Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1058
Version No:1.0
Subject:Change Package 1058
Effective Date:Immediate
Reason for Change:Patch
Publication Date:24 March 2009

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the March 2009 Release. This patch includes:

Summary of changes:

Data Set
CHOOSE AND BOOK UTILISATION COMMISSIONER DATA SET   Changed Description
CRITICAL CARE MINIMUM DATA SET   Changed Description
DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET   Changed Description
NEONATAL CRITICAL CARE MINIMUM DATA SET   Changed Description
PAEDIATRIC CRITICAL CARE MINIMUM DATA SET   Changed Description
PATIENTS DETAINED IN HOSPITAL OR ON SUPERVISED COMMUNITY TREATMENT DATA SET (KP90)   Changed Description
 
Central Return Forms
COVER 1   Changed Description
 
Supporting Information
A AND E ATTENDANCE CONCLUSION TIME   Changed Aliases
A AND E DEPARTURE TIME   Changed Aliases
A AND E INITIAL ASSESSMENT TIME   Changed Description, Aliases
A AND E TIME SEEN FOR TREATMENT   Changed Aliases
ABOUT THE NHS DATA MODEL AND DICTIONARY VERSION 3   Changed Aliases
ACCIDENT AND EMERGENCY ATTENDANCE   Changed Description
ACCIDENT AND EMERGENCY QUARTERLY MONITORING DATA SET (QMAE) OVERVIEW    Changed Description
ACTIVE MONITORING   Changed Aliases
ACTIVITY   Changed Description
ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION   Changed Description
ADMITTED PATIENT EFFECTIVE WAITING TIME CALCULATION   Changed Description
ADMITTED PATIENT FLOWS DATA SET OVERVIEW   Changed Description
ADMITTED PATIENT STOCKS DATA SET OVERVIEW   Changed Description
ANTI-CANCER DRUG REGIMEN   Changed Description
APPOINTMENT   Changed Description
APPOINTMENT DATE   Changed Description
APPROVED MENTAL HEALTH PROFESSIONAL   Changed Aliases
ARRIVAL AT HOSPITAL TIME   Changed Description
ARRIVAL DATE   Changed Description, Aliases
ATTENDANCE DATE   Changed Description
ATTRIBUTE DEFINITIONS INTRO   Changed Description, Aliases
BLOOD PRESSURE   Changed Description
BODY MASS INDEX renamed from BMI   Changed Aliases, Name
BOOKINGS ADMITTED PATIENT AND OUT-PATIENT PROVIDER DATA SET OVERVIEW   Changed Description
CANCER CLINICAL STATUS ASSESSMENT   Changed Description
CARE PROFESSIONAL   Changed Description
CARE PROGRAMME APPROACH CARE CO-ORDINATOR ALLOCATION renamed from CPA CARE CO-ORDINATOR ALLOCATION   Changed Aliases, Name
CARE PROGRAMME APPROACH REVIEW   Changed Description
CARE PROGRAMME APPROACH REVIEW DATE renamed from CPA REVIEW DATE   Changed Aliases, Name
CATEGORY VALUED PERSON PROPERTY   Changed Description
CENTRAL RETURN DATA SETS INTRODUCTION   Changed Description
CENTRAL RETURN FORMS INTRODUCTION   Changed Description
CHANGE MENU   Changed Description
CHILDREN'S HOME   Changed Description, Aliases
CHILDRENS HOME REGISTRATION   Changed Description
CHOOSE AND BOOK UTILISATION COMMISSIONER DATA SET OVERVIEW   Changed Description
CLASS DEFINITIONS INTRO   Changed Description, Aliases
CLASSES   Changed Description, Aliases
CLASS RELATIONSHIPS   Changed Description, Aliases
CLINICAL DATA SETS INTRODUCTION   Changed Description
CLINIC ATTENDANCE CONSULTANT   Changed Description
CLINIC ATTENDANCE MIDWIFE   Changed Description
CLINIC ATTENDANCE NON-CONSULTANT   Changed Description
COLLEGE   Changed Description
COMMISSIONING DATA SET OVERVIEW   Changed Description
CONSULTANT CLINIC   Changed Description
DATA ELEMENTS INTRO   Changed Description
DATA SETS CONTEXTUAL OVERVIEW   Changed Description
DATA SETS INTRODUCTION   Changed Description
DATE BIOPSY TAKEN   Changed Aliases
DEFAULT CODES SUMMARY TABLE   Changed Aliases
DEPARTMENT OF HEALTH   Changed Aliases
DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET OVERVIEW renamed from DIAGNOSTICS WAITING TIMES & ACTIVITY DATA SET OVERVIEW   Changed Name
DIAGRAMMING CONVENTIONS renamed from DIAGRAMMING CONVENTIONS MIDDLE PANE   Changed Description, Aliases, Name
DIAGRAMS INTRODUCTION   Changed Description
ELECTIVE ADMISSION   Changed Description
ELECTRONIC STAFF RECORD   Changed Description, Aliases
EVENT TIME   Changed Description
FIRST DEFINITIVE TREATMENT   Changed Description
FRACTION   Changed Description
GENERAL MEDICAL PRACTITIONER PRACTICE   Changed Aliases
GENITOURINARY MEDICINE ACCESS MONTHLY MONITORING DATA SET OVERVIEW   Changed Description
GLOSSARY OF TERMS   Changed Description
HEALTH AND SOCIAL CARE INFORMATION CENTRE   Changed Description, Aliases
HEALTHCARE COMMISSION   Changed Aliases
HEALTH PROGRAMME   Changed Description
HEALTH PROTECTION AGENCY   Changed Description, Aliases
HEIGHT   Changed Description
HOME LEAVE   Changed Description
HOSPITAL PROVIDER   Changed Description
HOSPITAL PROVIDER SPELL   Changed Description
HPV IMMUNISATION PROGRAMME VACCINE MONITORING ANNUAL MINIMUM DATA SET OVERVIEW   Changed Description
HPV IMMUNISATION PROGRAMME VACCINE MONITORING MONTHLY MINIMUM DATA SET OVERVIEW   Changed Description
INDEX   Changed Description
INTRAUTERINE DEVICE APPLICATION DATE renamed from IUD APPLICATION DATE   Changed Aliases, Name
INTRAUTERINE DEVICE FITTED DATE renamed from IUD FITTED DATE   Changed Aliases, Name
LABOUR AND DELIVERY   Changed Description
LISTS   Changed Description
LUNG CAPACITY   Changed Description
MAIN MENU   Changed Description
MENTAL HEALTH   Changed Description
MENTAL HEALTH MINIMUM DATA SET OVERVIEW   Changed Description
META ATTRIBUTE DEFINITIONS INTRODUCTION   Changed Description
META CLASS DEFINITIONS INTRODUCTION   Changed Description
META DIAGRAMS INTRODUCTION   Changed Description
META MODEL INTRODUCTION   Changed Description
META MODEL MENU   Changed Aliases
MIDWIFE EPISODE   Changed Description
MUTUALLY EXCLUSIVE RELATIONSHIPS   Changed Description, Aliases
MUTUALLY EXCLUSIVE RELATIONSHIPS - REDUCED ARC renamed from REDUCED ARC - MUTUALLY EXCLUSIVE RELATIONSHIPS   Changed Description, Aliases, Name
NEONATAL CRITICAL CARE MINIMUM DATA SET OVERVIEW   Changed Description
NHS BUSINESS DEFINITIONS   Changed Description
NHS DATA MODEL AND DICTIONARY ITEMS renamed from NHS DATA MODEL AND DICTIONARY ELEMENTS   Changed Description, Aliases, Name
NHS SERVICE AGREEMENT   Changed Description
OPERATING THEATRE SESSION   Changed Description
ORAL HEALTH PROGRAMME   Changed Description
ORGANISATION   Changed Description
ORGANISATION DATA SERVICE   Changed Description
ORGANISATIONS INTRODUCTION   Changed Description
ORGANISATIONS MENU   Changed Description
OTHER APPOINTMENT   Changed Description, Aliases
OUT-PATIENT APPOINTMENT   Changed Description
OUT-PATIENT APPOINTMENT CONSULTANT   Changed Description
OUT-PATIENT ATTENDANCE CONSULTANT   Changed Description
OUT-PATIENT EFFECTIVE WAITING TIME CALCULATION   Changed Description, Aliases
OUT-PATIENT FLOWS DATA SET OVERVIEW   Changed Description
OUT-PATIENT STOCKS DATA SET OVERVIEW   Changed Description
OUT-PATIENT WAITING LIST   Changed Description
PATHOLOGY LABORATORY SERVICE REPORT renamed from PATHOLOGY LAB SERVICE REPORT   Changed Description, Aliases, Name
PATIENT INFORMED BIOPSY RESULT DATE   Changed Description
PATIENT PATHWAY   Changed Description
PATIENTS DETAINED IN HOSPITAL OR ON SUPERVISED COMMUNITY TREATMENT DATA SET (KP90) OVERVIEW   Changed Description, Aliases
PERSON PROPERTY   Changed Description
PRACTITIONER WITH A SPECIALIST INTEREST   Changed Description
PRESCRIBING AND DISPENSING   Changed Description
PRIMARY CARE TRUST   Changed Description, Aliases
PROFESSIONAL STAFF GROUP CONTACT   Changed Description
PUBLICATION FEEDBACK   Changed Aliases
QUARTERLY MONITORING CANCELLED OPERATIONS DATA SET (QMCO) OVERVIEW   Changed Description
QUIT DATE   Changed Aliases
RADIOLOGY SERVICE REPORT   Changed Description
RADIOTHERAPY   Changed Description
RADIOTHERAPY TREATMENT COURSE   Changed Description
RECURSIVE RELATIONSHIPS   Changed Description, Aliases
REFERRAL REQUEST   Changed Description
REFERRAL TO TREATMENT DATA SET OVERVIEW   Changed Description
REFERRAL TO TREATMENT PERFORMANCE SHARING DATA SET OVERVIEW   Changed Description
REFERRAL TO TREATMENT PERIOD EXCLUDED FROM TARGET   Changed Description
REFERRAL TO TREATMENT SUMMARY PATIENT TRACKING LIST DATA SET OVERVIEW   Changed Description
RELATIONSHIP CARDINALITY   Changed Description, Aliases
RELATIONSHIP OPTIONALITY   Changed Aliases
REQUEST FOR PATHOLOGY INVESTIGATION   Changed Description
SCREENING POPULATION   Changed Description
SECONDARY USES SERVICE   Changed Description
SPEECH AND SWALLOWING ASSESSMENT DATE renamed from SPEECH & SWALLOWING ASSESSMENT DATE   Changed Description, Aliases, Name
STATUTORY ASSESSMENT DATE   Changed Description
STRATEGIC HEALTH AUTHORITY   Changed Description, Aliases
SUMMARISED ACTIVITY FLOWS DATA SET OVERVIEW   Changed Description
SUMMARISED STOCKS DATA SET OVERVIEW   Changed Description
SUPERTYPES AND SUBTYPES renamed from SUPERTYPES & SUBTYPES   Changed Description, Aliases, Name
SUPERVISED COMMUNITY TREATMENT   Changed Description
SUPPORTING DATA SETS INTRODUCTION   Changed Description
SUPPORTING INFORMATION INTRODUCTION   Changed Description
SUPPORTING INFORMATION MENU   Changed Description
WARD STAY   Changed Description
WEIGHT   Changed Description
WELL BABY   Changed Description
WHAT'S NEW: MARCH 2009 renamed from WHAT'S NEW: DECEMBER 2008   Changed Description, Name
 
Class Definitions
ACTIVITY DRUG   Changed Attributes
ACTIVITY PROPERTY   Changed Description
ADDRESS   Changed Description
ADDRESS STRUCTURED   Changed Description
ADMINISTRATIVE CATEGORY   Changed Description
APPOINTMENT   Changed Description
APPOINTMENT SLOT   Changed Description
CELL PATHOLOGICAL ABNORMALITY   Changed Description
CRITICAL CARE ACTIVITY   Changed Description
DECISION TO ADMIT   Changed Description
DECISION TO REFER   Changed Description
ELECTIVE ADMISSION LIST ENTRY   Changed Description
HEALTH PROGRAMME   Changed Description
JOB ROLE   Changed Description
NHS SERVICE AGREEMENT CHANGE   Changed Description
OCCUPATION CODE TYPE   Changed Description
PATIENT   Changed Description
PATIENT CLINICAL GROUP   Changed Description
PATIENT TRANSPORT JOURNEY   Changed Description
PERSON PROPERTY   Changed Description
REFERRAL DELAY   Changed Description
SERVICE   Changed Description
SERVICE PROVIDED UNDER AGREEMENT   Changed Description
SERVICE REPORT   Changed Description
SERVICE REQUEST RELATIONSHIP   Changed Description
SESSION   Changed Description
TRANSPORT REQUEST   Changed Description
 
Attribute Definitions
ABNORMALITY IDENTIFIER   Changed Description
ACTIVITY DATE TIME TYPE   Changed Description
APPOINTMENT TYPE   Changed Aliases
ATTENDED OR DID NOT ATTEND   Changed Description
CELL IDENTIFIER   Changed Description
CONSULTANT CODE   Changed Description
DOCTOR INDEX NUMBER (DIN)   Changed Description
INTERPRETER REQUIRED INDICATOR   Changed Description
OCCUPATION CODE   Changed Description
OCCUPATION CODE DESCRIPTION   Changed Description
ORGAN IDENTIFIER   Changed Description
ORGANISATION DEPARTMENT TYPE   Changed Description
RADIOTHERAPY TREATMENT MODALITY   Changed Description
RADIOTHERAPY TREATMENT REGION   Changed Description
SOURCE OF REFERRAL FOR A AND E   Changed Description
SOURCE OF REFERRAL FOR CANCER   Changed Description
SOURCE OF REFERRAL FOR COMMUNITY   Changed Description
SOURCE OF REFERRAL FOR COMMUNITY DENTAL   Changed Description
SOURCE OF REFERRAL FOR DRUG MISUSE   Changed Description
SOURCE OF REFERRAL FOR MENTAL HEALTH   Changed Description
SOURCE OF REFERRAL FOR PROF STAFF GROUP   Changed Description
YEAR OF FIRST KNOWN PSYCHIATRIC CARE   Changed Aliases
 
Data Elements
APPOINTMENT DATE   Changed Description
CDS ACTIVITY DATE   Changed Description, Aliases
CDS APPLICABLE DATE   Changed Description
CDS APPLICABLE TIME   Changed Description
CDS INTERCHANGE INTERFACE GATEWAY SERVICE REFERENCE renamed from CDS INTERCHANGE IGS REFERENCE   Changed Aliases, Name
CDS INTERCHANGE RECEIVER IDENTITY   Changed Description
CDS INTERCHANGE SENDER IDENTITY   Changed Description
CDS PRIME RECIPIENT IDENTITY   Changed Description
CDS RECORD IDENTIFIER   Changed Description
DISCHARGES (MENTAL HEALTH)   Changed Description
DRUG TREATMENT INTENT   Changed Description
EMPLOYEE NHS IDENTIFIER   Changed Description
END DATE (MENTAL HEALTH CARE SPELL)   Changed Description
GENERAL MEDICAL PRACTITIONER (SPECIFIED)   Changed Description
GENITOURINARY EPISODE TYPE   Changed linked Attribute
HEALTHCARE RESOURCE GROUP CODE-VERSION NUMBER   Changed Description
LABOUR OR DELIVERY ONSET METHOD   Changed Description
LAMINAR FLOW SYSTEM INDICATOR   Changed Description
LANGUAGE   Changed Description
LANGUAGE USAGE   Changed Description
LIVE OR STILL BIRTH   Changed Description
LOCAL PATIENT IDENTIFIER   Changed Description
LOCAL SUB-SPECIALTY CODE   Changed Description
LOCUM INDICATOR   Changed Description
MACHINE IDENTIFIER   Changed Description
MHMDS INTERFACE GATEWAY SERVICE TRANSLATION REFERENCE renamed from MHMDS IGS TRANSLATION REFERENCE   Changed Aliases, Name
OCCUPATION CODE   Changed Description
OCCUPATION CODE (CLINICAL SECOND SPECIALTY)   Changed Description
OCCUPATION CODE (CLINICAL SPECIALTY)   Changed Description
OCCUPATION CODE DESCRIPTION   Changed Description
ORGANISATION CODE (PROVIDER FIRST SEEN)   Changed Description
OUT-PATIENT DID NOT ATTENDS (MENTAL HEALTH)   Changed Description
PATIENT PATHWAY IDENTIFIER   Changed Description
PERSON OBSERVATION (BMI)   Changed Description
PRESCRIPTION IDENTIFIER   Changed Description
REFERRAL REQUEST RECEIVED DATE   Changed Description
SERUM TUMOUR MARKER PSA   Changed Description
SERVICE REPORT IDENTIFIER   Changed Description
SERVICE REPORT STATUS   Changed Description
SITE SPECIFIC STAGING CLASSIFICATION   Changed Description
SKIN CANCER NEW RECURRENT INDICATOR   Changed Description
SKIN LYMPHOMA CLINICAL MORPHOLOGY   Changed Description
SKIN TCELL CLINICAL VARIANT   Changed Description
SKIN TCELL SURFACE AREA   Changed Description
SKIN TUMOUR STATUS   Changed Description
SMOKING STATUS   Changed Description
SOCIAL SERVICES CLIENT IDENTIFIER   Changed Description
SOCIAL WORKER INVOLVEMENT INDICATOR   Changed Description
SOFT TISSUE SARCOMA LOCATION   Changed Description
SOURCE OF ADMISSION (HOSPITAL PROVIDER SPELL)   Changed Description
SOURCE OF REFERRAL FOR A AND E   Changed Description
SOURCE OF REFERRAL FOR CANCER   Changed Description
SOURCE OF REFERRAL FOR MENTAL HEALTH   Changed Description
SOURCE OF REFERRAL FOR OUT-PATIENTS   Changed Description
START DATE (EPISODE)   Changed Description
START DATE (HOSPITAL PROVIDER SPELL)   Changed Description
START DATE (MENTAL HEALTH CARE SPELL)   Changed Description
START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE)   Changed Description
START DATE (SURGERY HOSPITAL PROVIDER SPELL)   Changed Description
START DATE (TELETHERAPY TREATMENT COURSE)   Changed Description
STATUS OF PERSON CONDUCTING DELIVERY   Changed Description
YEAR CANCER DIAGNOSED   Changed Aliases
YEAR OF FIRST KNOWN PSYCHIATRIC CARE   Changed Description, Aliases
YEAR STOPPED SMOKING   Changed Aliases
 
Binary
UML1   Changed attached binary file
UML2   Changed attached binary file
UML3   Changed attached binary file
UML6   Changed attached binary file
UML7   Changed attached binary file
UML8   Changed attached binary file
UML9   Changed attached binary file
 
Packages
ATTRIBUTES   Changed Description
CLASSES   Changed Description
DATA FIELD NOTES   Changed Description
NHS BUSINESS DEFINITIONS   Changed Description
 

Date:24 March 2009
Sponsor:Richard Kavanagh, NHS Connecting for Health

Note: New text is shown with a blue background. Deleted text is crossed out. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.

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CHOOSE AND BOOK UTILISATION COMMISSIONER DATA SET

Change to Data Set: Changed Description

Choose And Book Utilisation Commissioner Data Set Overview

The Department of Health requires information to help monitor utilisation of the NHS Connecting for Health Choose and Book system.The Department of Health requires information to help monitor utilisation of the NHS Connecting for Health Choose and Book system.

The Choose And Book Utilisation Commissioner Data Set is commissioner based. Commissioners are the ORGANISATIONS commissioning out-patient and in-patient care for NHS PATIENTS

The Choose And Book Utilisation Commissioner Data Set contains the out-patient booking activity for the specified REPORTING PERIOD.

Data Set Data Elements 
Organisation and Reporting Period
ORGANISATION CODE (CODE OF COMMISSIONER) 
REPORTING PERIOD START DATE 
REPORTING PERIOD END DATE 
DATA SET PREPARATION DATE 
DATA SET PREPARATION TIME 
Choose and Book Utilisation
NUMBER OF OUT-PATIENT CONVERTED UNIQUE BOOKING REFERENCE NUMBERS 
GP WRITTEN REFERRALS MADE 

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CRITICAL CARE MINIMUM DATA SET

Change to Data Set: Changed Description

Critical Care Minimum Data Set Overview

Critical Care Minimum Data Set excludes neonatal critical care. A subset of this minimum data set is used to derive Adult Critical Care HRGs. The subset is sent in the following Commissioning Data Set messages:

ADMITTED PATIENT CARE CDS TYPE - BIRTH EPISODE
ADMITTED PATIENT CARE CDS TYPE - DELIVERY EPISODE
ADMITTED PATIENT CARE CDS TYPE - GENERAL EPISODE

Data Set Data Element
NHS NUMBER 
LOCAL PATIENT IDENTIFIER 
CRITICAL CARE LOCAL IDENTIFIER 
SITE CODE (OF TREATMENT) 
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) 
TREATMENT FUNCTION CODE 
PERSON BIRTH DATE 
POSTCODE OF USUAL ADDRESS 
CRITICAL CARE START DATE 
CRITICAL CARE START TIME 
CRITICAL CARE UNIT FUNCTION 
CRITICAL CARE UNIT BED CONFIGURATION 
CRITICAL CARE ADMISSION SOURCE 
CRITICAL CARE SOURCE LOCATION 
CRITICAL CARE ADMISSION TYPE 
ADVANCED RESPIRATORY SUPPORT DAYS 
BASIC RESPIRATORY SUPPORT DAYS 
ADVANCED CARDIOVASCULAR SUPPORT DAYS 
BASIC CARDIOVASCULAR SUPPORT DAYS 
RENAL SUPPORT DAYS 
NEUROLOGICAL SUPPORT DAYS 
GASTRO-INTESTINAL SUPPORT DAYS 
DERMATOLOGICAL SUPPORT DAYS 
LIVER SUPPORT DAYS 
ORGAN SUPPORT MAXIMUM 
CRITICAL CARE LEVEL 2 DAYS 
CRITICAL CARE LEVEL 3 DAYS 
CRITICAL CARE DISCHARGE STATUS 
CRITICAL CARE DISCHARGE DESTINATION 
CRITICAL CARE DISCHARGE LOCATION 
CRITICAL CARE DISCHARGE READY DATE 
CRITICAL CARE DISCHARGE READY TIME 
CRITICAL CARE DISCHARGE DATE 
CRITICAL CARE DISCHARGE TIME 

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DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET

Change to Data Set: Changed Description

Diagnostics Waiting Times and Activity Data Set OverviewDiagnostics Waiting Times and Activity Data Set Overview

The Diagnostic waiting times reporting of the monthly waiting times and activity reporting (DM01).

The diagnostic investigations are grouped into categories of Imaging, Physiological Measurement and Endoscopy.

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 coding where applicable.

The column headed Opt (Optionality) shows whether the data element is Mandatory M or Optional O.

