Change Request

NHS Information Authority

Data Standards Programme

Reference: Change Request 248
Version No:1.9
Subject:DSCN 09/2002
Type of Change:Changes to NHS Data Standards
Effective Date:1 April 2002
Reason for Change:Anomalous use of the Source of Referral attributes

Background:

The seven Source of Referral attributes were previously associated with the episode of care rather than the actual referral. This DSCN corrects the anomaly. Please note that the source of referral attributes have been moved to REFERRAL REQUEST and not deleted from the data standards.

The relationship between OUT-PATIENT APPOINTMENT CONSULTANT and CONSULTANT OUT-PATIENT EPISODE has now become optional (see DSCN 08/2002), as an episode cannot exist until the attendance takes place. Therefore, an OUT-PATIENT APPOINTMENT may not have an associated REFERRAL REQUEST until the attendance takes place. The relationship between OUT-PATIENT APPOINTMENT and PLANNED SERVICE TO BE PROVIDED has therefore been made mandatory, so that all OUT-PATIENT APPOINTMENTS are associated with the original REFERRAL REQUEST.

Summary of changes:
 
Class Definitions
ACCIDENT AND EMERGENCY EPISODE   Change to attributes
ACCIDENT AND EMERGENCY EPISODE   Change to relationships
COMMUNITY EPISODE   Change to attributes
CONSULTANT OUT-PATIENT EPISODE   Change to attributes
DENTAL EPISODE   Change to attributes
DRUG MISUSE EPISODE   Change to attributes
DRUG MISUSE EPISODE   Change to relationships
MENTAL HEALTH CARE SPELL   Change to attributes
OUT-PATIENT APPOINTMENT   Change to relationships
PROFESSIONAL STAFF GROUP EPISODE   Change to attributes
REFERRAL REQUEST   Change to attributes
SERVICE PROVIDED   Change to relationships
 
Diagram
GN040 Services Provided by Hospitals   Change to diagram contents
GN060 Services Provided by Non-Hospital Services   Change to diagram contents
KC56 Patient Care in the Community - District Nursing   Change to diagram contents
KC57 Patient Care in the Community - Community Psychiatric Nursing   Change to diagram contents
KC58 Patient Care in the Community - Community Learning Disability Nursing   Change to diagram contents
KC59 Patient Care in the Community - Specialist Care Nursing   Change to diagram contents
KC64A CDS: Part 1 Screening Programmes and Part 2 Preventative Programmes   Change to diagram contents
KC64B CDS: Part 3 Patient Care and Part 4 Epidemiology   Change to diagram contents
MS030 GP Hospital Communication Messages - Referral Requests   Change to diagram contents

Name:Michelle Cambridge
Date:26 November 2002
Sponsor:Data Standards Team

Note: Additions shown in highlighted with a blue background. Deletions are shown using strikeout.


ACCIDENT AND EMERGENCY EPISODE

Change to Class: change to attributes

Attributes of this Class are:
KSTART DATE
OA+E INCIDENT LOCATION TYPE
A+E PATIENT GROUP
OEND DATE
SOURCE OF REFERRAL FOR A+E


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ACCIDENT AND EMERGENCY EPISODE

Change to Class: change to relationships

Each ACCIDENT AND EMERGENCY EPISODE
Kmust be related to one and only one ACCIDENT AND EMERGENCY DEPARTMENT
Kmust be related to one and only one PATIENT
must be associated as one and only one SERVICE PROVIDED
may be related to one or more ACCIDENT AND EMERGENCY ATTENDANCE
may be related to one or more DECISION TO ADMIT


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COMMUNITY EPISODE

Change to Class: change to attributes

Attributes of this Class are:
KEPISODE NUMBER
OEND DATE
OREVIEW PLANNED DATE
SOURCE OF REFERRAL FOR COMMUNITY
START DATE


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CONSULTANT OUT-PATIENT EPISODE

Change to Class: change to attributes

Attributes of this Class are:
KEPISODE NUMBER
OEND DATE
OFUNCTIONAL DEFICIENCY
OFUNCTIONAL DEFICIENCY CAUSE
SOURCE OF REFERRAL FOR OUT-PATIENTS
START DATE
OSUPRA SERVICE TYPE


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DENTAL EPISODE

Change to Class: change to attributes

Attributes of this Class are:
KEPISODE NUMBER
OEND DATE
OEPISODE COMPLETION INDICATOR
GENERAL DENTAL SERVICE INDICATOR
SOURCE OF REFERRAL FOR COMMUNITY DENTAL
START DATE


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DRUG MISUSE EPISODE

Change to Class: change to attributes

Attributes of this Class are:
KEPISODE NUMBER
OEND DATE
SOURCE OF REFERRAL FOR DRUG MISUSE
START DATE


