Health and Social Care Information Centre

NHS Data Model and Dictionary Service

Type:Patch
Reference:1400
Version No:1.0
Subject:Data Element and Attribute Packages
Effective Date:Immediate
Reason for Change:Patch
Publication Date:24 July 2013

Background:

This patch updates the NHS Data Model and Dictionary as follows:

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.

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Summary of changes:

Diagrams
ACTIVITY DIAGRAM   Changed Diagram
CANCER OUTCOMES AND SERVICES DIAGRAM   Changed Diagram
CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DIAGRAM   Changed Diagram
CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICE SECONDARY USES DIAGRAM   Changed Diagram
HIV AND AIDS DIAGRAM   Changed Diagram
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DIAGRAM   Changed Diagram
MATERNITY SERVICES SECONDARY USES DIAGRAM   Changed Diagram
NATIONAL RENAL DIAGRAM   Changed Diagram
PATIENT PATHWAY DIAGRAM   Changed Diagram
PERSON AND PERSON PROPERTY DIAGRAM   Changed Diagram
RADIOTHERAPY DIAGRAM   Changed Diagram
 
Class Definitions
ACTIVITY GROUP   Changed Attributes
CARE CONTACT   Changed Attributes
MALIGNANT ABNORMALITY   Changed Attributes
OCCUPATION CODE   Changed Attributes
ORGANISATION SITE BED AVAILABILITY   Changed Attributes
PATIENT DIAGNOSIS   Changed Attributes
PLANNED ACTIVITY   Changed Attributes
REFERRAL REQUEST   Changed Attributes
 
Packages
AR renamed from ARI   Changed Name
AT renamed from AUG   Changed Name
END renamed from ENH   Changed Name
HOR renamed from HOSP   Changed Name
NO renamed from NON   Changed Name
PRES renamed from PRE   Changed Name
PROD renamed from PROF   Changed Name
REN renamed from REH   Changed Name
 

Date:24 July 2013
Sponsor:Richard Kavanagh, Head of Data Standards - Interoperability Specifications, Health and Social Care Information Centre

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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ACTIVITY DIAGRAM

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CANCER OUTCOMES AND SERVICES DIAGRAM

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CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DIAGRAM

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CHILDREN AND YOUNG PEOPLE'S HEALTH SERVICE SECONDARY USES DIAGRAM

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HIV AND AIDS DIAGRAM

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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DIAGRAM

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MATERNITY SERVICES SECONDARY USES DIAGRAM

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NATIONAL RENAL DIAGRAM

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PATIENT PATHWAY DIAGRAM

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PERSON AND PERSON PROPERTY DIAGRAM

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RADIOTHERAPY DIAGRAM

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ACTIVITY GROUP

Change to Class: Changed Attributes

Attributes of this Class are:
A and E INCIDENT LOCATION TYPE
A and E PATIENT GROUP
ACTIVITY GROUP TYPE
ADMISSION METHOD
BABY FIRST FEED BREAST MILK STATUS
BREASTFEEDING STATUS
BROAD PATIENT GROUP
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS
CANCER REFERRAL TO TREATMENT PERIOD START DATE
CANCER SCREENING STATUS
CANCER TREATMENT INTENT
CANCER TREATMENT PERIOD START DATE
CARE PROGRAMME APPROACH LEVEL
CHILDREN TEENAGERS AND YOUNG ADULTS AGE CATEGORY
DELIVERY FACILITIES ONLY USED
DELIVERY PLACE CHANGE REASON
DISCHARGE DESTINATION
DISCHARGED TO HOSPITAL AT HOME SERVICE INDICATOR
DISCHARGE FROM MENTAL HEALTH SERVICE REASON
DISCHARGE METHOD
FIRST REGULAR DAY OR NIGHT ADMISSION
FULL POSTNATAL EXAMINATION DATE
GENERAL DENTAL SERVICE INDICATOR
GENETICALLY DETERMINED SKIN CANCER TYPE
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES CARE SPELL END CODE
INCIDENT TYPE
INTRAVESICAL CHEMOTHERAPY RECEIVED INDICATOR
INTRAVESICAL IMMUNOTHERAPY RECEIVED INDICATOR
KEY WORKER SEEN INDICATOR
LENGTH OF STAY ADJUSTMENT
LENGTH OF STAY ADJUSTMENT REASON
MONITORING INTENT
NON SMOKING CONFIRMATION STATUS AT 4 WEEKS
OUTCOME AT 4 WEEK FOLLOW-UP
PAEDIATRIC NEPHROLOGY REGISTRY STATUS CODE
PALLIATIVE CARE SPECIALIST SEEN INDICATOR
PALLIATIVE TREATMENT REASON CODE FOR UPPER GASTROINTESTINAL
PHARMACOTHERAPY STOP SMOKING AID RECEIVED
PREGNANCY OUTCOME CODE
PREGNANCY TOTAL PREVIOUS LOSSES LESS THAN 24 WEEKS
PREVIOUS NEGATIVE HIV TEST IN UNITED KINGDOM INDICATOR
RADIOTHERAPY INTENT
RENAL DIALYSIS SCHEDULE TYPE
SMOKING QUIT DATE
SOURCE OF ADMISSION
SUPERVISED COMMUNITY TREATMENT END REASON
SUPERVISION REGISTER RISK
TELEPHONE CONTACT INDICATOR
TREATMENT START DATE FOR CANCER
WARD STAY TERMINATION REASON

