Change Request
 

NHS Connecting for Health

NHS Data Model and Dictionary Service

Reference: Change Request 1226
Version No:1.0
Subject:Release Patch Update
Effective Date:Immediate
Reason for Change:Patch
Publication Date:27 January 2011

Background:

This patch further updates the NHS Data Model and Dictionary in preparation for the January 2011 Release.

Summary of changes:

Supporting Information
CANCER CARE SPELL DELAY   Changed Description
CANCER DENTAL ASSESSMENT DATE   Changed Description
COMMUNITY   Changed Description
 
Attribute Definitions
MINIMALLY INVASIVE SURGERY INDICATOR   Changed Description
 
Data Elements
DELAY REASON COMMENT (FIRST SEEN)   Changed Description
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)   Changed Description
START DATE (ACTIVE MONITORING)   Changed Description
START DATE (ANTI-CANCER DRUG FRACTION)   Changed Description
START DATE (ANTI-CANCER DRUG REGIMEN)   Changed Description
START DATE (BRACHYTHERAPY TREATMENT COURSE)   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
 

Date:27 January 2011
Sponsor:Richard Kavanagh, NHS Connecting for Health

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

Click here for a printer friendly view of this page.


CANCER CARE SPELL DELAY

Change to Supporting Information: Changed Description

Cancer Care Spell Delay is a REFERRAL DELAY.

A delay in either an Out-Patient Appointment or treatment for suspected cancer after a referral has been received. A Cancer Care Spell Delay should be recorded for each delay.A Cancer Care Spell Delay is a delay in either an Out-Patient Appointment or treatment for suspected cancer after a referral has been received.

 A Cancer Care Spell Delay should be recorded for each delay.

 

top


CANCER DENTAL ASSESSMENT DATE

Change to Supporting Information: Changed Description

Cancer Dental Assessment Date is an ACTIVITY DATE TIME.

The date on which a pre-treatment dental assessment was performed during a Head And Neck Cancer Care Spell.Cancer Dental Assessment Date is the date on which a pre-treatment dental assessment was performed during a Head And Neck Cancer Care Spell.

 

top


COMMUNITY

Change to Supporting Information: Changed Description

top


MINIMALLY INVASIVE SURGERY INDICATOR

Change to Attribute: Changed Description

Identifies whether minimally invasive surgery was used during Joint Replacement Surgery.An indicator of whether minimally invasive surgery was used during Joint Replacement Surgery.

National Codes:

1Yes
2No

References:
National Joint Registry Dataset: v.1: 24th March 2003

 

top


DELAY REASON COMMENT (FIRST SEEN)

Change to Data Element: Changed Description

Format/length:an255
HES item: 
Format/Length:an255
HES Item: 
National codes 
Default codes 

Notes:
DELAY REASON COMMENT (FIRST SEEN) is the same as the attribute DELAY REASON COMMENT.

This data item is mandatory when applicable in the National Cancer Waiting Times Monitoring Data Set. It is applicable and must be recorded if the existing standards were breached (after any adjustments have been made).

It is the free text comment that describes why the maximum two week wait fromCANCER REFERRAL TO TREATMENT PERIOD START DATE to DATE FIRST SEEN (less WAITING TIME ADJUSTMENT (FIRST SEEN)) could not be met.

See DATE FIRST SEEN for guidance on determining the appropriate first seen date.

If DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS) is recorded as National Code 99 'Other reason' then DELAY REASON COMMENT (FIRST SEEN) must explain the full reason for the delay.

 

top


GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

Change to Data Element: Changed Description

Format/length:an6
HES item:GPPRAC
National Codes:See ORGANISATION CODE 
ODS Default Codes:V81997 - No Registered GP Practice 
 V81998 - GP Practice Code not applicable
 V81999 - GP Practice Code not known

Notes:
The GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) is an ORGANISATION CODE.

This is the code of the GP Practice that the PATIENT is registered with.

Use of  Organisation Data Service Default Codes

  • V81997 should be used when a PATIENT presents, who is not currently registered at a GP Practice, but is eligible to be registered should they wish to.

  • V81998 should be used where a PATIENT should not have a registered GP Practice, due for instance to them having only recently entered the country.

  • V81999 should be used where it is not possible to determine a PATIENT's registered GP Practice code, but it is known that they should have one, or where it is impossible to determine whether they should or shouldn't have a registered practice (for instance the PATIENT cannot communicate and is unidentified).


CODE OF GP PRACTICE (REGISTERED GMP) DESCRIPTION REPLACED 1 JUNE 2008.

The code of the practice is an ORGANISATION CODE.

