NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1710
Version No:1.0
Subject:Date and Time Modelling
Effective Date:Immediate
Reason for Change:Patch
Publication Date:28 January 2019

Background:

Date, time, year and month are to be displayed differently in the NHS Data Model and Dictionary.

All associated Data Elements will provide the correct Format/Length rather than using access to base Data Elements, DATE, TIME, DATE AND TIME, YEAR and YEAR AND MONTH.

The base Data Elements will be retired and all references will be amended to text.

This patch:

Note: other Data Elements will be updated in a further patch and the base Data Elements retired.

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: https://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
ACTIVITY DIAGRAM   Changed Diagram
COMMUNITY SERVICES DIAGRAM   Changed Diagram
HIV AND AIDS DIAGRAM   Changed Diagram
IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DIAGRAM   Changed Diagram
MATERNITY SERVICES DIAGRAM   Changed Diagram
PATIENT PATHWAY DIAGRAM   Changed Diagram
 
Supporting Information
ASSESSMENT DATE FOR TRANSPLANT SUITABILITY   Changed Description
CANCER PROGRESSION AGREED DATE (PRIMARY CANCER PATHWAY)   Changed Description
CANCER REFERRAL TO TREATMENT PERIOD   Changed Description
CANCER TRANSFORMATION AGREED DATE (PRIMARY CANCER PATHWAY)   Changed Description
CARE PLAN AGREED DATE   Changed Description
CARE PLAN AGREED TIME   Changed Description
CARE PLAN CREATION DATE   Changed Description
CARE PLAN CREATION TIME   Changed Description
CARE PLAN IMPLEMENTATION DATE   Changed Description
CARE PLAN LAST UPDATED DATE   Changed Description
CARE PLAN LAST UPDATED TIME   Changed Description
CHOOSE AND BOOK   Changed Description
CLINICAL TRIAL DECISION DATE   Changed Description
COMMISSIONING DATA SET BUSINESS RULES   Changed Description
CONSULTANT UPGRADE DATE   Changed Description
DATE OF PREGNANCY OUTCOME (CURRENT FETUS)   Changed Description
DATE OF RESTRICTIVE INTERVENTION   Changed Description
DISCHARGE DATE AND TIME (HOSPITAL PROVIDER SPELL POSTPARTUM)   Changed Description
DISCHARGE TIME   Changed Description
ESTIMATED DISCHARGE DATE (HOSPITAL PROVIDER SPELL)   Changed Description
FIRST DEFINITIVE TREATMENT   Changed Description
INDIRECT ACTIVITY DATE   Changed Description
INDIRECT ACTIVITY TIME   Changed Description
INTENDED SMOKING QUIT DATE   Changed Description
MATERNAL CRITICAL INCIDENT DATE AND TIME   Changed Description
NEONATAL CRITICAL INCIDENT DATE   Changed Description
NHS CONTINUING HEALTHCARE LOCAL APPEAL   Changed Description
OBSERVABLE ENTITY DATE   Changed Description
OBSERVABLE ENTITY TIME   Changed Description
PLANNED DISCHARGE DATE (HOSPITAL PROVIDER SPELL)   Changed Description
PROCEDURE DATE   Changed Description
PROCEDURE TIME   Changed Description
REFERRAL REJECTION DATE   Changed Description
REFERRAL REJECTION TIME   Changed Description
 
Class Definitions
ACTIVITY DATE TIME   Changed Supertype, Description
DATE TIME   New Class
EVENT   New Class
EVENT DATE TIME   New Class
PERSON PROPERTY   Changed Attributes, Relationships
PERSON PROPERTY DATE TIME   New Class
PLANNED ACTIVITY DATE TIME   Changed Relationships, Supertype, Description
 
Attribute Definitions
ACTIVITY DATE   Changed Description
ACTIVITY DATE AND TIME TYPE   Changed Description
ACTIVITY SERVICE REQUEST DATE   Changed Description
ACTIVITY SERVICE REQUEST TIME   Changed Description
ACTIVITY TIME   Changed Description
ACTIVITY TIME TYPE   Changed Description
APPOINTMENT DATE   Changed Description
CLINICAL INVESTIGATION RESULT ANALYSED DATE   Changed Description
CLINICAL INVESTIGATION RESULT RECEIVED DATE   Changed Description
DATE KIDNEY PERFUSED WITH RECIPIENT BLOOD   Changed Description
DATE REMOVED FROM ICE   Changed Description
DECISION TO TREAT DATE   Changed Description
EVENT DATE   New Attribute
EVENT TIME   New Attribute
PERSON DEATH TIME   Changed Description
PERSON PROPERTY EFFECTIVE END DATE   Changed Description
PERSON PROPERTY EFFECTIVE END TIME   Changed Description
PERSON PROPERTY EFFECTIVE START DATE   Changed Description
PERSON PROPERTY EFFECTIVE START TIME   Changed Description
PERSON PROPERTY OBSERVED DATE   Changed Description
PERSON PROPERTY OBSERVED TIME   Changed Description
PERSON PROPERTY RECORDED DATE   Changed Description
PERSON PROPERTY RECORDED TIME   Changed Description
PLANNED ACTIVITY DATE   Changed Description
REFERRAL DATE FOR RENAL TRANSPLANT CONSIDERATION   Changed Description
START DATE OF COLD PERFUSION   Changed Description
START TIME OF COLD PERFUSION   Changed Description
TIME KIDNEY PERFUSED WITH RECIPIENT BLOOD   Changed Description
TIME REMOVED FROM ICE   Changed Description
TRANSPLANT WAITING LIST STATUS CODE CHANGED DATE   Changed Description
 
