Systemic Anti-Cancer Therapy Programme and Systemic Anti-Cancer Drug Regimen.
Multiple occurrences of this group are permitted (at least one must be present).
M/R/OData Set Data Elements
RSYSTEMIC ANTI-CANCER THERAPY PROGRAMME NUMBER
RANTI-CANCER REGIMEN NUMBER
RDRUG TREATMENT INTENT
MDRUG REGIMEN ACRONYM
RPERSON HEIGHT IN METRES
RPERSON WEIGHT
RPERFORMANCE STATUS (ADULT)
or
PERFORMANCE STATUS (YOUNG PERSON)
RCO-MORBIDITY ADJUSTMENT INDICATOR
RDECISION TO TREAT DATE (ANTI-CANCER DRUG REGIMEN)
MSTART DATE (ANTI-CANCER DRUG REGIMEN)
RCLINICAL TRIAL INDICATOR
RCHEMO-RADIATION INDICATOR
RNUMBER OF SYSTEMIC ANTI-CANCER THERAPY CYCLES PLANNED

CYCLE

To carry details of each Systemic Anti-Cancer Therapy Cycle.
Multiple occurrences of this group are permitted (at least one must be present).
M/R/OData Set Data Elements
MANTI-CANCER DRUG CYCLE IDENTIFIER
RSTART DATE (SYSTEMIC ANTI-CANCER DRUG CYCLE)
OPERSON WEIGHT
RPERFORMANCE STATUS (ADULT)
or
PERFORMANCE STATUS (YOUNG PERSON)
RPRIMARY PROCEDURE (OPCS)

DRUG DETAILS

To carry details of the Systemic Anti-Cancer Therapy Drugs.
Multiple occurrences of this group are permitted (one occurrence for each Systemic Anti-Cancer Therapy Drug - at least one must be present).
M/R/OData Set Data Elements
RSYSTEMIC ANTI-CANCER DRUG NAME
RCHEMOTHERAPY ACTUAL DOSE
RSYSTEMIC ANTI-CANCER THERAPY DRUG ROUTE OF ADMINISTRATION
RSYSTEMIC ANTI-CANCER THERAPY ADMINISTRATION DATE
RORGANISATION CODE (CODE OF PROVIDER)
RPRIMARY PROCEDURE (OPCS)

OUTCOME

To carry details of the outcome / summary.
One occurrence of this group is permitted.
M/R/OData Set Data Elements
RSTART DATE (FINAL SYSTEMIC ANTI-CANCER THERAPY)
RSYSTEMIC ANTI-CANCER THERAPY REGIMEN MODIFICATION INDICATOR (DOSE REDUCTION)
RSYSTEMIC ANTI-CANCER THERAPY REGIMEN MODIFICATION INDICATOR (TIME DELAY)
RSYSTEMIC ANTI-CANCER THERAPY REGIMEN MODIFICATION INDICATOR (DAYS REDUCED)
RPLANNED TREATMENT CHANGE REASON
RPERSON DEATH DATE

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DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Diagnostic waiting times reporting of the monthly waiting times and activity reporting (DM01).

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:The distinctions between the data set groups are not absolute and some procedures could be collected under more than one of the clinical groupings. A PATIENT waiting for a diagnostic investigation should be counted only once for each test they are waiting for, wherever the test is to be performed and even if there is any additional therapeutic intervention. Each test should be identified by their OPCS Classification of Interventions and Procedures coding where applicable.

The diagnostic investigations are grouped into categories of Imaging, Physiological Measurement and Endoscopy. The 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 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.

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DIAGNOSTICS WAITING TIMES CENSUS DATA SET OVERVIEW

Change to Supporting Information: Changed Description


The Diagnostic Census of the waiting times for DIAGNOSTIC TEST REQUESTS.

The Diagnostics Waiting Times Census Data Set provides definitions to support the national data collections on DIAGNOSTIC TESTS, a key element towards monitoring waits from referral to treatment. This is a census of DIAGNOSTIC TEST waiting times.

The diagnostic investigations are grouped into categories of Endoscopy, Imaging, Pathology and Physiological Measurement.

The distinctions between these groups are not absolute and some procedures could be collected under more than one of the clinical groupings. A PATIENT waiting for a diagnostic investigation should be counted only once for each test they are waiting for, wherever the test is to be performed and even if there is any additional therapeutic intervention. Each test should be identified by their OPCS Classification of Interventions and Procedures coding where applicable.