OptData Set Data Elements  
MORGANISATION CODE (CODE OF COMMISSIONER)   
MORGANISATION CODE (CODE OF PROVIDER)   
MREPORTING PERIOD START DATE   
MREPORTING PERIOD END DATE   
Patients Still Waiting - at month end
Imaging divided into Magnetic Resonance Imaging, Computer Tomography,
Non-obstetric ultrasound, Barium Enema and dual energy X-ray
absorptiometry (DEXA) scans
Many occurrences of this Group are permitted.
MDIAGNOSTIC TEST (IMAGING)   
MDIAGNOSTICS REPORTING TIME BAND   
MPATIENTS WAITING FOR DIAGNOSTIC TEST   
Patients still waiting - at month end.
Physiological Measurement divided into Audiology - audiological assessments,
Cardiology - echocardiography and electrophysiology, Neurophysiology -
peripheral neurophysiology, Respiratory physiology - sleep studies and
Urodynamics - pressures & flows.
Many occurences of this group are permitted.
Patients still waiting - at month end.
Physiological Measurement divided into Audiology - audiological assessments,
Cardiology - echocardiography and electrophysiology, Neurophysiology -
peripheral neurophysiology, Respiratory physiology - sleep studies and
Urodynamics - pressures & flows.
Many occurrences of this group are permitted.
MDIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT)   
MDIAGNOSTICS REPORTING TIME BAND   
MPATIENTS WAITING FOR DIAGNOSTIC TEST   
Patients still waiting - at month end.
Endoscopy divided into Colonoscopy, Flexible sigmoidoscopy, Cystoscopy
and Gastroscopy.
Many occurrences of this group are permitted.
MDIAGNOSTIC TEST (ENDOSCOPY)   
MDIAGNOSTICS REPORTING TIME BAND   
MPATIENTS WAITING FOR DIAGNOSTIC TEST   
Activity - number of tests/procedures carried out during the month.
Imaging divided into Magnetic Resonance Imaging, Computer Tomography,
Non-obstetric ultrasound, Barium Enema and
dual energy X-ray absorptiometry (DEXA) scans
Many occurrences of this group are permitted.
MDIAGNOSTIC TEST (IMAGING)   
MWAITING LIST DIAGNOSTIC TESTS DONE   
MPLANNED DIAGNOSTIC TESTS DONE   
MUNSCHEDULED DIAGNOSTIC TESTS DONE   
MDIAGNOSTIC TESTS DONE TOTAL   
MDIAGNOSTIC TESTS COMMISSIONED FROM INDEPENDENT SECTOR   
Activity - number of tests/procedures carried out during the month
Physiological Measurement divided into Audiology - audiological assessments,
Cardiology - echocardiography and electrophysiology, Neurophysiology -
peripheral neurophysiology, Respiratory physiology - sleep studies and
Urodynamics - pressures & flows.
Many occurrences of this group are permitted.
MDIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT)   
MWAITING LIST DIAGNOSTIC TESTS DONE   
MPLANNED DIAGNOSTIC TESTS DONE   
MUNSCHEDULED DIAGNOSTIC TESTS DONE   
MDIAGNOSTIC TESTS DONE TOTAL   
MDIAGNOSTIC TESTS COMMISSIONED FROM INDEPENDENT SECTOR   
Activity - number of tests/procedures carried out during the month
Endoscopy divided into Colonoscopy, Flexible sigmoidoscopy, Cystoscopy
and Gastroscopy.
Many occurrences of this group are permitted.
MDIAGNOSTIC TEST (ENDOSCOPY)   
MWAITING LIST DIAGNOSTIC TESTS DONE   
MPLANNED DIAGNOSTIC TESTS DONE   
MUNSCHEDULED DIAGNOSTIC TESTS DONE   
MDIAGNOSTIC TESTS DONE TOTAL   
MDIAGNOSTIC TESTS COMMISSIONED FROM INDEPENDENT SECTOR   

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NEONATAL CRITICAL CARE MINIMUM DATA SET

Change to Data Set: Changed Description

Neonatal Critical Care Minimum Data Set Overview

The Neonatal Critical Care Minimum Data Set is sent as a subset in the following Commissioning Data Set messages:

ADMITTED PATIENT CARE CDS TYPE - BIRTH EPISODE
ADMITTED PATIENT CARE CDS TYPE - GENERAL EPISODE

Data Set Data Element
Person Group (Patient):

To carry the personal details of the Patient (the baby). One occurrence of this Group is permitted.
PERSON BIRTH DATE 
DISCHARGE DATE (HOSPITAL PROVIDER SPELL) 
DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) 
Neonatal Critical Care Group:

To carry the details of the Neonatal Critical Care Period. One occurrence of this Group is permitted.
CRITICAL CARE LOCAL IDENTIFIER 
CRITICAL CARE START DATE 
CRITICAL CARE START TIME 
CRITICAL CARE DISCHARGE DATE 
CRITICAL CARE DISCHARGE TIME 
CRITICAL CARE UNIT FUNCTION 
GESTATION LENGTH (AT DELIVERY) 
Neonatal Critical Care Daily Activity Group:

To carry the daily activity data for each day of the Neonatal Critical Care Period. 999 occurrences of this Group are permitted.
ACTIVITY DATE (CRITICAL CARE) 
PERSON WEIGHT 
20 occurrences of Critical Care Activity Codes are permitted within the Neonatal Critical Care Daily Activity Group. All codes relate to care provided on the ACTIVITY DATE (CRITICAL CARE).
CRITICAL CARE ACTIVITY CODE 
20 occurrences of High Cost Drugs OPCS codes are permitted within the Neonatal Critical Care Daily Activity Group. All codes relate to drugs provided on the ACTIVITY DATE (CRITICAL CARE).
HIGH COST DRUGS (OPCS) 

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PAEDIATRIC CRITICAL CARE MINIMUM DATA SET

Change to Data Set: Changed Description

Paediatric Critical Care Minimum Data Set Overview

The Paediatric Critical Care Minimum Data Set is sent as a subset in the following Commissioning Data Set messages:

ADMITTED PATIENT CARE CDS TYPE - BIRTH EPISODE

ADMITTED PATIENT CARE CDS TYPE - DELIVERY EPISODE

ADMITTED PATIENT CARE CDS TYPE - GENERAL EPISODE

Data set data element
Person Group (Patient):

To carry the personal details of the Patient. One occurrence of this Group is permitted.
PERSON BIRTH DATE 
DISCHARGE DATE (HOSPITAL PROVIDER SPELL) 
DISCHARGE METHOD (HOSPITAL PROVIDER SPELL) 
Paediatric Critical Care Group:

To carry the details of the Paediatric Critical Care Period.
CRITICAL CARE LOCAL IDENTIFIER 
CRITICAL CARE START DATE 
CRITICAL CARE START TIME 
CRITICAL CARE DISCHARGE DATE 
CRITICAL CARE DISCHARGE TIME 
CRITICAL CARE UNIT FUNCTION 
Paediatric Critical Care Daily Activity Group:

To carry the daily activity data for each day of the Paediatric Critical Care Period. 999 occurrences of this Group are permitted.
ACTIVITY DATE (CRITICAL CARE) 
20 occurrences of Critical Care Activity Codes are permitted within the Paediatric Critical Care Daily Activity Group. All codes relate to care provided on the CRITICAL CARE START DATE.
CRITICAL CARE ACTIVITY CODE 
2 HIGH COST DRUGS (OPCS) codes are permitted but there is the capacity for 20 codes within the Paediatric Critical Care Daily Activity Group, to allow future refinement. All codes relate to drugs provided on the CRITICAL CARE LOCAL IDENTIFIER.
HIGH COST DRUGS (OPCS) 

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PATIENTS DETAINED IN HOSPITAL OR ON SUPERVISED COMMUNITY TREATMENT DATA SET (KP90)

Change to Data Set: Changed Description

Patients Detained In Hospital Or On Supervised Community Treatment Data Set (KP90) Overview

KP90 is used to provide the Department of Health with information about the number of uses made of the Mental Health Act 1983 legislation (except for guardianship cases under sections 7 and 37), as amended by the Mental Health Act 2007 and other legislation.The Patients Detained In Hospital Or On Supervised Community Treatment Data Set (KP90) used to provide the Department of Health with information about the number of uses made of the Mental Health Act 1983 legislation (except for guardianship cases under sections 7 and 37), as amended by the Mental Health Act 2007 and other legislation.

The information is necessary in order to enable the Department of Health and the Mental Health Act Commission to monitor uses the Mental Health Act 1983 as amended by the Mental Health Act 2007, which comes into effect during the year 2008-2009.The information is necessary in order to enable the Department of Health and the Mental Health Act Commission to monitor uses the Mental Health Act 1983 as amended by the Mental Health Act 2007, which comes into effect during the year 2008-2009.

These changes support information requirements in relation to monitoring of the Mental Health Act 2007 effective November 2008. The revised central return will also collect aggregate data on Supervised Community Treatments and the associated powers of Recall and Revocation

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

Data Set Data Elements 
Organisation and Reporting Period Information<
ORGANISATION CODE (CODE OF PROVIDER) 
REPORTING PERIOD START DATE 
REPORTING PERIOD END DATE 
Part 1 Admissions to Hospital: Patients detained under Mental Health Act and Informal Admissions

There should be only 1 occurrence of this sub group permitted per DETAINED ADMISSIONS SECTION TYPE within the REPORTING PERIOD.
FORMAL ADMISSIONS SECTION TYPE 
FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE) 
FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE)
FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE) 
FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE)
FORMAL ADMISSIONS (TOTAL - MALE) 
FORMAL ADMISSIONS (TOTAL - FEMALE) 
Part 1 Totals of Admissions to Hospital: Patients detained under Mental Health Act and Informal Admissions

There should be only 1 occurrence of this sub group permitted within the REPORTING PERIOD.
TOTAL FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE)
TOTAL FORMAL ADMISSIONS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE)
TOTAL FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE) 
TOTAL FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE) 
TOTAL FORMAL ADMISSIONS (MALE) 
TOTAL FORMAL ADMISSIONS (FEMALE) 
TOTAL INFORMAL ADMISSIONS (MALE) 
TOTAL INFORMAL ADMISSIONS (FEMALE) 
TOTAL FORMAL AND INFORMAL ADMISSIONS (MALE) 
TOTAL FORMAL AND INFORMAL ADMISSIONS (FEMALE) 
Part 2 Changes in Legal Status under the Mental Health Act

There should be only 1 occurrence of this sub group permitted per LEGAL STATUS CHANGE FROM TO TYPE within the REPORTING PERIOD.
LEGAL STATUS CLASSIFICATION CHANGE FROM TO TYPE 
TOTAL NUMBER OF LEGAL STATUS CLASSIFICATION CHANGES FOR TYPE 
Part 3 Number of Patients resident in hospital and Patients on SCT as at 31st March

There should be only one occurrence of this sub group permitted within the REPORTING PERIOD.
DETAINED PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE) 
DETAINED PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE) 
DETAINED PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE) 
DETAINED PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE) 
DETAINED PATIENTS (TOTAL - MALE) 
DETAINED PATIENTS (TOTAL - FEMALE) 
TOTAL INFORMAL PATIENTS (MALE) 
TOTAL INFORMAL PATIENTS (FEMALE) 
TOTAL DETAINED AND INFORMAL PATIENTS (MALE) 
TOTAL DETAINED AND INFORMAL PATIENTS (FEMALE) 
SUPERVISED COMMUNITY TREATMENT PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - MALE)
SUPERVISED COMMUNITY TREATMENT PATIENTS (LEARNING DISABILITY NOT PRESENT OR NOT PRIMARY REASON FOR USING ACT - FEMALE)
SUPERVISED COMMUNITY TREATMENT PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - MALE) 
SUPERVISED COMMUNITY TREATMENT PATIENTS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE) 
SUPERVISED COMMUNITY TREATMENT PATIENTS (TOTAL - MALE) 
SUPERVISED COMMUNITY TREATMENT PATIENTS (TOTAL - FEMALE) 
Part 4 Uses of Supervised Community Treatment under Section 17A

There should be only 1 occurrence of this sub group permitted per LEGAL STATUS SUSPENDED TO START SCT TYPE within the REPORTING PERIOD.
LEGAL STATUS CLASSIFICATION SUSPENDED TO START SUPERVISED COMMUNITY TREATMENT TYPE 
SUPERVISED COMMUNITY TREATMENTS STARTED FOR TYPE (MALE) 
SUPERVISED COMMUNITY TREATMENTS STARTED FOR TYPE (FEMALE))
Part 4 Total Uses of Supervised Community Treatment under Section 17A

There should be only one occurrence of this sub group permitted within the REPORTING PERIOD.
TOTAL SUPERVISED COMMUNITY TREATMENTS STARTED (MALE) 
TOTAL SUPERVISED COMMUNITY TREATMENTS STARTED (FEMALE) 
TOTAL SUPERVISED COMMUNITY TREATMENT RECALLS TO HOSPITAL (MALE) 
TOTAL SUPERVISED COMMUNITY TREATMENT RECALLS TO HOSPITAL (FEMALE) 
TOTAL SUPERVISED COMMUNITY TREATMENT REVOCATIONS (MALE) 
TOTAL SUPERVISED COMMUNITY TREATMENT REVOCATIONS (FEMALE) 
TOTAL SUPERVISED COMMUNITY TREATMENT DISCHARGES (MALE) 
TOTAL SUPERVISED COMMUNITY TREATMENT DISCHARGES (FEMALE) 
Part 5 Additional Information

There should be only one occurrence of this sub group permitted within the REPORTING PERIOD.
KP90 DETAINED PATIENTS TRANSFERS IN
KP90 DETAINED PATIENTS TRANSFERS OUT
KP90 ADDITIONAL INFORMATION COMMENT 

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COVER 1

Change to Central Return Form: Changed Description

Central Return Form Guidance
 
COVER - Request Parameters for Hepatitis B Vaccination data

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A AND E ATTENDANCE CONCLUSION TIME

Change to Supporting Information: Changed Aliases


A AND E DEPARTURE TIME

Change to Supporting Information: Changed Aliases


A AND E INITIAL ASSESSMENT TIME

Change to Supporting Information: Changed Description, Aliases

A and E Initial Assessment Time is an ACTIVITY DATE TIME TYPE.

The time a PATIENT is assessed by medical or nursing staff in an Accident And Emergency Department to determine priority for treatment. The assessment should be conducted by medical or nursing staff who have received appropriate training in triage.

PATIENTS will be assessed within 15 minutes of their arrival in the A&E Department.PATIENTS will be assessed within 15 minutes of their arrival in the Accident And Emergency Department.

 

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A AND E INITIAL ASSESSMENT TIME

Change to Supporting Information: Changed Description, Aliases


A AND E TIME SEEN FOR TREATMENT

Change to Supporting Information: Changed Aliases


ABOUT THE NHS DATA MODEL AND DICTIONARY VERSION 3

Change to Supporting Information: Changed Aliases


ACCIDENT AND EMERGENCY ATTENDANCE

Change to Supporting Information: Changed Description

Accident And Emergency Attendance is a CARE CONTACT.

An individual visit by one PATIENT to an Accident And Emergency Department to receive treatment from the accident and emergency service.

Note that the accident and emergency service may be provided by staff from other MAIN SPECIALTY.

During an Accident And Emergency Attendance the PATIENT may temporarily leave the Accident And Emergency Department, e.g. for an X-ray, whilst still under the responsibility of the Accident And Emergency Department.

An Accident And Emergency Attendance may be as a result of a request from a GENERAL PRACTITIONER for help with a diagnosis or treatment.

Attendances at Out-Patient Clinic run in the Accident And Emergency Department should not be recorded as Accident And Emergency Attendance but should be recorded as Out-Patient Attendance Consultant or Clinic Attendance Non-Consultant depending upon the type of Out-Patient Clinic attended.

Any facility set up to receive and treat emergency cases is regarded as an Accident And Emergency Department for this purpose.

Accident And Emergency Attendance include both first and follow-up attendances. A follow-up attendance is any subsequent Accident And Emergency Attendance at the same Accident and Emergency Department for the same incident. A follow-up attendance is any subsequent Accident And Emergency Attendance at the same Accident And Emergency Department for the same incident. All attendances for the same incident will constitute an Accident And Emergency Episode.

Each Accident And Emergency Attendance, which is a first attendance or an unplanned follow-up attendance, should be assigned an A AND E STREAM.

Any patient diagnoses and interventions should be recorded using the A & E specific codes, see ACCIDENT AND EMERGENCY DIAGNOSIS, ACCIDENT AND EMERGENCY INVESTIGATION and ACCIDENT AND EMERGENCY TREATMENT.

For each Accident And Emergency Attendance the following times should be recorded: ARRIVAL TIME, A and E INITIAL ASSESSMENT TIME (first attendances and unplanned follow-up attendances), A and E TIME SEEN FOR TREATMENT, A and E ATTENDANCE CONCLUSION TIME and A and E DEPARTURE TIME.

For first attendances and unplanned follow-up attendances the A AND E INITIAL ASSESSMENT TRIAGE CATEGORY and A AND E STREAM need to be recorded.

Information recorded for an Accident And Emergency Attendance includes:

A and E ATTENDANCE NUMBER
A AND E ARRIVAL MODE
A AND E ATTENDANCE CATEGORY
A and E Attendance Conclusion Time
A AND E ATTENDANCE DISPOSAL
A and E Departure Time
A and E Initial Assessment Time (first attendances and unplanned follow-up attendances) O
A AND E INITIAL ASSESSMENT TRIAGE CATEGORY (first attendances and unplanned follow-up attendances) O
A and E STAFF MEMBER CODE (person principally responsible for care)
A AND E STREAM (if first attendance or unplanned follow-up attendance) O
A and E Time Seen For Treatment O
ARRIVAL DATE
ARRIVAL TIME
 

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ACCIDENT AND EMERGENCY QUARTERLY MONITORING DATA SET (QMAE) OVERVIEW

Change to Supporting Information: Changed Description

Contextual Overview

The Department of Health requires information on services provided by NHS providers of Accident and Emergency services and this information is collected on the Department of Health central return form, Quarterly Monitoring Accident and Emergency.

The Accident and Emergency Quarterly Monitoring Data Set (QMAE) provides essential information for monitoring key targets and standards in the Priorities and Planning Framework 2003-2006 for Accident And Emergency Departments, National Codes:

01 Emergency departments are a consultant led 24 hour service with full resuscitation facilities and designated accommodation for the reception of accident and emergency PATIENTS ,

02 Consultant led mono specialty accident and emergency service (e.g. ophthalmology, dental) with designated accommodation for the reception of PATIENTS,

03 Other type of A&E/minor injury ACTIVITY with designated accommodation for the reception of accident and emergency PATIENTS. The department may be doctor led or NURSE led and treats at least minor injuries and illnesses and can be routinely accessed without APPOINTMENT. A SERVICE mainly or entirely APPOINTMENT based (for example a GENERAL PRACTITIONER Practice or Out-Patient Clinic) is excluded even though it may treat a number of PATIENTS with minor illness or injury. Excludes NHS walk-in centres,

04 NHS walk in centres

Reporting

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

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

The Accident and Emergency Quarterly Monitoring Data Set (QMAE) is a provider based return not a commissioning return. A Primary Care Trust should only complete the return for the services it provides, not those it commissions from local NHS Trusts. Examples of services provided could be a minor injury unit or NHS walk-in centre managed by the Primary Care Trust.

Independent Sector ORGANISATIONS that provide NHS funded care are asked to provide the Accident and Emergency Quarterly Monitoring Data Set (QMAE) on a voluntary basis.

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.

Quarterly Monitoring Accident and Emergency Services Central Return

The Accident and Emergency Quarterly Monitoring Data Set (QMAE) requires the REPORTING PERIOD START DATE, REPORTING PERIOD END DATE and the ORGANISATION CODE (CODE OF PROVIDER).

Part 1: Number of A+E DEPARTMENT TYPES.

Part 3: ACCIDENT AND EMERGENCY ATTENDANCE TOTAL PER WAIT BAND per A and E DEPARTMENT TYPE.

Part 4: ACCIDENT AND EMERGENCY ADMISSION TOTAL PER WAIT BAND per A and E DEPARTMENT TYPE.

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ACTIVE MONITORING

Change to Supporting Information: Changed Aliases


ACTIVITY

Change to Supporting Information: Changed Description

DIAGRAM OVERVIEW

This is the main diagram in the model and it depicts the core information in the new Generic Dictionary. The ACTIVITY class encompasses all the spells, episodes, stays, contacts and interventions that a PATIENT is subject to. It shows the CARE PROFESSIONALS and ORGANISATIONS involved, the roles that they perform and the sites and locations at which they happen.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

For information on how to read the diagrams the please click this link:  Diagramming ConventionsFor information on how to read the diagrams the please click this link: Diagramming Conventions.

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ADDRESS GEOGRAPHICAL AREA AND COMMUNICATION

Change to Supporting Information: Changed Description

DIAGRAM OVERVIEW

This shows how ADDRESSES and COMMUNICATION CONTACT INFORMATION relates to people and ORGANISATIONS. It also shows how GEOGRAPHIC AREAS relate to ADDRESSES and ORGANISATIONS.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

For information on how to read the diagrams the please click this link:  Diagramming ConventionsFor information on how to read the diagrams the please click this link: Diagramming Conventions.

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ADMITTED PATIENT EFFECTIVE WAITING TIME CALCULATION

Change to Supporting Information: Changed Description

For collection of information on Admitted Patient Waiting Times, the period of waiting for each PATIENT expressed as completed weeks waiting is required to be calculated in order to determine the appropriate waiting time band the PATIENT should be counted within.For collection of information on Admitted Patient Waiting Times, the period of waiting for each PATIENT expressed as completed weeks waiting is required to be calculated in order to determine the appropriate waiting time band the PATIENT should be counted within.

The start point of the waiting period calculation is the ELECTIVE ADMISSION EFFECTIVE WAIT START DATE which takes into consideration any PATIENT instigated resets. The end point is the REPORTING PERIOD END DATE.The start point of the waiting period calculation is the ELECTIVE ADMISSION EFFECTIVE WAIT START DATE which takes into consideration any PATIENT instigated resets. The end point is the REPORTING PERIOD END DATE. Once the period of wait has been calculated from these two dates in days, the result is also adjusted for any periods of suspension.

The collection of information may be retrospective and therefore any PATIENT where the ELECTIVE ADMISSION WAIT START DATE is after REPORTING PERIOD END DATE should be excluded from the count as they are outside the date boundaries of the collection.The collection of information may be retrospective and therefore any PATIENT where the ELECTIVE ADMISSION EFFECTIVE WAIT START DATE is after REPORTING PERIOD END DATE should be excluded from the count as they are outside the date boundaries of the collection.

Patients waiting for admission

When an ELECTIVE ADMISSION LIST ENTRY is made for a PATIENT following a DECISION TO ADMIT and the patient accepts an OFFERED FOR ADMISSION DATE of an OFFER OF ADMISSION, it is this offered date that the patient is expected to attend and be admitted. ADMISSION OFFER OUTCOME records whether or not the patient was admitted and the circumstances that applied.When an ELECTIVE ADMISSION LIST ENTRY is made for a PATIENT following a DECISION TO ADMIT and the PATIENT accepts an OFFERED FOR ADMISSION DATE of an OFFER OF ADMISSION, it is this offered date that the PATIENT is expected to attend and be admitted. ADMISSION OFFER OUTCOME records whether or not the PATIENT was admitted and the circumstances that applied.

The ELECTIVE ADMISSION LIST ENTRY is removed from the ELECTIVE ADMISSION LIST when the PATIENT is admitted or removed for other specified reasons. ELECTIVE ADMISSION LIST REMOVAL REASON records the method of removal from the list and ELECTIVE ADMISSION LIST REMOVAL DATE records the removal date.The ELECTIVE ADMISSION LIST ENTRY is removed from the ELECTIVE ADMISSION LIST when the PATIENT is admitted or removed for other specified reasons. ELECTIVE ADMISSION LIST REMOVAL REASON records the method of removal from the list and ELECTIVE ADMISSION LIST REMOVAL DATE records the removal date.

Once removed from the ELECTIVE ADMISSION LIST, the PATIENT ceases to be waiting for admission and all associated OFFER OF ADMISSIONS become inactive.Once removed from the ELECTIVE ADMISSION LIST, the PATIENT ceases to be waiting for admission and all associated OFFERS OF ADMISSION become inactive.

The waiting time band the PATIENT is counted within is calculated from the ELECTIVE ADMISSION EFEECTIVE WAIT START DATE to the REPORTING PERIOD END DATE. The ELECTIVE ADMISSION EFFECTIVE WAIT START DATE is an adjusted date which takes into consideration the effect on waiting time calculations of Self-Deferred Admission.The waiting time band the PATIENT is counted within is calculated from the ELECTIVE ADMISSION EFFECTIVE WAIT START DATE to the REPORTING PERIOD END DATE. The ELECTIVE ADMISSION EFFECTIVE WAIT START DATE is an adjusted date which takes into consideration the effect on waiting time calculations of Self-Deferred Admission.

Periods of suspension which are within the waiting period are also deducted to arrive at the appropriate waiting time band for the PATIENT to be counted within.Periods of suspension which are within the waiting period are also deducted to arrive at the appropriate waiting time band for the PATIENT to be counted within. See Suspended Patient.

ADMISSION OFFER OUTCOME records whether or not the patient was admitted and the circumstances that applied and for cancellations, the date of cancellation is recorded by the OFFER OF ADMISSION CANCELLATION DATE.ADMISSION OFFER OUTCOME records whether or not the PATIENT was admitted and the circumstances that applied and for cancellations, the date of cancellation is recorded by the OFFER OF ADMISSION cancellation date.

If the ELECTIVE ADMISSION EFFECTIVE WAIT START DATE is after the REPORTING PERIOD END DATE then no waiting time should be calculated and the PATIENT should be excluded from the count as they are outside the date boundaries of the collection.If the ELECTIVE ADMISSION EFFECTIVE WAIT START DATE is after the REPORTING PERIOD END DATE then no waiting time should be calculated and the PATIENT should be excluded from the count as they are outside the date boundaries of the collection.

Calculation of total suspension days

If the PATIENT has been suspended at all during the waiting time period, the period(s) of suspension should be calculated and summed to calculate the total suspension days which will then be deducted from the adjusted calculated days.If the PATIENT has been suspended at all during the waiting time period, the period(s) of suspension should be calculated and summed to calculate the total suspension days which will then be deducted from the adjusted calculated days.

However, if the PATIENT is still suspended as at the REPORTING PERIOD END DATE they are excluded from Admitted Patient Stocks counts and no calculation of any periods of suspension is required.However, if the PATIENT is still suspended as at the REPORTING PERIOD END DATE they are excluded from Admitted Patient Stocks counts and no calculation of any periods of suspension is required.

Waiting time bands

The number of days waiting calculated excluding any suspension or self-deferred periods are divided by 7 to give the number of weeks waiting. Where the resultant number is less than 1, the Waiting Time Band is less than 1 week.

For example,

A PATIENT has an ORIGINAL DECIDED TO ADMIT DATE of 4/8/2005.A PATIENT has an ORIGINAL DECIDED TO ADMIT DATE of 4/8/2005.

The hospital offers an admission for 5/9/2005 which the PATIENT accepts.The hospital offers an admission for 5/9/2005 which the PATIENT accepts.

On the day of the admission the PATIENT has to cancel the admission and so his ELECTIVE ADMISSION EFFECTIVE WAIT START DATE is set to 5/9/2005 (the admission date that was cancelled).On the day of the admission the PATIENT has to cancel the admission and so his ELECTIVE ADMISSION EFFECTIVE WAIT START DATE is set to 5/9/2005 (the admission date that was cancelled).

The PATIENT then informs the hospital that he is on holiday for 3 weeks and so cannot come into hospital between 13/9/2005 and 3/10/2005 inclusive so the PATIENT is suspended for that period.The PATIENT then informs the hospital that he is on holiday for 3 weeks and so cannot come into hospital between 13/9/2005 and 3/10/2005 inclusive so the PATIENT is suspended for that period.

The PATIENT is given an OFFERED FOR ADMISSION DATE of 12/10/2005. This is accepted by the PATIENT and the PATIENT is admitted.The PATIENT is given an OFFERED FOR ADMISSION DATE of 12/10/2005. This is accepted by the PATIENT and the PATIENT is admitted.

So the number of days the PATIENT was waiting is 37 days (from ELECTIVE ADMISSION EFFECTIVE WAIT DATE to the day before the OFFERED FOR ADMISSION DATE).So the number of days the PATIENT was waiting is 37 days (from ELECTIVE ADMISSION EFFECTIVE WAIT START DATE to the day before the OFFERED FOR ADMISSION DATE). The number of days in the suspended period (21 days) is then subtracted from waiting period of 37, which leaves 16 days. This is divided by 7 to give the actual period of weeks waiting as more than 2 weeks and less than 3 weeks.

 

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ADMITTED PATIENT FLOWS DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Events During the Reporting Period

Contextual Overview

Events During the Reporting Period

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ADMITTED PATIENT STOCKS DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Admitted Patient Stocks at the end of the Reporting Period


Admitted Patient Stocks at the end of the Reporting Period
Admitted Patient Stock Sub Group Ordinary Admissions and Day Case Admissions

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ANTI-CANCER DRUG REGIMEN

Change to Supporting Information: Changed Description

Anti-Cancer Drug Regimen is a CLINICAL INTERVENTION.

A prescribed systematic form of treatment for a course of drug(s), comprising one or more Anti-Cancer Drug Cycles, provided to a patient suffering from cancer.A prescribed systematic form of treatment for a course of drug(s), comprising one or more Anti-Cancer Drug Cycles, provided to a PATIENT suffering from cancer.