Data Elements
ASSESSMENT TOOL COMPLETION DATE   Changed linked Attribute, Description
ASSESSMENT TOOL COMPLETION YEAR AND MONTH   Changed linked Attribute, Description
DATE AND TIME DATA SET CREATED   Changed linked Attribute, Description
DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE   Changed linked Attribute, Description
YEAR OF DIAGNOSIS OUTSIDE UNITED KINGDOM (HIV)   Changed linked Attribute, Description
YEAR OF UK ENTRY   Changed linked Attribute, Description
 

Date:28 January 2019
Sponsor:Alex Elias, Standards Delivery and Cross-Government Programmes Director, NHS Digital

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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COMMUNITY SERVICES DIAGRAM

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HIV AND AIDS DIAGRAM

Change to Diagram: Changed Diagram

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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DIAGRAM

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MATERNITY SERVICES DIAGRAM

Change to Diagram: Changed Diagram

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PATIENT PATHWAY DIAGRAM

Change to Diagram: Changed Diagram

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ASSESSMENT DATE FOR TRANSPLANT SUITABILITY

Change to Supporting Information: Changed Description

An Assessment Date For Transplant Suitability is an ACTIVITY DATE TIME.

An Assessment Date For Transplant Suitability is the DATE of an attendance or contact, where the PATIENT was assessed for the suitability for a transplant.An Assessment Date For Transplant Suitability is the date of an attendance or contact, where the PATIENT was assessed for the suitability for a transplant.

 

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CANCER PROGRESSION AGREED DATE (PRIMARY CANCER PATHWAY)

Change to Supporting Information: Changed Description

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CANCER REFERRAL TO TREATMENT PERIOD

Change to Supporting Information: Changed Description

A Cancer Referral To Treatment Period is a REFERRAL TO TREATMENT PERIOD.

The service standard for referral to treatment for cancer is that the PATIENT must receive First Definitive Treatment within 62 days (or 31 days for Acute Leukaemia, testicular, and children's cancers), rather than within 18 Weeks.

A PATIENT will have a Cancer Referral To Treatment Period in the following circumstances:

A Cancer Referral To Treatment Period is the period of time between CANCER REFERRAL TO TREATMENT PERIOD START DATE and either the:

A Cancer Referral To Treatment Period does NOT complete automatically if the PATIENT does not attend the first APPOINTMENT during the Cancer Referral To Treatment PeriodWAITING TIME ADJUSTMENT (FIRST SEEN) is used to align waiting times monitoring with the service standard for 18 Weeks.

 

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CANCER TRANSFORMATION AGREED DATE (PRIMARY CANCER PATHWAY)

Change to Supporting Information: Changed Description

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CARE PLAN AGREED DATE

Change to Supporting Information: Changed Description

A Care Plan Agreed Date is an ACTIVITY DATE TIME.

A Care Plan Agreed Date is the DATE on which the CARE PLAN was agreed by a PATIENT or Patient Proxy.A Care Plan Agreed Date is the date on which the CARE PLAN was agreed by a PATIENT or Patient Proxy.

 

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CARE PLAN AGREED TIME

Change to Supporting Information: Changed Description

A Care Plan Agreed Time is an ACTIVITY DATE TIME.

A Care Plan Agreed Time is the TIME on which the CARE PLAN was agreed by a PATIENT or Patient Proxy.A Care Plan Agreed Time is the time on which the CARE PLAN was agreed by a PATIENT or Patient Proxy.

 

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CARE PLAN CREATION DATE

Change to Supporting Information: Changed Description

A Care Plan Creation Date is an ACTIVITY DATE TIME.

A Care Plan Creation Date is the DATE that a CARE PLAN was created.A Care Plan Creation Date is the date that a CARE PLAN was created. 

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CARE PLAN CREATION TIME

Change to Supporting Information: Changed Description

A Care Plan Creation Time is an ACTIVITY DATE TIME.

Care Plan Creation Time is the TIME that a CARE PLAN was created.Care Plan Creation Time is the time that a CARE PLAN was created. 

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CARE PLAN IMPLEMENTATION DATE

Change to Supporting Information: Changed Description

A Care Plan Implementation Date is an ACTIVITY DATE TIME.

A Care Plan Implementation Date is the DATE that aspects of the CARE PLAN have commenced.A Care Plan Implementation Date is the date that aspects of the CARE PLAN have commenced. 

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CARE PLAN LAST UPDATED DATE

Change to Supporting Information: Changed Description

A Care Plan Last Updated Date is an ACTIVITY DATE TIME.

A Care Plan Last Updated Date is the DATE that a CARE PLAN was last updated.A Care Plan Last Updated Date is the date that a CARE PLAN was last updated. 

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CARE PLAN LAST UPDATED TIME

Change to Supporting Information: Changed Description

A Care Plan Last Updated Time is an ACTIVITY DATE TIME.

A Care Plan Last Updated Time is the TIME that a CARE PLAN was last updated.A Care Plan Last Updated Time is the time that a CARE PLAN was last updated.

 

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CHOOSE AND BOOK

Change to Supporting Information: Changed Description

Choose and Book is a national service that combines electronic booking and a choice of place, DATE and TIME for first hospital or clinic APPOINTMENTS.Choose and Book is a national service that combines electronic booking and a choice of place, date and time for first hospital or clinic APPOINTMENTS.

 

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CLINICAL TRIAL DECISION DATE

Change to Supporting Information: Changed Description

A Clinical Trial Decision Date is an ACTIVITY DATE TIME.

A Clinical Trial Decision Date is the DATE that the PATIENT decides whether they wish to take part in a CLINICAL TRIAL.A Clinical Trial Decision Date is the date that the PATIENT decides whether they wish to take part in a CLINICAL TRIAL.

 

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COMMISSIONING DATA SET BUSINESS RULES

Change to Supporting Information: Changed Description

The Commissioning Data Sets have notation to identify the business and/or processing rules which apply to individual Data Elements.  This notation appears in the Rules column of the Commissioning Data Sets details page. 

