Change Request

NHS Information Authority

Data Standards Programme

Reference: Change Request 320
Version No:1.2
Subject:DSCN 27/2002 - Changes to Mental Health Minimum Data Set
Type of Change:Revision of NHS data standards
Effective Date:1 April 2003
Reason for Change:Revision of the Mental Health Minimum Data Set

Background:

National implementation of the Mental Health Minimum Data Set followed the ratification of the Mental Health Minimum Data Set (MHMDS) by CRIR in September 1999 and is still continuing. This implementation has highlighted a number of changes required to the Mental Health Minimum Data Set and this DSCN specifies changes required to NHS Data Standards to support the revisions.

Summary of changes:
 
Class Definitions
CONSULTANT SPECIALTY FUNCTION   Change to relationships
LEGAL STATUS   Change to attributes
MENTAL HEALTH CARE SPELL   Change to relationships
MENTAL HEALTH CARE TEAM   Change to attributes
RESPONSIBLE MEDICAL OFFICER ASSIGNMENT   New Class
WARD STAY   Change to attributes
 
Attribute Definitions
ASSERTIVE OUTREACH TEAM   Deleted
MENTAL HEALTH CARE TEAM TYPE   New Attribute

Name:Michelle Cambridge
Date:21 February 2003
Sponsor:Data Standards Team

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


CONSULTANT SPECIALTY FUNCTION

Change to Class: change to relationships

Each CONSULTANT SPECIALTY FUNCTION
Kmust be contractually provided by one and only one CONSULTANT
Kmust be related to one and only one SPECIALTY FUNCTION
may be the classifier for the main specialty of one or more CONSULTANT EPISODE (ACUTE HOME-BASED)
may be classifier for main specialty of one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
may be classifier for treatment specialty interest of one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
may be classifier for main specialty of one or more CONSULTANT EPISODE (HOSPITAL PROVIDER)
may be classifier for treatment specialty interest of one or more CONSULTANT OUT-PATIENT EPISODE
may be classifier for main specialty of one or more CONSULTANT OUT-PATIENT EPISODE
may be classifier for treatment specialty interest of one or more ELECTIVE ADMISSION LIST
may be classifier for main specialty of one or more ELECTIVE ADMISSION LIST
may be classifier for treatment specialty interest of one or more ELECTIVE ADMISSION LIST
may be classifier for treatment specialty interest of one or more ELECTIVE ADMISSION LIST ENTRY
may be the classifier for the main specialty of one or more RESPONSIBLE MEDICAL OFFICER ASSIGNMENT


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LEGAL STATUS

Change to Class: change to attributes

Attributes of this Class are:
KSTART DATE
OEND DATE
OEND TIME
MENTAL CATEGORY
START TIME
   to be recorded if systems permit


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MENTAL HEALTH CARE SPELL

Change to Class: change to relationships

Each MENTAL HEALTH CARE SPELL
must be provided by one and only one MENTAL HEALTH CARE TEAM
must be for the care or assessment of one and only one PATIENT
may be associated with one or more ABSENCE WITHOUT LEAVE
may be associated with contact by one or more FACE TO FACE CONTACT SOCIAL WORKER
may be initiated by transfer from another one and only one HEALTH CARE PROVIDER
may be associated with one or more LEAVE OF ABSENCE
may be suspended by one or more MENTAL HEALTH CARE SPELL SUSPENSION
may be associated for the main specialty with one or more MHCS SPECIALTY ASSOCIATION
may be associated with one or more MHC WITHOUT PATIENT CONSENT
may be associated with one or more RESPONSIBLE MEDICAL OFFICER ASSIGNMENT


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MENTAL HEALTH CARE TEAM

Change to Class: change to attributes

Attributes of this Class are:
KMENTAL HEALTH CARE TEAM IDENTIFIER
ASSERTIVE OUTREACH TEAM
MENTAL HEALTH CARE TEAM TYPE


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RESPONSIBLE MEDICAL OFFICER ASSIGNMENT

Change to Class: New Class

RESPONSIBLE MEDICAL OFFICER ASSIGNMENT

An assignment of a CONSULTANT within a particular SPECIALTY FUNCTION to a MENTAL HEALTH CARE SPELL.

There will be only one CONSULTANT assigned to a PATIENT at any one time. These assignments may change during the course of a MENTAL HEALTH CARE SPELL, though not necessarily at the time of a CARE PROGRAMME APPROACH REVIEW.



This class is also known by these names:
ContextAlias
pluralRESPONSIBLE MEDICAL OFFICER ASSIGNMENTS

Attributes of this Class are:
KSTART DATE
OEND DATE

Each RESPONSIBLE MEDICAL OFFICER ASSIGNMENT
Kmust be an assignment of one and only one CONSULTANT SPECIALTY FUNCTION
Kmust be an assignment within one and only one MENTAL HEALTH CARE SPELL


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WARD STAY

Change to Class: change to attributes

Attributes of this Class are:
KSTART DATE
DELIVERY FACILITIES ONLY USED
OEND DATE
OEND TIME
   for patients with mental health care spell only
START TIME
   for patients with mental health care spell only; only recorded if systems permit
OWARD STAY TERMINATION REASON


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ASSERTIVE OUTREACH TEAM

Change to Attribute: Deleted

Deleted
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MENTAL HEALTH CARE TEAM TYPE

Change to Attribute: New Attribute

MENTAL HEALTH CARE TEAM TYPE

The classification of the role of MENTAL HEALTH CARE TEAM.

National Codes:
01 General Adult Psychiatry
02 Psychiatry of Old Age
03 Substance Misuse Team
04 Home Treatment/Crisis Resolution
05 Early Intervention in Psychosis Team
06 Assertive Outreach Team
20 Other Teams



This attribute is also known by these names:
ContextAlias
pluralMENTAL HEALTH CARE TEAM TYPES


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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