References:
National Cancer Dataset

 

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APPOINTMENT

Change to Supporting Information: Changed Description

DIAGRAM OVERVIEW

This shows the APPOINTMENTS in relation to the ACTIVITIES and the SESSIONS within the clinics at which they may occur.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

For information on how to read the diagrams the please click this link:  Diagramming ConventionsFor information on how to read the diagrams the please click this link: Diagramming Conventions.

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APPOINTMENT DATE

Change to Supporting Information: Changed Description

Appointment Date is an ACTIVITY DATE TIME TYPE.

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

 

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APPROVED MENTAL HEALTH PROFESSIONAL

Change to Supporting Information: Changed Aliases


ARRIVAL AT HOSPITAL TIME

Change to Supporting Information: Changed Description

Arrival At Hospital Time is an ACTIVITY DATE TIME TYPE.

The time the PATIENT arrived at the hospital.

Where the PATIENT arrived in an ambulance this is the time of arrival of the ambulance at the front door as recorded by the ambulance service.Where the PATIENT arrived in an Ambulance, this is the time of arrival of the Ambulance at the front door as recorded by the ambulance service.

Where the PATIENT is self referred, this is the time of registration in A&E.Where the PATIENT is self referred, this is the time of registration in the Accident And Emergency Department.

References:
Acute Myocardial Infarction Core Dataset

 

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ARRIVAL DATE

Change to Supporting Information: Changed Description, Aliases

Arrival Date is an ACTIVITY DATE TIME TYPE.

The date of arrival of a PATIENT in the Accident And Emergency Department.The date of arrival of a PATIENT in the Accident And Emergency Department.

 

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ARRIVAL DATE

Change to Supporting Information: Changed Description, Aliases


ATTENDANCE DATE

Change to Supporting Information: Changed Description

Attendance Date is an ACTIVITY DATE TIME TYPE.

The date of an attendance or contact, for example at a Consultant Clinic, Nurse Clinic, Accident And Emergency Department or by a ward attender.The date of an attendance or contact, for example at a Consultant Clinic, Nurse Clinic, Accident And Emergency Department or by a Ward Attender.

 

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ATTRIBUTE DEFINITIONS INTRO

Change to Supporting Information: Changed Description, Aliases

Attribute Definitions Introduction


The attributes of classes appearing in the NHS data standards logical data model are listed in alphabetical order. Click on a letter in the Attribute Bookmarks to display the list of attribute names for that letter. To display the definition for a specific attribute, click on the attribute name.

Each listed attribute contains its nationally agreed definition which may also include its agreed National Codes or classifications and a clickable link: 'data' tab, if a data element also exists that attribute.

Each attribute name or class name which appears in the definition text is in uppercase and each business definition name is in Title Case. Where the name appears in blue, this indicates that this is a clickable link and if clicked on will display the definition for that attribute, class or business definition. In the same way, if a data element link is present and clicked on, then the information for a data element will be displayed.

Although this may seem complicated, it is necessary both to form a coherent logical model and to relate physical information such as that which flows on the messages (elements) to the logical model. Every physical item should be represented logically in the Dictionary. However, the scope of the logical model is greater than the physical information it holds and therefore not all logical information has a physical existence.

The classes, attributes and relationships are logical model components. The classes are comprised of attributes and the Attribute 'tab' is the way of displaying these. An attribute can only belong to one class (although the Where Used 'tab' will show every class or other object where it is referenced). The relationships identify any optional links or mandatory dependencies between classes. The relationship 'tab' is the way of displaying the relationships associated with a class.

Elements are physical model components. They represent information on the messages or in some cases Central Returns. Identifying how this information maps to the logical model is essential if the information stored on the attributes, classes and relationships is to be utilised with respect to the physical item.

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ATTRIBUTE DEFINITIONS INTRO

Change to Supporting Information: Changed Description, Aliases


BLOOD PRESSURE

Change to Supporting Information: Changed Description

Blood Pressure is a PERSON PROPERTY.

A record of a PERSON's Blood Pressure which is comprised of a Systolic Pressure and a Diastolic Pressure.A record of a PERSON's Blood Pressure which is comprised of a Systolic Pressure and a Diastolic Pressure.

 

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BODY MASS INDEX  renamed from BMI

Change to Supporting Information: Changed Aliases, Name


BOOKINGS ADMITTED PATIENT AND OUT-PATIENT PROVIDER DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Provider Admitted Patient and Out-Patient Bookings: Events During the Reporting Period

Contextual Overview

Provider Admitted Patient and Out-Patient Bookings: Events During the Reporting Period

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CANCER CLINICAL STATUS ASSESSMENT

Change to Supporting Information: Changed Description

Cancer Clinical Status Assessment is a CARE CONTACT.

The assessment of a PATIENT's clinical condition. This may take place at a review point within the PATIENT's Cancer Care Plan or may be required if the patient's condition changes during treatment, for example if the patient reports toxicity as a result of treatment. This may take place at a review point within the PATIENT's Cancer Care Plan or may be required if the PATIENT's condition changes during treatment, for example if the PATIENT reports toxicity as a result of treatment.

References:
National Cancer Dataset

 

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CARE PROFESSIONAL

Change to Supporting Information: Changed Description

DIAGRAM OVERVIEW

This shows the CARE PROFESSIONALS and their employment within ORGANISATIONS. The different types of CARE PROFESSIONALS are shown.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

For information on how to read the diagrams the please click this link:  Diagramming ConventionsFor information on how to read the diagrams the please click this link:: Diagramming Conventions.

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CARE PROGRAMME APPROACH CARE CO-ORDINATOR ALLOCATION  renamed from CPA CARE CO-ORDINATOR ALLOCATION

Change to Supporting Information: Changed Aliases, Name


CARE PROGRAMME APPROACH REVIEW

Change to Supporting Information: Changed Description

Care Programme Approach Review is a CARE CONTACT.

A clinical review of the health and social needs of a PATIENT who is the subject of a Care Programme Approach Episode. The review may take the form of a single meeting of interested parties, usually including the allocated care coordinator and the PATIENT or it may comprise a series of meetings and discussions over a number of days. The Care Programme Approach Review ends when a definite outcome is established and recorded. The date when this is recorded will be taken as the CPA review date. The date when this is recorded will be taken as the Care Programme Approach Review Date. The outcome will determine whether the Care Programme Approach Episode continues or is ended.

The review will also include the assessment and recording of the HONOS SCORE and the assessment or re-assessment of the need for a Supervision Register Episode.

Information recorded for a Care Programme Approach Review includes:

CPA Review Date
Care Programme Approach Review Date
CPA REVIEW OUTCOME
HOME HELP USE   O (if Home Help Visits planned)
NON-NHS COMMUNITY BED USE   O (if stay in non-NHS residential facilities planned)
NON-NHS DAY CARE FACILITY USE   O (if attendance at non-NHS Day Care Facilities planned)
PATIENT INFORMED OF OUTCOME DATE
SHELTERED WORK FACILITY USE   O (if attendance at Sheltered Work Facilities planned)
ACCOMMODATION STATUS CODE  
EMPLOYMENT STATUS  
WEEKLY HOURS WORKED  
SETTLED ACCOMMODATION INDICATOR  
 

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CARE PROGRAMME APPROACH REVIEW DATE  renamed from CPA REVIEW DATE

Change to Supporting Information: Changed Aliases, Name

  • Alias Changes
  • Changed Name from Data_Dictionary.NHS_Business_Definitions.C.CPA_Review_Date to Data_Dictionary.NHS_Business_Definitions.C.Care_Programme_Approach_Review_Date
  • NameOld ValueNew Value
    pluralCPA Review DatesCare Programme Approach Review Dates
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CATEGORY VALUED PERSON PROPERTY

Change to Supporting Information: Changed Description

DIAGRAM OVERVIEW Person_DIAGRAM OVERVIEW

This shows the subtype of PERSON PROPERTY with the set of predetermined values. See Person and Person Property diagram for a fuller explanation.

USING THE DIAGRAM

By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

PRINTING THE DIAGRAM

To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

DIAGRAMMING CONVENTIONS

For information on how to read the diagrams the please click this link:  Diagramming ConventionsFor information on how to read the diagrams the please click this link:: Diagramming Conventions.

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CENTRAL RETURN DATA SETS INTRODUCTION

Change to Supporting Information: Changed Description


The development of data sets supports:
  • information requirements of national and local performance management, planning and clinical governance
  • assurance of the quality of health and social care services
  • the monitoring of National Service Frameworks (NSFs)

The information in the Central Return Data Sets is transmitted at aggregate level.

Some of these 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.The Unify2 homepage can be found at the following address:
http://nww.

The Unify2 homepage can be found at the following address: http://nww.unify2.dh.nhs.uk/unify/interface/homepage.aspx  

Note: access to this address requires a Unify2 account and password. Any queries about the site can be addressed to the Unify2 helpdesk by emailing STEIS-Helpdesk@dh.gsi.gov.uk or calling 0113 254 5278 Any queries about the site can be addressed to the Unify2 helpdesk by:

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CENTRAL RETURN FORMS INTRODUCTION

Change to Supporting Information: Changed Description


The Department of Health uses the information gathered from Central Returns to monitor service provision at a high level and to support trend analysis for health service activity and health needs assessment. In addition, the returns support the monitoring of progress in the achievement of overall objectives for the NHS and contribute towards the development of policy and the process of funding allocation.

Each Central Return contained within this publication has an image of the Central Return form itself and provides guidance on its content and completion. The guidance also describes how data items held in the NHS Data Dictionary are used to derive the information required for Central Returns. The guidance also describes how data items held in the NHS Data Model and Dictionary are used to derive the information required for Central Returns. Physical definitions of data items, such as the code values, are included.

Important Notes
  1. Some of the Central Return Forms covered in this publication are under review. Changes arising from these reviews are not covered in this publication as they were not available in time for publishing. Users should therefore use this publication in conjunction with relevant change notifications as they are published. These were issued as Data Set Change Notices (DSCNs) at time of writing, but the Information Standards Board for Health and Social Care may use a different notification system.

  2. Not all mandated Central Return Forms are contained within this publication. For those returns not yet covered, please consult the Notes for Completion provided with the form for detailed information requirements.

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CHILDREN'S HOME

Change to Supporting Information: Changed Description, Aliases

Children's Home is an ORGANISATION SITE.

An establishment registered with the National Care Standards Commission as a children's home which provides care and accommodation wholly or mainly for children.An establishment registered with the National Care Standards Commission as a Children's Home which provides care and accommodation wholly or mainly for children.

An establishment is not a children's home merely because a child is cared for and accommodated there by a parent or relative or by a foster parent.An establishment is not a Children's Home merely because a child is cared for and accommodated there by a parent or relative or by a foster parent.

A school may be registered as a children's home if accommodation is provided for children at the school for more than 295 days during a twelve month period.A school may be registered as a Children's Home if accommodation is provided for children at the school for more than 295 days during a twelve month period.

References:
National Care Standards Commission registration April 2002.

 

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CHILDREN'S HOME

Change to Supporting Information: Changed Description, Aliases

  • Changed Description
  • Alias Changes

    NameOld ValueNew Value
    pluralChildren's HomeChildren's Homes
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CHILDRENS HOME REGISTRATION

Change to Supporting Information: Changed Description

Childrens Home Registration is an ORGANISATION REGISTRATION.

An establishment registered with the National Care Standards Commission as a children's home which provides care and accommodation wholly or mainly for children.An establishment registered with the National Care Standards Commission as a Children's Home which provides care and accommodation wholly or mainly for children.

An establishment is not a children's home merely because a child is cared for and accommodated there by a parent or relative or by a foster parent.An establishment is not a Children's Home merely because a child is cared for and accommodated there by a parent or relative or by a foster parent.

A school may be registered as a children's home if accommodation is provided for children at the school for more than 295 days during a twelve month period.A school may be registered as a Children's Home if accommodation is provided for children at the school for more than 295 days during a twelve month period.

References:
National Care Standards Commission registration April 2002.

 

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CHOOSE AND BOOK UTILISATION COMMISSIONER DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Contextual Overview


  • This central information collection requirement is commissioner based and is the aggregation of commissioned PATIENT activity delivered by provider NHS Trusts and provider Primary Care Trusts.

  • The collection is for all PATIENTS given an APPOINTMENT and added to the Out-Patient Waiting List within the REPORTING PERIOD arising from a GENERAL PRACTITIONER referral processed using the NHS Connecting for Health Choose and Book System.

  • The NHS Connecting for Health Choose and Book system during the booking process issues a unique booking reference number when a PATIENT is offered one or more APPOINTMENT DATE OFFERED of an APPOINTMENT OFFER.

  • When the PATIENT accepts an APPOINTMENT DATE OFFERED, the unique booking reference number is considered to be 'converted' i.e. an APPOINTMENT is created and recorded; and the PATIENT is placed on an Out-Patient Waiting List even if subsequently the PATIENT does not attend or cancels the APPOINTMENT.

  • The APPOINTMENT BOOKING SYSTEM TYPE of the APPOINTMENT records the type of booking system used and UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) records the 'converted' reference number.
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    CLASS DEFINITIONS INTRO

    Change to Supporting Information: Changed Description, Aliases

    Class Definitions Introduction


    The classes and their definitions appearing within the NHS data standards logical data model are listed in alphabetical order.

    Each listed class contains a 'Description' tab that link to its nationally agreed definition, an 'Attributes' tab that links to a list of its attributes and a 'Relationship' tab that links to a list of its relationships it has with other classes.

    The 'Where Used' tab provides a list of all the diagrams that the class is included in. Each diagram is a sub-set of the logical data model but does not contain an exclusive set of classes. Thus the same class can appear in more than one diagram.

    Each attribute name or class name which appears in the definition text, attribute list or relationships is in uppercase. Where the name also appears in blue indicates that it is clickable and if clicked on will display the definition for that class or attribute.

    The following information may be shown against a class attribute:

    Keys The unique identifier of a class may include one or more attributes. These are known as key attributes and are shown with 'K' before the attribute name. Attributes are sequenced with the key attributes first.

    The following information is shown for each class relationship:

    Keys The unique identifier of a class may include one or more relationships to other classes. These are indicated by 'K' before the relationship description. Relationships are sequenced with the key relationships first.
    Description The nature of the relationship is indicated by 'must be' if the relationship is mandatory and by 'may be' if the relationship is optional.
     Where relationships from one class to others are mutually exclusive, then 'or' appears at the beginning of the description between the second and subsequent exclusive relationships. Mutually exclusive relationships are shown on diagrams by a short straight line cutting across the relationship.

    Although this may seem complicated, it is necessary both to form a coherent logical model and to relate physical information such as that which flows on the messages (elements) to the logical model. Every physical item should be represented logically in the Dictionary. However, the scope of the logical model is greater than the physical information it holds and therefore not all logical information has a physical existence.

    The classes, attributes and relationships are logical model components. The classes are comprised of attributes and the Attribute 'tab' is the way of displaying these. An attribute can only belong to one class (although the Where Used 'tab' will show every class or other object where it is referenced). The relationships identify any optional links or mandatory dependencies between classes. The relationship 'tab' is the way of displaying the relationships associated with a class.

    Elements are physical model components. They represent information on the messages or in some cases Central Returns. Identifying how this information maps to the logical model is essential if the information stored on the attributes, classes and relationships is to be utilised with respect to the physical item.

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    CLASS DEFINITIONS INTRO

    Change to Supporting Information: Changed Description, Aliases

    • Changed Description
    • Alias Changes

      NameOld ValueNew Value
      fullnameClass Definitions IntroductionClasses Introduction
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    CLASSES

    Change to Supporting Information: Changed Description, Aliases

    Classes


    Classes are shown in diagrams as in the example below:

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    CLASSES

    Change to Supporting Information: Changed Description, Aliases

    • Changed Description
    • Alias Changes

      NameOld ValueNew Value
      pluralClasses 
      fullnameDiagramming Conventions 
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    CLASS RELATIONSHIPS

    Change to Supporting Information: Changed Description, Aliases


    Class Relationships

    Relationships between classes are shown in diagrams with a line connecting the classes as in the example below:Relationships between Classes are shown in diagrams with a line connecting the Classes as in the example below:

    Information concerning the relationship is conveyed by the number at the top and bottom of the connecting line, known as Relationship Cardinality.Information concerning the relationship is conveyed by the number at the top and bottom of the connecting line, known as Relationship Cardinality.

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    CLASS RELATIONSHIPS

    Change to Supporting Information: Changed Description, Aliases

    • Changed Description
    • Alias Changes

      NameOld ValueNew Value
      pluralClass Relationships 
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    CLINICAL DATA SETS INTRODUCTION

    Change to Supporting Information: Changed Description

    Introduction


    The development of data sets supports:
    • information requirements of national and local performance management, planning and clinical governance
    • assurance of the quality of health and social care services
    • the monitoring of National Service Frameworks (NSFs)

    The information in the Clinical Data Sets is transmitted at patient level.

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    CLINIC ATTENDANCE CONSULTANT

    Change to Supporting Information: Changed Description

    Clinic Attendance Consultant is a CARE CONTACT.

    An Out-Patient Attendance Consultant.

    An attendance or contact at which a PATIENT is seen by or in contact with a CONSULTANT, or member of the CONSULTANTS firm, at a Consultant Clinic.

    A PATIENT attending or being contacted by a clinic will always be given an Out-Patient Appointment Consultant (even when arriving with no prior notice), but appointments will not always result in an attendance or contact.A PATIENT attending or being contacted by a clinic will always be given an Out-Patient Appointment Consultant (even when arriving with no prior notice), but APPOINTMENTS will not always result in an attendance or contact.

    If an appointment time was given, the time seen should be recorded.If an APPOINTMENT TIME was given, the time seen should be recorded.

    Information recorded for a Clinic Attendance Consultant includes:

    COLPOSCOPY PRIME PROCEDURE TYPE   O (colposcopy only)
    Time Seen
     

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    CLINIC ATTENDANCE MIDWIFE

    Change to Supporting Information: Changed Description

    Clinic Attendance Midwife is a CARE CONTACT.

    A Clinic Attendance Non-Consultant.

    An appointment and/or attendance at a Midwife Clinic or an appointment and/or contact with a Midwife Clinic.An APPOINTMENT and/or attendance at a Midwife Clinic or an appointment and/or contact with a Midwife Clinic.

    The total number of attendances or contacts in a period is required for central returns.

    Where both mother and baby attend a postnatal clinic together this is to count as one attendance.

    Information recorded for a Clinic Attendance Midwife includes:

    ANTENATAL OR POSTNATAL INDICATOR
    CONSULTATION MEDIUM USED
    FIRST ATTENDANCE
     

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    CLINIC ATTENDANCE NON-CONSULTANT

    Change to Supporting Information: Changed Description

    Clinic Attendance Non-Consultant is a CARE CONTACT.

    An attendance at or contact with a Nurse Clinic, Midwife Clinic or Family Planning Clinic. This may have been as a result of an Out-Patient Appointment Non-Consultant.

    If the PATIENT is currently subject to a Mental Health Care Spell and the nurse they are in contact with during the attendance or contact is their allocated Care Programme Approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

    Note: Attendances or contacts at clinics run by Paramedics are Professional Staff Group Contact.

    If an appointment time was given, the time seen should be recorded.If an APPOINTMENT TIME was given, the time seen should be recorded.

    Information recorded for a Clinic Attendance Non-Consultant includes:

    ATTENDANCE DATE
    ATTENDANCE IDENTIFIER
    Time Seen   O (if appointment time given)
     

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    COLLEGE

    Change to Supporting Information: Changed Description

    An Educational Establishment providing further education after statutory school age for qualifications such 'A' levels or National Vocational Qualifications. This includes sixth form Colleges.

    This definition describes the function of the establishment rather than the name of the establishment as the term 'College' can be used in the name for a number of different types of Educational Establishments including Schools or Universities.This definition describes the function of the establishment rather than the name of the establishment as the term 'College' can be used in the name for a number of different types of Educational Establishments including Schools or Universities.

     

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    COMMISSIONING DATA SET OVERVIEW

    Change to Supporting Information: Changed Description

    The primary purpose of national data sets is to enable conformant health information to be generated across the country, independent of the ORGANISATION or system that maintains it. In achieving this, the Health and Social Care Information Centre will enable healthcare professionals to measure and compare the delivery and quality of care provided and to support them in sharing information with other health professionals and ORGANISATIONS. In achieving this, the Health and Social Care Information Centre will enable healthcare professionals to measure and compare the delivery and quality of care provided and to support them in sharing information with other health professionals and ORGANISATIONS.

    Information Requirements

    • monitor and manage Service Agreements;
    • develop commissioning plans;
    • support the Payment By Results processes;
    • support NHS Comparators;
    • monitor Health Improvement Programmes;
    • underpin clinical governance;
    • understand the health needs of the population.

    Information on care provided for all PATIENTS by NHS Hospitals and Primary Care Trusts and Independent Sector Providers (for NHS PATIENTS only) is specified in the Commissioning Data Sets and must be submitted to the Secondary Uses Service according to issued guidelines.

    Commissioners need access to data to monitor Non-Contract Activity as part of the management of their Service Agreements. Primary Care Trusts also need to monitor in-year referrals to investigate the sources and reasons for Non-Contract Activity.

    Independent Sector Treatment Centres (TC) are responsible for providing Admitted Patient Care and Out-Patient Attendance Commissioning Data Sets and may submit this data on their own behalf or via a third party. Other Independent Sector activity for NHS PATIENTS is the responsibility of the NHS commissioning body for the provision of the appropriate central returns and data sets.

    The Department of Health requires accurate data of all PATIENTS admitted to or treated as out-patients, or treated as an Accident And Emergency Attendance by NHS Hospital Providers and Primary Care Trusts, including PATIENTS receiving private treatment. The data also includes NHS PATIENTS treated electively in the independent sector and overseas. These Hospital Episode Statistics (HES) are derived from the Admitted Patient Care, Out-Patient Attendance and Accident and Emergency Attendance Commissioning Data Sets as stored in the Secondary Uses Service. This data provides information about hospital and PATIENT management, epidemiological data on PATIENT DIAGNOSES and OPERATIVE PROCEDURES.

    Commissioning Data Set Data Flow Definitions

    CDS TYPES

    The Commissioning Data Set is the basic structure used for the submission of commissioning data to the Secondary Uses Service and is designed to be capable of individually conveying many different Commissioning Data Set structures encompassing Accident and Emergency Attendances, Out-Patient Attendances, Future Attendances, Admitted Patient Care and Elective Admission List data etc.

    Commissioning Data Set Messages have been defined in specific components known as a CDS TYPE. Each Commissioning Data Set Type as configured into the Commissioning Data Set Message carries only one specific Commissioning Data Set Type, an examples being the Finished Consultant Episode Commissioning Data Set Type etc.

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    CONSULTANT CLINIC

    Change to Supporting Information: Changed Description

    Consultant Clinic is a CLINIC OR FACILITY.

    An Out-Patient Clinic.

    An administrative arrangement enabling PATIENTS to see a CONSULTANT, the CONSULTANT's staff and associated health professionals. The holding of a clinic provides the opportunity for consultation, investigation and treatment. PATIENTS normally attend by prior appointment. PATIENTS normally attend by prior APPOINTMENT. Although a CONSULTANT is in overall charge, the CONSULTANT may not be present on all occasions that the clinic is held. However, a member of the CONSULTANT's firm or locum for such a member, must always be present. An individual CONSULTANT may run more than one clinic in the same or different locations. This also includes clinics run by GENERAL PRACTITIONERS acting as CONSULTANT (see definition of 'CONSULTANT'). This also includes clinics run by GENERAL PRACTITIONERS acting as CONSULTANT (see definition of 'CONSULTANT').

    For shared clinics the Shared Care Out-Patient Consultant should be recorded.

    Clinics not controlled by a CONSULTANT (or GENERAL PRACTITIONER) should not be included, e.g. those run by midwives (see Midwife Clinic). Consultant Clinic Sessions are actual occurrences of Consultant Clinics.

    Information recorded for a Consultant Clinic includes:

    NUMBER OF SESSIONS INTENDED
    PRIOR APPOINTMENT INDICATOR
    SESSION TYPE
     

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    DATA ELEMENTS INTRO

    Change to Supporting Information: Changed Description

    Data Elements Introduction


    Data elements are used to identify or indicate the content of:

    i.the Commissioning Data Sets (CDS)
    ii.the Hospital Episode Statistics (HES)
    iii.the Central Returns

    In addition, data elements can contain text providing guidance, support, values or other information concerning the data element and its use with the above.

    The data elements are listed in alphabetical order. Click on a letter in the Data Element Bookmarks to display the list of data element names for that letter in the right hand screen frame. To display the content of a specific data element, click on the data element name. The content of the data element replaces the list of data element names in the rightmost screen frame.

    Each attribute name, class name or data element name which appears in the data element content text is in uppercase, any business definition will appear in Title Case. Where the name also appears in blue, this indicates that it is a clickable link and if clicked on will display the definition for that class, attribute, business definition or the content of the data element. In the same way, if a 'definition' tab is present and clicked on, the attribute containing the definition of that data element will be displayed (this may contain National Codes relevant to that data element).

    The following information may be shown within a data element:


    Attribute tab An 'attribute' tab, indicates that an attribute definition exists with the same name. Click on the tab to display the attribute, then click on the attribute name to go to it's definition.

    When no tab is present, the data element itself is either a derived item which is derivable from attributes or only exists as a data element.

     
    Format/length: An entry in this field defines the format and length of the data element, the following conventions are used for format:

    a   is alphabetic characters only
    n   is numeric characters only
    an is alphanumeric i.e. alphabetic and numeric characters allowed
    The number following the format code indicates the field length of the data element, e.g. an3 has a field length of three alphanumeric characters.

     
    HES item: An entry in this field indicates that the data element is used by Hospital Episode Statistics and is identified by the entered name e.g. data element BIRTH DATE has a Hospital Episode Statistics item name of DOB.

    If the field is blank, the data element is not used by Hospital Episode Statistics.

     
    National Codes: An entry in this field indicates that the National Codes or classifications exist for the data element (as an attribute) and describes how to view them e.g. 'Click on the attribute tab to display the attribute that contains the National Codes' or 'Click on the attribute tab to display the attribute that contains the Classifications'.

    If there are no agreed National Codes or classifications for the data element, the field is blank.

    A National Code has nationally agreed values for each code which must be used in conjunction with the data element whereas for a classification, the classifications will be nationally agreed but will have no nationally agreed values assigned to them. Usually for classifications, the values to be used in conjunction with the data element will be contained within Notes: content e.g. see AGE GROUP INTENDED.