Population Validation

All Data Elements are subject to length validation.  Some Data Elements are also subject to format and content validation against a list of permitted values defined in the NHS Data Model and Dictionary. The value lists are held on the Attribute which the Data Element is based on, plus default codes which are held on the Data Element itself.

RULE POPULATION VALIDATION 
F The format is validated, for example the format of a DATE must comply with the XML standard.
F The format is validated, for example the format of a date must comply with the XML standard.
V The Data Element is validated against an explicit list of permitted values as defined in the NHS Data Model and Dictionary.


Business Rules

Some Data Elements are subject to additional Business Rules as indicated below:

PREFIX BUSINESS RULES: H - Healthcare Resource Group Business Rules 
H4 This Data Element is used by the Secondary Uses Service to derive the Healthcare Resource Group 4.
Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.
For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

PREFIX BUSINESS RULES: I - CDS-XML Schema Anomalies and Issues 
I1 This is a known schema anomaly and has been registered for future resolution.
I2 See the specifications in the NHS Data Model and Dictionary for the specific format characteristics of this Data Element.
I3 There is no national requirement to flow Healthcare Resource Group 4 (HRG4) through the Commissioning Data Sets, see DSCN 17/2008.

PREFIX BUSINESS RULES: N - NHS Data Standards and Policy Rules 
N1 Psychiatric PATIENTS only.
N2 Not defined or approved by the Data Coordination Board or its predecessors the Standardisation Committee for Care Information and Information Standards Board for Health and Social Care.
N3 The definition and value list for this data is under review.
N4 Up to 20 codes per daily activity occurrence may be recorded.
N5 This data should only flow in Commissioning Data Set version 6-1 for PATIENTS detained under the Mental Health Act prior to the Mental Health Act 2007 (Retired June 2015).
N6 This data should only flow in Commissioning Data Set version 6-2 for PATIENTS detained under the Mental Health Act 2007.
N7 From Commissioning Data Set version 6-0 onwards, the use of the DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE in the location group is optional as it must be carried in the Episode Characteristics.

PREFIX BUSINESS RULES: S - Secondary Uses Service Business Rules 
S1 This mandatory Commissioning Data Set date is used as the originating date to determine the mandatory CDS ACTIVITY DATE.
S2 The Secondary Uses Service DOES NOT support the use of the CDS TEST INDICATOR. Therefore this Data Element must not be used (Retired June 2015).
S3 See Security Issues and Patient Confidentiality, for further information.
S4 Used to ensure the correct sequencing of multiple and/or subsequent Commissioning Data Set submissions.
S5These ORGANISATION CODES must be present and registered with the Secondary Uses Service. The Commissioning Data Set Schema does not validate the content value of this data
S6 All CDS REPORT PERIOD START DATES and CDS REPORT PERIOD END DATES must be consistent in all Commissioning Data Set records contained in a BULK Interchange submission.
The CDS REPORT PERIOD START DATE must be on or before the CDS REPORT PERIOD END DATE.
The CDS ACTIVITY DATE is a mandatory data element and must fall within the period defined.
See the Commissioning Data Set Submission Protocol.
S7 See the Commissioning Data Set Addressing Grid.
S8 These Data Elements are required for correct processing by the Secondary Uses Service. If omitted, the Secondary Uses Service will reject the Commissioning Data Set data.
S9 The CDS UNIQUE IDENTIFIER is a mandatory data item when using the Net Change Protocol. When using the Bulk Update Protocol this data item is optional but it is strongly advised that where it can be correctly generated and maintained it should be used. See the Commissioning Data Set Submission Protocol.
S10 For CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set, the CDS ACTIVITY DATE contains the CDS CENSUS DATE which is also the DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE.
S11 For the following CDS Types, the CDS ACTIVITY DATE must contain the Date of the Elective Admission List Census which is usually the end of the Period being reported: 
CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set 
CDS V6-2 Type 040 - Elective Admission List - End Of Period Census (Old) Commissioning Data Set 
CDS V6-2 Type 050 - Elective Admission List - End Of Period Census (New) Commissioning Data Set 
S12 These PERSON BIRTH DATE Data Elements must use DATES between 01/01/1880 and 31/12/2999 in order to pass validation
S13 Data Elements reporting a DATE (which is not a PERSON BIRTH DATE Data Element) must use dates between 01/01/1900 and 31/12/2999 in order to pass validation
S14 For Data Elements reporting a TIME, the hour portion must be between 00 and 23 inclusive in order to pass validation
S12 These PERSON BIRTH DATE Data Elements must use dates between 01/01/1880 and 31/12/2999 in order to pass validation
S13 Data Elements reporting a date (which is not a PERSON BIRTH DATE Data Element) must use dates between 01/01/1900 and 31/12/2999 in order to pass validation
S14 For Data Elements reporting a time, the hour portion must be between 00 and 23 inclusive in order to pass validation

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CONSULTANT UPGRADE DATE

Change to Supporting Information: Changed Description

A Consultant Upgrade Date is an ACTIVITY DATE TIME

A Consultant Upgrade Date is the DATE of the Consultant Upgrade.A Consultant Upgrade Date is the date of the Consultant Upgrade.

The Consultant Upgrade Date should only be recorded when the PRIORITY TYPE of the original SERVICE REQUEST was not National Code 'Two Week Wait'.

The Consultant Upgrade Date must be:

 

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DATE OF PREGNANCY OUTCOME (CURRENT FETUS)

Change to Supporting Information: Changed Description

Date of Pregnancy Outcome (Current Fetus) is an ACTIVITY DATE TIME.

Date of Pregnancy Outcome (Current Fetus) is the DATE of the pregnancy outcome for the current Fetus.Date of Pregnancy Outcome (Current Fetus) is the date of the pregnancy outcome for the current Fetus.