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CARE CONTACT

Change to Class: Changed Attributes

Attributes of this Class are:
A and E ATTENDANCE CATEGORY
A and E INITIAL ASSESSMENT TRIAGE CATEGORY
A and E STREAM
ACCIDENT AND EMERGENCY ARRIVAL MODE
ACCIDENT AND EMERGENCY ATTENDANCE DISPOSAL
ACUTE HOME-BASED TELEPHONE CONTACT
ANTENATAL OR POSTNATAL INDICATOR
ANTIRETROVIRAL THERAPY HOME DELIVERY INDICATOR
ANTIRETROVIRAL THERAPY REGIMEN GROUP CODE
BRIEF INTERVENTION PROVIDED INDICATOR
BRIEF INTERVENTION TYPE FOR NHS HEALTH CHECK
CARE ACTIVITY INFORMATION
CARE CONTACT SERVICE TYPE FOR CHILDREN AND YOUNG PEOPLES HEALTH SERVICE SECONDARY USES
CARE CONTACT SUBJECT
CARE CONTACT TYPE
CARE CONTACT TYPE FOR CHILDREN AND YOUNG PEOPLES HEALTH SERVICE SECONDARY USES
CLINICAL NURSE SPECIALIST INDICATION CODE
CLINIC ATTENDANCE PURPOSE CODE FOR HIV
COLPOSCOPY PRIME PROCEDURE TYPE
CONSULTATION MEDIUM USED
CONTRACEPTIVE ADVICE GIVEN
CONTRACEPTIVE SERVICE TYPE
CPA REVIEW OUTCOME
DECISION TO UNDERTAKE FURTHER ASSESSMENT INDICATOR
DENTAL HAEMORRHAGE SERVICE TYPE
DENTAL REFERRAL INDICATOR
DIETARY ADVICE REASON CODE
ELIGIBILITY OUTCOME
EMERGENCY TREATMENT FEE
EMERGENCY TREATMENT TYPE
EMPLOYMENT SUPPORT SUITABILITY INDICATOR
FIRST ANTIRETROVIRAL THERAPY IN THE UNITED KINGDOM INDICATOR
FIRST ATTENDANCE
FURTHER ASSESSMENT TYPE FOR NHS HEALTH CHECK
GENITOURINARY CONTACT TYPE CODE
HEALTH PROMOTION STAFF GROUP
INFORMATION AND ADVICE PROVIDED INDICATOR
INFORMATION AND ADVICE TYPE PROVIDED FOR NHS HEALTH CHECK
INITIAL CONTACT
INITIAL CONTACT WITHIN FIVE DAYS
INITIAL DIAGNOSIS CARE SETTING FOR HIV
IUD APPLICATION DATE
MATERNITY MEDICAL SERVICE TYPE
MATERNITY VISIT CALL REASON
MEDICAL STAFF TYPE SEEING PATIENT
METASTATIC STATUS
MULTIPROFESSIONAL OR MULTIDISCIPLINARY INDICATION CODE
NEW HIV DIAGNOSIS IN UNITED KINGDOM INDICATOR
NODAL STATUS
OUTCOME OF ATTENDANCE
OUTCOME OF ATTENDANCE FOR CHILDREN AND YOUNG PEOPLES HEALTH SERVICE SECONDARY USES
PATIENT EXPOSURE TO HIV
PATIENT HIV CARE STATUS
PATIENT INFORMED OF OUTCOME DATE
PATIENT REPORTED SYMPTOMS INDICATOR
PATIENT REPORTED WAIT
PATIENT TRIAL STATUS FOR CANCER
PAYMENT FROM PATIENT RECEIVED
POST AND/OR PRE EXPOSURE PROPHYLAXIS CODE
POSTNATAL CARE INDICATOR
PREGNANCY INDICATOR FOR HIV
PSYCHIATRIC CARE INDICATOR FOR HIV
SETTLED ACCOMMODATION INDICATOR
SIGHT TEST DOMICILIARY VISIT TYPE
SIGHT TEST FORM COMPLETED
SIGHT TEST PERSON SUBSIDY TYPE
SIGNPOSTING TO SERVICE INDICATOR
SIGNPOSTING TO SERVICE TYPE FOR NHS HEALTH CHECK
SKIN TO SKIN CONTACT INDICATOR
SOCIAL WORKER CARE INDICATOR FOR HIV
STATUTORY ASSESSMENT TYPE
SUBJECTIVE GLOBAL ASSESSMENT
SURVEILLANCE RESULT
THERAPY TYPE FOR IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES

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MALIGNANT ABNORMALITY

Change to Class: Changed Attributes

Attributes of this Class are:
ANAPLASTIC NEPHROBLASTOMA TYPE
BACKGROUND ENDOMETRIUM ABNORMALITY INDICATION CODE
BONE INVASION INDICATION CODE
CAPSULE STATUS
CARTILAGE INVASION INDICATION CODE
CLARKS LEVEL IV INDICATOR
CORE BIOPSY RESULT CODE FOR BREAST
CORE BIOPSY RESULT CODE FOR NODE
CYTOLOGY RESULT CODE
DISTRIBUTION OF LESIONS PRESENT
EXTENT OF ATELECTASIS
EXTENT OF METASTATIC SPREAD
EXTENT OF PLEURAL INVASION
EXTRACAPSULAR SPREAD INDICATION CODE
EXTRANODAL SPREAD INDICATOR
FINAL EXCISION MARGIN AFTER WIDE LOCAL EXCISION
INTRALYMPHATIC METASTATIC CELLS SEPARATION INDICATOR
LARGEST METASTASIS
LESION GREATER THAN 20MM INDICATOR
LESION SIZE
LESION VERTICAL THICKNESS GREATER THAN 2MM INDICATOR
LUNG METASTASES SUB STAGE GROUPING
MACROSCOPIC EXTRAGLANDULAR EXTENSION INDICATION CODE
MALIGNANT PLEURAL EFFUSION INDICATOR
MAXIMUM DEPTH OF INVASION
METASTATIC SITE
METASTATIC STATUS
MICROSCOPIC INVOLVEMENT INDICATION CODE
MICROSCOPIC INVOLVEMENT INDICATOR
MOLECULAR DIAGNOSTIC CODE
MULTIFOCAL OR SYNCHRONOUS TUMOUR INDICATOR
MULTIFOCAL TUMOUR INDICATOR FOR BREAST
MYOMETRIAL INVASION IDENTIFICATION CODE
NODAL STATUS
NUMBER OF ABNORMAL NODAL AREAS
NUMBER OF COLORECTAL METASTASES IN LIVER CODE
NUMBER OF EXTRANODAL SITES CODE
NUMBER OF LIVER METASTASES CODE FOR PREOPERATIVE IMAGING
NUMBER OF LYMPHADENOPATHY AREAS
NUMBER OF NODES EXAMINED
NUMBER OF NODES POSITIVE
OMENTUM INVOLVEMENT INDICATION CODE
ORGAN CONFINED INDICATOR
OVARY SURFACE INVOLVEMENT INDICATOR
PARACERVICAL OR PARAMETRIAL INVOLVEMENT INDICATOR
PERINEURAL INVASION INDICATOR
PERITONEAL CYTOLOGY RESULT CODE
PERITONEAL INVOLVEMENT INDICATOR
PERITONEAL WASHINGS IDENTIFIED
POST OPERATIVE TUMOUR SITE FOR UPPER GASTROINTESTINAL
PRIMARY TUMOUR STATUS
RADIOLOGICAL LARGEST LESION FEATURES
RECEPTOR STATUS
RENAL VEIN TUMOUR INDICATOR
RESECTION MARGIN INVOLVEMENT INDICATOR
RHABDOMYOSARCOMA SITE PROGNOSIS CODE
SARCOMA TUMOUR SUBSITE FOR BONE
SARCOMA TUMOUR SUBSITE FOR SOFT TISSUE
SATELLITE TUMOUR NODULES LOCATION
SKIN CANCER LESION NUMBER
SMILE INDICATION CODE
SYNCHRONOUS TUMOUR INDICATOR
TUMOUR BREACH IDENTIFIER
TUMOUR DEPTH
TUMOUR GRADE FOR GYNAECOLOGY
TUMOUR GRADE FOR UROLOGY
TUMOUR INFILTRATING LYMPHOCYTE TYPE
TUMOUR INVASION INDICATOR
TUMOUR LOCAL STAGE
TUMOUR NECROSIS
TUMOUR NECROSIS INDICATOR
TUMOUR OR LESION LATERALITY
TUMOUR OR LESION LOCATION
TUMOUR PROXIMITY TO CARINA
TUMOUR REGRESSION INDICATOR
TUMOUR RUPTURE INDICATOR
TUMOUR SIZE
TUMOUR VOLUME AT DIAGNOSIS CODE
ULCERATION INDICATOR
VIABLE TUMOUR INDICATOR
WORLD HEALTH ORGANISATION CENTRAL NERVOUS SYSTEM TUMOUR GRADE