     
    Default Codes: An entry in this field indicates that in addition to the nationally agreed National Codes or classifications, default codes may be used. These default codes only appear within data elements and are not nationally agreed data standards i.e. they are not supported by an attribute definition. The following formats for default codes may be used:

    Not known       coded as 99 (2-digit codes) and 9 (1-digit code)
    Not applicable  coded as 98 (2-digit codes) and 8 (1-digit code)

    This general rule however, is not totally consistent. For some data elements, code 8 has been assigned a meaning other than Not applicable e.g. DELIVERY PLACE TYPE (ACTUAL). Such exceptions are indicated within the Notes: content.

     
    Notes: Provides guidance, support, values or other information concerning the data element and its usage. Any attribute name, class name or data element name which appears in the Notes text is in uppercase, any business definition appears in Title Case. Where the name also appears in blue, this indicates that it is a clickable link and if clicked on will display the definition for that class, attribute, business definition or the content of the data element.

    Although this may seem complicated, it is necessary both to form a coherent logical model and to relate physical information such as that which flows on the messages (elements) to the logical model. Every physical item should be represented logically in the Dictionary. However, the scope of the logical model is greater than the physical information it holds and therefore not all logical information has a physical existence.

    The classes, attributes and relationships are logical model components. The classes are comprised of attributes and the Data Attribute 'tab' is the way of displaying these. An attribute can only belong to one class (although the Where Used 'tab' will show every class or other object where it is referenced). The relationships identify any optional links or mandatory dependencies between classes. The relationship 'tab' is the way of displaying the relationships associated with a class.

    Elements are physical model components. They represent information on the messages or in some cases Central Returns. Identifying how this information maps to the logical model is essential if the information stored on the attributes, classes and relationships is to be utilised with respect to the physical item.

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    DATA SETS CONTEXTUAL OVERVIEW

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    Contextual Overview

    The primary purpose of national data sets is to enable the same health information to be generated across the country independent of the ORGANISATION or system that captures it.

    In achieving this the Health and Social Care Information Centre will be enabling healthcare professionals to measure and compare the delivery and quality of care provided and to support them in sharing information with other health professionals.In achieving this the Health and Social Care Information Centre will be enabling healthcare professionals to measure and compare the delivery and quality of care provided and to support them in sharing information with other health professionals.

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    DATA SETS INTRODUCTION

    Change to Supporting Information: Changed Description

    The primary purpose of national data sets is to enable the same health information to be generated across the country independent of the ORGANISATION or system that captures it.

    In achieving this, the Health and Social Care Information Centre will be enabling healthcare professionals to measure and compare the delivery and quality of care provided and to support them in sharing information with other health professionals.In achieving this, the Health and Social Care Information Centre will be enabling healthcare professionals to measure and compare the delivery and quality of care provided and to support them in sharing information with other health professionals.

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    DATE BIOPSY TAKEN

    Change to Supporting Information: Changed Aliases

    • Alias Changes

      NameOld ValueNew Value
      pluralDate Biopsy TakenDates Biopsy Taken
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    DEFAULT CODES SUMMARY TABLE

    Change to Supporting Information: Changed Aliases

    • Alias Changes

      NameOld ValueNew Value
      shortname Default Codes
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    DEPARTMENT OF HEALTH

    Change to Supporting Information: Changed Aliases

    • Alias Changes

      NameOld ValueNew Value
      shortname DH
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    DIAGNOSTICS WAITING TIMES AND ACTIVITY DATA SET OVERVIEW  renamed from DIAGNOSTICS WAITING TIMES & ACTIVITY DATA SET OVERVIEW

    Change to Supporting Information: Changed Name

    • Changed Name from Data_Dictionary.Messages.Central_Return_Data_Sets.Overviews.Diagnostics_Waiting_Times_&_Activity_Data_Set_Overview to Data_Dictionary.Messages.Central_Return_Data_Sets.Overviews.Diagnostics_Waiting_Times_and_Activity_Data_Set_Overview

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    DIAGRAMMING CONVENTIONS  renamed from DIAGRAMMING CONVENTIONS MIDDLE PANE

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    • Changed Description
    • Alias Changes
    • Changed Name from Web_Site_Content.Pages.Diagramming_Conventions.Diagramming_Conventions_Middle_Pane to Web_Site_Content.Pages.Diagramming_Conventions.Diagramming_Conventions
    • NameOld ValueNew Value
      shortnameDiagramming Conventions 
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    DIAGRAMS INTRODUCTION

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    DIAGRAMS


    The new generic dictionary is based on a small set of rationalised diagrams. The list of these diagrams is located on the left.

    The NHS Data Model and Dictionary has a small set of diagrams which represent parts of the NHS Data Model. The diagrams show the relationships between the classes and the relationship cardinality.

    The list of these diagrams is located on the left.

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    ELECTIVE ADMISSION

    Change to Supporting Information: Changed Description

    Elective Admission provides further guidance for classifying an admission to hospital via an ELECTIVE ADMISSION LIST.

    An elective admission is one that has been arranged in advance.An Elective Admission is one that has been arranged in advance. It is not an emergency admission, a maternity admission or a transfer from a bed in another provider. The period that the PATIENT has to wait for admission depends on the demand on hospital resources and the facilities available to meet this demand.

     

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    ELECTRONIC STAFF RECORD

    Change to Supporting Information: Changed Description, Aliases

    Electronic Staff Record (ESR) is the Human Resource and Payroll IT system for the NHS in England and Wales.Electronic Staff Record (ESR) is the Human Resource and Payroll IT system for the NHS in England and Wales.

    A data warehouse has been developed, the Electronic Staff Record Data Warehouse, which is populated by extracts from Electronic Staff Record to provide for national and other supra-Trust level reporting.

     

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    ELECTRONIC STAFF RECORD

    Change to Supporting Information: Changed Description, Aliases

    • Changed Description
    • Alias Changes

      NameOld ValueNew Value
      shortname ESR
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    EVENT TIME

    Change to Supporting Information: Changed Description

    Event Time is an ACTIVITY DATE TIME TYPE.

    The time when an activity event started or was planned to be started.The time when an ACTIVITY event started or was planned to be started.

     

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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 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.

    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.
     
    -the 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.
     
    -the 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.
     

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    FRACTION

    Change to Supporting Information: Changed Description

    Fraction is a CLINICAL INTERVENTION.Fraction is a CLINICAL INTERVENTION.

    A set of exposures delivered or intended to be delivered to a PATIENT in the course of one visit to a radiotherapy room. The HELD OR CANCELLED indicator records those fractions for which appointments have been made, but which did not take place.

    Note: For technical reasons the radiotherapy MACHINE TYPE actually used for each EXPOSURE may differ from that indicated when the fraction was planned.Note: For technical reasons the radiotherapy MACHINE TYPE actually used for each EXPOSURE may differ from that indicated when the Fraction was planned.

     

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    GENERAL MEDICAL PRACTITIONER PRACTICE

    Change to Supporting Information: Changed Aliases

    • Alias Changes

      NameOld ValueNew Value
      plural General Medical Practitioner Practices
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    GENITOURINARY MEDICINE ACCESS MONTHLY MONITORING DATA SET OVERVIEW

    Change to Supporting Information: Changed Description


    Contextual Overview

    The Department of Health requires this data set from NHS providers of specialised services, where the primary function of the specialist clinical multidisciplinary team is concerned with the provision of screening, diagnosis and management of sexually transmissible infections and related genital medical conditions. In line with the national strategy for sexual health, Human Immunodeficiency Virus (HIV), genitourinary medicine services are represented as level three providers. This information is collected via the Genitourinary Medicine Access Monthly Monitoring Data Set.

    The Genitourinary Medicine Access Monthly Monitoring Data Set provides essential information for:

    • monitoring the 48 hour access target
    • assurance of validity and veracity of the achievement of the target
    • support for local service modernisation, performance management and commissioning required to assure 48 hour access on an on-going basis

    Collection and Submission of the Genitourinary Medicine Access Monthly Monitoring Data Set

    • The Genitourinary Medicine Access Monthly Monitoring Data Set is a monthly provider based return.
    • Provider returns must be submitted by the 18th (or next working day) for the previous calendar month. Commissioner returns are due by the 25th or nearest next working day.
    • The data is submitted via Unify2, the Department of Health online data collection system. NHS providers enter their data onto Unify2 using an upload.
    Synopsis of the Genitourinary Medicine Access Monthly Monitoring Data Set
    1. REPORTING PERIOD, ORGANISATION CODE (CODE OF PROVIDER), ORGANISATION CODE (CODE OF COMMISSIONER) and SITE CODE (OF TREATMENT)
    2. Attendances
    3. First APPOINTMENTS Missed
    4. First APPOINTMENTS offered within 2 days (excludes bank holidays & weekends)
    5. PATIENTS reporting symptoms
    6. FIRST ATTENDANCES seen after 2 days (excludes bank holidays & weekends)
    7. Human immunodeficiency virus (HIV) clinic attendances
    8. PATIENT perspective
    9. PATIENTS registered but not seen

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    GLOSSARY OF TERMS

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    The Glossary lists commonly used terms in alphabetical order. These terms are not defined and therefore do not have a class or attribute. Each entry in the Glossary is shown with its related class and attribute where appropriate.

    For example 'Booked Admission' is shown as relating to the class ELECTIVE ADMISSION LIST ENTRY. ELECTIVE ADMISSION LIST ENTRY has an attribute ELECTIVE ADMISSION TYPE and reference to the attribute definition will identify that 'Booked Admission' is one of the national code classifications of ELECTIVE ADMISSION TYPES.

    ClassAttribute
    Admission
    Admission
    Hospital Provider Spell ACTIVITY DATE of the ACTIVITY DATE TIME TYPE Start Date
    Annual Census
    Annual Census
    Hospital Provider Spell ACTIVITY DATE of the ACTIVITY DATE TIME TYPE Start Date
    OPERATIVE PROCEDURE  
    Legal Status MENTAL CATEGORY 
    Hospital Provider Spell ACTIVITY DATE of the ACTIVITY DATE TIME TYPE Discharge Date
    PATIENT DIAGNOSIS  
    Bed
    Bed
    WARD OPERATIONAL PLAN  
    Booked Admission
    Booked Admission
    ELECTIVE ADMISSION LIST ENTRY ELECTIVE ADMISSION TYPE 
    Code of General Practitioner
    Code of General Practitioner
    GENERAL MEDICAL PRACTITIONER GENERAL MEDICAL PRACTITIONER PPD CODE 
    GENERAL DENTAL PRACTITIONER GENERAL DENTAL PRACTITIONER CODE 
    Consultant Code
    Consultant Code
    CONSULTANT CONSULTANT CODE 
    Consultant Name
    Consultant Name
    PERSON NAME  
    Day Case Admission
    Day Case Admission
    Hospital Provider Spell PATIENT CLASSIFICATION 
    Diagnostic Services
    Diagnostic Services
    Pathology Department  
    Radiology Department  
    Isotope Procedure Department  
    Physiological Measurement Department  
    Discharge
    Discharge
    Hospital Provider Spell ACTIVITY DATE of the ACTIVITY DATE TIME TYPE Discharge Date
    Drop-In Clinic
    Drop-In Clinic
    REFERRAL REQUEST OUT-PATIENT CLINIC REFERRING INDICATOR 
    Emergency Admission
    Emergency Admission
    Hospital Provider Spell ADMISSION METHOD 
    Emergency Journey
    Emergency Journey
    Emergency Transport Request  
     
    General Practitioner Name
    General Practitioner Name
    PERSON NAME  
    GMC or GDC Number
    GMC or GDC Reference Number
    CARE PROFESSIONAL CARE PROFESSIONAL IDENTIFIER 
    Local Patient Identifier
    Local Patient Identifier
    PATIENT ORGANISATION LOCAL PATIENT IDENTIFIER 
    Maternity Admission
    Maternity Admission
    Hospital Provider Spell ADMISSION METHOD 
    Neonate
    Neonate
    PATIENT  
    Nurse Identifier
    Nurse Identifier
    CARE PROFESSIONAL CARE PROFESSIONAL IDENTIFIER 
    Nurse Name
    Nurse Name
    PERSON NAME  
    Ordinary Admission
    Ordinary Admission
    Hospital Provider Spell PATIENT CLASSIFICATION 
    Organisation Postcode
    Organisation Postcode
    ADDRESS POSTCODE 
    ADDRESS ASSOCIATION  
    Organisation Address
    Organisation Address
    ADDRESS ASSOCIATION ADDRESS ASSOCIATION TYPE 
    Patient Name
    Patient Name
    PERSON NAME  
    Patients Usual Address
    Patients Usual Address
    ADDRESS ASSOCIATION ADDRESS ASSOCIATION TYPE 
    Planned Admission
    Planned Admission
    ELECTIVE ADMISSION LIST ENTRY ELECTIVE ADMISSION TYPE 
    Postcode of Usual Address
    Postcode of Usual Address
    ADDRESS POSTCODE 
    Regular Day Admission
    Regular Day Admission
    Hospital Provider Spell PATIENT CLASSIFICATION 
    Sex
    Sex
    PERSON GENDER PERSON GENDER CODE 
    PERSON GENDER CURRENT  
    PERSON GENDER AT REGISTRATION  
    Special/Planned Journey
    Special/Planned Journey
    Special Transport Request  
    Planned Transport Request  
    Telephone Number
    Telephone Number
    COMMUNICATION CONTACT INFORMATION COMMUNICATION CONTACT METHOD 
    COMMUNICATION CONTACT STRING 
    Two Man/One Man Crew
    Two Man/One Man Crew
    TRANSPORT REQUIREMENT TRANSPORT NEED 
    TCI (To Come In Date)
    TCI (To Come In Date)
    OFFER OF ADMISSION OFFERED FOR ADMISSION DATE 
    Urgent Journey
    Urgent Journey
    Urgent Transport Request  
    Waiting List Admission
    Waiting List Admission
    ELECTIVE ADMISSION LIST ENTRY ELECTIVE ADMISSION TYPE 
    Ward Transfer
    Ward Transfer
    Ward Stay ACTIVITY DATE of the ACTIVITY DATE TIME TYPE End Date
    WARD STAY TERMINATION REASON 

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    HEALTH AND SOCIAL CARE INFORMATION CENTRE

    Change to Supporting Information: Changed Description, Aliases

    The Health and Social Care Information Centre is an NHS Special Health Authority that collects, analyses and distributes national statistics on health and social care.The Health and Social Care Information Centre is an NHS Special Health Authority that collects, analyses and distributes national statistics on health and social care.

    It also underpins regulation, health research, education and training. Health, social care, government and education bodies trust information from the Health and Social Care Information Centre, which is reliable, up-to-date, independent and trustworthy. Health, social care, government and education bodies trust information from the Health and Social Care Information Centre, which is reliable, up-to-date, independent and trustworthy.

    The Health and Social Care Information Centre collection systems make it quick and easy for frontline staff to provide data with minimum impact on the delivery of care.The Health and Social Care Information Centre collection systems make it quick and easy for frontline staff to provide data with minimum impact on the delivery of care.

    NHS frontline management, clinicians, information and care professionals, policy makers, patients and the media rely on the Health and Social Care Information Centre for their information needs.NHS frontline management, clinicians, information and care professionals, policy makers, PATIENTS and the media rely on the Health and Social Care Information Centre for their information needs.

    The Health and Social Care Information Centre is also referred to as the Information Centre for health and social care or the Information Centre (IC).The Health and Social Care Information Centre is also referred to as the Information Centre for health and social care or the Information Centre (IC).

    Further information on the Health and Social Care Information Centre can be found on their website.

     

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    HEALTH AND SOCIAL CARE INFORMATION CENTRE

    Change to Supporting Information: Changed Description, Aliases

    • Changed Description
    • Alias Changes

      NameOld ValueNew Value
      fullnameHealth and Social Care Information Centre 
      shortname IC
      alsoknownas Information Centre for health and social care or the Information Centre (IC)
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    HEALTHCARE COMMISSION

    Change to Supporting Information: Changed Aliases

    • Alias Changes

      NameOld ValueNew Value
      alsoknownas Commission for Healthcare Audit and Inspection
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    HEALTH PROGRAMME

    Change to Supporting Information: Changed Description

    DIAGRAM OVERVIEW

    This shows the HEALTH PROGRAMME and its relation to PATIENTS and ACTIVITIES.

    USING THE DIAGRAM

    By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

    Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

    To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

    PRINTING THE DIAGRAM

    To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

    The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

    DIAGRAMMING CONVENTIONS

    For information on how to read the diagrams the please click this link:  Diagramming ConventionsFor information on how to read the diagrams the please click this link: Diagramming Conventions.

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    HEALTH PROTECTION AGENCY

    Change to Supporting Information: Changed Description, Aliases


    The Health Protection Agency is a Health Authority.

    The Health Protection Agency is an independent body that protects the health and well-being of the population. The Health Protection Agency plays a critical role in protecting people from infectious diseases and in preventing harm when hazards involving chemicals, poisons or radiation occur. The Health Protection Agency also prepares for new and emerging threats, such as a bio-terrorist attack or virulent new strain of disease.

    For more information on the Health Protection Agency please see their website http://www.hpa.org.uk

     

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    HEALTH PROTECTION AGENCY

    Change to Supporting Information: Changed Description, Aliases

    • Changed Description
    • Alias Changes

      NameOld ValueNew Value
      shortname HPA
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    HEIGHT

    Change to Supporting Information: Changed Description

    Height is a MEASURED PERSON OBSERVATION.

    The height of a PERSON on a given date.The Height of a PERSON on a given date. The unit of measurement is metres.

     

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    HOME LEAVE

    Change to Supporting Information: Changed Description

    Home Leave is a type of LEAVE.

    Home Leave occurs when a PATIENT who is not liable to be detained under Part II of the Mental Health Act 1983 and who is using a bed in a WARD or care home spends a period of time outside hospital/care home, usually at home, with the intention of returning to the same type of WARD or care home to continue the same Consultant Episode (Hospital Provider), Midwife Episode or Nursing Episode.

    A PATIENT liable to be detained in hospital under Part II of the Mental Health Act 1983 and as amended by the Mental Health (Patients in the Community) Act 1985, should be granted Mental Health Leave Of Absence instead of Home Leave.

    For a PATIENT under a Nursing Episode or a Midwife Episode the period of time is at the discretion of the responsible NURSE OR MIDWIFE. The period of time for all other PATIENTS should be a maximum of Saturday, Sunday, NHS, bank and public holidays plus another three days. If a PATIENT does not return on the day specified and has failed to make alternative arrangements with hospital/care home staff, such a PATIENT should be considered discharged from that day. The date on which a PATIENT leaves the WARD to go on Home Leave closes the preceding Ward Stay. The date on which a PATIENT leaves the WARD to go on Home Leave closes the preceding Ward Stay.

    Information recorded for a Home Leave includes:

    Start Date
    End Date
     

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    HOSPITAL PROVIDER

    Change to Supporting Information: Changed Description

    A Health Care Provider providing services from:-

    a.Care Home 
    b.A separately managed NHS unit (including NHS Trusts) for PATIENTS using a hospital bed, or for PATIENTS using a care home bed under the care of a CONSULTANT 
    b.A separately managed NHS unit (including NHS Trusts) for PATIENTS using a hospital bed, or for PATIENTS using a Care Home bed under the care of a CONSULTANT 
     

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    HOSPITAL PROVIDER SPELL

    Change to Supporting Information: Changed Description

    Hospital Provider Spell is an ACTIVITY GROUP.

    The total continuous stay of a PATIENT using a bed on premises controlled by a Health Care Provider during which medical care is the responsibility of one or more CONSULTANTS, or the PATIENT is receiving care under one or more Nursing Episodes or Midwife Episodes in a WARD. During Nursing Episodes and Midwife Episodes general medical care is the responsibility of their own GENERAL MEDICAL PRACTITIONER, who is not acting as a CONSULTANT. The Hospital Provider Spell may be as a result of an ELECTIVE ADMISSION LIST ENTRY.

    During the Hospital Provider Spell, the PATIENT may be subject to more than one ADMINISTRATIVE CATEGORY PERIODS. The PATIENT may be subject to one or more CRITICAL CARE PERIODS.

    The Hospital Provider Spell starts when a CONSULTANT, NURSE or MIDWIFE assumes responsibility for care following the decision to admit the PATIENT. This may be before formal admission procedures have been completed and the PATIENT transferred to a WARD. For example, if a PATIENT is brought into hospital as an emergency and dies in the operating theatre before being transferred to a ward, the PATIENT would have started a Hospital Provider Spell.

    In some circumstances a PATIENT may take Home Leave, or Mental Health Leave Of Absence for a period of 28 days or less, or have a current period of Mental Health Absence Without Leave of 28 days or less, which does not interrupt the Hospital Provider Spell, Consultant Episode (Hospital Provider), Nursing Episode, Midwife Episode or Hospital Stay.

    Each admission as part of a series of regular day/night admissions generates a separate Hospital Provider Spell and Consultant Episode (Hospital Provider). An admission is the start of the PATIENT's Hospital Provider Spell and the first Consultant Episodes (Hospital Provider), Midwife Episode or Nursing Episode within the spell. If the PATIENT is on a Hospital Site the admission will also start the first Hospital Stay and, unless the PATIENT has to spend time as a LODGED PATIENT, the admission will also start the first Ward Stay within that Hospital Provider Spell. If the PATIENT is in a care home the admission will start the first Care Home Stay (Consultant Care) within the Hospital Provider Spell. Any admission of a PERSON liable to be detained under the Mental Health Act 1983 cannot be in a care home and must be a Hospital Provider Spell.

    A discharge will be the end of the last Consultant Episode (Hospital Provider), Midwife Episode or Nursing Episode, and the end of the last Care Home Stay (Consultant Care) or Hospital Stay and Ward Stay within that Hospital Provider Spell.

    If there is any time spent as a LODGED PATIENT before transfer to a WARD this is included in the Hospital Provider Spell.

    A Hospital Provider Spell starts with a HOSPITAL PROVIDER ADMISSION and ends with a HOSPITAL PROVIDER DISCHARGE.A Hospital Provider Spell starts with a Hospital Provider admission and ends with a Hospital Provider discharge.

     

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    HPV IMMUNISATION PROGRAMME VACCINE MONITORING ANNUAL MINIMUM DATA SET OVERVIEW

    Change to Supporting Information: Changed Description

    Contextual Overview

    The Department of Health requires summary details from Primary Care Trusts to monitor the implementation and effectiveness of the Human Papillomavirus (HPV) Immunisation Programme.

    The Human Papillomavirus Vaccination Programme for England will commence in September 2008, the first TARGET POPULATION being for females born between 1st September 1995 and 31st August 1996. This will be the first HEALTH PROGRAMME STAGE for what will then be a routine annual Immunisation Programme for all 12-13 year old females.

    There will be catch-up HEALTH PROGRAMME STAGES in 2008/09 for 17-18 year olds, 2009/10 for 16-18 year old females and one in 2010/11 for 15-17 year old females.

    It is recommended for the vaccine delivery to be in Schools/Colleges but Primary Care Trusts are responsible for implementing the programme according to their local needs.

    Each Primary Care Trust will collect and return data on the females in a particular TARGET POPULATION. Primary Care Trusts are recommended to run a Schools-based programme, but some may choose not to. The ANNUAL TARGET DENOMINATOR (HUMAN PAPILLOMAVIRUS VACCINE) will either be Schools based or non-Schools based.

    The Human Papillomavirus vaccine requires 3 separate doses to complete a full course. It is recommended that this full course is given within a 6 month period, but it may be given in a period of up to a 12 months. However, to allow for those that missed one or more doses in their TARGET POPULATION year, summary data will be collected every year for each TARGET POPULATION until those PERSONS reach 18 years old. This is because the Human Papillomavirus vaccine is most effective before an individual becomes sexually active.

    Although data is collected monthly in the HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set, it is recognised that Primary Care Trusts may not be aware of the number of other females they are responsible for at the start of the HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set campaign year. However by the end of the School Year, Primary Care Trusts will have had opportunity to complete vaccinations for any others they are responsible for and these will be included in the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set together with the HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Sets.

    The HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set requires information on number of doses administered as well as the administration LOCATION TYPES.

    Collection and Submission of the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set

    Synopsis of the HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set
    1. Primary Care Trust, HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE), REPORTING PERIOD and ANNUAL TARGET DENOMINATOR (HUMAN PAPILLOMAVIRUS VACCINE)
    2. Doses administered (by each of the three doses)
    3. Doses administered by LOCATION TYPE.

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    HPV IMMUNISATION PROGRAMME VACCINE MONITORING MONTHLY MINIMUM DATA SET OVERVIEW

    Change to Supporting Information: Changed Description

    Contextual Overview

    The Department of Health requires summary details from Primary Care Trusts to monitor the implementation and effectiveness of the Human Papillomavirus (HPV) Immunisation Programme.

    The Human Papillomavirus Vaccination Programme for England will commence in September 2008. The first TARGET POPULATION will be for females born between 1st September 1995 and 31st August 1996. This will be the first HEALTH PROGRAMME STAGE for what will then be a routine annual Immunisation Programme for all 12-13 year old females.

    There will be catch-up HEALTH PROGRAMME STAGES in 2008/09 for 17-18 year olds, 2009/10 for 16-18 year old females and one in 2010/11 for 15-17 year old females.

    It is recommended for the vaccine delivery to be in Schools/Colleges but Primary Care Trusts are responsible for implementing the programme according to their local needs.

    The Department of Health will provide each Primary Care Trust with a monthly denominator for each TARGET POPULATION. The monthly denominator will be fixed for all monthly surveys for the School Year of the TARGET POPULATION and will be notified to the Primary Care Trust in advance. The denominator will not need to be entered each month on the on-line survey form as it will already be held on the Health Protection Informatics website.

    The Human Papillomavirus vaccine requires 3 separate doses to complete a full course. It is recommended that this full course is given within a 6 month period, but it may be given in a period of up to a 12 months. However, to allow for those that missed one or more doses in their TARGET POPULATION year, summary data will be collected every year for each TARGET POPULATION until those PERSONS reach 18 years old. This is because the Human Papillomavirus vaccine is most effective before an individual becomes sexually active.

    The HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set requires the number of doses administered and information on vaccine supply and usage.