This data set is for the census covering 4 main areas of DIAGNOSTIC TESTS as below:

  • Part 1 - Endoscopy
  • Part 2 - Imaging
  • Part 3 - Pathology
  • Parts 4 to 11 - Physiological Measurement

Patient level information

Information is to be submitted onto the Unify2 database that has been developed and maintained by the Department of Health. All 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, GP Practice, one-stop centres etc.). It is recognised that there will be some overlap between PATIENTS reported on this census and PATIENTS reported in the inpatient and outpatient waiting times returns.

How the data set is transmitted

Full guidance on Unify2 can be found at the following address:
Unify2 Guidance

Further guidance

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

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GENITOURINARY MEDICINE CLINIC ACTIVITY DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Contextual Overview

This return replaces KC60 which was retired on 01 April 2010.

The Genitourinary Medicine Clinic Activity Data Set provides essential public health information about sexually transmitted infection diagnoses, treatments and services provided by genitourinary medicine services.

Please note: A PATIENT may have more than one diagnosis, treatment and service per attendance, therefore a row should be transmitted for each SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE or DIAGNOSTIC OR PROCEDURE CODING (SEXUAL HEALTH AND HUMAN IMMUNODEFICIENCY VIRUS RELEVANT READ CODES)  recorded.

The Genitourinary Medicine Clinic Activity Data Set is used to:

  • To inform public health response and policy formulation for England
  • To monitor the effectiveness of the policies introduced as part of the National Strategy for Sexual Health and Human Immunodeficiency Virus (HIV)
  • For performance management at Primary Care Trust, Strategic Health Authority and national level to ensure delivery of the national Public Service Agreement target on sexual health
  • For better planning and management of services at local level
  • To adapt and refine interventions, as appropriate
DATA EXTRACT SPECIFICATION

Description: The Health Protection Agency require services to generate and provide a data extract in accordance with the Genitourinary Medicine Clinic Activity Data Set. These services include:

  • NHS providers of specialised services, where the primary function of the specialist clinical multidisciplinary team is concerned with the provision of screening, diagnosis and management of sexually transmissible infections and related genital medical conditions.
  • All Enhanced Sexual Health Services  (ESHS) commissioned by the NHS who offer testing, diagnostic and/or treatment of Sexually Transmitted Infections.

 Enhanced Sexual Health Services include:

It should be noted that General Practitioner with a Special Interest (GPwSI) will only be included if they operate from a practice that has been commissioned to provide an Enhanced Sexual Health Service.

Time period: The extract will cover one calendar quarter.

Frequency: Reports will be run quarterly, 6 weeks after the end of the quarter.

Format: Data returned should be formatted into a single comma separated variable (csv) file. The data elements should be transmitted in the order specified in the Genitourinary Medicine Clinic Activity Data Set.

Transmission: Electronic files will be transmitted to the Health Protection Agency through a secure web portal in the Health Protection Agency website. This web portal enables ORGANISATIONS to submit data files in a secure manner to the HIV and STI Department of the Health Protection Agency across the Internet.  The web portal can be found at HIV & STI web portal.

Connection to the web portal requires a login account name and password, which will be available from the project administrator at the Health Protection Agency. Please contact gumcad@hpa.org.uk for access or more information.

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MENTAL HEALTH CARE SPELL

Change to Supporting Information: Changed Description

Mental Health Care Spell is a Care Spell, which is an ACTIVITY GROUP.A Mental Health Care Spell is a Care Spell, which is an ACTIVITY GROUP.

This can be either a:A Mental Health Care Spell can be either a:

 

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ADULT MENTAL HEALTH CARE TEAM TYPE

Change to Attribute: Changed Aliases


SERUM CHOLESTEROL LEVEL

Change to Data Element: Changed Description

Format/Length:nn.n
Format/Length:max n2.n
HES Item: 
National Codes: 
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:
SERUM CHOLESTEROL LEVEL is the Serum Cholesterol Level of a PATIENT measured in 'mmol/L (millimoles per litre)'.

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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STATUS OF SERVICE REQUEST (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/Length:an2
HES Item: 
National Codes:See STATUS OF SERVICE REQUEST FOR MENTAL HEALTH
Default Codes: 


Notes:
STATUS OF SERVICE REQUEST (MENTAL HEALTH) is the same as attribute STATUS OF SERVICE REQUEST FOR MENTAL HEALTH.

 

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For enquiries, please email datastandards@nhs.net