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OCCUPATION CODE

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Attributes of this Class are:
NHS OCCUPATION CODE
NHS OCCUPATION CODE DESCRIPTION

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ORGANISATION SITE BED AVAILABILITY

Change to Class: Changed Attributes

Attributes of this Class are:
KBROAD PATIENT GROUP
KBROAD PATIENT GROUP CODE
KORGANISATION BED AVAILABILITY START DATE
AVAILABLE BED DAYS NHS PATIENTS
AVAILABLE BED DAYS NON-NHS PATIENTS
ORGANISATION BED AVAILABILITY END DATE

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PATIENT DIAGNOSIS

Change to Class: Changed Attributes

Attributes of this Class are:
ACCIDENT AND EMERGENCY DIAGNOSIS
AIDS DEFINING ILLNESS TYPE
BABY COMPLICATION AT BIRTH DIAGNOSIS
BASIS OF DIAGNOSIS FOR CANCER
CYTOMEGALOVIRUS DISEASE CODE
DIABETES TYPE FOR RENAL CARE
FETAL ANOMALY DIAGNOSIS
INJURY TYPE FOR CHILDREN AND YOUNG PEOPLES HEALTH SERVICE SECONDARY USES
LONG TERM PHYSICAL HEALTH CONDITION INDICATOR FOR IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES
MATERNITY COMPLICATING MEDICAL DIAGNOSIS
MATERNITY FAMILY HISTORY DIAGNOSIS TYPE CODE
MATERNITY MEDICAL DIAGNOSIS TYPE
NEONATAL DIAGNOSIS
OBSTETRIC DIAGNOSIS
PATIENT DIAGNOSIS CODING SIGNIFICANCE
PATIENT DIAGNOSIS INDICATION FOR PRIMARY ANKLE REPLACEMENT
PATIENT DIAGNOSIS INDICATION FOR PRIMARY ELBOW REPLACEMENT
PATIENT DIAGNOSIS INDICATION FOR PRIMARY HIP REPLACEMENT
PATIENT DIAGNOSIS INDICATION FOR PRIMARY KNEE REPLACEMENT
PATIENT DIAGNOSIS INDICATION FOR PRIMARY SHOULDER REPLACEMENT
PATIENT DIAGNOSIS INDICATOR
PATIENT DIAGNOSIS TYPE FOR HIV
PATIENT DIAGNOSIS TYPE FOR NHS HEALTH CHECK
PRESENT ON ADMISSION INDICATOR
PRIMARY DIAGNOSIS
PROVISIONAL DIAGNOSIS
RENAL DONOR DIAGNOSIS TYPE
RENAL LIVING DONOR DIAGNOSIS TYPE
RENAL PAEDIATRIC DIAGNOSIS TYPE
RENAL RECIPIENT CARDIOVASCULAR COMPLICATION TYPE
RENAL RECIPIENT DIAGNOSIS TYPE
SKIN CANCER LESION DIAGNOSIS
TRAUMATIC LESION OF GENITAL TRACT TYPE CODE
TUMOUR LATERALITY
TUMOUR OR LESION LATERALITY

