Change Request

NHS Information Authority

Data Standards Programme

Reference: Change Request 306
Version No:1.4
Subject:DSCN 38/2002 - Requirements for Accreditation RFA99 V1.2
Type of Change:Revision of NHS data standards
Effective Date:1 April 2003
Reason for Change:The Requirements for Accreditation RFA99 V1.2 consultation document.

Background:

In view of the anticipated changes in requirements for systems across Primary Care, the Primary Care Information Management Board (PCIMB) has had to consider how the principles of RFA should be developed to support those changes. It was felt inappropriate at this time to release a major new version for RFA2001 and more appropriate to include the core elements that had been intended for RFA2001 in Version 2.1 of RFA99. It is intended that these standards will form the minimum for GP computer systems. Information on Requirements For Accreditation for GP computer systems can be found at www.standards.nhsia.nhs.uk/spg/health.htm. The Requirements for Accreditation for GP computer system revisions have highlighted some data standards which need amendment. The following are the changes to the NHS Data Dictionary Version.2 to reflect this.

Summary of changes:
 
Class Definitions
GENERAL MEDICAL PRACTITIONER   Change to relationships
GMP CONTACT FOR PERSON   Change to supertype
GMP CONTACT FOR PERSON   Change to attributes
GMP CONTACT FOR PERSON   Change to relationships
PATIENT   Change to attributes
PERSON   Change to relationships
PRIVATE GMP ASSOCIATION   New Class
REGISTRATION   Change to relationships
 
Attribute Definitions
CARER PERMISSION DATE   New Attribute
PERSON RELATIONSHIP TYPE   Change to description
 
Diagrams
CDS020 PATIENT DETAILS - ALL CDS TYPES   Change to diagram contents
CEN3 GMP ADDITIONAL DATA   Change to diagram contents
KH06R DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED   Change to diagram contents
KH07AR DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED   Change to diagram contents
PC090 GENERAL MEDICAL PRACTITIONERS' PARTNERSHIPS AND PERSONS' REGISTRATION   Change to diagram contents
QF01 DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED   Change to diagram contents
QM08R OUT-PATIENT FIRST ATTENDANCES: RESPONSIBLE POPULATION BASED   Change to diagram contents

Name:Michelle Cambridge
Date:24 February 2003
Sponsor:Data Standards Team

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


GENERAL MEDICAL PRACTITIONER

Change to Class: change to relationships

Each GENERAL MEDICAL PRACTITIONER
may be the provider of one or more ANAESTHETIC SERVICE
may be the initiator of one or more GMP CLAIM FOR PAYMENT OR REIMBURSEMENT
may be the provider of one or more GMP CONSULTATION
may be designated as one or more GMP CONTACT FOR PERSON
may be the holder of one or more GMP CONTRACT
may be the employer in one or more GMP EMPLOYMENT CONTRACT
may be the GMP in one or more GMP IN PARTNERSHIP
may be in receipt of one or more GMP PAYMENT OR REIMBURSEMENT
may be related for the main practice to one and only one GP PRACTICE
may be the provider of anaesthetic services to one or more MATERNITY MEDICAL SERVICE
may be the general medical practitioner in one or more PERSON GMP ASSOCIATION
may be the person in one or more PERSON IN GMP PRACTICE POST
may be related to one or more PREGNANCY EPISODE
may be the receiver of one or more PRIOR NOTIFICATION LIST FOR CYTOLOGY
may be associated with one or more REGISTRATION


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GMP CONTACT FOR PERSON

Change to Class: change to supertype

The GENERAL MEDICAL PRACTITIONER who is designated as being the contact for delivery of items of General Medical Service to a PERSON. A type of PERSON GMP ASSOCIATION.

The GENERAL MEDICAL PRACTITIONER who is designated as being the contact for delivery of items of General Medical Service to a PERSON or the GENERAL MEDICAL PRACTITIONER who usually sees the PATIENT.

This may or may not be the GENERAL MEDICAL PRACTITIONER with whom the PERSON is registered.



This class is also known by these names:
ContextAlias
pluralGMP CONTACTS FOR PERSONS


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GMP CONTACT FOR PERSON

Change to Class: change to attributes

Attributes of this Class are:
KSTART DATE
OEND DATE
This class has no attributes.