 

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DATE OF RESTRICTIVE INTERVENTION

Change to Supporting Information: Changed Description

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DISCHARGE DATE AND TIME (HOSPITAL PROVIDER SPELL POSTPARTUM)

Change to Supporting Information: Changed Description

Discharge Date and Time (Hospital Provider Spell Postpartum) is an ACTIVITY DATE TIME.

Discharge Date and Time (Hospital Provider Spell Postpartum) is the DATE AND TIME that a PATIENT is discharged from hospital, following readmission in the Postpartum period.Discharge Date and Time (Hospital Provider Spell Postpartum) is the date and time that a PATIENT is discharged from hospital, following readmission in the Postpartum period.

 

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DISCHARGE TIME

Change to Supporting Information: Changed Description

Discharge Time is an ACTIVITY DATE TIME.

Discharge Time is the TIME of discharge from a Hospital Provider Spell.Discharge Time is the time of discharge from a Hospital Provider Spell.

 

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ESTIMATED DISCHARGE DATE (HOSPITAL PROVIDER SPELL)

Change to Supporting Information: Changed Description

Estimated Discharge Date (Hospital Provider Spell) is a PLANNED ACTIVITY DATE TIME.

Estimated Discharge Date (Hospital Provider Spell) is the DATE a PATIENT was estimated to be discharged from a Hospital Provider Spell.Estimated Discharge Date (Hospital Provider Spell) is the date a PATIENT was estimated to be discharged from a Hospital Provider Spell.

The Estimated Discharge Date (Hospital Provider Spell) is estimated at the point of admission to a Hospital Provider Spell and is different to the Planned Discharge Date (Hospital Provider Spell), which is set once the PATIENT has been confirmed for discharge.

 

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FIRST DEFINITIVE TREATMENT

Change to Supporting Information: Changed Description

First Definitive Treatment is the first CLINICAL INTERVENTION intended to manage a PATIENT's disease, condition or injury and avoid further CLINICAL INTERVENTIONS.

What constitutes First Definitive Treatment is a matter of clinical judgement in consultation with others, where appropriate, including the PATIENT.

Further guidance on ending REFERRAL TO TREATMENT PERIODS and first treatments.

Undertaking a procedure is not necessarily in itself the end of a REFERRAL TO TREATMENT PERIOD. For example, outpatient or day case diagnostic CARE ACTIVITIES prior to admission for treatment do not represent the end of the REFERRAL TO TREATMENT PERIOD and, in these cases, are part of the diagnostic process rather than the start of treatment.

Commencement of medication as an outpatient can be the end of a REFERRAL TO TREATMENT PERIOD, if it is intended as the First Definitive Treatment. However, CARE PROFESSIONALS often begin to manage a PATIENT's condition in advance of the first actual treatment taking place, for example by giving pain relief before a surgical procedure takes place. In these cases, the REFERRAL TO TREATMENT PERIOD END DATE is when the First Definitive Treatment (in this example, surgery) has started.

In NHS Allied Health Professional Services (Referral To Treatment Measurement), CLINICAL INTERVENTIONS are often the First Definitive Treatment. However, it may be judged that other elements of PATIENT care constitute First Definitive Treatment, for example the giving of advice. If there is any doubt, the key determining factors are

  • what does the Allied Health Professional responsible for the PATIENT's care consider the start of treatment to be?
  • when does the PATIENT perceive their treatment to have started?

Other CARE ACTIVITIES that may end a REFERRAL TO TREATMENT PERIOD as First Definitive Treatment include the:

  • fitting of a medical device where a CONSULTANT decides that treatment consists of fitting a medical device. This is the date of the actual fitting of the device rather than the point at which the PATIENT is measured for the device
  • DATE of a therapeutic procedure where it is intended as diagnostic but the CARE PROFESSIONAL makes a decision to undertake a therapeutic procedure at the same time. In this example, it may count as a start of treatment and as such, the period will end
  • DATE for less intensive treatment and medical management such as Palliative Care that may be attempted before moving on to invasive procedures and treatment or may be the only treatment. In such cases, the first treatment that is intended to manage a PATIENT's disease, condition or injury will end that particular REFERRAL TO TREATMENT PERIOD. Should the PATIENT at some later stage require more 'aggressive' treatment then the Decision To Treat would start a new REFERRAL TO TREATMENT PERIOD
  • DATE Active Monitoring commenced.
  • date of a therapeutic procedure where it is intended as diagnostic but the CARE PROFESSIONAL makes a decision to undertake a therapeutic procedure at the same time. In this example, it may count as a start of treatment and as such, the period will end
  • date for less intensive treatment and medical management such as Palliative Care that may be attempted before moving on to invasive procedures and treatment or may be the only treatment. In such cases, the first treatment that is intended to manage a PATIENT's disease, condition or injury will end that particular REFERRAL TO TREATMENT PERIOD. Should the PATIENT at some later stage require more 'aggressive' treatment then the Decision To Treat would start a new REFERRAL TO TREATMENT PERIOD
  • date Active Monitoring commenced.
 

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INDIRECT ACTIVITY DATE

Change to Supporting Information: Changed Description

An Indirect Activity Date is an ACTIVITY DATE TIME.

An Indirect Activity Date is the DATE on which an Indirect Activity took place.An Indirect Activity Date is the date on which an Indirect Activity took place.

 

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INDIRECT ACTIVITY TIME

Change to Supporting Information: Changed Description

An Indirect Activity Time is an ACTIVITY DATE TIME.

An Indirect Activity Time is the TIME at which an Indirect Activity took place.An Indirect Activity Time is the time at which an Indirect Activity took place.

 

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INTENDED SMOKING QUIT DATE

Change to Supporting Information: Changed Description

Intended Smoking Quit Date is a PLANNED ACTIVITY DATE TIME.

Intended Smoking Quit Date is the DATE set by a PERSON on which they intend to stop smoking.Intended Smoking Quit Date is the date set by a PERSON on which they intend to stop smoking.