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PLANNED ACTIVITY

Change to Class: Changed Attributes

Attributes of this Class are:
KPLANNED ACTIVITY SEQUENCE NUMBER
DECISION TO TREAT DATE
EXPECTED DELAY BEFORE SERVICE UNIT
EXPECTED DELAY BEFORE ACTIVITY UNIT
EXPECTED DELAY BEFORE SERVICE VALUE
EXPECTED DELAY BEFORE ACTIVITY VALUE
FIRST DEFINITIVE TREATMENT PLANNED
PLANNED ACTIVITY TYPE
PLANNED CANCER TREATMENT TYPE
PLANNED DEFINITIVE TREATMENT
PLANNED SERVICE DESCRIPTION
RADIOLOGY INVESTIGATION PLAN IDENTIFIER
RADIOLOGY INVESTIGATION PLAN STATUS
RADIOLOGY INVESTIGATION STATUS REASON

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REFERRAL REQUEST

Change to Class: Changed Attributes

Attributes of this Class are:
APPOINTMENT BOOKING SYSTEM TYPE
BENIGN THERAPEUTIC OPERATION
COLPOSCOPY REFERRAL INDICATION
COMMISSIONER REFERENCE NUMBER
FIRST ATTENDANCE EFFECTIVE WAIT START DATE
OTHER REFERRER CODE
OUT-PATIENT CLINIC REFERRING INDICATOR
OUT-PATIENT REFERRAL INDICATOR
REASON FOR REFERRAL TO COMMUNITY CARE
REFERRAL CLOSURE REASON FOR COMMUNITY CARE
REFERRAL REQUEST ACCEPTANCE INDICATOR
REFERRAL REQUEST RECEIVED TIME
REFERRAL REQUEST SERVICE TYPE FOR NHS HEALTH CHECK
REFERRAL REQUEST TYPE
SCREENING REFERRAL SOURCE
SERVICE TYPE REQUESTED
SERVICE TYPE REQUESTED FOR CHILD AND ADOLESCENT MENTAL HEALTH
SOURCE OF REFERRAL FOR A and E
SOURCE OF REFERRAL FOR COMMUNITY
SOURCE OF REFERRAL FOR COMMUNITY DENTAL
SOURCE OF REFERRAL FOR DRUG MISUSE
SOURCE OF REFERRAL FOR MENTAL HEALTH
SOURCE OF REFERRAL FOR OUT-PATIENTS
SOURCE OF REFERRAL FOR PROF STAFF GROUP
TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE
TWO WEEK WAIT EXCLUSION INDICATOR
URGENT CANCER REFERRAL TYPE
WRITTEN REFERRAL REQUEST INDICATOR

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AR  renamed from ARI

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AT  renamed from AUG

Change to Package: Changed Name

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END  renamed from ENH

Change to Package: Changed Name

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HOR  renamed from HOSP

Change to Package: Changed Name

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NO  renamed from NON

Change to Package: Changed Name

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PRES  renamed from PRE

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PROD  renamed from PROF

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REN  renamed from REH

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For enquiries about this Change Request, please email information.standards@hscic.gov.uk