Health and Social Care Information Centre

NHS Data Model and Dictionary Service

Type:Patch
Reference:1455
Version No:1.0
Subject:Unify2
Effective Date:Immediate
Reason for Change:Patch
Publication Date:28 January 2014

Background:

This patch adds the "Unify2" NHS Business Definition to the NHS Data Model and Dictionary.

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:

Supporting Information
CENTRAL RETURN DATA SETS INTRODUCTION   Changed Description
DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET OVERVIEW   Changed Description
DIAGNOSTICS WAITING TIMES CENSUS DATA SET OVERVIEW   Changed Description
MIXED-SEX ACCOMMODATION DATA SET OVERVIEW   Changed Description
QUARTERLY BED AVAILABILITY AND OCCUPANCY DATA SET OVERVIEW   Changed Description
QUARTERLY MONITORING CANCELLED OPERATIONS DATA SET (QMCO) OVERVIEW   Changed Description
UNIFY2   New Supporting Information
VENOUS THROMBOEMBOLISM RISK ASSESSMENT DATA SET OVERVIEW   Changed Description
 
Data Elements
CARE PROFESSIONAL MAIN SPECIALTY CODE   Changed Description
MAIN SPECIALTY CATEGORY CODE FOR BED AVAILABILITY AND OCCUPANCY   Changed Description
 

Date:28 January 2014
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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CENTRAL RETURN DATA SETS INTRODUCTION

Change to Supporting Information: Changed Description

Central Return Data Sets support:

  • information requirements for national and local performance management, planning and clinical governance
  • assurance of the quality of health and social care services.

The information is transmitted at aggregate level.

Central Return Data Sets are transmitted to Unify2. Unify2 is the data collection system used by the Knowledge and Intelligence team in the Department of Health to collect a wide range of performance information.

Note: access to this address requires a Unify2 account and password.

Further information can be found at:

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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.

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: Unify2.Information is submitted onto the Unify2 database. Full guidance on Unify2 can be found at: Unify2.

Further guidance

For further guidance on extracting the data sets and PATIENT PATHWAYS, see the NHS England website at: Diagnostics Waiting Times and Activity.

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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.Information is submitted onto the Unify2 database. 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: Unify2.Full guidance on Unify2 can be found at: Unify2.

Further guidance

For further guidance on extracting the data sets, see the NHS England website at: Diagnostics Waiting Times and Activity.

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MIXED-SEX ACCOMMODATION DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Mixed-Sex Accommodation Data Set collects performance information on a monthly basis from Health Care Providers of NHS funded care, including independent sector and social enterprise/voluntary organisations, on the number of occurrences of breaches of the sleeping accommodation guidance. However the count of occurrences of breaches exclude private and self-funded PATIENTS in NHS Health Care Providers.

A breach occurs at the point a PATIENT is admitted to mixed-sex accommodation or moves to mixed-sex accommodation from Same Sex Accommodation.

Breaches of bathroom accommodation, including situations where a PATIENT must pass through opposite gender areas to reach their own facilities, and no provision of women-only lounges in mental health units, must be recorded at organisation level, and plans put in place to deal with the problem. However these types of breaches are not reported in the Mixed-Sex Accommodation Data Set.

Further guidance on the recognising and reporting of breaches is available on the NHS England Website.

Collection and Submission of the Mixed-Sex Accommodation Data Set

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QUARTERLY BED AVAILABILITY AND OCCUPANCY DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Quarterly Bed Availability and Occupancy Data Set (KH03) requires summary information from NHS Health Care Providers for Hospital Bed availability and occupancy. It identifies the number of available and occupied bed days for each NHS Health Care Provider

Reporting Period:
This collection is reported quarterly. NHS Health Care Providers should submit their data on the fifth Friday following the end of the quarter.  Reporting is via Unify2, which is the data collection system used by the Knowledge and Intelligence team in the Department of Health to collect a wide range of performance information. More information can be found on the Unify2 website.  Reporting is via Unify2. Further information can be found on the Unify2 website.

Note: access to this website requires a Unify2 account and password. Any queries about the website can be addressed to the Unify2 helpdesk by:

Scope: 
The Quarterly Bed Availability and Occupancy Data Set (KH03) reporting requirements are as follows:

Note: summary information for bed availability for each CARE PROFESSIONAL MAIN SPECIALTY CODE is not reported in the Quarterly Bed Availability and Occupancy Data Set (KH03).Note:
Summary information for bed availability for each CARE PROFESSIONAL MAIN SPECIALTY CODE is not reported in the Quarterly Bed Availability and Occupancy Data Set (KH03).

The applicable list of CARE PROFESSIONAL MAIN SPECIALTY CODES, and the mapping of CARE PROFESSIONAL MAIN SPECIALTY CODES applicable to each MAIN SPECIALTY CATEGORY CODE FOR BED AVAILABILITY AND OCCUPANCY is available by emailing Unify@dh.The applicable list of CARE PROFESSIONAL MAIN SPECIALTY CODES, and the mapping of CARE PROFESSIONAL MAIN SPECIALTY CODES applicable to each MAIN SPECIALTY CATEGORY CODE FOR BED AVAILABILITY AND OCCUPANCY is available by emailing unify2@dh.gsi.gov.uk. 