For PERSONS using bupropion, it is recommended that an Intended Smoking Quit Date is set within the first 2 weeks of therapy, usually in the second week, e.g. day 8.

For PERSONS using varenicline, current license specification and preliminary guidance indicates that an Intended Smoking Quit Date should fall on the 8th day after commencement of dosing with varenicline.

 

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MATERNAL CRITICAL INCIDENT DATE AND TIME

Change to Supporting Information: Changed Description

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NEONATAL CRITICAL INCIDENT DATE

Change to Supporting Information: Changed Description

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NHS CONTINUING HEALTHCARE LOCAL APPEAL

Change to Supporting Information: Changed Description

An NHS Continuing Healthcare Local Appeal is an individual request for a review of an NHS Continuing Healthcare eligibility decision, by the PATIENT or their Patient Proxy to the Clinical Commissioning Group (CCG), following a full assessment undertaken using the Decision Support Tool for NHS Continuing Healthcare or the Fast Track Pathway Tool

NHS Continuing Healthcare Local Appeals are those that are addressed through the local resolution process by the Clinical Commissioning Group (CCG) and do not include Independent Reviews or Ombudsman appeals.

A Local Appeal is complete at the point the outcome of the local resolution process is communicated to the PATIENT or their Patient Proxy (i.e. the DATE a decision letter is sent).A Local Appeal is complete at the point the outcome of the local resolution process is communicated to the PATIENT or their Patient Proxy (i.e. the date a decision letter is sent).

 

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OBSERVABLE ENTITY DATE

Change to Supporting Information: Changed Description

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OBSERVABLE ENTITY TIME

Change to Supporting Information: Changed Description

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PLANNED DISCHARGE DATE (HOSPITAL PROVIDER SPELL)

Change to Supporting Information: Changed Description

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PROCEDURE DATE

Change to Supporting Information: Changed Description

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PROCEDURE TIME

Change to Supporting Information: Changed Description

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REFERRAL REJECTION DATE

Change to Supporting Information: Changed Description

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REFERRAL REJECTION TIME

Change to Supporting Information: Changed Description

A Referral Rejection Time is an ACTIVITY DATE TIME.

A Referral Rejection Time is the TIME the REFERRAL REQUEST was rejected by a SERVICE.A Referral Rejection Time is the time the REFERRAL REQUEST was rejected by a SERVICE.

 

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ACTIVITY DATE TIME

Change to Class: Changed Supertype, Description

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ACTIVITY DATE TIME

Change to Class: Changed Supertype, Description
  • Changed Supertype from null to Data_Dictionary.Classes.D.DATE_TIME
  • Changed Description

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DATE TIME

Change to Class: New Class

DATE TIME defines individual dates and times.

Subtypes of DATE TIME are:

 

This class is also known by these names:
ContextAlias
pluralDATE TIMES

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DATE TIME

Change to Class: New Class

This class has no attributes.

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DATE TIME

Change to Class: New Class

Each DATE TIME
may be recorded for one or more ORGANISATION
may be recorded for one or more PERSON

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EVENT

Change to Class: New Class

An EVENT is an occurrence which is not an ACTIVITYPERSON PROPERTY or PLANNED ACTIVITY.

 

This class is also known by these names:
ContextAlias
pluralEVENTS

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EVENT

Change to Class: New Class

This class has no attributes.

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EVENT

Change to Class: New Class

Each EVENT
may be the subject of one or more EVENT DATE TIME

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EVENT DATE TIME

Change to Class: New Class

EVENT DATE TIME defines individual EVENT DATES and EVENT TIMES. 

This class is also known by these names:
ContextAlias
pluralEVENT DATE TIMES

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EVENT DATE TIME

Change to Class: New Class

Attributes of this Class are:
EVENT DATE
EVENT TIME

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EVENT DATE TIME

Change to Class: New Class

Each EVENT DATE TIME
must be for one and only one EVENT

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PERSON PROPERTY

Change to Class: Changed Attributes, Relationships

Attributes of this Class are:
KPERSON PROPERTY IDENTIFIER
PERSON PROPERTY EFFECTIVE END DATE
PERSON PROPERTY EFFECTIVE END TIME
PERSON PROPERTY EFFECTIVE START DATE
PERSON PROPERTY EFFECTIVE START TIME
PERSON PROPERTY OBSERVED DATE
PERSON PROPERTY OBSERVED TIME
PERSON PROPERTY RECORDED DATE
PERSON PROPERTY RECORDED TIME

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PERSON PROPERTY

Change to Class: Changed Attributes, Relationships

Each PERSON PROPERTY
Kmust be owned by one and only one PERSON
must be reported by one and only one PERSON
must be recorded by one and only one PERSON
must be observed by one and only one PERSON
may be the context for one and only one ACTIVITY GROUP
may be classified as one and only one CODED CLINICAL ENTRY
may be applied for one or more PERSON PROPERTY ASSIGNMENT PERIOD
may be the subject of one or more PERSON PROPERTY DATE TIME
may be related to one or more PERSON PROPERTY QUALIFIER
may be qualified by one or more PERSON PROPERTY QUALIFIER
may be qualified by one or more UNIT OF MEASUREMENT

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PERSON PROPERTY DATE TIME

Change to Class: New Class

PERSON PROPERTY DATE TIME defines individual dates and times relating to a PERSON PROPERTY.