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GMP CONTACT FOR PERSON

Change to Class: change to relationships

Each GMP CONTACT FOR PERSON
This class has no relationships.
Kmust be an arrangement with one and only one GENERAL MEDICAL PRACTITIONER
Kmust be with one and only one PERSON


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PATIENT

Change to Class: change to attributes

Attributes of this Class are:
ALCOHOL STATUS
CARER PERMISSION DATE
OCARER SUPPORT INDICATOR
CHRONICALLY SICK OR DISABLED
   mandatory only during a HOSPITAL PROVIDER SPELL
OSECURE ACCOMMODATION TYPE
   only for patients requiring secure accommodation
OYEAR OF FIRST KNOWN PSYCHIATRIC CARE
   patients who have received specialist psychiatric care


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PERSON

Change to Class: change to relationships

Each PERSON
Kmust be allocated a primary identifier of one and only one PERSON IDENTIFIER
may be located at one or more ADDRESS ASSOCIATION
may be the subject of one or more CARE SPELL
may be the receiver of one or more GMP CONSULTATION
may be involved in one or more GMP CONTACT FOR PERSON
may be related to one or more IMMUNISATION PROGRAMME FOR PERSON
may be a member of one or more MENTAL HEALTH CARE TEAM MEMBER
may be the person consenting to one or more ORGAN DONATION CONSENT
may be associated with one or more PERSON CHARACTERISTIC
may be the subject of one or more PERSON DEATH DETAILS
may be associated with one or more PERSON GMP ASSOCIATION
may be related to one or more PERSON IN A CONTACT TRACING PROGRAMME
may be related to one or more PERSON IN ADVICE AND SUPPORT PROGRAMME
may be related to one or more PERSON IN A SCREENING PROGRAMME
may be related to one or more PERSON IN A SURVEILLANCE STAGE
may be the person in one or more PERSON IN GMP PRACTICE POST
may be the user of one or more PERSON NAME
may be related to one or more PERSON NATIONALITY OR RESIDENCY STATUS
may be the observer of one or more PERSON OBSERVATION
may be the subject of one or more PERSON OBSERVATION
may be from one or more PERSON RELATIONSHIP
may be related to one or more PERSON RELATIONSHIP
may be from one or more PERSON RELATIONSHIP
may be the holder of one or more PERSON ROLE IN ORGANISATION
may be the instigator of one or more PERSON SMOKING CESSATION EPISODE
may be listed on one or more PRIOR NOTIFICATION LIST ENTRY
may be the subject of one or more REGISTRATION
may be related to one or more SCREENING TEST
may be contacted by one or more TELE-COMMUNICATION CONTACT STRING
may be the originator of one or more WRITTEN COMPLAINT


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PRIVATE GMP ASSOCIATION

Change to Class: New Class

PRIVATE GMP ASSOCIATION

A type of PERSON GMP ASSOCIATION.

An agreement between a PERSON and a GENERAL MEDICAL PRACTITIONER whereby a PERSON receives treatment from a GENERAL MEDICAL PRACTITIONER who has accepted and classified the person as a private patient for delivery of the treatment.



This class is also known by these names:
ContextAlias
pluralPRIVATE GMP ASSOCIATIONS

This class has no attributes.

This class has no relationships.


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REGISTRATION

Change to Class: change to relationships

Each REGISTRATION
This class has no relationships.
Kmust be the responsibility of one and only one GENERAL MEDICAL PRACTITIONER
Kmust be for one and only one PERSON


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CARER PERMISSION DATE

Change to Attribute: New Attribute

CARER PERMISSION DATE

The date on which permission was given for details of PATIENT's carer to be recorded.



This attribute is also known by these names:
ContextAlias
pluralCARER PERMISSION DATES


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PERSON RELATIONSHIP TYPE

Change to Attribute: change to description

The classification of the role of the second PERSON in a PERSON RELATIONSHIP.

Classification:
a. Guardian
b. Next Of Kin
c. Not the same person
d. Carer



This attribute is also known by these names:
ContextAlias
pluralPERSON RELATIONSHIP TYPES


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CDS020 PATIENT DETAILS - ALL CDS TYPES

Change to Diagram: Change to diagram contents


 CDS020 Patient Details - all CDS Types 


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CEN3 GMP ADDITIONAL DATA

Change to Diagram: Change to diagram contents


 CEN3 GMP Additional Data 


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KH06R DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED

Change to Diagram: Change to diagram contents


 KH06R Demand for Elective Admission: Position at the End of the Quarter, Responsible Population Based 


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KH07AR DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED

Change to Diagram: Change to diagram contents


 KH07AR Demand for Elective Admission: Position at the End of the Quarter, Responsible Population Based 


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PC090 GENERAL MEDICAL PRACTITIONERS' PARTNERSHIPS AND PERSONS' REGISTRATION

Change to Diagram: Change to diagram contents


 PC090 General Medical Practitioners' Partnerships and Persons' Registration 


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QF01 DEMAND FOR ELECTIVE ADMISSION: POSITION AT THE END OF THE QUARTER, RESPONSIBLE POPULATION BASED

Change to Diagram: Change to diagram contents


 QF01 Demand for Elective Admission: Position at the End of the Quarter, Responsible Population Based 


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QM08R OUT-PATIENT FIRST ATTENDANCES: RESPONSIBLE POPULATION BASED

Change to Diagram: Change to diagram contents


 QM08R Out-Patient First Attendances: Responsible Population Based 


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