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DRUG MISUSE EPISODE

Change to Class: change to relationships

Each DRUG MISUSE EPISODE
Kmust be related to one and only one DRUG MISUSE FACILITY
must be for one and only one DRUG MISUSER
must be associated as one and only one SERVICE PROVIDED
must be related to one or more SUBSTANCE MISUSED
may be if contact by a community psychiatric nurse, within one and only one COMMUNITY EPISODE
may be related to one or more DRUG MISUSER PRESCRIBING PLAN


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MENTAL HEALTH CARE SPELL

Change to Class: change to attributes

Attributes of this Class are:
OEND DATE
OMENTAL HEALTH CARE ASSESSMENT DATE
   only if spell initiated by a referral for assessment
OMENTAL HEALTH CARE SPELL END CODE
OPATIENT INFORMED OF OUTCOME DATE
   only if spell initiated by a referral for assessment
SOURCE OF REFERRAL FOR MENTAL HEALTH
START DATE


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OUT-PATIENT APPOINTMENT

Change to Class: change to relationships

Each OUT-PATIENT APPOINTMENT
Kmust be related to one and only one OUT-PATIENT CLINIC
Kmust be related to one and only one PATIENT
may be related to one and only one PLANNED SERVICE TO BE PROVIDED
must be associated with the original one and only one PLANNED SERVICE TO BE PROVIDED


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PROFESSIONAL STAFF GROUP EPISODE

Change to Class: change to attributes

Attributes of this Class are:
KPROFESSIONAL STAFF GROUP EPISODE NUMBER
OEPISODE DURATION
   speech and language therapy only
OFUNCTIONAL DEFICIENCY
OFUNCTIONAL DEFICIENCY CAUSE
OREVIEW PLANNED DATE
SOURCE OF REFERRAL FOR PROF STAFF GROUP
START DATE


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REFERRAL REQUEST

Change to Class: change to attributes

Attributes of this Class are:
KREQUEST NUMBER
OCOLPOSCOPY REFERRAL INDICATION
   colposcopy only
OCOMMISSIONER REFERENCE NUMBER
OOUT-PATIENT CLINIC REFERRING INDICATOR
   if referral request from an out-patient clinic
OUT-PATIENT REFERRAL INDICATOR
PRIORITY TYPE
REFERRAL DATE
OREFERRAL REQUEST CANCELLED DATE
REFERRAL REQUEST RECEIVED DATE
SERVICE TYPE REQUESTED
OSOURCE OF REFERRAL FOR A+E
   if request is for care by an ACCIDENT AND EMERGENCY DEPARTMENT
OSOURCE OF REFERRAL FOR COMMUNITY
   if request is for care by a COMMUNITY NURSE STAFF GROUP
OSOURCE OF REFERRAL FOR COMMUNITY DENTAL
   if request is for care by a Community Dental Service
OSOURCE OF REFERRAL FOR DRUG MISUSE
   if request is for care at a DRUG MISUSE FACILITY
OSOURCE OF REFERRAL FOR MENTAL HEALTH
   if request is for care from specialist mental care services
OSOURCE OF REFERRAL FOR OUT-PATIENTS
   if request is for care to be provided as an out-patient
OSOURCE OF REFERRAL FOR PROF STAFF GROUP
   if request is for care by a PROFESSIONAL STAFF GROUP SERVICE
OSUPRA SERVICE TYPE