 

This class is also known by these names:
ContextAlias
pluralPERSON PROPERTY DATE TIMES

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PERSON PROPERTY DATE TIME

Change to Class: New Class

Attributes of this Class are:
PERSON PROPERTY EFFECTIVE END DATE
PERSON PROPERTY EFFECTIVE END TIME
PERSON PROPERTY EFFECTIVE START DATE
PERSON PROPERTY EFFECTIVE START TIME
PERSON PROPERTY OBSERVED DATE
PERSON PROPERTY OBSERVED TIME
PERSON PROPERTY RECORDED DATE
PERSON PROPERTY RECORDED TIME

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PERSON PROPERTY DATE TIME

Change to Class: New Class

Each PERSON PROPERTY DATE TIME
must be for one and only one PERSON PROPERTY

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PLANNED ACTIVITY DATE TIME

Change to Class: Changed Relationships, Supertype, Description

PLANNED ACTIVITY DATE TIME defines individual PLANNED ACTIVITY DATE TIME types.PLANNED ACTIVITY DATE TIME defines individual dates and times relating to a PLANNED ACTIVITY.

PLANNED ACTIVITY DATE TYPE provide lists of PLANNED ACTIVITY DATE TIMES.

 

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PLANNED ACTIVITY DATE TIME

Change to Class: Changed Relationships, Supertype, Description

Each PLANNED ACTIVITY DATE TIME
must be for one and only one PLANNED ACTIVITY

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PLANNED ACTIVITY DATE TIME

Change to Class: Changed Relationships, Supertype, Description
  • Changed Relationships
  • Changed Supertype from null to Data_Dictionary.Classes.D.DATE_TIME
  • Changed Description

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ACTIVITY DATE

Change to Attribute: Changed Description

Any DATE that is of relevance to an ACTIVITY.The date, month, year and century, or any combination of these elements, that is of relevance to an ACTIVITY.

The specific nature of the DATE will be identified by the ACTIVITY DATE TYPE.The specific nature of the ACTIVITY DATE will be identified by the ACTIVITY DATE TYPE.

 

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ACTIVITY DATE AND TIME TYPE

Change to Attribute: Changed Description

The type of DATE AND TIME that defines the usage with regard to the ACTIVITY.The type of date and time that defines the usage with regard to the ACTIVITY.

An ACTIVITY may have many DATES AND TIMES associated with it but may only have one DATE AND TIME of a particular type.An ACTIVITY may have many dates and times associated with it but may only have one date and time of a particular type.

National Codes:

300Maternal Critical Incident Date and Time
301Procedure Date and Time (Retired September 2018)
302Baby First Feed Date and Time
303Date and Time of Decision to Deliver
304Discharge Date and Time (Hospital Provider Spell Postpartum)
305Oxytocin Administered Date and Time
306Rupture of Membranes Date and Time (Retired September 2018)
307Transfer Start Date and Time (Neonatal Unit)
308Urgent Care Service Accessed Date and Time (Retired 01 September 2015)
309Clinical Intervention Date and Time (Retired September 2018)
310Critical Care Period Start Date and Time (Retired September 2018)
311Parents Seen By Senior Staff Member Date and Time (Retired September 2018)
312Critical Care Period Discharge Date and Time (Retired September 2018)
313Arrival Date and Time at Accident and Emergency Department (Retired September 2018)
314Assault Date and Time (Retired September 2018)

Note: This list is not in alphabetical order.

 

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ACTIVITY SERVICE REQUEST DATE

Change to Attribute: Changed Description

The DATE that a SERVICE REQUEST for an ACTIVITY was made.The date that a SERVICE REQUEST for an ACTIVITY was made.

 

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ACTIVITY SERVICE REQUEST TIME

Change to Attribute: Changed Description

The TIME that a SERVICE REQUEST for an ACTIVITY was made.The time that a SERVICE REQUEST for an ACTIVITY was made.

 

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ACTIVITY TIME

Change to Attribute: Changed Description

Any TIME that is of relevance to an ACTIVITY.The time (using a 24 hour clock) that is of relevance to an ACTIVITY.

The specific nature of the TIME will be identified by the ACTIVITY TIME TYPE.The specific nature of the time will be identified by the ACTIVITY TIME TYPE.

 

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ACTIVITY TIME TYPE

Change to Attribute: Changed Description

The type of TIME that defines the usage with regard to the ACTIVITY.The type of time that defines the usage with regard to the ACTIVITY.

An ACTIVITY may have many TIMES associated with it but may only have one TIME of a particular type.An ACTIVITY may have many times associated with it but may only have one time of a particular type.

National Codes:

50Accident and Emergency Attendance Conclusion Time
51Accident and Emergency Departure Time
52Accident and Emergency Initial Assessment Time
53Accident and Emergency Time Seen For Treatment
54Arrival At Hospital Time (Retired April 2012)
55ARRIVAL TIME (Retired April 2012)
56End Time
57Event Time (Retired July 2012)
58Initial Patient Contact Time (Retired July 2012)
59Last Dosage Time
60Pathology Result Due Time
61Start Time
62Theatre Case Time In To Theatre Suite (Retired September 2012)
63Theatre Case Time Out Of Theatre (Retired September 2012)
64Theatre Case Time Out Of Theatre Suite (Retired September 2012)
65Time Seen (Retired September 2018)
66Discharge Ready Time (Retired April 2012)
67Arrival Time At Accident and Emergency Department
68Arrival Time For Transport Requests (Retired September 2015)
69Discharge Time
70Clinical Intervention Time
71Care Contact Time
72Indirect Activity Time
73Service Discharge Time (Retired September 2018)
74Referral Closure Time
75Onward Referral Time (Retired September 2018)
76Emergency Care Arrival Time
77Emergency Care Initial Assessment Time
78Emergency Care Time Seen For Treatment
79Emergency Care Attendance Conclusion Time
80Emergency Care Departure Time
81Injury Time (Retired September 2018)
82Referred To Service Assessment Time (Retired September 2018)
83Procedure Time
84Care Plan Agreed Time
85Care Plan Creation Time
86Care Plan Last Updated Time
87Referral Rejection Time
88Observable Entity Time

Note: This list is not in alphabetical order.

 

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APPOINTMENT DATE

Change to Attribute: Changed Description

The DATE of an APPOINTMENT.The date of an APPOINTMENT.