    Collection and Submission of the HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set

    Synopsis of the HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set
    1. Primary Care Trust, HEALTH PROGRAMME STAGE NUMBER (HUMAN PAPILLOMAVIRUS VACCINE), REPORTING PERIOD and ANNUAL TARGET DENOMINATOR (HUMAN PAPILLOMAVIRUS VACCINE)
    2. Doses administered (by each of the three doses). Monthly figures are cumulative i.e. the data is always the number of vaccinations from 1st September for that School Year.
    3. Vaccine supply, usage and stock levels. These figures are not cumulative - they refer to the month in question only.

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    INDEX

    Change to Supporting Information: Changed Description


    NHS DATA MODEL AND DICTIONARY

    Version 3

    What's New: December 2008What's New: March 2009

    The NHS Data Model and Dictionary provides a reference point for assured information standards to support health care activities within the NHS in England.

    It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS.

    The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are assured by the Information Standards Board for Health and Social Care and published as Data Set Change Notices. 
    Classes are shown in Dark Red Text, Attributes are shown in Purple, Data Elements are shown in Green, Data Sets are shown in Aqua Blue, Central Return Forms are shown in Dark Pink and other pages are shown in Blue.

    About the NHS Data Model and Dictionary Version 3 and Meta Model Menu

     

    The NHS Data Model and Dictionary provides a reference point for assured information standards to support health care activities within the NHS in England.

    It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS.

    The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are assured by the Information Standards Board for Health and Social Care and published as Data Set Change Notices. 
    Classes are shown in Red Text, Attributes are shown in Purple, Data Elements are shown in Green, Data Sets are shown in Aqua Blue, Central Return Forms are shown in Pink and other pages are shown in Blue.

     

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    INTRAUTERINE DEVICE APPLICATION DATE  renamed from IUD APPLICATION DATE

    Change to Supporting Information: Changed Aliases, Name

    • Alias Changes
    • Changed Name from Data_Dictionary.NHS_Business_Definitions.I.IUD_Application_Date to Data_Dictionary.NHS_Business_Definitions.I.Intrauterine_Device_Application_Date
    • NameOld ValueNew Value
      pluralIUD Application DatesIntrauterine Device Application Dates
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    INTRAUTERINE DEVICE FITTED DATE  renamed from IUD FITTED DATE

    Change to Supporting Information: Changed Aliases, Name

    • Alias Changes
    • Changed Name from Data_Dictionary.NHS_Business_Definitions.I.IUD_Fitted_Date to Data_Dictionary.NHS_Business_Definitions.I.Intrauterine_Device_Fitted_Date
    • NameOld ValueNew Value
      pluralIUD Fitted DatesIntrauterine Device Fitted Dates
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    LABOUR AND DELIVERY

    Change to Supporting Information: Changed Description

    Labour And Delivery is a CLINICAL INTERVENTION.

    The processes of labour and delivery, or process of delivery only if a caesarean section is carried out before the onset of labour, which result in one or more REGISTERABLE BIRTH.The processes of Labour And Delivery, or process of delivery only if a caesarean section is carried out before the onset of labour, which result in one or more REGISTERABLE BIRTH.

     

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    LISTS

    Change to Supporting Information: Changed Description

    DIAGRAM OVERVIEW

    This shows WAITING LISTS and PRIOR NOTIFICATION LISTS FOR CYTOLOGIES and their relationships to ORGANISATIONS, PATIENTS and ACTIVITIES.

    USING THE DIAGRAM

    By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

    Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

    To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

    PRINTING THE DIAGRAM

    To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

    The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

    DIAGRAMMING CONVENTIONS

    For information on how to read the diagrams the please click this link:  Diagramming Conventions

    For information on how to read the diagrams the please click this link:: Diagramming Conventions.

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    LUNG CAPACITY

    Change to Supporting Information: Changed Description

    Lung Capacity is a PERSON PROPERTY.

    The lung capacity of a PERSON.The Lung Capacity of a PERSON. This is made up of FEV1 Absolute Amount and FEV1 Percentage.

    References:
    National Cancer Dataset Version 1.3_ISB October 2002

     

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    MENTAL HEALTH MINIMUM DATA SET OVERVIEW

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    Mental Health Minimum Data Set Overview

    The Mental Health Minimum Data Set was introduced by DSCN20/19/P13 in April 2000 in response to the lack of national clinical data collection in the mental health arena, in line with the information requirements of the emerging National Service Framework for Mental Health.

    Since April 2003 (DSCN 49/2002) it has been a mandatory requirement that all Providers of specialist adult, including elderly, mental health services submit central Mental Health Minimum Data Set returns on a quarterly basis, with an additional annual submission.

    The Mental Health Minimum Data Set facilitates the collection of person-focussed clinical data and the sharing of such data to underpin the delivery of mental health care. It is structured around the clinical process and includes an outcome assessment (Health of the Nation Outcome Scales, or HoNOS). It records the key role played by partner agencies, particularly social services.

    The Mental Health Minimum Data Set describes Mental Health Care Spells. These comprise all interventions made for a PATIENT by a specialist Mental Health Care Team from initial REFERRAL REQUEST to final discharge. For some individuals the Mental Health Care Spell will comprise a short Consultant Out-Patient Episode; for others it may extend over many years and include hospital, community, out-patient and day care episodes.

    Information is collected relating to various stages in the journey of the PATIENT, including activity such as Hospital Provider Spells, Consultant Out-Patient Episodes, community care, and NHS day care episodes; mental health reviews and assessments including Care Programme Approach (CPA) and Health of the National Outcome Scales (HoNOS); contacts with mental health professionals such as care co-ordinators, psychiatric NURSES and CONSULTANTS; and also any diagnosis and treatment.

    The prime purpose of the Mental Health Minimum Data Set is to provide local clinicians and managers with better quality information for clinical audit, and service planning and management.

    Central collection provides improved national information, facilitating feedback to Trusts, and the setting of benchmarks. It will also allow the delivery of the National Service Framework for Mental Health priorities to be monitored.

    The Mental Health Minimum Data Set data is collected from NHS Trusts and submitted via the Mental Health Minimum Data Set Assembler to the Secondary Uses Service for storage, analysis and reporting by a variety of stakeholders including the Department of Health, Healthcare Commission, and the Health and Social Care Information Centre.The Mental Health Minimum Data Set data is collected from NHS Trusts and submitted via the "Mental Health Minimum Data Set Assembler" to the Secondary Uses Service for storage, analysis and reporting by a variety of stakeholders including the Department of Health, Healthcare Commission, and the Health and Social Care Information Centre.

    The Mental Health Minimum Data Set is transmitted to the Secondary Uses Service using Mental Health Minimum Data Set Message Schema Versions

    Please note that the collection of the Mental Health Minimum Data Set does not replace any other collection of mental health data such as the Admitted Patient Care Commissioning Data Set Type Detained and/or Long Term Psychiatric Census, which should continue to be collected.

    For further information on the Mental Health Minimum Data Set, please view the following Health and Social Care Information Centre website:For further information on the Mental Health Minimum Data Set, please view the following Health and Social Care Information Centre website:

    http://www.ic.nhs.uk/mentalhealth/mhmds

    Mental Health Minimum Data Set Version History

    Version
     
    Date Issued
     
    Summary of Changes
     
    DSCN
     
    Implementation Date
     
    1.0November 1999Introduction of Mental Health Minimum Data SetDSCN 20/99/P13April 2000
    1.1June 2002Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)DSCN 27/2002April 2003
    1.2September 2002Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)DSCN 29/2002April 2003
    1.3October 2002Data Standards - Changes to Mental Health Minimum Data Set (MHMDS)DSCN 48/2002April 2003
    2.0October 2002Mental Health Minimum Data Set - Mandatory Central returns. This version of the data set incorporates changes defined in DSCN 27/2002, 29/2002 and 48/2002.DSCN 49/2002April 2003
    2.1November 2007Introduction of Mental Health Minimum Data Set Version 2.1DSCN 37/2007November 2007
    3.0February 2008Introduction of Mental Health Minimum Data Set Version 3.0 - incorporating changes required for Mental Health Act 2007 and Public Service Agreement Delivery Agreement 16 (Social Exclusion)DSCN 06/2008April 2008

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    META ATTRIBUTE DEFINITIONS INTRODUCTION

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    Attribute Definitions Introduction


    The attributes of classes appearing in the NHS data standards meta data model are listed in alphabetical order. Click on a letter in the Attribute Bookmarks to display the list of attribute names for that letter. To display the definition for a specific attribute, click on the attribute name.

    Each listed attribute contains its nationally agreed definition.

    Each attribute, data element or class name which appears in the definition text is in uppercase and each business definition name is in Title Case. Where the name appears in blue, this indicates that this is a clickable link and if clicked on will display the definition for that attribute, class or business definition. In the same way, if a data element link is present and clicked on, then the information for a data element will be displayed.

    The classes, attributes and relationships are meta model components. The classes are comprised of attributes and the Attribute 'tab' is the way of displaying these. An attribute can only belong to one class (although the Where Used 'tab' will show every class or other object where it is referenced). The relationships identify any optional links or mandatory dependencies between classes. The relationship 'tab' is the way of displaying the relationships associated with a class.

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    META CLASS DEFINITIONS INTRODUCTION

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    Class Definitions Introduction


    The classes and their definitions appearing within the NHS data standards meta data model are listed in alphabetical order.

    Each listed class contains a 'Description' tab that link to its nationally agreed definition, an 'Attributes' tab that links to a list of its attributes and a 'Relationship' tab that links to a list of its relationships it has with other classes.

    The 'Where Used' tab provides a list of all the diagrams that the class is included in. Each diagram is a sub-set of the meta data model but does not contain an exclusive set of classes. Thus the same class can appear in more than one diagram.

    Each attribute name or class name which appears in the definition text, attribute list or relationships is in uppercase. Where the name also appears in blue indicates that it is clickable and if clicked on will display the definition for that class or attribute.

    The following information may be shown against a class attribute:

    Keys The unique identifier of a class may include one or more attributes. These are known as key attributes and are shown with 'K' before the attribute name. Attributes are sequenced with the key attributes first.

    The following information is shown for each class relationship:

    Keys The unique identifier of a class may include one or more relationships to other classes. These are indicated by 'K' before the relationship description. Relationships are sequenced with the key relationships first.
    Description The nature of the relationship is indicated by 'must be' if the relationship is mandatory and by 'may be' if the relationship is optional.
     Where relationships from one class to others are mutually exclusive, then 'or' appears at the beginning of the description between the second and subsequent exclusive relationships. Mutually exclusive relationships are shown on diagrams by a short straight line cutting across the relationship.

    The classes, attributes and relationships are logical model components. The classes are comprised of attributes and the Attribute 'tab' is the way of displaying these. An attribute can only belong to one class (although the Where Used 'tab' will show every class or other object where it is referenced). The relationships identify any optional links or mandatory dependencies between classes. The relationship 'tab' is the way of displaying the relationships associated with a class.

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    META DIAGRAMS INTRODUCTION

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    DIAGRAMS


    The meta model is based on a small set of rationalised diagrams. The list of these diagrams is located on the left.

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    META MODEL INTRODUCTION

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    The purpose of the meta model is to cohesively support the development and maintenance of NHS data standards in a consistent and integrated manner, that also supports the business process within and across the NHS, and with other non-NHS organisations involved with the care of patients.

    The meta data model will form the underpinning common structure which can be used by all future datasets related to patients and care activity whether they be 'administrative', 'clinical', 'management' etc.

    A full review of the NHS Data Dictionary has been done in order to bring existing information into line with the Meta Data Model. This is to facilitate support of legacy data standards and alignment with NPfIT. This will therefore enable both legacy data standards and new data standards to be supported during the implementation of and migration to NPfIT. There may be further pieces of work which follow to ensure consistency of the NHS Data Dictionary with the National Programme and other evolving data standards.

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    META MODEL MENU

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    • Alias Changes

      NameOld ValueNew Value
      shortname Meta Model
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    MIDWIFE EPISODE

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    Midwife Episode is an ACTIVITY GROUP.

    A continuous period of time a client (PATIENT) uses a bed or delivery facility as part of a Hospital Provider Spell or Care Home Stay (Midwife Care), under the direct care of a MIDWIFE. This may be during a Pregnancy Episode or Labour And Delivery for the mother but may also be for a baby following a REGISTERABLE BIRTH.

    The MIDWIFE with overall responsibility for a Midwife Episode must be identified. If the responsible MIDWIFE changes then a new Midwife or Consultant Episode (Hospital Provider) begins. If the responsible MIDWIFE changes then a new Midwife Episode or Consultant Episode (Hospital Provider) begins.

    General medical care during the Midwife Episode is the responsibility of the PATIENTS own GMP who is acting as a CONSULTANT.General medical care during the Midwife Episode is the responsibility of the PATIENTS own GENERAL MEDICAL PRACTITIONER who is acting as a CONSULTANT.

    Information recorded for a Midwife Episode includes:

    Start Date
    End Date   O
    MIDWIFE EPISODE END REASON   O
     

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    MUTUALLY EXCLUSIVE RELATIONSHIPS

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    Mutually Exclusive Relationships

    In some situations, relationships may be mutually exclusive, i.e. either one or other relationship may be present, but not both. For example, a particular HOME LEAVE may only relate to either a WARD or, if the PATIENT is not in a hospital, an ORGANISATION SITE, such as a Care Home, but not both as the PATIENT can only be in one place from which the HOME LEAVE is taken. This 'either/or' situation is shown by a line spanning the relationships in question.In some situations, Relationships may be Mutually Exclusive, i.e. either one or other Relationship may be present, but not both.

    An example of mutually exclusive relationships in diagrams is given below:For example, a particular SERVICE REQUEST may relate to either a CARE PROFESSIONAL ORGANISATION or a SERVICE POINT not both at the same time.

    This 'either/or' situation is shown by a line spanning the Relationships in question.

    An example of Mutually Exclusive Relationships in diagrams is given below:

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    MUTUALLY EXCLUSIVE RELATIONSHIPS

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    • Alias Changes

      NameOld ValueNew Value
      pluralMutually Exclusive Relationships 
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    MUTUALLY EXCLUSIVE RELATIONSHIPS - REDUCED ARC  renamed from REDUCED ARC - MUTUALLY EXCLUSIVE RELATIONSHIPS

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    Reduced Arc - Mutually Exclusive Relationships

    In some diagrams only one of the mutually exclusive relationships may be present, the other, being not applicable to the diagram, being omitted. For example, a particular diagram is concerned with WARDS and requires the inclusion of HOME LEAVE however, the second mutually exclusive relationship to ORGANISATION SITE is not germane to the diagram and can be left out. This omission is indicated by the straight line (arc) which normally spans the two relationships being displayed in a reduced manner.In some diagrams only one of the Mutually Exclusive Relationships may be present, the other, being not applicable to the diagram, being omitted.

    An example of a reduced mutually exclusive relationship arc in diagrams is given below:For example, a particular diagram is concerned with SERVICE REQUESTS and requires the inclusion of SERVICE POINT, however, the second Mutually Exclusive Relationship to CARE PROFESSIONAL ORGANISATION is not relevant to the diagram and can be left out.

    This omission is indicated by the straight line (arc) which normally spans the two Relationships being displayed in a reduced manner.

    An example of a Reduced Mutually Exclusive Relationship Arc in diagrams is given below:

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    MUTUALLY EXCLUSIVE RELATIONSHIPS - REDUCED ARC  renamed from REDUCED ARC - MUTUALLY EXCLUSIVE RELATIONSHIPS

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    • Changed Name from Web_Site_Content.Pages.Diagramming_Conventions.Reduced_Arc_-_Mutually_Exclusive_Relationships to Web_Site_Content.Pages.Diagramming_Conventions.Mutually_Exclusive_Relationships_-_Reduced Arc
    • NameOld ValueNew Value
      pluralReduced Arc - Mutually Exclusive Relationships 
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    NEONATAL CRITICAL CARE MINIMUM DATA SET OVERVIEW

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    Scope:

    The definition of the Neonatal Critical Care is linked to the definition of Neonatal Critical Care Healthcare Resource Groups. These closely follow the definitions contained in the 2003 Department of Health report 'Report of the Neonatal Intensive Care Services Review Group'.

    This takes account of related definitions which have been developed for the Maternity and Child Health data sets which are currently being drafted by the Health and Social Care Information Centre.This takes account of related definitions which have been developed for the Maternity and Child Health data sets which are currently being drafted by the Health and Social Care Information Centre.

    The scope of the Neonatal Critical Care Minimum Data Set is:

    a)All PATIENTS on a WARD with a CRITICAL CARE UNIT FUNCTION Neonatal Intensive Care Unit regardless of care being delivered.
    b)All PATIENTS (excluding Mothers) on a WARD with a CRITICAL CARE UNIT FUNCTION Facility for Babies on a Neonatal Transitional Care Ward or Facility for Babies on a Maternity Ward to whom one or more of the following CRITICAL CARE ACTIVITIES applies for a period greater than 4 hours:
    01Respiratory support via a tracheal tube
    02Nasal Continuous Positive Airway Pressure (nCPAP)
    04Exchange Transfusion
    05Peritoneal Dialysis
    06Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin
    07Parentral Nutrition
    08Convulsions
    09Oxygen Therapy
    10Neonatal abstinence syndrome
    11Care of an intra-arterial catheter or chest drain
    12Dilution Exchange Transfusion
    13Tracheostomy cared for by nursing staff
    14Tracheostomy cared for by external carer
    15Recurrent apnoea
    16Haemofiltration
    22Continuous monitoring
    23Intravenous glucose and electrolyte solutions
    24Tube-fed
    25Barrier nursed
    26Phototherapy
    27Special monitoring
    28Observations at regular intervals
    29Intravenous medication

    If one or more of these CRITICAL CARE ACTIVITIES apply to a PATIENT, then the PATIENT would be counted as receiving Neonatal Critical Care at the level of Intensive Care, High Dependency Care or Special Care depending on the CRITICAL CARE ACTIVITIES which apply.

    Except in very exceptional circumstances, CRITICAL CARE ACTIVITIES 01 to 16 will only occur in a Neonatal Intensive Care Unit environment where all PATIENTS are covered by Neonatal Critical Care Minimum Data Set regardless of treatment. Care on WARDS with a CRITICAL CARE UNIT FUNCTION of 'Facility for Babies on a Neonatal Transitional Care Ward' or 'Facility for Babies on a Maternity Ward' will only be in respect of CRITICAL CARE ACTIVITIES 22 to 29 unless very exceptional circumstances apply. This does not prevent these WARDS recording CRITICAL CARE ACTIVITIES 01 to 16 on the Neonatal Critical Care Minimum Data Set if they occur. However, it does mean that such settings will in practice be dealing with a much shorter list of CRITICAL CARE ACTIVITIES which would determine whether the Neonatal Critical Care Minimum Data Set applied or not.

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    NHS BUSINESS DEFINITIONS

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    Each NHS Business Definition consists of freestanding text which describes an aspect of NHS activity. The text starts by identifying which generic class encompasses the activity. This is followed by an outline of the business rules which should be applied to the activity.

    The NHS Business Definitions are separate from the logical data model and allow specific business areas to be defined in greater detail. The names of NHS Business Definitions are distinguished from the classes, attributes and data elements by appearing in Title Case rather than CAPITALS (see below).

    An example of an NHS Business Definition is a Hospital Provider Spell, which is related to the logical class ACTIVITY GROUP.

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    NHS DATA MODEL AND DICTIONARY ITEMS  renamed from NHS DATA MODEL AND DICTIONARY ELEMENTS

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    The NHS Data Dictionary and the NHS Data Manual were originally published separately. The elements of both these publications have been consolidated into one browsable integrated publication called the NHS Data Model and Dictionary.

    NHS Data Standards

    The NHS Data Model and Dictionary gives common definitions and guidance to support the sharing, exchange and comparison of information across the NHS. The common definitions, known as data standards, are used in commissioning and make up the base currency of Commissioning Data Sets. On the monitoring side, they support comparative data analysis, preparation of performance tables, and data returned to the Department of Health. NHS data standards also support clinical messages, such as those used for pathology and radiology. NHS data standards are presented as a logical data model, ensuring that the standards are consistent and integrated across all NHS business areas.

    NHS data standards should not just be seen as supporting the collection of data on a consistent basis throughout the NHS. They also have an important role in supporting the flow and quality of information used in different parts of the NHS so that health care professionals are presented with the relevant information where and when it is required. An example of this is the linking of all records about a patient collected in different parts of the NHS, to be available to a health care professional wherever the patient attends to be seen for treatment, thus facilitating the Electronic Patient Record. Changes to NHS data standards are still being published as Data Set Change Notices at the time of publication. The Information Standards Board for Health and Social Care may eventually use a different form of change notification, but the principles of regulated changes will still apply. An example of this is the linking of all records about a PATIENT collected in different parts of the NHS, to be available to a health care professional wherever the PATIENT attends to be seen for treatment, thus facilitating the Electronic Patient Record. Changes to NHS Data Standards are published as Data Set Change Notices by the Information Standards Board for Health and Social Care.

    See the Information Standards Board for Health and Social Care.

    The NHS Data Model and Dictionary Elements
    The NHS Data Model and Dictionary Items

    Class Definitions All the classes that appear within the NHS data standards logical data model. Each class contains its nationally agreed definition, all of its attributes, all relationships it has with other classes.
    Class Definitions Introduction 
    Attribute Definitions All the attributes of the classes that appear within the NHS data standards logical data model. Each attribute contains its nationally agreed definition which may also include its agreed National Codes or classifications and a clickable 'data' tab if a data element also exists for it.
    Attribute Definitions Introduction 
    Data Elements Data elements which may be supported by an attribute definition i.e. the data element has the same name as an attribute, be a derived item which is derivable from attributes or only exists as a data element.

    Where a data element is supported by an attribute definition, such as the national codes to be used in that data element exist in an attribute, then there will be a link to that attribute through a 'definition' tab.

    Data elements are used in the completion of Data Sets, Commissioning Data Sets, Hospital Episode Statistics and Central Returns. The data element information comprises format and field length, Hospital Episode Statistics name if applicable, National Codes or classifications and useful notes clarifying the selected data element.

    Data Elements Introduction 
    NHS Business Definitions These contain the business rules for recording NHS activity and will be of particular relevance to NHS Information Professionals.
    NHS Business Definitions Introduction 
    CDS and HES Hospital Episode Statistics is now extracted automatically from the Secondary Uses Service.
    Data Sets The primary purpose of national data sets is to enable the same health information to be generated across the country independent of the organisation or system that captures it.
    Data Sets Contextual Overview 
    Central Return Forms Guidance on completion of Central Returns for hospital activity, complaints management process, cervical and breast screening activity, patient transport and some community activity.
    Central Return Forms Introduction 
    Diagrams The new generic dictionary is based on a small set of rationalised diagrams.
    Diagrams Introduction 
    Supporting Information Supporting information such as clinical coding etc, is provided to help users understand the Commissioning Data Set and Central Returns.
    Supporting Information Introduction 
    ClassesEach Class contains its nationally agreed definition, the Attributes associated with that Class and the relationships it has with other Classes.
    Classes Introduction 
    AttributesEach Attribute contains its nationally agreed definition and may also include its National Codes or classifications and a clickable 'Data Element' tab if a Data Element is based on the Attribute.
    Attributes Introduction 
    Data Elements Data Elements may be supported by an Attribute definition i.e. the Data Element has the same name as an Attribute; be a derived item which is derivable from Attributes; or only exist as a Data Element.
    Data Elements Introduction 
    NHS Business Definitions Each NHS Business Definition consists of freestanding text which describes an aspect of NHS activity and provides an outline of the business rules which should be applied to the activity.
    NHS Business Definitions Introduction 
    Commissioning Data Sets The Commissioning Data Set is the basic structure used for the submission of commissioning data to the Secondary Uses Service.
    Commissioning Data Set Overview
    Central Return Data Sets The development of Central Return Data Sets supports: information requirements of national and local performance management, planning and clinical governance; assurance of the quality of health and social care services and the monitoring of National Service Frameworks (NSFs).
    Central Return Data Sets Introduction
    Central Return Forms The Department of Health uses the information gathered from Central Returns to monitor service provision at a high level and to support trend analysis for health service activity and health needs assessment.
    Central Return Forms Introduction 
    Diagrams The NHS Data Model and Dictionary has a small set of diagrams which represent parts of the NHS Data Model. The diagrams show the relationships between the classes and the relationship cardinality.
    Diagrams Introduction 
    Supporting Information Supporting Information provides information to help users understand the NHS Data Model and Dictionary.
    Supporting Information Introduction 

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    NHS DATA MODEL AND DICTIONARY ITEMS  renamed from NHS DATA MODEL AND DICTIONARY ELEMENTS

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    • Changed Name from Web_Site_Content.Supporting_Information.NHS_Data_Model_and_Dictionary_Elements to Web_Site_Content.Supporting_Information.NHS_Data_Model_and_Dictionary_Items
    • NameOld ValueNew Value
      fullnameNHS Data Model and Dictionary ElementsNHS Data Model and Dictionary Items
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    NHS SERVICE AGREEMENT

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    DIAGRAM OVERVIEW

    This diagram shows how NHS SERVICE AGREEMENTS relate to ORGANISATION and SERVICES PROVIDED UNDER AGREEMENT.

    USING THE DIAGRAM

    By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

    Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

    To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

    PRINTING THE DIAGRAM

    To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

    The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

    DIAGRAMMING CONVENTIONS

    For information on how to read the diagrams the please click this link: Diagramming Conventions Middle PaneFor information on how to read the diagrams the please click this link: Diagramming Conventions.

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    OPERATING THEATRE SESSION

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    Operating Theatre Session is a SESSION.

    A period of OPERATING THEATRE time allocated to one or more consultant firms (CONSULTANT).

    A session is either scheduled or unscheduled.A SESSION is either scheduled or unscheduled.

    A scheduled session is when the allocation of time is made to one CONSULTANT whose firm is responsible for the utilisation of this session. It does not include time made available for an operation on a particular PATIENT unless the operation is included in a scheduled session as above and performed by a member of a consultant firm of the same TREATMENT FUNCTION CODE as that allocated to the session.

    An unscheduled session is when an allocation of time is made available for one or more Theatre Cases in any circumstances outside a scheduled session as above. Theatre Cases in unscheduled sessions may be the responsibility of different CONSULTANTS.

    An Operating Theatre Session may under/over-run the allocated time. The allocation, i.e. consultant firm, time and/or theatre may change by agreement any time before the session starts.