This is the code of the practice of the PATIENT's registered GENERAL MEDICAL PRACTITIONER which lets him or her be notified about treatment received by the PATIENT. The registered GENERAL MEDICAL PRACTITIONER may or may not be the same as the referring GENERAL MEDICAL PRACTITIONER.

 

top


START DATE (ACTIVE MONITORING)

Change to Data Element: Changed Description

Format/Length:See DATE 
HES Item: 
National Codes: 
Default Codes: 

Notes:
START DATE (ACTIVE MONITORING) should be recorded if the PLANNED CANCER TREATMENT TYPE is National Code 09 - Active Monitoring.START DATE (ACTIVE MONITORING) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'

START DATE (ACTIVE MONITORING) is the CARE PLAN AGREED DATE of the Cancer Care Plan where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 09 'Active monitoring' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a.START DATE (ACTIVE MONITORING) is the CARE PLAN AGREED DATEof the Cancer Care Plan where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 'Active Monitoring' and the FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

 

top


START DATE (ANTI-CANCER DRUG FRACTION)

Change to Data Element: Changed Description

Format/Length:See DATE 
HES Item: 
National Codes: 
Default Codes: 

Notes:
START DATE (ANTI-CANCER DRUG FRACTION) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Anti-Cancer Drug Fraction.START DATE (ANTI-CANCER DRUG FRACTION) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Anti-Cancer Drug Fraction. 

top


START DATE (ANTI-CANCER DRUG REGIMEN)

Change to Data Element: Changed Description

Format/Length:See DATE 
HES Item: 
National Codes: 
Default Codes: 

Notes:
START DATE (ANTI-CANCER DRUG REGIMEN) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Anti-Cancer Drug Regimen.START DATE (ANTI-CANCER DRUG REGIMEN) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Anti-Cancer Drug Regimen.

This should be recorded if the first definitive treatment is chemotherapy and/or other anti-cancer drug treatments.

START DATE (ANTI-CANCER DRUG REGIMEN) is the ACTIVITY DATE of the Anti-Cancer Drug Programme where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 03 'Chemotherapy' or 04 'Hormone therapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

 

top


START DATE (BRACHYTHERAPY TREATMENT COURSE)

Change to Data Element: Changed Description

Format/Length:See DATE 
HES Item: 
National Codes: 
Default Codes: 

Notes:
START DATE (BRACHYTHERAPY TREATMENT COURSE) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Brachytherapy Treatment Course.START DATE (BRACHYTHERAPY TREATMENT COURSE) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date' of the Brachytherapy Treatment Course. This should be recorded if the first definitive treatment is brachytherapy.

START DATE (BRACHYTHERAPY TREATMENT COURSE) is the START DATE of the Brachytherapy Treatment Course which is a Brachytherapy Treatment Course where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 06 'Brachytherapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

 

top


START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE)

Change to Data Element: Changed Description

Format/Length:See DATE 
HES Item: 
National Codes: 
Default Codes: 

Notes:
START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'. START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'. This should be recorded if the first definitive treatment is specialist palliative care.

START DATE (SPECIALIST PALLIATIVE TREATMENT COURSE) is the ACTIVITY DATE on which the first treatment or support from specialist palliative care was given to a PATIENT with diagnosed cancer within the Cancer Care Spell and where the Planned Cancer Treatment is for Planned Cancer Treatment National Code 05 'Specialist palliative care' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

 

top


START DATE (SURGERY HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

Format/Length:See DATE 
HES Item: 
National Codes: 
Default Codes: 

Notes:
START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'.START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'. This should be recorded if the first definitive treatment is surgery.

START DATE (SURGERY HOSPITAL PROVIDER SPELL) is the Start Date of the Hospital Provider Spell the PATIENT was admitted to for the anti-cancer surgery to be performed and where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 01 'Surgery' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

 

top


START DATE (TELETHERAPY TREATMENT COURSE)

Change to Data Element: Changed Description

Format/Length:See DATE 
HES Item: 
National Codes: 
Default Codes: 

Notes:
START DATE (TELETHERAPY TREATMENT COURSE) is the same as the attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'.START DATE (TELETHERAPY TREATMENT COURSE) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 'Start Date'. This should be recorded if the First Definitive Treatment is teletherapy.

START DATE (TELETHERAPY TREATMENT COURSE) is the Start Date of the Radiotherapy Treatment Course which is a Teletherapy Treatment Course where the Planned Cancer Treatment is for PLANNED CANCER TREATMENT TYPE National Code 02 'Teletherapy' and FIRST DEFINITIVE TREATMENT PROVIDED is classification a. 'first definitive treatment provided'.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

 

top


For enquiries, please email datastandards@nhs.net