In the case of a PATIENT attending an Out-Patient Clinic without prior notice or APPOINTMENT, the PATIENT will be given an Out-Patient Appointment.

 

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CLINICAL INVESTIGATION RESULT ANALYSED DATE

Change to Attribute: Changed Description

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CLINICAL INVESTIGATION RESULT RECEIVED DATE

Change to Attribute: Changed Description

The DATE the CLINICAL INVESTIGATION RESULT ITEM is received from the Laboratory by the Health Care Provider.The date the CLINICAL INVESTIGATION RESULT ITEM is received from the Laboratory by the Health Care Provider.

 

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DATE KIDNEY PERFUSED WITH RECIPIENT BLOOD

Change to Attribute: Changed Description

The DATE that the kidney was perfused with the recipient's blood.The date that the kidney was perfused with the recipient's blood.

 

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DATE REMOVED FROM ICE

Change to Attribute: Changed Description

The DATE that the TRANSPLANT ITEM was removed from ice.The date that the TRANSPLANT ITEM was removed from ice.

 

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DECISION TO TREAT DATE

Change to Attribute: Changed Description

The DATE on which a Decision To Treat is made.The date on which a Decision To Treat is made.

For the cancer data sets, the DECISION TO TREAT DATE is the DATE that the consultation between the PATIENT and the clinician took place and a Planned Cancer Treatment was agreed.For the cancer data sets, the DECISION TO TREAT DATE is the date that the consultation between the PATIENT and the clinician took place and a Planned Cancer Treatment was agreed.

 

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EVENT DATE

Change to Attribute: New Attribute

The date, month, year and century, or any combination of these elements, of an EVENT.

 

This attribute is also known by these names:
ContextAlias
pluralEVENT DATES

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EVENT TIME

Change to Attribute: New Attribute

The time (using a 24 hour clock) at which an EVENT, or the action in an EVENT, takes place.

 

This attribute is also known by these names:
ContextAlias
pluralEVENT TIMES

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EVENT TIME

Change to Attribute: New Attribute

EVENT TIME
 
Data Elements:
DATE AND TIME DATA SET CREATED

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PERSON DEATH TIME

Change to Attribute: Changed Description

The TIME at which a PERSON died or is officially deemed to have died.The time at which a PERSON died or is officially deemed to have died.

This is as recorded on the Death Certificate.

 

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PERSON PROPERTY EFFECTIVE END DATE

Change to Attribute: Changed Description

The DATE when a PERSON PROPERTY is no longer applicable to the PATIENT.The date when a PERSON PROPERTY is no longer applicable to the PATIENT.

 

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PERSON PROPERTY EFFECTIVE END TIME

Change to Attribute: Changed Description

The TIME when a PERSON PROPERTY is no longer applicable to the PATIENT.The time when a PERSON PROPERTY is no longer applicable to the PATIENT.

 

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PERSON PROPERTY EFFECTIVE START DATE

Change to Attribute: Changed Description

The DATE when a PERSON PROPERTY became effective for a PATIENT.The date when a PERSON PROPERTY became effective for a PATIENT.

Examples may be the DATE when the PATIENT experienced a symptom or gave up smoking.Examples may be the date when the PATIENT experienced a symptom or gave up smoking.

 

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PERSON PROPERTY EFFECTIVE START TIME

Change to Attribute: Changed Description

The TIME when a PERSON PROPERTY became effective for a PATIENT.The time when a PERSON PROPERTY became effective for a PATIENT.

 

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PERSON PROPERTY OBSERVED DATE

Change to Attribute: Changed Description

The DATE when the PERSON PROPERTY was observed by a PERSON.The date when the PERSON PROPERTY was observed by a PERSON.

 

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PERSON PROPERTY OBSERVED TIME

Change to Attribute: Changed Description

The TIME when the PERSON PROPERTY was observed by a PERSON.The time when the PERSON PROPERTY was observed by a PERSON.

 

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PERSON PROPERTY RECORDED DATE

Change to Attribute: Changed Description

The DATE when the PERSON PROPERTY was recorded by a PERSON.The date when the PERSON PROPERTY was recorded by a PERSON.

For the National Renal Data Set, in a computerised system this data would be derived from the DATE the information was entered.For the National Renal Data Set, in a computerised system this data would be derived from the date the information was entered.

 

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PERSON PROPERTY RECORDED TIME

Change to Attribute: Changed Description

The TIME when the PERSON PROPERTY was recorded by a PERSON.The time when the PERSON PROPERTY was recorded by a PERSON.

In a computerised system this data would be derived from the TIME the information was entered.In a computerised system this data would be derived from the time the information was entered.

 

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PLANNED ACTIVITY DATE

Change to Attribute: Changed Description

Any DATE that is of relevance to a PLANNED ACTIVITY.Any date that is of relevance to a PLANNED ACTIVITY.

The specific nature of the DATE will be identified by the PLANNED ACTIVITY DATE TYPE.The specific nature of the date will be identified by the PLANNED ACTIVITY DATE TYPE.

 

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REFERRAL DATE FOR RENAL TRANSPLANT CONSIDERATION

Change to Attribute: Changed Description

The DATE the PATIENT was referred for consideration of suitability for a renal transplant.The date the PATIENT was referred for consideration of suitability for a renal transplant. 

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START DATE OF COLD PERFUSION

Change to Attribute: Changed Description

The DATE of the start of cold perfusion of the ORGAN OR TISSUE DONOR kidney.The date of the start of cold perfusion of the ORGAN OR TISSUE DONOR kidney. 

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START TIME OF COLD PERFUSION

Change to Attribute: Changed Description

The TIME of the start of cold perfusion of the ORGAN OR TISSUE DONOR kidney.The time of the start of cold perfusion of the ORGAN OR TISSUE DONOR kidney. 