    An Operating Theatre Session should be considered cancelled if the time slot allocation is not used to perform at least one operation.

     

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    ORAL HEALTH PROGRAMME

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    Oral Health Programme is a HEALTH PROGRAMME.

    A programme for either screening or the promotion of oral hygiene.

    A screening programme covers a large population and uses simple tests to identify individuals requiring a dental examination and/or dental care including counselling and advice.A Screening Programme covers a large population and uses simple tests to identify individuals requiring a dental examination and/or dental care including counselling and advice.

    An oral health promotion (or education) programme is directed at groups of people in institutions, workplaces, schools etc to educate and motivate them to improve their behaviour with respect to oral health. It encompasses all preventive programmes where a defined age group receives some prophylactic or protective measure in order to reduce the levels of oral disease.

     

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    ORGANISATION

    Change to Supporting Information: Changed Description

    DIAGRAM OVERVIEW

    This shows ORGANISATION, ORGANISATION SITE, SERVICE POINT and all other sorts of location. It shows the relationship of these classes to each other and CARE PROFESSIONALS and PATIENTS.

    USING THE DIAGRAM

    By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

    Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

    To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

    PRINTING THE DIAGRAM

    To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

    The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

    DIAGRAMMING CONVENTIONS

    For information on how to read the diagrams the please click this link:  Diagramming ConventionsFor information on how to read the diagrams the please click this link: Diagramming Conventions.

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    ORGANISATION DATA SERVICE

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    The Organisation Data Service is provided by NHS Connecting for Health. It is responsible for the publication of all ORGANISATION and practitioner codes and for the national policy and standards with regard to the majority of ORGANISATION CODES. These code standards form part of the NHS data standards. NHS Connecting for Health is also responsible for the day-to-day operation of the Organisation Data Service and for its overall development. It is supported by a number of agencies throughout the UK; for instance, the NHS Business Services Authority Prescription Pricing Division (NHS BSA PPD) and the NHS Business Services Authority Dental Services Division (NHS BSA DSD).

    The Organisation Data Service is also responsible for the ongoing maintenance of and practitioner information on to the ORGANISATION and PERSON nodes of the Spine Directory Service, the central repository of data for use within the various systems and services that form the National Programme for Information Technology (NPfIT).

    The products the Organisation Data Service maintain includes:


    The Organisation Data Service distributes:

    a set of files mostly in standard formats, holding national reference data of ORGANISATIONS, practitioners and POSTCODES for use in NHS administrative functions: especially in processing central returns, PATIENT administration, commissioning and message handling. These are published on the NHSnet on a monthly basis (http://nww.connectingfohelath. These are published on the NHSnet on a monthly basis (http://nww.connectingforhealth.nhs.uk/ods/). They are also made available to named recipients both inside the NHS and to others licensed to use this data in support of the NHS, through the online Terminology Reference Data Update Distribution Service (TRUD). A subset of the data is also published on the NHS Choices website.

    a Microsoft Access database containing frequently used data and a number of pre-defined enquiries. The database is available for download from the NHSnet and from TRUD (Terminology Reference Data Update Distribution Service) and is updated monthly.

    a document distributed with each quarterly data issue through both the NHSnet pages and the Terminology Reference Data Update Distribution Service (TRUD), describing developments and issues related to the Organisation Data Service.

    a directory distributed with each monthly data issue through both the NHSnet pages and the Terminology Reference Data Update Distribution Service (TRUD), that lists all the Safe Haven contacts and addresses set up to receive and hold confidential PATIENT data in the NHS, updated monthly.

    the Office for National Statistics supplies files containing all POSTCODES in the UK with details of their GEOGRAPHIC AREA information, such as map reference, local authority and Strategic Health Authority. The Organisation Data Service makes these files available on a quarterly basis from the NHSnet and TRUD (Terminology Reference Data Update Distribution Service).

    The Organisation Data Service provides:

    • Central allocation of new or revised codes;
    • Help, advice and query resolution on the content and use of the national reference data;
    • Development of the NHS standards in this area;
    • Further development of the range of national reference data.
     

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    ORGANISATIONS INTRODUCTION

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    ORGANISATIONS such as the Health and Social Care Information Centre which are included in the NHS Data Model and Dictionary.ORGANISATIONS such as the Health and Social Care Information Centre which are included in the NHS Data Model and Dictionary.

    This section will be extended over time to include more ORGANISATIONS.

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    OTHER APPOINTMENT

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    Other Appointment is an APPOINTMENT.

    An appointment for a PATIENT to see a CARE PROFESSIONAL.An APPOINTMENT for a PATIENT to see a CARE PROFESSIONAL.

    This general purpose type is used when a specific defined type of APPOINTMENT does not exist as a separate classification of APPOINTMENT CLASSIFICATION CODE. An example of a specific defined type of APPOINTMENT is Out-Patient Appointment Consultant.

    Information recorded for an Other Appointment includes:

    APPOINTMENT DATE
    APPOINTMENT TIME
    APPOINTMENT BOOKING SYSTEM TYPE
    APPOINTMENT TYPE (colposcopy appointments only)
    ATTENDED OR DID NOT ATTEND 

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    OTHER APPOINTMENT

    Change to Supporting Information: Changed Description, Aliases

    • Changed Description
    • Alias Changes

      NameOld ValueNew Value
      pluralOther AppointmentOther Appointments
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    OUT-PATIENT APPOINTMENT

    Change to Supporting Information: Changed Description

    Out-Patient Appointment is an APPOINTMENT.

    An appointment for a PATIENT to see or have contact with a care professional at an Out-Patient Clinic.An APPOINTMENT for a PATIENT to see or have contact with a CARE PROFESSIONAL at an Out-Patient Clinic.

    Each Out-Patient Appointment is either an Out-Patient Appointment Consultant or an Out-Patient Appointment Non-Consultant.

    Information recorded for an Out-Patient Appointment includes:

    APPOINTMENT DATE
    APPOINTMENT TIME
    APPOINTMENT BOOKING SYSTEM TYPE
    APPOINTMENT TYPE (colposcopy appointments only)
    ATTENDED OR DID NOT ATTEND 
     

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    OUT-PATIENT APPOINTMENT CONSULTANT

    Change to Supporting Information: Changed Description

    Out-Patient Appointment Consultant is an APPOINTMENT.

    An Out-Patient Appointment.

    An appointment for a PATIENT to see or have contact with a CONSULTANT, or member of the CONSULTANT Firm, at a Consultant Clinic.An APPOINTMENT for a PATIENT to see or have contact with a CONSULTANT, or member of the CONSULTANT Firm, at a Consultant Clinic.

    The appointment may result in a Clinic Attendance Consultant as part of a Consultant Out-Patient Episode.The APPOINTMENT may result in a Clinic Attendance Consultant as part of a Consultant Out-Patient Episode.

    Information recorded for an Out-Patient Appointment Consultant includes:

    ATTENDED OR DID NOT ATTEND   O
     

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    OUT-PATIENT ATTENDANCE CONSULTANT

    Change to Supporting Information: Changed Description

    Out-Patient Attendance Consultant is a CARE CONTACT.Out-Patient Attendance Consultant is a CARE CONTACT.

    An attendance at which a PATIENT is seen by or has contact with (face to face or via telephone/telemedicine) a CONSULTANT, in respect of one referral, that is not a visit to the home of a PATIENT for which a fee is payable under paragraph 140 of the Terms and Conditions of Service. For the purposes of this definition 'CONSULTANT' includes a member of the CONSULTANT's firm or locum for such a member. For the purposes of this definition 'CONSULTANT' includes a member of the CONSULTANT's firm or locum for such a member. The attendance will be part of a Consultant Out-Patient Episode.

    If a PATIENT is seen by a CONSULTANT at a Consultant Clinic then this will be a Clinic Attendance Consultant. An attendance may involve more than one person (e.g. a family). The number of attendances to be recorded should be the number of PATIENTS for whom the particular CONSULTANT has identifiable individual records and which will be maintained as a result of the attendance.

    A visit to the home of a PATIENT made at the instance of a hospital or specialist to review the urgency of a proposed admission to hospital, or to continue to supervise treatment initiated or prescribed at a hospital or clinic is covered by this definition.

    Out-Patient Attendance Consultant also includes a PATIENT being seen by a CONSULTANT from a different MAIN SPECIALTY CODE during a Consultant Episode (Hospital Provider) in circumstances where there is no transfer of responsibility for the care of the PATIENT.

    If the PATIENT is currently subject to a Mental Health Care Spell and the CONSULTANT they are in contact with during attendance is their allocated Care Programme Approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

    During the Out-Patient Attendance Consultant, a number of PATIENT DIAGNOSES and Patient Procedures may be recorded.

    A series of Out-Patient Attendance Consultant will form a Consultant Out-Patient Episode, generated from a single referral. Note that it is possible to have two Consultant Out-Patient Episodes with the same CONSULTANT for different clinical conditions, if two referrals are made. An attendance may involve more than one PERSON - for example, a family. The number of attendances to be recorded should be the number of PATIENTS for whom the consultant has identifiable individual records and which will be maintained as a result of the attendance. Note that Out-Patient Attendance Consultant can take place outside a clinic session, and can take place at the PATIENT's normal place of residence. The number of attendances to be recorded should be the number of PATIENTS for whom the CONSULTANT has identifiable individual records and which will be maintained as a result of the attendance. Note that Out-Patient Attendance Consultant can take place outside a clinic session, and can take place at the PATIENT's normal place of residence.

    A PATIENT attending a WARD for examination or care will be counted as an Out-Patient Attendance Consultant if he/she is seen by a doctor. If they are only seen by a NURSE, they are a Ward Attendance.

    An Out-Patient Attendance Consultant should also be recorded where a PATIENT is seen by a CONSULTANT from a different MAIN SPECIALTY CODE during a Consultant Episode (Hospital Provider) where there is no transfer of responsibility for the care of the PATIENT. For example, a PATIENT who is admitted to hospital under a Gastroenterology specialty following an overdose may be seen while still in hospital by a psychiatrist who has been asked to assess their mental condition. The assessment by the psychiatrist should be recorded as an Out-Patient Attendance Consultant.

    Information recorded for an Out-Patient Attendance Consultant includes:

    ATTENDANCE DATE
    ATTENDANCE IDENTIFIER
    CONSULTATION MEDIUM USED
    FIRST ATTENDANCE
    LOCATION TYPE
    MEDICAL STAFF TYPE SEEING PATIENT   O
    OUTCOME OF ATTENDANCE
     

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    OUT-PATIENT EFFECTIVE WAITING TIME CALCULATION

    Change to Supporting Information: Changed Description, Aliases

    For collection of information on Out-Patient datasets, the period of waiting for each PATIENT expressed as weeks waiting is required to be calculated in order to determine the appropriate waiting time band the PATIENT should be counted within.For collection of information on Out-Patient data sets, the period of waiting for each PATIENT expressed as weeks waiting is required to be calculated in order to determine the appropriate waiting time band the PATIENT should be counted within.

    The start point of the waiting period calculation is either the ORIGINAL REFERRAL REQUEST RECEIVED DATE or the FIRST ATTENDANCE EFFECTIVE START DATE which takes into consideration any PATIENT instigated resets.The start point of the waiting period calculation is either the ORIGINAL REFERRAL REQUEST RECEIVED DATE or the FIRST ATTENDANCE EFFECTIVE WAIT START DATE which takes into consideration any PATIENT instigated resets.

    The end point is either the ACTIVITY DATE of the Out-Patient Attendance Consultant CARE CONTACT when an attendance has taken place or the REPORTING PERIOD END DATE depending upon the criteria of the waiting time being calculated.The end point is either the ACTIVITY DATE of the Out-Patient Attendance Consultant CARE CONTACT when an attendance has taken place or the REPORTING PERIOD END DATE depending upon the criteria of the waiting time being calculated.

    Subtract the number of days of the FIRST ATTENDANCE EFFECTIVE DATE from the number of days of the ACTIVITY DATE or REPORTING PERIOD END DATE, this results in the number of days of the effective waiting time period.Subtract the number of days of the FIRST ATTENDANCE EFFECTIVE WAIT START DATE from the number of days of the ACTIVITY DATE or REPORTING PERIOD END DATE, this results in the number of days of the effective waiting time period.

    The number of days is then divided by 7 to give the number of whole weeks. For example, if the number of days waiting is 49 then the number of weeks is 7 weeks, if the number of days waiting is 30 then the number of weeks is more than 4 weeks but less than 5 weeks time band.

     

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    OUT-PATIENT EFFECTIVE WAITING TIME CALCULATION

    Change to Supporting Information: Changed Description, Aliases

    • Changed Description
    • Alias Changes

      NameOld ValueNew Value
      pluralOut-Patient Effective Waiting Time CalculationOut-Patient Effective Waiting Time Calculations
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    OUT-PATIENT FLOWS DATA SET OVERVIEW

    Change to Supporting Information: Changed Description

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    OUT-PATIENT STOCKS DATA SET OVERVIEW

    Change to Supporting Information: Changed Description

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    OUT-PATIENT WAITING LIST

    Change to Supporting Information: Changed Description

    Out-Patient Waiting List is a WAITING LIST.

    A list of PATIENTS, for whom a decision to offer an APPOINTMENT for an Out-Patient Appointment has been made as recorded by DECISION TO OFFER AN APPOINTMENT DATE, currently awaiting to be seen or contacted regardless of whether a date for the appointment has been given.A list of PATIENTS, for whom a decision to offer an APPOINTMENT for an Out-Patient Appointment has been made as recorded by DECISION TO OFFER AN APPOINTMENT DATE, currently awaiting to be seen or contacted regardless of whether a date for the APPOINTMENT has been given. This usually involves the PATIENT attending an Out-Patient Clinic.

    Lists can be maintained in several forms, using either computer or manual systems, including CONSULTANTS' diaries. They may be kept by TREATMENT FUNCTION CODE or for an individual CARE PROFESSIONAL. A PATIENT can be on more than one Out-Patient Waiting List. This may be because the PATIENT needs treatment for more than one condition or because the PATIENT has been placed on the list of more than one provider for the same condition.

    It is also possible for a PATIENT to be entered on an Out-Patient Waiting List more than once, either for a different condition where it will be a different referral, or for the same condition, where two or more appointments are required.It is also possible for a PATIENT to be entered on an Out-Patient Waiting List more than once, either for a different condition where it will be a different referral, or for the same condition, where two or more APPOINTMENTS are required.

     

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    PATHOLOGY LABORATORY SERVICE REPORT  renamed from PATHOLOGY LAB SERVICE REPORT

    Change to Supporting Information: Changed Description, Aliases, Name

    Pathology Lab Service Report is a SERVICE REPORT.Pathology Laboratory Service Report is a SERVICE REPORT.

    A single Pathology Laboratory Service Report, as it is issued by a laboratory service provider.A single Pathology Laboratory Service Report, as it is issued by a laboratory service provider.

     

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    PATHOLOGY LABORATORY SERVICE REPORT  renamed from PATHOLOGY LAB SERVICE REPORT

    Change to Supporting Information: Changed Description, Aliases, Name

    • Changed Description
    • Alias Changes
    • Changed Name from Data_Dictionary.NHS_Business_Definitions.P.Pathology_Lab_Service_Report to Data_Dictionary.NHS_Business_Definitions.P.Pathology_Laboratory_Service_Report
    • NameOld ValueNew Value
      pluralPathology Lab Service ReportsPathology Laboratory Service Reports
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    PATIENT INFORMED BIOPSY RESULT DATE

    Change to Supporting Information: Changed Description

    Patient Informed Biopsy Result Date is an ACTIVITY DATE TIME TYPE.

    The date the patient was informed in writing of the result of a biopsy taken as a result of a colposcopy Patient Procedure.The date the PATIENT was informed in writing of the result of a biopsy taken as a result of a colposcopy Patient Procedure.

     

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    PATIENT PATHWAY

    Change to Supporting Information: Changed Description

    DIAGRAM OVERVIEW

    This shows the PATIENT PATHWAYS covered by the 18 week referral to treatment target.

    USING THE DIAGRAM

    By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

    Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

    To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

    PRINTING THE DIAGRAM

    To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

    The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

    DIAGRAMMING CONVENTIONS

    For information on how to read the diagrams the please click this link:  Diagramming ConventionsFor information on how to read the diagrams the please click this link: Diagramming Conventions.

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    PATIENTS DETAINED IN HOSPITAL OR ON SUPERVISED COMMUNITY TREATMENT DATA SET (KP90) OVERVIEW

    Change to Supporting Information: Changed Description, Aliases

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    PATIENTS DETAINED IN HOSPITAL OR ON SUPERVISED COMMUNITY TREATMENT DATA SET (KP90) OVERVIEW

    Change to Supporting Information: Changed Description, Aliases

    • Changed Description
    • Alias Changes

      NameOld ValueNew Value
      shortname KP90
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    PERSON PROPERTY

    Change to Supporting Information: Changed Description

    DIAGRAM OVERVIEW

    This shows some basic information about a PERSON and is a record of a whole variety of medical data that may apply to a PERSON. If it does, the dates during which the information is effective and when it was observed are recorded. A PERSON PROPERTY may be recorded as text, one in a set of predetermined values or may be a numerical measurement.

    USING THE DIAGRAM

    By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

    Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

    To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

    PRINTING THE DIAGRAM

    To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

    The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

    DIAGRAMMING CONVENTIONS

    For information on how to read the diagrams the please click this link:  Diagramming ConventionsFor information on how to read the diagrams the please click this link: Diagramming Conventions.

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    PRACTITIONER WITH A SPECIALIST INTEREST

    Change to Supporting Information: Changed Description

    Practitioners with special interests are GENERAL PRACTITIONERS, NURSES, therapists and other CARE PROFESSIONALS who develop an additional expertise which enables them to expand their clinical practice in a defined area.Practitioners With Specialist Interests are GENERAL PRACTITIONERS, NURSES, therapists and other CARE PROFESSIONALS who develop an additional expertise which enables them to expand their clinical practice in a defined area. These areas include orthopaedics, epilepsy, diabetes, dermatology, palliative care, older people's services and mental health.

    Although their activities within these areas vary widely according to the needs of local patient groups, these practitioners share a common aim - to improve access to services and bring more secondary care procedures, such as diagnostic tests and minor surgical procedures, into primary care and community settings.Although their ACTIVITIES within these areas vary widely according to the needs of local PATIENT groups, these practitioners share a common aim - to improve access to SERVICES and bring more secondary care procedures, such as diagnostic tests and minor surgical procedures, into primary care and community settings.

    A Practitioner With A Specialist Interest may provide an Interface Service.

     

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    PRESCRIBING AND DISPENSING

    Change to Supporting Information: Changed Description

    DIAGRAM OVERVIEW

    This shows the information relative to the Prescription and Dispensing of items.

    USING THE DIAGRAM

    By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

    Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

    To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

    PRINTING THE DIAGRAM

    To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

    The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

    DIAGRAMMING CONVENTIONS

    For information on how to read the diagrams the please click this link:  Diagramming ConventionsFor information on how to read the diagrams the please click this link: Diagramming Conventions.

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    PRIMARY CARE TRUST

    Change to Supporting Information: Changed Description, Aliases

    Primary Care Trust is an ORGANISATION.

    A Primary Care Trust is a legal entity, set up by order of the Secretary of State. It is a free-standing NHS body, performance managed by a Strategic Health Authority.

    The overall function of a Primary Care Trust is to improve the health of the responsible population, develop primary and community health services, and commission secondary care services. A Primary Care Trust will, if it so wishes and is capable of doing so, be able to provide directly a range of community health services, creating new opportunities to integrate primary and community health services as well as health and social care provision.

    The Primary Care Trust's responsible population comprises:

    - all PERSONS registered with a General Medical Practitioner Practice whose practice forms part of the Primary Care Trust, regardless of where the PERSON is resident, plus
    - any PERSONS not registered with a General Medical Practitioner Practice who are resident within the Primary Care Trust's statutory geographical boundary

    Note that PERSONS resident within the Primary Care Trust GEOGRAPHIC AREA, but registered with a General Medical Practitioner Practice belonging to another Primary Care Trust, are the responsibility of that other Primary Care Trust.

    With "Shifting the Balance of Power", Primary Care Trusts will be the leading NHS organisation for partnership with local authorities and a range of other partners, including NHS Trusts, Strategic Health Authorities and a range of other Primary Care Trusts and local communities to improve health and deliver wider objectives for social and economic regeneration.With "Shifting the Balance of Power", Primary Care Trusts will be the leading NHS ORGANISATION for partnership with local authorities and a range of other partners, including NHS Trusts, Strategic Health Authorities and a range of other Primary Care Trusts and local communities to improve health and deliver wider objectives for social and economic regeneration.

    Primary Care Trusts provide some services themselves and others through agreement with other organisations.Primary Care Trusts provide some services themselves and others through agreement with other ORGANISATIONS. Several Primary Care Trusts may decide to work together to provide certain services. In this case a lead Primary Care Trust will be identified for the group.

    There may be occasions when relationships are formed on a larger scale. For example the provision of a highly specialised service, such as specialist cancer or spinal injury services, may be done collaboratively across a population larger even than Strategic Health Authority.

    References:
    Department of Health Booklet "Primary Care Trusts: Establishing Better Services" (Ref. PCT1), issued April 1999. Shifting the Balance of Power publications.

     

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    PRIMARY CARE TRUST

    Change to Supporting Information: Changed Description, Aliases

    • Changed Description
    • Alias Changes

      NameOld ValueNew Value
      shortname PCT
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    PROFESSIONAL STAFF GROUP CONTACT

    Change to Supporting Information: Changed Description

    Professional Staff Group Contact is a CARE CONTACT.

    A single occasion involving contact between a PATIENT or his/her proxy and one or more members of a professional staff group discipline from a Professional Staff Group Department, including paid support staff working for a professional staff group discipline.

    A Professional Staff Group Contact may follow from an Out-Patient Appointment Non-Consultant, in this event the time seen should be recorded.

    A proxy contact is a single occasion involving contact between a client/patient or his/her proxy, and one or more members of a professional staff group discipline or relevant staff group for community service.A proxy contact is a single occasion involving contact between a client/PATIENT or his/her proxy, and one or more members of a professional staff group discipline or relevant staff group for community service. Contacts with proxies count as face-to-face contacts only if the contact is in lieu of the contact with the client, and the proxy is able more effectively than the client to ensure that specific professional advice devised for the client is followed. This is most likely to be the case where the client is unable to communicate effectively say for an infant, or for a person who is mentally ill or learning disabilities. This is most likely to be the case where the client is unable to communicate effectively say for an infant, or for a PERSON who is mentally ill or learning disabilities.

    For Professional Staff Group Services, face to face contacts comprise both:

    a.Attendances lasting from the arrival to the departure of the patient
    a.Attendances lasting from the arrival to the departure of the PATIENT
    b.Visits lasting from the arrival to the departure of professional staff group staff

    One or more members of the professional staff group discipline may be in contact with one or more PATIENTS at the same time and Patients may be seen in association with staff from other disciplines.One or more members of the professional staff group discipline may be in contact with one or more PATIENTS at the same time and PATIENTS may be seen in association with staff from other disciplines. Contacts should be recorded as follows:

    a.If one or more staff of the same discipline are in contact with one patient at the same time, this should be recorded as one face to face contact
    b.If staff see a patient with staff of other disciplines, this should be recorded as one face to face contact for each discipline involved
    c.If one or more staff of one discipline are in contact with a group of patients at the same time, each patient should be recorded as one face to face contact
    d.If staff from different disciplines are in contact with a group of patients at the same time, each patient should be recorded as one face to face contact for each discipline involved
    a.If one or more staff of the same discipline are in contact with one PATIENT at the same time, this should be recorded as one face to face contact
    b.If staff see a PATIENT with staff of other disciplines, this should be recorded as one face to face contact for each discipline involved
    c.If one or more staff of one discipline are in contact with a group of PATIENTS at the same time, each PATIENT should be recorded as one face to face contact
    d.If staff from different disciplines are in contact with a group of PATIENTS at the same time, each PATIENT should be recorded as one face to face contact for each discipline involved

    For physiotherapy, it may not be practical to collect data about all face-to-face contacts; however as a minimum, initial contacts and first contacts in financial year should be recorded.

    For occupational therapy, the contact duration should be recorded in half-hour units.

    If the PATIENT is currently subject to a Mental Health Care Spell and the member of the professional staff group discipline in contact is also their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

    Note: When face-to-face contacts are used for attributing professional staff group costs to MAIN SPECIALTIES, it will be necessary to distinguish between those contacts by PATIENTS using a hospital bed, attenders at Consultant Clinics and attenders at Day Care Facilities.

    Information recorded for a Professional Staff Group Contact includes:

    Contact Date
    First Contact In Financial Year
    Initial Contact
    LOCATION TYPE
    PATIENT FACILITY GROUP
    Time Seen   O (if patient attends as a result of a clinic appointment)
     

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    PUBLICATION FEEDBACK

    Change to Supporting Information: Changed Aliases

    • Alias Changes

      NameOld ValueNew Value
      shortname Contact Us
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    QUARTERLY MONITORING CANCELLED OPERATIONS DATA SET (QMCO) OVERVIEW

    Change to Supporting Information: Changed Description

    Contextual Overview

    TheQuarterly 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.

    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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    QUIT DATE

    Change to Supporting Information: Changed Aliases

    • Alias Changes

      NameOld ValueNew Value
      plural Quit Dates
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    RADIOLOGY SERVICE REPORT

    Change to Supporting Information: Changed Description

    Radiology Service Report is a SERVICE REPORT.

    Report of the results of or plans for radiology investigations pertaining to a single patient, submitted by a radiology service provider to a radiology service requester.Report of the results of or plans for radiology investigations pertaining to a single PATIENT, submitted by a radiology service provider to a radiology service requester.

     

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    RADIOTHERAPY

    Change to Supporting Information: Changed Description

    DIAGRAM OVERVIEW

    This shows the information relative to the PRESCRIPTION and ACTIVITY of a Radiotherapy Treatment Course.

    USING THE DIAGRAM

    By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

    Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

    To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

    PRINTING THE DIAGRAM

    To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

    The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

    DIAGRAMMING CONVENTIONS

    For information on how to read the diagrams the please click this link:  Diagramming ConventionsFor information on how to read the diagrams the please click this link: Diagramming Conventions.

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    RADIOTHERAPY TREATMENT COURSE

    Change to Supporting Information: Changed Description

    Radiotherapy Treatment Course is a CLINICAL INTERVENTION.