Exclusions:
The collection does not include:

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QUARTERLY MONITORING CANCELLED OPERATIONS DATA SET (QMCO) OVERVIEW

Change to Supporting Information: Changed Description

The Quarterly Monitoring Cancelled Operations Data Set (QMCO) provides essential information for monitoring key targets and standards in the Cancelled Operations Guarantee.

The Department of Health requires information on services provided by Health Care Providers of Theatre services and this information is collected by the Department of Health via the Quarterly Monitoring Cancelled Operations Data Set (QMCO).

Reporting

The Quarterly Monitoring Cancelled Operations Data Set (QMCO) is a quarterly return with the first quarter starting on 1 April and the last quarter ending on 31 March.

Any ACTIVITY where the outcome is not yet known should be reported in the following quarter. That is any ACTIVITY where it not known the outcome of subsequent OFFERS OF ADMISSION within the 28 day limit.

Data sets must be submitted by 15 working days after the end of the quarter.

The Quarterly Monitoring Cancelled Operations Data Set (QMCO) is a provider based return.

The data is entered via Unify2, an online data collection system. NHS providers enter their data onto Unify2 either directly or by uploading a spreadsheet.The data is entered via Unify2. NHS providers enter their data onto Unify2 either directly or by uploading a spreadsheet.

Quarterly Monitoring Cancelled Operations Data Set (QMCO)

The Quarterly Monitoring Cancelled Operations Data Set (QMCO) requires the following for each ORGANISATION CODE (CODE OF PROVIDER), REPORTING PERIOD START DATE and the REPORTING PERIOD END DATE:

Cancellation at 'the last minute' or 'short notice' means on or after the day that the PATIENT was due to arrive in hospital.

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UNIFY2

Change to Supporting Information: New Supporting Information

Unify2 is an online collection system used for collating, sharing and reporting NHS and social care data.

Note: access to Unify2 requires a Unify2 account and password.

For further information on Unify2, see the:

 

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VENOUS THROMBOEMBOLISM RISK ASSESSMENT DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The purpose of the Venous Thromboembolism Risk Assessment Data Set is to quantify the number of adult PATIENTS (aged 18 and over) admitted to hospital, who are risk assessed for Venous Thromboembolism using the Venous Thromboembolism Risk Assessment Tool to allow appropriate preventative treatment based on guidance from the National Institute for Health and Care Excellence.

Collection and submission of the Venous Thromboembolism Risk Assessment Data Set

All providers of NHS funded acute hospital care (including foundation trusts and Independent Providers of acute NHS services) must complete this data collection.

Data on Venous Thromboembolism risk assessments should be uploaded onto UNIFY2 each month no later than 20 working days after the month end.Data on Venous Thromboembolism risk assessments is uploaded onto Unify2 each month no later than 20 working days after the month end. Revisions to the data set before the cut off date are allowed however, revisions made after the cut off date must be made in liaison with the Department of Health.

For further guidance on the Venous Thromboembolism Risk Assessment Data Set, see the:

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CARE PROFESSIONAL MAIN SPECIALTY CODE

Change to Data Element: Changed Description

Format/Length:an3
HES Item:MAINSPEF
National Codes:See MAIN SPECIALTY CODE 
Default Codes:199 - Non-UK provider; specialty function not known, treatment mainly surgical
 499 - Non-UK provider; specialty function not known, treatment mainly medical

Notes:
CARE PROFESSIONAL MAIN SPECIALTY CODE is the same as attribute MAIN SPECIALTY CODE.

CARE PROFESSIONAL MAIN SPECIALTY CODE is the specialty in which the CONSULTANT is contracted or recognised. MAIN SPECIALTY classifies clinical work divisions more precisely for a limited number of specialties.

All Non-Consultant Led Activity is identified by a pseudo CARE PROFESSIONAL MAIN SPECIALTY CODE of:

The default codes 199 and 499 are only applicable for overseas providers.

For the purposes of the Quarterly Bed Availability and Occupancy Data Set (KH03), the applicable list of CARE PROFESSIONAL MAIN SPECIALTY CODES is available by emailing Unify@dh.For the purposes of the Quarterly Bed Availability and Occupancy Data Set (KH03), the applicable list of CARE PROFESSIONAL MAIN SPECIALTY CODES is available by emailing unify2@dh.gsi.gov.uk.

CARE PROFESSIONAL MAIN SPECIALTY CODE replaces MAIN SPECIALTY CODE and should be used for all new and developing data sets and for XML messages.

 

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MAIN SPECIALTY CATEGORY CODE FOR BED AVAILABILITY AND OCCUPANCY

Change to Data Element: Changed Description

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