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TIME KIDNEY PERFUSED WITH RECIPIENT BLOOD

Change to Attribute: Changed Description

The TIME that the kidney was perfused with the recipient's blood.The time that the kidney was perfused with the recipient's blood.

 

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TIME REMOVED FROM ICE

Change to Attribute: Changed Description

The TIME that the TRANSPLANT ITEM was removed from ice.The time that the TRANSPLANT ITEM was removed from ice.

 

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TRANSPLANT WAITING LIST STATUS CODE CHANGED DATE

Change to Attribute: Changed Description

The DATE that the current status of the PATIENT changed with regard to the TRANSPLANT WAITING LIST.The date that the current status of the PATIENT changed with regard to the TRANSPLANT WAITING LIST.

 

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ASSESSMENT TOOL COMPLETION DATE

Change to Data Element: Changed linked Attribute, Description

Format/Length:See DATE
Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
ASSESSMENT TOOL COMPLETION DATE is the DATE the ASSESSMENT TOOL was completed.ASSESSMENT TOOL COMPLETION DATE is the date the ASSESSMENT TOOL was completed. 

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ASSESSMENT TOOL COMPLETION DATE

Change to Data Element: Changed linked Attribute, Description

ASSESSMENT TOOL COMPLETION DATE
 
Attribute:
EVENT DATE

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ASSESSMENT TOOL COMPLETION YEAR AND MONTH

Change to Data Element: Changed linked Attribute, Description

Format/Length:See YEAR AND MONTH
Format/Length:an7 YYYY-MM
National Codes: 
Default Codes: 

Notes:
ASSESSMENT TOOL COMPLETION YEAR AND MONTH is the YEAR AND MONTH of the recorded ASSESSMENT TOOL COMPLETION DATE.ASSESSMENT TOOL COMPLETION YEAR AND MONTH is the year and month of the recorded ASSESSMENT TOOL COMPLETION DATE.

For the National Neonatal Data Set - Two Year Neonatal Outcomes Assessment, ASSESSMENT TOOL COMPLETION YEAR AND MONTH is submitted instead of ASSESSMENT TOOL COMPLETION DATE, where the data set record is anonymised.

 

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ASSESSMENT TOOL COMPLETION YEAR AND MONTH

Change to Data Element: Changed linked Attribute, Description

ASSESSMENT TOOL COMPLETION YEAR AND MONTH
 
Attribute:
EVENT DATE

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DATE AND TIME DATA SET CREATED

Change to Data Element: Changed linked Attribute, Description

Format/Length:See DATE AND TIME 
Format/Length:an19 YYYY-MM-DDThh:mm:ss 
National Codes: 
Default Codes: 

Notes:
DATE AND TIME DATA SET CREATED is the same as data element DATE AND TIME.DATE AND TIME DATA SET CREATED is the same as attribute EVENT DATE and EVENT TIME.

DATE AND TIME DATA SET CREATED is the DATE AND TIME a data set was created.DATE AND TIME DATA SET CREATED is the date and time a data set was created.

 

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DATE AND TIME DATA SET CREATED

Change to Data Element: Changed linked Attribute, Description

DATE AND TIME DATA SET CREATED
 
Attribute:
EVENT DATE
EVENT TIME

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DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE

Change to Data Element: Changed linked Attribute, Description

Format/Length:See DATE
Format/Length:an10 CCYY-MM-DD
National Codes: 
Default Codes: 

Notes:
DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE is the date at which the Psychiatric Census of Detained and/or Long-Term PATIENTS is held.

CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set must be submitted annually to the Secondary Uses Service using a date of 31 March for the year of the census.

See the Commissioning Data Set Mandated Data Flows for further information.

By local agreement, other submissions may be made and where this is undertaken, the date chosen must also be compatible with the Commissioning Data Set Submission Protocol used.

 

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DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE

Change to Data Element: Changed linked Attribute, Description

DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE
 
Attribute:
EVENT DATE

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YEAR OF DIAGNOSIS OUTSIDE UNITED KINGDOM (HIV)

Change to Data Element: Changed linked Attribute, Description

Format/Length:See YEAR
Format/Length:an4 YYYY
National Codes: 
Default Codes: 

Notes:
YEAR OF DIAGNOSIS OUTSIDE UNITED KINGDOM (HIV) is the same as the data element YEAR.YEAR OF DIAGNOSIS OUTSIDE UNITED KINGDOM (HIV) is the same as attribute EVENT DATE. 

YEAR OF DIAGNOSIS OUTSIDE UNITED KINGDOM (HIV) is the YEAR the PATIENT was first diagnosed with Human Immunodeficiency Virus (HIV) outside of the United Kingdom.YEAR OF DIAGNOSIS OUTSIDE UNITED KINGDOM (HIV) is the year the PATIENT was first diagnosed with Human Immunodeficiency Virus (HIV) outside of the United Kingdom.

 

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YEAR OF DIAGNOSIS OUTSIDE UNITED KINGDOM (HIV)

Change to Data Element: Changed linked Attribute, Description

YEAR OF DIAGNOSIS OUTSIDE UNITED KINGDOM (HIV)
 
Attribute:
EVENT DATE

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YEAR OF UK ENTRY

Change to Data Element: Changed linked Attribute, Description

Format/Length:See YEAR
Format/Length:an4 YYYY
National Codes: 
Default Codes: 

Notes:
YEAR OF UK ENTRY is the same as data element YEAR.YEAR OF UK ENTRY is the same as attribute EVENT DATE.

YEAR OF UK ENTRY is the YEAR a PERSON entered the United Kingdom.YEAR OF UK ENTRY is the year a PERSON entered the United Kingdom.

Note: this is not the date the PERSON became an official resident.

 

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YEAR OF UK ENTRY

Change to Data Element: Changed linked Attribute, Description

YEAR OF UK ENTRY
 
Attribute:
EVENT DATE

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

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