    A set of Fractions for an individual PATIENT which have been planned and prescribed as a whole. It should be noted that the following all constitute one course of treatment:

    a. Set of Fractions planned and prescribed as a whole and using one or more different machines,
    b. Set of Fractions planned and prescribed as a whole with a period of no treatment during them (split course),
    c. Set of Fractions planned and prescribed as a whole involving machines located on two or more sites. (exceptionally a patient may be transferred between sites possibly due to machine failure) (exceptionally a PATIENT may be transferred between sites possibly due to machine failure)

    If a PATIENT has two unrelated diseases both of which require radiotherapy, each course of treatment should be recorded as a primary course. Similarly if a Patient has two primary lesions of the same disease, eg two rodent ulcers, the treatment of these comprises two primary courses, unless the lesions are in such close proximity that they are to be treated together. If during a course of treatment, a Patient starts a further course, the second course should be separately identified. Similarly if a PATIENT has two primary lesions of the same disease, eg two rodent ulcers, the treatment of these comprises two primary courses, unless the lesions are in such close proximity that they are to be treated together. If during a course of treatment, a PATIENT starts a further course, the second course should be separately identified.

    Each Radiotherapy Treatment Course has a sub-type of Brachytherapy Treatment Course or Teletherapy Treatment Course or Unsealed Source Treatment Course.

     

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    RECURSIVE RELATIONSHIPS

    Change to Supporting Information: Changed Description, Aliases


    Recursive Relationships

    Some classes can be associated with classes of the same type to create a hierarchy. For example, a SERVICE PROVIDED can comprise of one or more services grouped together. This association between the higher level class and its lower level subdivisions is indicated by a square line in the top right hand corner of the class.Some Classes can be associated with Classes of the same type to create a hierarchy.

    An example of a recursive relationship in diagrams is given below:For example, a CLINICAL INVESTIGATION RESULT ITEM may be related to a number of other CLINICAL INVESTIGATION RESULT ITEMS.

    This association between the higher level class and its lower level subdivisions is indicated by a square line in the top right hand corner of the class.

    An example of a Recursive Relationship in diagrams is given below:

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    RECURSIVE RELATIONSHIPS

    Change to Supporting Information: Changed Description, Aliases

    • Changed Description
    • Alias Changes

      NameOld ValueNew Value
      pluralRecursive Relationships 
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    REFERRAL REQUEST

    Change to Supporting Information: Changed Description

    DIAGRAM OVERVIEW

    This Shows REFERRAL REQUESTS and their relationships to APPOINTMENTS, ACTIVITIES, DIAGNOSTIC TEST REQUESTS, PATIENTS and CARE PROFESSIONALS.

    USING THE DIAGRAM

    By clicking on a class box on the diagram opposite, the selected class definition will be displayed.

    Any text within the displayed definition which is in blue and uppercase, is the name of a class or an attribute and if clicked on will display the definition for the class or attribute.

    To redisplay the full diagram again just click on the diagram name again in the content list, and this will remove the right hand frame. Alternatively, you can resize the right hand frame by moving your mouse pointer over the middle scroll bar and when the pointer icon changed into a double ended icon (pointing left and right) click on the left mouse button and drag the middle scroll bar either left or right.

    PRINTING THE DIAGRAM

    To print the diagram first click on the 'Print Window' button, positioned just under the title bar, which will open a new window that will only display the diagram and header bar and exclude the superfluous navigation and content links. The diagram page can then be printed using your internet browsers standard printing functionality (e.g. CTRL+P).

    The diagrams can also be printed by copying the diagram images into Word, and then printing them from a Word document. This can be done by right-clicking over the diagram and selecting 'copy'. Next open up MS Word (or any other word processing software) and create a new document and then 'paste' the diagram image into the document. The diagram can then be printed using the normal Word print functionality.

    DIAGRAMMING CONVENTIONS

    For information on how to read the diagrams the please click this link:  Diagramming ConventionsFor information on how to read the diagrams the please click this link: Diagramming Conventions.

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    REFERRAL TO TREATMENT DATA SET OVERVIEW

    Change to Supporting Information: Changed Description

    Referral to Treatment Data to support delivery of 18 weeks


    Referral to Treatment Data to support delivery of 18 weeks

    The scope of this collection is described in Referral To Treatment Periods Included In 18 Weeks Target. The minimum requirements for this data set are:

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    REFERRAL TO TREATMENT PERFORMANCE SHARING DATA SET OVERVIEW

    Change to Supporting Information: Changed Description

    Contextual Overview

    As signalled in the 2008/09 NHS Operating Framework, Performance Sharing between all Health Care Providers on an 18 week referral to treatment PATIENT PATHWAY is being introduced to monitor the waits for PATIENTS on inter-provider pathways.  These PATIENTS include many with the most complex and demanding needs.  Currently, only the Health Care Provider treating the PATIENT reports the performance for that PATIENT PATHWAY.  Performance Sharing changes this.

    The long-term solution for 18 week Peformance Sharing is for all Health Care Providers in a PATIENT PATHWAY to submit Referral To Treatment data to the Secondary Uses Service, which will allocate out the successes and breaches to all Health Care Providers involved in a REFERRAL TO TREATMENT PERIOD.   However it has been identified that an interim solution is required during the period that there is a mixed economy between Commissioning Data Set version 5 and version 6 submissions to the Secondary Uses Service, and until all Health Care Providers are submitting the Referral To Treatment data items in Commissioning Data Set version 6 format.   Performance Sharing reporting is available within the Secondary Uses Service Release 4.  Therefore to ensure that Performance Sharing is in place for individual Health Care Providers from January 2009, a voluntary monthly central return for Perfomance Sharing is required.

    Scope

    The Referral To Treatment Performance Sharing Data Set may be voluntarily submitted by any Health Care Provider recording a REFERRAL TO TREATMENT PERIOD END DATE where the PATIENT has transferred between Health Care Providers as part of a single REFERRAL TO TREATMENT PERIOD.   The information is submitted as aggregated data, by each referring Health Care Provider.  The central return shows only breaches apportioned between the last two Health Care Providers in the REFERRAL TO TREATMENT PERIOD.

    Collections

    The Health Care Provider recording the REFERRAL TO TREATMENT PERIOD END DATE may submit the following data:

    a) NUMBER OF TRANSFERRED REFERRAL TO TREATMENT PERIODS COMPLETED BY ADMITTED PATIENT BREACHING 18 WEEKS (ADJUSTED)

    b) NUMBER OF TRANSFERRED REFERRAL TO TREATMENT PERIODS COMPLETED BY NON-ADMITTED PATIENT BREACHING 18 WEEKS

    c) NUMBER OF TRANSFERRED REFERRAL TO TREATMENT PERIODS WHERE INTER-PROVIDER TRANSFER INFORMATION MISSING

    Submission

    The data will be collected via the Unify2 internet data collection tool.  Queries about this tool should be made via email to the dedicated Unify2 mailbox: unify2@dh.gsi.gov.uk.  Details of the Unify2 submission template and guidance for completion can be found on the Unify2 website: http://nww.unify2.dh.nhs.uk.

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    REFERRAL TO TREATMENT PERIOD EXCLUDED FROM TARGET

    Change to Supporting Information: Changed Description

    A Referral To Treatment Period Excluded From Target is a REFERRAL TO TREATMENT PERIOD where

     

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    REFERRAL TO TREATMENT SUMMARY PATIENT TRACKING LIST DATA SET OVERVIEW

    Change to Supporting Information: Changed Description

    Referral to Treatment Summary Patient Tracking List to support delivery of 18 week waiting times


    Referral to Treatment Summary Patient Tracking List to support delivery of 18 week waiting times

    The national 18 Week Summary Patient Tracking List is intended to collect a set of performance information about PATIENTS with active REFERRAL TO TREATMENT PERIODS that are nearing the 18 week target date. Its main purpose is to focus on those PATIENTS that may potentially breach the 18 week target, providing a structure which enables the most 'at risk' PATIENTS to be clearly identified. The 18 Week Referral To Treatment Summary Patient Tracking List does not cover all the components of a Patient Tracking List that individual Providers and Commissioners may wish to develop and share - especially at PATIENT level. The sharing of any extended data sets between Providers and Commissioners is subject to local arrangements. Examples of patient-level data sets developed during piloting of this central return, are available from the Department of Health 18 week website (address below).

    For most PATIENTS the start of a REFERRAL TO TREATMENT PERIOD begins with a GP REFERRAL REQUEST to a CONSULTANT in secondary care. In addition this data set also covers REFERRAL REQUESTS to CONSULTANTS from:

    Referrals to nurse consultants and allied health professionals are currently out of scope for 18 weeks Referral To Treatment monitoring. A Data Set Change Notice clarifying the scope of the 18 Weeks Referral To Treatment target is being prepared for intended publication in 2008.

    Guidance on the measurement of Referral To Treatment Periods, 18 week clock rules, and Frequently Asked Questions, are all available from the Department of Health 18 week website. Additional Frequently Asked Questions about 18 weeks are also available from the NHS Data Model and Dictionary website.

    The Referral to Treatment Summary Patient Tracking List is in three parts, as follows:

    Parts 1A and 1B: Patients where the intent is to treat in an outpatient setting (including patients where it has not yet been decided whether to admit for treatment or treat in outpatients)

    Part 1A should be completed for PATIENTS without a DECISION TO ADMIT for treatment, who have not had an ACTIVITY that ends the REFERRAL TO TREATMENT PERIOD (such as their first definitive treatment, a decision to start active monitoring, or who did not attend their first APPOINTMENT)

    AND either

    a. do not have a future APPOINTMENT where the anticipated REFERRAL TO TREATMENT PERIOD STATUS is 30

    OR

    b. do have a future APPOINTMENT where the anticipated REFERRAL TO TREATMENT PERIOD STATUS is 30, but not earlier than the REFERRAL TO TREATMENT PERIOD BREACH DATE.

    Part 1B should be completed for PATIENTS without a DECISION TO ADMIT for treatment, who have not had an ACTIVITY that ends the REFERRAL TO TREATMENT PERIOD (such as their first definitive treatment, a decision to start active monitoring, or who did not attend their first APPOINTMENT)

    AND

    whose REFERRAL TO TREATMENT PERIOD BREACH DATE has been reached.

    Note that parts 1A and 1B of the 18 Week Referral To Treatment Summary Patient Tracking List are required for submission from 6 January 2008 onwards.

    Parts 2A and 2B: Patients where the intent is to admit for treatment

    Part 2A should be completed for PATIENTS with a DECISION TO ADMIT for treatment, who have not had an ACTIVITY that ends the REFERRAL TO TREATMENT PERIOD (such as their first definitive treatment, a decision to start active monitoring, or who did not attend their first APPOINTMENT)

    AND either

    a. do not have an agreed OFFERED FOR ADMISSION DATE with an anticipated REFERRAL TO TREATMENT PERIOD STATUS of 30

    OR

    b. do have an agreed OFFERED FOR ADMISSION DATE with an anticipated REFERRAL TO TREATMENT PERIOD STATUS of 30, but not earlier than the REFERRAL TO TREATMENT PERIOD BREACH DATE.

    Part 2B should be completed for PATIENTS with a DECISION TO ADMIT for treatment, who have not had an ACTIVITY that ends the REFERRAL TO TREATMENT PERIOD (such as their first definitive treatment, a decision to start active monitoring, or who did not attend their first APPOINTMENT)

    AND

    whose REFERRAL TO TREATMENT PERIOD BREACH DATE has been reached.

    Note that Parts 2A and 2B of the 18 Week Referral To Treatment Summary Patient Tracking List are required for submission from July 2007 onwards.

    Part 3 - Patients with a clock stop in the last week (who have either been treated, or whose REFERRAL TO TREATMENT PERIOD ended for other reasons).

    This section should be completed for PATIENTS with a REFERRAL TO TREATMENT PERIOD END DATE within the last 7 days.

    Note that within Part 3 of the 18 Week Referral To Treatment Summary Patient Tracking List, the three data elements relating to admitted PATIENTS are required for submission from July 2007 onwards; the other three data elements relating to non-admitted PATIENTS are required for submission from 6 January 2008 onwards.

    Full guidance on the completion and submission of the 18 Week Referral To Treatment Summary Patient Tracking List, including calculation of waiting times, is available from the Department of Health 18 week website at:
    http://www.18weeks.nhs.uk/public/default.aspx?main=true&load=ArticleViewer&ArticleId=947

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    RELATIONSHIP CARDINALITY

    Change to Supporting Information: Changed Description, Aliases


    Relationship Cardinality

    Cardinality is indicated by the presence of numbers on either end of the relationship line connecting class types.Relationship Cardinality is indicated by the presence of numbers on either end of the relationship line connecting the Classes.

    0..* indicates that the cardinality is may be related to one or more instance of the class
    0..1 indicates that the cardinality is may be related to one and only one instance of the class
    1..* indicates that the cardinality is must be related to one or more instance of the class
    1 indicates that the cardinality is must be related to one and only one instance of the class

    An example of relationship cardinality in diagrams is given below:An example of Relationship Cardinality in diagrams is given below:

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    RELATIONSHIP CARDINALITY

    Change to Supporting Information: Changed Description, Aliases

    • Changed Description
    • Alias Changes

      NameOld ValueNew Value
      pluralRelationship Cardinality 
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    RELATIONSHIP OPTIONALITY

    Change to Supporting Information: Changed Aliases

    • Alias Changes

      NameOld ValueNew Value
      pluralRelationship Optionality 
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    REQUEST FOR PATHOLOGY INVESTIGATION

    Change to Supporting Information: Changed Description

    Request for Pathology Investigation is a DIAGNOSTIC TEST REQUEST.

    A request for one or more investigations within a PATHOLOGY SPECIALTY, from a single sample, or group of related samples, taken from a PATIENT or other human or non-human source and sent to a pathology laboratory at one time.

    If investigations within more than one PATHOLOGY SPECIALTY are requested from the same sample a Request for Pathology Investigation for each PATHOLOGY SPECIALTY will be recorded accordingly.

    Examples of Requests for Pathology Investigation are as follows:

    a. In chemical pathology, each sample of blood accompanied by a Request for Pathology Investigation for any number of different serum assays constitutes a single request
    b. In haematology, a Request for Pathology Investigation on a single sample of blood from one patient could include a number of tests, for example, a haemoglobin estimation, differential white cell count and a sickle cell test
    c. In histopathology, several pieces of tissue, such as multiple jejunal biopsies or a breast with associated tissues, whether dissected or not, constitute one Request for Pathology Investigation In histopathology, several pieces of TISSUE, such as multiple jejunal biopsies or a breast with associated tissues, whether dissected or not, constitute one Request for Pathology Investigation
    d. In immunopathology a sample of blood with a request for an auto- antibody screen and immune complement assays constitutes a single Request for Pathology Investigation
    e. In microbiology, one or more throat swabs from a patient, requiring identification of the pathogenic organism with its antibiotic susceptibility, constitutes a single Request for Pathology Investigation In microbiology, one or more throat swabs from a PATIENT, requiring identification of the pathogenic organism with its antibiotic susceptibility, constitutes a single Request for Pathology Investigation

    Further clarification of the definition of a single Request for Pathology Investigation is that a single request can only be associated with a number of samples if each sample is:

    a. Of the same type
    b. Taken from the patient at the same time, i.e. within a few minutes
    c. Received by a laboratory at the same time, AND
    d. Analysed (has one or more tests performed on it) by the same laboratory
     

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    SCREENING POPULATION

    Change to Supporting Information: Changed Description

    Screening Population is a HEALTH PROGRAMME POPULATION.

    The population within a particular age group that is of interest to a Screening Programme at a given date.

    Screening Programmes need to serve larger populations than those of individual Primary Care Trusts; in some cases these populations will be larger than Strategic Health Authorities. Effective population sizes will vary with individual screening programmes. Approximate population sizes for securing and delivering any given screening programme will be determined at a national level.

    The population responsibilities of a primary care trust are for PATIENTS on the lists of the GPs in the primary care trust and for the unregistered population who live in the geographical area for which the Primary Care Trust is responsible.The population responsibilities of a Primary Care Trust are for PATIENTS on the lists of the GPs in the Primary Care Trust and for the unregistered population who live in the GEOGRAPHIC AREA for which the Primary Care Trust is responsible.

     

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    SECONDARY USES SERVICE

    Change to Supporting Information: Changed Description

    The Secondary Uses Service is designed to provide anonymous patient-based data for purposes other than direct clinical care such as healthcare planning, commissioning, public health, clinical audit and governance, benchmarking, performance improvement, medical research and national policy development.

    The Health and Social Care Information Centre is establishing a single, secure data environment for the whole of the NHS.The Health and Social Care Information Centre is establishing a single, secure data environment for the whole of the NHS. Secondary Uses Service provides a consistent environment for the management and linkage of data, allowing better comparison of data across the care sector, together with associated analysis and reporting tools.

    The Health and Social Care Information Centre is working in partnership with NHS Connecting for Health, which manages the National Programme for IT.The Health and Social Care Information Centre is working in partnership with NHS Connecting for Health, which manages the National Programme for IT. This joint programme team is responsible for the development and implementation of the Secondary Uses Service .

    More information about the Secondary Uses Service can be found at the NHS Connecting for Health managed website: Secondary Uses Service .More information about the Secondary Uses Service can be found at the NHS Connecting for Health managed website: Secondary Uses Service .

     

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    SPEECH AND SWALLOWING ASSESSMENT DATE  renamed from SPEECH & SWALLOWING ASSESSMENT DATE

    Change to Supporting Information: Changed Description, Aliases, Name

    Speech and Swallowing Assessment Date is an ACTIVITY DATE TIME TYPESpeech and Swallowing Assessment Date is an ACTIVITY DATE TIME TYPE

    The DATE on which a pre-operative speech, language and swallowing assessment was done for head and neck cancer.

     

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    SPEECH AND SWALLOWING ASSESSMENT DATE  renamed from SPEECH & SWALLOWING ASSESSMENT DATE

    Change to Supporting Information: Changed Description, Aliases, Name

    • Changed Description
    • Alias Changes
    • Changed Name from Data_Dictionary.NHS_Business_Definitions.S.Speech_&_Swallowing_Assessment_Date to Data_Dictionary.NHS_Business_Definitions.S.Speech_and_Swallowing_Assessment_Date
    • NameOld ValueNew Value
      fullnameSpeech and Swallowing Assessment Date 
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    STATUTORY ASSESSMENT DATE

    Change to Supporting Information: Changed Description

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    STRATEGIC HEALTH AUTHORITY

    Change to Supporting Information: Changed Description, Aliases

    Strategic Health Authority is an ORGANISATION.

    An NHS organisation established to lead the strategic development of the local health service and manage Primary Care Trusts and NHS Trusts on the basis of local accountability agreements.

    The main responsibilities of Strategic Health Authorities are:

    - Creating a coherent strategic framework for services development across the full range of local NHS organisations.
    - Creating a coherent strategic framework for services development across the full range of local NHS ORGANISATIONS.
    - Performance management of local NHS Trusts and Primary Care Trusts.
    - Together with Primary Care Trusts and NHS Trusts, enhance the involvement of patients, the public and health & social care profession in developing services.- Together with Primary Care Trusts and NHS Trusts, enhance the involvement of PATIENTS, the public and health and social care profession in developing services.

    References:
    Shifting the Balance of Power publications

     

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    STRATEGIC HEALTH AUTHORITY

    Change to Supporting Information: Changed Description, Aliases

    • Changed Description
    • Alias Changes

      NameOld ValueNew Value
      shortname SHA
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    SUMMARISED ACTIVITY FLOWS DATA SET OVERVIEW

    Change to Supporting Information: Changed Description


    Contextual Overview

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    SUMMARISED STOCKS DATA SET OVERVIEW

    Change to Supporting Information: Changed Description

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    SUPERTYPES AND SUBTYPES  renamed from SUPERTYPES & SUBTYPES

    Change to Supporting Information: Changed Description, Aliases, Name


    Supertypes and Subtypes

    Certain groups of classes share common properties and have their own unique properties. For example, GP PRACTICE and HEALTH AUTHORITY have an identifier code, name and address etc., as well as having their own unique properties.Certain groups of Classes share common properties and have their own unique properties.

    The common properties are grouped into a 'supertype', for GP PRACTICE and HEALTH AUTHORITY the 'supertype' is ORGANISATION. GP PRACTICE and HEALTH AUTHORITY are then classed as 'subtypes' of ORGANISATION and as such inherit the properties of the 'supertype' as well as having their own properties.For example, ACTIVITY GROUP and CARE ACTIVITY have an ACTIVITY IDENTIFIER as well as having their own unique properties.

    An example of a 'supertypes' and 'subtypes' in diagrams is given below:ACTIVITY GROUP and CARE ACTIVITY are classed as 'subtypes' of ACTIVITY and as such inherit the properties of the 'supertype' as well as having their own properties.

    An example of a 'Supertypes' and 'Subtypes' in diagrams is given below:

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    SUPERTYPES AND SUBTYPES  renamed from SUPERTYPES & SUBTYPES

    Change to Supporting Information: Changed Description, Aliases, Name

    • Changed Description
    • Alias Changes
    • Changed Name from Web_Site_Content.Pages.Diagramming_Conventions.Supertypes_&_Subtypes to Web_Site_Content.Pages.Diagramming_Conventions.Supertypes_and_Subtypes
    • NameOld ValueNew Value
      pluralSupertypes and Subtypes 
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    SUPERVISED COMMUNITY TREATMENT

    Change to Supporting Information: Changed Description

    Supervised Community Treatment is a type of ACTIVITY GROUP.

    Supervised Community Treatment (section 17A) was introduced by the Mental Health Act 2007. It allows a PATIENT, sectioned under the Mental Health Act 1983 as amended in the Mental Health Act 2007, to be treated in the community, with powers to require compliance with a treatment regime, and powers of recall back to hospital for treatment if necessary.

    Supervised Community Treatment applies to PATIENTS detained under the Mental Health Act 1983 and as amended in the Mental Health Act 2007, typically section 3 or 37. The underlying section of the PATIENT will be carried through the period in the community although it will be suspended during that period.

    The term Supervised Community Treatment refers to the treatment regime and Community Treatment Order to the actual instrument although both terms are used interchangeably.

    A PATIENT on Supervised Community Treatment may be recalled to hospital for treatment where deemed necessary by the Mental Health Responsible Clinician (Supervised Community Treatment Recall).

    A PATIENT may be recalled to hospital for treatment during a period of Supervised Community Treatment. The recall will not automatically end the Community Treatment Order. Recall can only last for a maximum period of 72 hours. If the PATIENT needs more inpatient treatment, the Community Treatment Order can be revoked and the PATIENT is detained in hospital again.

    If there is a risk to the PATIENT's health or safety or to that of someone else, the Mental Health Responsible Clinician may recall the PATIENT. If they go missing or do not report to hospital on recall or abscond once there, they are then subject to Mental Health Absence Without Leave provisions in the same way as a detained PATIENT and their Community Treatment Order is revoked.

    Supervised Community Treatment period can be ended by the following methods:

    1. Discharge or death of the patient. Discharge or death of the PATIENT.
    2. Revocation of the Community Treatment Order following a period of recall to hospital. The PATIENT will return to being under the original underlying section of the Mental Health Act 1983 under which they were sectioned immediately prior to the issuing of the Community Treatment Order.

    Supervised Community Treatment must be considered as an option by the Mental Health Responsible Clinician prior to granting or extending a Mental Health Leave Of Absence for more than seven days (or for an indefinite period).

    Information recorded for a Supervised Community Treatment includes:

     

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    SUPPORTING DATA SETS INTRODUCTION

    Change to Supporting Information: Changed Description

    Introduction


    The purpose of these Data Sets is to provide a standardised set of data to support Payment by Results, Healthcare Resource Groups, Resource Management, Commissioning and national policy analysis.

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    SUPPORTING INFORMATION INTRODUCTION

    Change to Supporting Information: Changed Description


    Supporting information such as Clinical Coding, Meta Data etc, is provided to help users understand the Commissioning Data Sets (CDS), Data Sets (National Cancer Data Set, etc) and Central Return forms.Supporting Information provides information to help users understand the NHS Data Model and Dictionary.

    Use the following links to access more detailed information:

    Codes

    Organisations

    NHS Data Model and Dictionary Information

    Contacts/ Links

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    WARD STAY

    Change to Supporting Information: Changed Description

    Ward Stay is an ACTIVITY GROUP.Ward Stay is an ACTIVITY GROUP.

    The time a PATIENT, using a bed and/or using a delivery facility, stays in one WARD.

    Each Ward Stay is within only one Hospital Provider Spell.Each Ward Stay is within only one Hospital Provider Spell.

    When a PATIENT takes Home Leave, Mental Health Leave Of Absence or has a current period of Mental Health Absence Without Leave, this should be recorded as a ward transfer to 'home leave', 'leave of absence' or 'absence without leave' and a new Ward Stay should begin on return. In the case of Home Leave, the Nursing Episode, Midwife Episode or Consultant Episode (Hospital Provider), Hospital Stay or Hospital Provider Spell however remain uninterrupted. In the case of Mental Health Leave Of Absence and Mental Health Absence Without Leave, the Nursing Episode, Midwife Episode or Consultant Episode (Hospital Provider) or Hospital Provider Spell however will only remain uninterrupted if the absence is for a period of 28 days or less.

    In the case of PATIENTS using maternity wards of the same type on the same site, these should be recorded as one ward. There will therefore only be one Ward Stay rather than transfers between wards.In the case of PATIENTS using maternity wards of the same type on the same site, these should be recorded as one WARD. There will therefore only be one Ward Stay rather than transfers between WARDS. For local purposes, however, such transfers may be identified.

    For PATIENTS subject to a Mental Health Care Spell the end time of the Ward Stay should be recorded, as well as the start time if systems permit.

    For each Ward Stay there should be a named NURSE or MIDWIFE who is responsible for the nursing or midwifery care of the Patient.For each Ward Stay there should be a named NURSE or MIDWIFE who is responsible for the nursing or midwifery care of the PATIENT. If the named NURSE or MIDWIFE changes, the change is recorded.

     

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    WEIGHT

    Change to Supporting Information: Changed Description

    Weight is a MEASURED PERSON OBSERVATION.

    Identifies the weight of a person on a given date.Identifies the Weight of a PERSON on a given date. The type of measurement is Kilograms.