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SERVICE PROVIDED

Change to Class: change to relationships

Each SERVICE PROVIDED
Kmust be a treatment or service provided by one and only one HEALTH CARE PROVIDER
may be part of one and only one HEALTH AUTHORITY PROGRAMME
or may be related to one and only one SURVEILLANCE PROGRAMME STAGE
may be related to one or more GROUP SESSION
or may be related to one or more HEALTH PROMOTION OTHER ACTIVITY
or may be related to one or more PERSON IN A CONTACT TRACING PROGRAMME
or may be related to one or more PERSON IN A SCREENING PROGRAMME
may be related to one or more ACCIDENT AND EMERGENCY DEPARTMENT
may be related to one or more ACCIDENT AND EMERGENCY EPISODE
may be related to one or more ADMINISTRATIVE CATEGORY IN EPISODE
may be related to one or more ADMINISTRATIVE CATEGORY IN SPELL
may be related to one or more AMBULANCE SERVICE
may be provided as one or more ANTI-CANCER DRUG PROGRAMME
may be related to one or more AUDIOLOGY ATTENDANCE
may be provided within one and only one CARE PLAN
may be provided as one or more CARE PROGRAMME APPROACH EPISODE
may be for care responsibility part of one and only one CARE SPELL
may be related to one or more CLINICAL INTERVENTION
may be related to one or more CLINIC ATTENDANCE NON-CONSULTANT
may be related to one or more COMMUNITY EPISODE
may be provided as one or more CONSULTANT EPISODE (ACUTE HOME-BASED)
may be related to one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
may be provided as one or more CONSULTANT OUT-PATIENT EPISODE
may be related to one or more DENTAL EPISODE
may be related to one or more DENTAL STAFF MEMBER IN PROGRAMME
may be related to one or more DOMICILIARY CONSULTATION
may be related to one or more DRUG MISUSE EPISODE
may be related to one or more ELECTIVE ADMISSION LIST ENTRY
may be related to one or more FACE TO FACE CONTACT OPTICAL
may be provided as one or more FACE TO FACE CONTACT SOCIAL WORKER
may be related to one or more FAMILY PLANNING DOMICILIARY VISIT
may be related to one or more HEALTH PROMOTION ACTIVITY HIV AND AIDS
may be related to one or more HEALTHY PERSON STAY
may be related to one or more HOME ASSESSMENT VISIT
may be related to one or more HOME DIALYSIS EPISODE
may be provided as one or more HOME HELP VISIT
may be related to one or more IMMUNISATION PROGRAMME FOR PERSON
may be related to one or more LABOUR AND DELIVERY
may be related to one or more LITHOTRIPSY COURSE ATTENDANCE
may be provided in one and only one LOCATION
may be related to one or more MATERNITY DOMICILIARY VISIT
may be related to one or more MIDWIFE EPISODE
may be related to one or more NHS SERVICE AGREEMENT CHANGE
may be related to one or more NURSE OR MIDWIFE CONTACT
may be related to one or more NURSING EPISODE
may be provided as one or more NURSING HOME STAY (CONSULTANT CARE)
may be related to one or more NURSING HOME STAY (NURSING CARE)
may be related to one or more OUT-PATIENT CLINIC
may be related to one or more OVERSEAS VISITOR STATUS
may be provided as one or more PALLIATIVE CARE EPISODE
may be related to one or more PATIENT JOURNEY
may be related to one or more PERSON IN ADVICE AND SUPPORT PROGRAMME
may be related to one or more PERSON IN A SURVEILLANCE STAGE
may be related to one or more PERSON OBSERVATION
may be providing one or more PERSON SMOKING CESSATION EPISODE
may be related to one or more POST MORTEM
may be related to one or more PROFESSIONAL STAFF GROUP EPISODE
may be related to one or more PROFESSIONAL STAFF GROUP SERVICE
may be related to one or more RADIOTHERAPY TREATMENT COURSE
may be initiated by one and only one REFERRAL REQUEST
may be provided as one or more REGULAR ATTENDER EPISODE
may be related to one or more REQUEST FOR DIAGNOSTIC TEST
may be provided as one or more RESIDENTIAL CARE OR GROUP HOME STAY
may be subdivided into one or more SERVICE PROVIDED
may be a subdivision of one or more SERVICE PROVIDED
may be related to one or more SERVICE PROVIDED UNDER AGREEMENT
may be provided at one or more SERVICE PROVISION POINT
may be related to one or more SERVICE REPORTED
may be reported by one and only one SERVICE REPORT HEADER
may be provided as one or more SHELTERED WORK ATTENDANCE
may be part of one and only one SMOKING CESSATION SERVICE
may be provided as one or more SOCIAL SERVICES STATUTORY ASSESSMENT
may be related to one or more VASECTOMY PERFORMED
may be related to one or more WARD ATTENDANCE
may be related to one or more WARD STAY


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GN040 Services Provided by Hospitals

Change to Diagram: Change to diagram contents


 GN040 Services Provided by Hospitals 


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GN060 Services Provided by Non-Hospital Services

Change to Diagram: Change to diagram contents


 GN060 Services Provided by Non-Hospital Services 


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KC56 Patient Care in the Community - District Nursing

Change to Diagram: Change to diagram contents


 KC56 Patient Care in the Community - District Nursing 


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KC57 Patient Care in the Community - Community Psychiatric Nursing

Change to Diagram: Change to diagram contents


 KC57 Patient Care in the Community - Community Psychiatric Nursing 


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KC58 Patient Care in the Community - Community Learning Disability Nursing

Change to Diagram: Change to diagram contents


 KC58 Patient Care in the Community - Community Learning Disability Nursing 


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KC59 Patient Care in the Community - Specialist Care Nursing

Change to Diagram: Change to diagram contents


 KC59 Patient Care in the Community - Specialist Care Nursing 


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KC64A CDS: Part 1 Screening Programmes and Part 2 Preventative Programmes

Change to Diagram: Change to diagram contents


 KC64A CDS: Part 1 Screening Programmes and Part 2 Preventative Programmes 


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KC64B CDS: Part 3 Patient Care and Part 4 Epidemiology

Change to Diagram: Change to diagram contents


 KC64B CDS: Part 3 Patient Care and Part 4 Epidemiology 


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MS030 GP Hospital Communication Messages - Referral Requests

Change to Diagram: Change to diagram contents


 MS030 GP Hospital Communication Messages - Referral Requests 


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Please address enquiries about this DSCN to:-

Data Standards Team
NHS Information Authority
Aqueous II
Aston Cross
Rocky Lane
Birmingham
B6 5RQ

Tel: 0121 333 0333