     

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    WELL BABY

    Change to Supporting Information: Changed Description

    Well Baby provides further guidance for identifying and classifying a well baby within NEONATAL LEVEL OF CARE.Well Baby provides further guidance for identifying and classifying a Well Baby within NEONATAL LEVEL OF CARE.

    A well baby is a neonate, a baby aged 28 days or less, that has a NEONATAL LEVEL OF CARE classification of 'Normal Care'.A Well Baby is a neonate, a baby aged 28 days or less, that has a NEONATAL LEVEL OF CARE classification of 'Normal Care'.

    Note that a well baby episode can only be a baby's first ever episode, never a second or subsequent episode.Note that a Well Baby episode can only be a baby's first ever episode, never a second or subsequent episode.

    These babies will be looked after by their mothers in a maternity neonatal WARD and require minimal nursing care or medical advice.

     

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    WHAT'S NEW: MARCH 2009  renamed from WHAT'S NEW: DECEMBER 2008

    Change to Supporting Information: Changed Description, Name

    Release: March 2009

    Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
    • CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
    • CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
    • CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

    Release: December 2008

    DSCNs Incorporated into the NHS Data Model and Dictionary:Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CP1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
    • CP901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
    • CP843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
    • CP1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 
    • CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
    • CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
    • CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
    • CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 

    Release: November 2008

    DSCNs Incorporated into the NHS Data Model and Dictionary:Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CP1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category
    • CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

    Release: August 2008

    DSCNs Incorporated into the NHS Data Model and Dictionary:Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CP1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
    • CP956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
    • CP861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
    • CP964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
    • CP965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
    • CP879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)
    • CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
    • CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
    • CR861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
    • CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
    • CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
    • CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

    Release: May 2008

    DSCNs Incorporated into the NHS Data Model and Dictionary:Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CP502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
    • CP910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
    • CP900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
    • CP934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
    • CP935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
    • CP925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
    • CP942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract
    • CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
    • CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
    • CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
    • CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
    • CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
    • CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
    • CR942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract

    Release: February 2008

    DSCNs Incorporated into the NHS Data Model and Dictionary:Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CP812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
    • CP881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
    • CP904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
    • CP824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)
    • CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
    • CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
    • CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
    • CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

    Release: November 2007

    DSCNs Incorporated into the NHS Data Model and Dictionary:Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CP919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
    • CP814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
    • CP930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
    • CP834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
    • CP875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
    • CP880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description
    • CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
    • CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
    • CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
    • CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
    • CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
    • CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

    Release: August 2007

    DSCNs Incorporated into the NHS Data Model and Dictionary:Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CP845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
    • CP831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
    • CP825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)
    • CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
    • CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
    • CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

    Release: June 2007

    DSCNs Incorporated into the NHS Data Model and Dictionary:Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CP799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
    • CP833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
    • CP801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return
    • CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
    • CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
    • CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

    Release: May 2007

    DSCNs Incorporated into the NHS Data Model and Dictionary:Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CP800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
    • CP856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
    • CP869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
    • CP827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
    • CP817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
    • CP849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
    • CP822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
    • CP850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
    • CP786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return
    • CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
    • CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
    • CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
    • CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
    • CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
    • CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
    • CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
    • CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
    • CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

    Release: February 2007

    DSCNs Incorporated into the NHS Data Model and Dictionary:Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CP811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
    • CP826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
    • CP813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
    • CP768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
    • CP798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
    • CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
    • CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
    • CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
    • CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
    • CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema

    Release: September 2006

    DSCNs Incorporated into the NHS Data Model and Dictionary:Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CP795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
    • CP792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
    • CP719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
    • CP791 (1 April 2007) - DSCN 13/2006 Priority Type
    • CP774 (1 September 2006) - DSCN 12/2006 Person Marital Status
    • CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
    • CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
    • CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
    • CR791 (1 April 2007) - DSCN 13/2006 Priority Type
    • CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status

    Release: May 2006

    DSCNs Incorporated into the NHS Data Model and Dictionary:Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CP764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
    • CR764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
    • Correction to menu structure to include Critical Care Minimum Data Set

    Release: April 2006

    DSCNs Incorporated into the NHS Data Model and Dictionary:Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CP608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
    • CP756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
    • CP724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
    • CP754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
    • CP763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
    • CP767 (Immediate) - DSCN 02/2006 Referral Request Received Date
    • CP690 (1 September 2005) - DSCN 16/2005 Marital Status
    • CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
    • CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
    • CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
    • CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
    • CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
    • CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
    • CR690 (1 September 2005) - DSCN 16/2005 Marital Status

    Release: August 2005

    DSCNs Incorporated into the NHS Data Model and Dictionary:Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

    • CP555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
    • CP715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
    • CP706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
    • CP691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code
    • CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
    • CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
    • CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
    • CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

    NHS Data Model and Dictionary: Change MenuFor all Data Set Change Notices, see the Data Set Change Notice (DSCN) Website

    Data Set Change Notice (DSCN) Website

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    ACTIVITY DRUG

    Change to Class: Changed Attributes

    Attributes of this Class are:
    KDRUG TYPE
    KAMI DRUG TYPE
    DISCHARGED ON INDICATOR

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    ACTIVITY PROPERTY

    Change to Class: Changed Description

    Additional information about an ACTIVITY which may be intrinsic to the activity.Additional information about an ACTIVITY which may be intrinsic to the ACTIVITY. 

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    ADDRESS

    Change to Class: Changed Description

    Subtypes of ADDRESS are:

    ADDRESS STRUCTURED
    ADDRESS UNSTRUCTURED

    The identification of a place of relevance to a PERSON, an ORGANISATION, an ORGANISATION SITE or LOCATION. The address may have COMMUNICATION CONTACT INFORMATION associated with it and may be the location for an ACTIVITY. The ADDRESS may have COMMUNICATION CONTACT INFORMATION associated with it and may be the location for an ACTIVITY.

     

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    ADDRESS STRUCTURED

    Change to Class: Changed Description

    A subtype of ADDRESS.

    An address comprised of address elements.An ADDRESS comprised of address elements. Address elements correspond to the Royal Mail Postal Address File unless indicated otherwise.

     

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    ADMINISTRATIVE CATEGORY

    Change to Class: Changed Description

    Identifies if a PATIENT is required to pay for treatment provided within a particular ACTIVITY or for transport.

    The same ADMINISTRATIVE CATEGORY will usually apply during the whole of a spell or episode but it may change, e.g. a PATIENT may start as an NHS patient, but then opt to change to a private patient.The same ADMINISTRATIVE CATEGORY will usually apply during the whole of a spell or episode but it may change, e.g. a PATIENT may start as an NHS PATIENT, but then opt to change to a private patient.

     

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    APPOINTMENT

    Change to Class: Changed Description

    An arrangement for a PATIENT to be seen by or be in contact with one or more CARE PROFESSIONALS.

    An APPOINTMENT becomes an entry on the APPOINTMENT WAITING LIST when it is decided that an offer of an appointment should be made following a SERVICE REQUEST for an out-patient APPOINTMENT being received. The offer of an appointment is made by one or more APPOINTMENT OFFERSAn APPOINTMENT becomes an entry on the APPOINTMENT WAITING LIST when it is decided that an offer of an APPOINTMENT should be made following a SERVICE REQUEST for an out-patient APPOINTMENT being received. The offer of an APPOINTMENT is made by one or more APPOINTMENT OFFERS

    APPOINTMENTS include:

     Out-Patient Appointment Consultant 
     Out-Patient Appointment Non-Consultant 

    APPOINTMENTS are also made for Home Help Visits, Registration Health Checks, Screening Tests, Day Care Attendances and GMP Practice Consultations.

    The type of APPOINTMENT is classified by the APPOINTMENT CLASSIFICATION CODE.

    When a PATIENT accepts an APPOINTMENT OFFER the APPOINTMENT DATE OFFERED and APPOINTMENT TIME OFFERED of the offer become the APPOINTMENT DATE and APPOINTMENT TIME of the accepted APPOINTMENT.

    Where more than one APPOINTMENT OFFER has been made for an APPOINTMENT and one has been accepted all the others for the same APPOINTMENT should be refused.

    The APPOINTMENT should be removed from the APPOINTMENT WAITING LIST when the APPOINTMENT has taken place.

    A series of APPOINTMENTS should relate to the same SERVICE REQUEST which initiated the series within the ORGANISATION. The SERVICE REQUEST may be related to a previous SERVICE REQUEST either from within the same or another ORGANISATION and be related to subsequent SERVICE REQUEST to the same or another ORGANISATION.

     

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    APPOINTMENT SLOT

    Change to Class: Changed Description

    A period of time within a SESSION for one or more APPOINTMENTS with a CARE PROFESSIONAL.

    APPOINTMENT SLOTS may be of variable length e.g. to accommodate new PATIENTS, and may be allocated more than once, if the original APPOINTMENT is cancelled.

    An APPOINTMENT SLOT can be allocated to one or more APPOINTMENT OFFER until an offer is accepted by, or on behalf of a PATIENT.

    When an APPOINTMENT OFFER is accepted by, or on behalf of a PATIENT the APPOINTMENT SLOT becomes booked and may become unavailable for any other offered appointment to which it was allocated depending upon the APPOINTMENT SLOT TYPE.When an APPOINTMENT OFFER is accepted by, or on behalf of a PATIENT the APPOINTMENT SLOT becomes booked and may become unavailable for any other offered APPOINTMENT to which it was allocated depending upon the APPOINTMENT SLOT TYPE.

    APPOINTMENT SLOT STATUS should be used in conjuction with APPOINTMENT SLOT TYPE and APPOINTMENT OFFER SLOT STATUS to ensure correct allocation and booking of APPOINTMENTS.APPOINTMENT SLOT STATUS should be used in conjunction with APPOINTMENT SLOT TYPE and APPOINTMENT OFFER SLOT STATUS to ensure correct allocation and booking of APPOINTMENTS.

     

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    CELL PATHOLOGICAL ABNORMALITY

    Change to Class: Changed Description

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    CRITICAL CARE ACTIVITY

    Change to Class: Changed Description

    A type of CARE ACTIVITY.

    An activity provided to a PATIENT within a CRITICAL CARE PERIOD.An ACTIVITY provided to a PATIENT within a CRITICAL CARE PERIOD.

     

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    DECISION TO ADMIT

    Change to Class: Changed Description

    A record of the event that a clinical decision to admit a PATIENT to a particular Health Care Provider has been made by or on behalf of someone, who has the RIGHT OF ADMISSION.A record of the event that a clinical DECISION TO ADMIT a PATIENT to a particular Health Care Provider has been made by or on behalf of someone, who has the RIGHT OF ADMISSION. This decision denotes that the PATIENT is intended to be admitted to a hospital bed, either immediately or subsequently in the future.

    Note: The decision to admit may be as a result of a transfer of a PATIENT from a waiting list of another Health Care Provider.Note: The DECISION TO ADMIT may be as a result of a transfer of a PATIENT from a WAITING LIST of another Health Care Provider.

     

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    DECISION TO REFER

    Change to Class: Changed Description

    A decision to refer a PATIENT to another CARE PROFESSIONAL made by or on behalf of a CARE PROFESSIONAL.A DECISION TO REFER a PATIENT to another CARE PROFESSIONAL made by or on behalf of a CARE PROFESSIONAL. This decision denotes that a SERVICE REQUEST is intended to be submitted, either immediately or subsequently in the future. 

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    ELECTIVE ADMISSION LIST ENTRY

    Change to Class: Changed Description

    An entry on an ELECTIVE ADMISSION LIST denoting a PATIENT for whom the DECISION TO ADMIT has been made.

    Being placed on the ELECTIVE ADMISSION LIST will result in an ELECTIVE ADMISSION LIST ENTRY. When the ELECTIVE ADMISSION LIST ENTRY is first recorded, the ORIGINAL DECIDED TO ADMIT DATE should be recorded as the same as the DECIDED TO ADMIT DATE of the first DECISION TO ADMIT.

    It is possible for a PATIENT to have more than one ELECTIVE ADMISSION LIST ENTRY, either for a different condition or for the same condition where two or more admissions are required.

    Only one ELECTIVE ADMISSION LIST ENTRY should be made in the event of the intention to perform two or more procedures during one admission.

    To monitor key targets it is necessary for the Health Care Provider responsible for the ELECTIVE ADMISSION LIST, to record the date of any previous OFFERS OF ADMISSION for the same condition, which was made by a previous Health Care Provider and then cancelled byc50b81d3-375d-11d6-a913-c6794ab2cd13 them on the day of or after admission for non-medical reasons.

    The ELECTIVE ADMISSION LIST ENTRY is removed from the WAITING LIST when the PATIENT is admitted or removed for other specified reasons. ELECTIVE ADMISSION LIST REMOVAL REASON records the method of removal from the list and ELECTIVE ADMISSION LIST REMOVAL DATE records the removal date.The ELECTIVE ADMISSION LIST ENTRY is removed from the WAITING LIST when the PATIENT is admitted or removed for other specified reasons. ELECTIVE ADMISSION LIST REMOVAL REASON records the method of removal from the list and ELECTIVE ADMISSION LIST REMOVAL DATE records the removal date.

    Once removed from the Elective Admission List, the PATIENT ceases to be waiting for admission and all associated OFFER OF ADMISSIONS become inactive.Once removed from the ELECTIVE ADMISSION LIST, the PATIENT ceases to be waiting for admission and all associated OFFERS OF ADMISSION become inactive.

    Note: An ELECTIVE ADMISSION LIST ENTRY must be related to a DECISION TO ADMIT.

     

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    HEALTH PROGRAMME

    Change to Class: Changed Description

    This is a programme run by a Primary Care Trust (PCT) collaborative with a lead PCT to provide general preventive or advisory services to groups of the population, or specific services to PATIENTS with identified needs or conditions.This is a programme run by a Primary Care Trust (PCT) collaborative with a lead Primary Care Trust to provide general preventive or advisory services to groups of the population, or specific services to PATIENTS with identified needs or conditions.

    HEALTH PROGRAMMES include:

     

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    JOB ROLE

    Change to Class: Changed Description

    A description of a job role performed in a POSITION.

    JOB ROLE is a sub-category of STAFF GROUP, and is also related to AREA OF WORK in order to link the job role to the area of work in which it is being performed.JOB ROLE is a sub-category of STAFF GROUP, and is also related to AREA OF WORK in order to link the job role to the area of work in which it is being performed.

     

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    NHS SERVICE AGREEMENT CHANGE

    Change to Class: Changed Description

    A change in a NHS SERVICE AGREEMENT applying to a SERVICE.A change in a NHS SERVICE AGREEMENT applying to a SERVICE. This may be because of a change of commissioner or a change of a NHS SERVICE AGREEMENT with the same commissioner.

    Note: Two SERVICE PROVIDED UNDER AGREEMENT will be required for each NHS SERVICE AGREEMENT CHANGE These will end one SERVICE PROVIDED UNDER AGREEMENTand start another.

     

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    OCCUPATION CODE TYPE

    Change to Class: Changed Description

    The standard national NHS Occupation Code for an EMPLOYEE filling a POSITION through an ASSIGNMENT.

    The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual V6 and further information on the workforce census which uses the NHS Occupation Codes can be viewed at NHS workforce census.The NHS Occupation Codes are maintained by the Health and Social Care Information Centre, on behalf of the Department of Health and can be viewed at NHS Occupation Code Manual.

     

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    PATIENT

    Change to Class: Changed Description

    A person with a specific disease or condition who receives treatment from a Health Care Provider, or any REGISTERABLE BIRTH.A PERSON with a specific disease or condition who receives treatment from a Health Care Provider or any REGISTERABLE BIRTH.

    It is an entry on the PATIENT master index. This will be a PERSON, which includes neonates (babies aged 28 days or less), who use a hospital bed in order to receive clinical care/treatment or someone attending a clinic, day care facility, etc. It will also include people in the community receiving care under a specific NHS Service Agreements forming part of 'nursing care in the community'. This also includes PATIENTS on the ELECTIVE ADMISSION LIST who are awaiting elective admission. This also includes PATIENTS on the ELECTIVE ADMISSION LIST who are awaiting Elective Admission.

     

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    PATIENT CLINICAL GROUP

    Change to Class: Changed Description

    The PATIENT's ethnic group as perceived by the clinician.The PATIENT's ETHNIC GROUP as perceived by the clinician.

    Note: PATIENT CLINICAL GROUP is the classification used for the patient's ethnic group as developed for the AMI Dataset.Note: PATIENT CLINICAL GROUP is the classification used for the PATIENT's ETHNIC GROUP as developed for the Acute Myocardial Infarction Data Set.

     

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    PATIENT TRANSPORT JOURNEY

    Change to Class: Changed Description

    A single trip to, or a return from, a place where a PATIENT receives medical care or treatment. If one ambulance carries six Patients to an out-patient clinic and home again, this would be twelve PATIENT TRANSPORT JOURNEYS. If one Ambulance carries six PATIENTS to an Out-Patient Clinic and home again, this would be twelve PATIENT TRANSPORT JOURNEYS.

     

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    PERSON PROPERTY

    Change to Class: Changed Description

    Subtypes of PERSON PROPERTY include:

    A condition or state associated with a PERSON. Person Properties are collected as a result of an ACTIVITY PERSON PROPERTIES are collected as a result of an ACTIVITY

    PERSON PROPERTIES for a PATIENT do not include information about a treatment or intervention. The observation may be a clinical diagnosis. The observer may be a related PERSON or a CARE PROFESSIONAL. Observations may be recorded during, or as a result of, a course of treatment.

    PERSON PROPERTIES include:

     

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    REFERRAL DELAY

    Change to Class: Changed Description

    A delay in either an Out-Patient Appointment or treatment after a REFERRAL REQUEST has been received. A REFERRAL DELAY should be recorded for each delay.

    REFERRAL DELAYS include:

     

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    SERVICE

    Change to Class: Changed Description

    An episode of care, treatment or other service provided by an ORGANISATION which may be chargeable to one or more NHS SERVICE AGREEMENTS. In most cases, the service will be for the direct benefit of a PATIENT. For example a SERVICE may be one or more of the following:

    aConsultant Episode (Hospital Provider) 
    bConsultant Out-Patient Episode 
    cHEALTHY PERSON STAY 
    dAccident And Emergency Episode 
    eRadiotherapy Treatment Course 
    fDIAGNOSTIC TEST REQUEST 
    gRegular Attender Episode 
    hProfessional Staff Group Episode 
    iGenitourinary Episode 
    jTRANSPORT REQUEST 

    A SERVICE associated with a Care Spell may be treatment carried out by the ORGANISATION acting as the Health Care Provider as part of a Care Spell for which the lead responsibility is with another ORGANISATION.A SERVICE associated with a Care Spell may be treatment carried out by the ORGANISATION acting as the Health Care Provider as part of a Care Spell for which the lead responsibility is with another ORGANISATION.

     

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    SERVICE PROVIDED UNDER AGREEMENT

    Change to Class: Changed Description

    A service or delivery of patient care provided under a NHS SERVICE AGREEMENT. This holds the breakdown of the patient care delivered across NHS SERVICE AGREEMENTS.A service or delivery of PATIENT care provided under a NHS SERVICE AGREEMENT. This holds the breakdown of the PATIENT care delivered across NHS SERVICE AGREEMENTS.

    Where there is a change in a NHS SERVICE AGREEMENT applying to a SERVICE, which may be as a result of a change of commissioner or a change of a NHS SERVICE AGREEMENT with the same commissioner; two SERVICE PROVIDED UNDER AGREEMENT will be required for each change. These will end one SERVICE PROVIDED UNDER AGREEMENT and start another.

     

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    SERVICE REPORT

    Change to Class: Changed Description

    A SERVICE REPORT where the report relates to the treatment of a PATIENT or the response to request for specialist services for a PATIENT by a Health Care Provider. A SERVICE REPORT may be a PATHOLOGY LAB SERVICE REPORT HEADER or a RADIOLOGY SERVICE REPORT HEADER. A SERVICE REPORT may be a Pathology Laboratory Service Report Header or a Radiology Service Report Header.

    A copy of a SERVICE REPORT may be sent to a party other than the provider or the requester of the SERVICE or the PLANNED ACTIVITY.

    SERVICE REPORTS include:

     

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    SERVICE REQUEST RELATIONSHIP

    Change to Class: Changed Description

    This identifies the relationship between one SERVICE REQUEST and another.

    For example, a SERVICE REQUEST for an APPOINTMENT may be related to a previous SERVICE REQUEST where the PATIENT refused all the offered dates. Another example is where a SERVICE REQUEST has been subdivided into further SERVICE REQUESTS each for a specific and different treatment, all related back to the originating SERVICE REQUEST.For example, a SERVICE REQUEST for an APPOINTMENT may be related to a previous SERVICE REQUEST where the PATIENT refused all the offered dates. Another example is where a SERVICE REQUEST has been subdivided into further SERVICE REQUESTS each for a specific and different treatment, all related back to the originating SERVICE REQUEST.

     

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    SESSION

    Change to Class: Changed Description

    A period of time allocated for the provision of care by one or more CARE PROFESSIONAL to one or more PATIENT.

    A SESSION may be comprised of a series of appointments, or a list of PATIENTS to be treated, or a number of PATIENTS attending a time slot.A SESSION may be comprised of a series of APPOINTMENTS or a list of PATIENTS to be treated, or a number of PATIENTS attending a time slot.

    SESSIONS include:

     

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    TRANSPORT REQUEST

    Change to Class: Changed Description

    A request for transport made to an ambulance service.

    Transport Requests include:TRANSPORT REQUESTS include:

     

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    ABNORMALITY IDENTIFIER

    Change to Attribute: Changed Description

    Any IDENTIFIER which is unique for each abnormality.Any identifier which is unique for each abnormality. This may be assigned manually or system generated.

     

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    ACTIVITY DATE TIME TYPE

    Change to Attribute: Changed Description

    The classification of a date or time that 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 or time of a particular type.

    National Codes:

    Dates

    01Angiogram Date 
    02Arrival Date 
    03Breast Assessment Date 
    04Cancer Dental Assessment Date 
    05Colorectal Or Stoma Nurse Seen Date 
    06Coronary Angiography Date 
    07CPA Review Date 
    07Care Programme Approach Review Date 
    08Date Biopsy Taken 
    09Discharge Date 
    10Discharge Ready Date 
    11End Date 
    12Event Date 
    13Expected Delivery Date 
    14First Antenatal Assessment Date 
    15Full Postnatal Examination Date 
    16Initial Patient Contact Date 
    17Investigation Transfer Date 
    18IUD Application Date 
    19IUD Fitted Date 
    18Intrauterine Device Application Date 
    19Intrauterine Device Fitted Date 
    20Last Dosage Date 
    21Mental Health Care Assessment Date 
    22Miscarriage Date 
    23Pathology Result Due Date 
    24Patient Informed Biopsy Result Date 
    25Patient Informed Of Outcome Date 
    26Quit Date 
    27Review Planned Date 
    28Screening Result Date 
    29Screening Result Sent Date 
    30Specialist Palliative Care Date 
    31Start Date 
    32Symptoms First Noted Date 
    33Attendance Date 
    34Clinical Intervention Date 
    35Immunisation Completion Date 
    36Clinical Status Assessment Date 
    37Dose Given Date 
    38Test Date 
    39Contact Date 
    40Appointment Date 
    41Primary Procedure Date 
    42Second Operation Date 
    43Speech and Swallowing Assessment Date 
    43Speech and Swallowing Assessment Date
    44Third Operation Date 
    45Date First Seen 
    46Statutory Assessment Date 
    47Screening Test Date 
    48Genitourinary Care Contact Date 
    66CONSULTANT UPGRADE DATE

    Note: This list is not in alphabetical order.

    Times

    50A and E ATTENDANCE CONCLUSION TIME 
    51A and E DEPARTURE TIME 
    52A and E INITIAL ASSESSMENT TIME 
    53A and E TIME SEEN FOR TREATMENT 
    54Arrival At Hospital Time 
    55Arrival Time 
    56End Time 
    57Event Time 
    58Initial Patient Contact Time 
    59Last Dosage Time 
    60Pathology Result Due Time 
    61Start Time 
    62Theatre Case Time In To Theatre Suite 
    63Theatre Case Time Out Of Theatre 
    64Theatre Case Time Out Of Theatre Suite 
    65Time Seen 
    b1Discharge Ready Time

    Note: This list is not in alphabetical order.

     

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    APPOINTMENT TYPE

    Change to Attribute: Changed Aliases

    • Alias Changes

      NameOld ValueNew Value
      plural APPOINTMENT TYPES
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    ATTENDED OR DID NOT ATTEND

    Change to Attribute: Changed Description

    This indicates whether or not an APPOINTMENT for a CARE CONTACT took place. If the APPOINTMENT did not take place it also indicates whether or not advanced warning was given.

    When an APPOINTMENT is cancelled the APPOINTMENT CANCELLED DATE should also be recorded.

    National Codes:

    5Attended on time or, if late, before the relevant CARE PROFESSIONAL was ready to see the PATIENT
    6Arrived late, after the relevant CARE PROFESSIONAL was ready to see the PATIENT, but was seen
    7PATIENT arrived late and could not be seen
    2Appointment cancelled by, or on behalf of, the PATIENT
    5Attended on time or, if late, before the relevant CARE PROFESSIONAL was ready to see the PATIENT
    6Arrived late, after the relevant CARE PROFESSIONAL was ready to see the PATIENT, but was seen
    7PATIENT arrived late and could not be seen
    2APPOINTMENT cancelled by, or on behalf of, the PATIENT
    3Did not attend - no advance warning given
    4Appointment cancelled or postponed by the Health Care Provider
    0Not applicable - Appointment occurs in the future
    4APPOINTMENT cancelled or postponed by the Health Care Provider
    0Not applicable - APPOINTMENT occurs in the future

    Note: The classification has been listed in logical sequence rather than alphanumeric order.

    Use in the Future Outpatient Commissioning Data Set:
    For referral records with no APPOINTMENT yet made, or for future APPOINTMENTS, code 0 - Not applicable should be used.
    Where the future attendance has been cancelled, use the appropriate value from the national codes.Where the future attendance has been cancelled, use the appropriate value from the National Codes.

     

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    CELL IDENTIFIER

    Change to Attribute: Changed Description

    Any IDENTIFIER which is unique to a CELL.Any identifier which is unique to a CELL.

     

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    CONSULTANT CODE

    Change to Attribute: Changed Description