Change Request
 
NHS Information Authority

Data Standards Programme

Reference: Change Request 327
Version No:1.5
Subject:DG1007 - Your Guide to the NHS
Type of Change:Revision of NHS data standards
Effective Date:1 April 2003
Reason for Change:To introduce into the NHS Data Dictionary amendments due to Your Guide to the NHS

Background:

'Your Guide to the NHS' - href='http://www.nhs.uk/nhsguide/home.htm replaced the Patient's Charter in 2001, and DSCN 22/2001 brought in some minor changes for this. Further data standards are now required as some further requirements came into effect in April 2002.

Summary of changes:
 
Class Definitions
GENERAL MEDICAL PRACTITIONER   Change to relationships
GENERAL MEDICAL PRACTITIONER PRACTICE   Change to relationships
GMP CONSULTATION   Change to description
GMP CONSULTATION   Change to attributes
GMP CONSULTATION   Change to relationships
GMP PRACTICE CONSULTATION   New Class
HEALTH CARE PROFESSIONAL   Change to relationships
LODGED PATIENT   Change to attributes
OFFER OF ADMISSION   Change to attributes
PERSON   Change to relationships
 
Attribute Definitions
A+E ATTENDANCE CONCLUSION TIME   Change to description
A+E DEPARTURE TIME   Change to description
CANCELLATION OR DEFERMENT INDICATOR   Deleted
LODGED AFTER A+E ATTENDANCE   New Attribute
LODGING END TIME   Change to description
OPERATION CANCELLATION   New Attribute
OPERATION CANCELLATION PATIENT CHOICE   New Attribute
REQUEST FOR APPOINTMENT DATE   New Attribute
REQUEST FOR APPOINTMENT TIME   New Attribute
 
Data Elements
A+E ATTENDANCE CONCLUSION TIME   Change to description
 
Diagrams
PC020 GMPS CLAIMS AND PAYMENTS/REIMBURSEMENTS FROM PRIMARY CARE TRUSTS   Change to diagram contents

Name:Michelle Cambridge
Date:7 March 2003
Sponsor:Data Standards Team

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


GENERAL MEDICAL PRACTITIONER

Change to Class: change to relationships

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


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GENERAL MEDICAL PRACTITIONER PRACTICE

Change to Class: change to relationships

Each GENERAL MEDICAL PRACTITIONER PRACTICE
may be the location for one or more GMP PRACTICE CONSULTATION
may be the subject of one or more OTHER CLAIM BY GMP
may be associated with one or more POST IN GMP PRACTICE


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GMP CONSULTATION

Change to Class: change to description

A type of GMP PRACTICE CONSULTATION.

A consultation by a GENERAL MEDICAL PRACTITIONER to a PERSON for the provision of health care.



This class is also known by these names:
ContextAlias
pluralGMP CONSULTATIONS


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GMP CONSULTATION

Change to Class: change to attributes

Attributes of this Class are:
KATTENDANCE DATE
TIME SEEN
This class has no attributes.


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GMP CONSULTATION

Change to Class: change to relationships

Each GMP CONSULTATION
Kmust be given by one and only one GENERAL MEDICAL PRACTITIONER
Kmust be a consultation for one and only one PERSON
may be associated with one and only one MATERNITY MEDICAL SERVICE


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GMP PRACTICE CONSULTATION

Change to Class: New Class

GMP PRACTICE CONSULTATION

A consultation by a HEALTH CARE PROFESSIONAL to a PERSON for the provision of health care within a GENERAL MEDICAL PRACTITIONER PRACTICE.

The PATIENT should have a GMP PRACTICE CONSULTATION within 24 hours of REQUEST FOR APPOINTMENT DATE and REQUEST FOR APPOINTMENT TIME if requesting to see a HEALTH CARE PROFESSIONAL other than a GENERAL MEDICAL PRACTITIONER. The PATIENT should have a GMP PRACTICE CONSULTATION to see a GENERAL MEDICAL PRACTITIONER within 48 hours of requesting an appointment.



This class is also known by these names:
ContextAlias
pluralGMP PRACTICE CONSULTATIONS

Attributes of this Class are:
KATTENDANCE DATE
REQUEST FOR APPOINTMENT DATE
REQUEST FOR APPOINTMENT TIME
TIME SEEN

Each GMP PRACTICE CONSULTATION
Kmust be given by one and only one HEALTH CARE PROFESSIONAL
Kmust be a consultation for one and only one PERSON
must be a consultation within one and only one GENERAL MEDICAL PRACTITIONER PRACTICE


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HEALTH CARE PROFESSIONAL

Change to Class: change to relationships

Each HEALTH CARE PROFESSIONAL
may be related to one or more CLINICAL INVESTIGATION SERVICE PROVIDER
may be responsible for one or more DAY CARE SESSION
may be the dispenser of one or more DISPENSED ITEM
may be the prescriber of one or more DRUG TREATMENT
may be the provider of one or more GMP PRACTICE CONSULTATION
may be the participant in one or more HEALTH CARE PROFESSIONAL INVOLVEMENT
may be the evaluator of one or more HONOS SCORE FOR PERSON
may be associated with one or more ITEM OF SERVICE DELIVERY ROLE
may be the person responsible for one or more PATIENT PROCEDURE
may be the observer of one or more PERSON OBSERVATION
may be the issuer of one or more PRESCRIPTION
may be related to one or more RADIOLOGY INVESTIGATION PLAN
may be the originator of one or more REFERRAL REQUEST
may be related as requester of one or more REQUEST FOR DIAGNOSTIC TEST
may be related as provider to one or more REQUEST FOR DIAGNOSTIC TEST
may be the recipient of one or more SERVICE REPORT COPY
may be the requester of one or more SERVICE REPORT HEADER
may be recorder of one or more SERVICE REPORT HEADER


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LODGED PATIENT

Change to Class: change to attributes

Attributes of this Class are:
KARRIVAL DATE
LODGED AFTER A+E ATTENDANCE
OLODGING END TIME
LODGING START TIME


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OFFER OF ADMISSION

Change to Class: change to attributes

Attributes of this Class are:
KOFFERED FOR ADMISSION DATE
OADMISSION OFFER OUTCOME
OCANCELLATION OR DEFERMENT INDICATOR


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PERSON

Change to Class: change to relationships

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


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A+E ATTENDANCE CONCLUSION TIME

Change to Attribute: change to description

The time, recorded using a 24 hour clock, that a PATIENT's ACCIDENT AND EMERGENCY ATTENDANCE concludes. The time, recorded using a 24 hour clock, that a PATIENT's ACCIDENT AND EMERGENCY ATTENDANCE concludes or when treatment in Accident and Emergency is completed (whichever is the later).

For those PATIENTS admitted into hospital, the A+E ATTENDANCE CONCLUSION TIME is recorded as the time when the DECISION TO ADMIT was made.



This attribute is also known by these names:
ContextAlias
pluralA+E ATTENDANCE CONCLUSION TIMES


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A+E DEPARTURE TIME

Change to Attribute: change to description

The time recorded using a 24 hour clock, that a PATIENT leaves an ACCIDENT AND EMERGENCY DEPARTMENT after an ACCIDENT AND EMERGENCY ATTENDANCE has concluded.

Notes: This time will be different from the A+E ATTENDANCE CONCLUSION TIME for patients who wait for patient transport or who are LODGED PATIENTS prior to admission to a WARD. The PATIENT may leave the ACCIDENT AND EMERGENCY DEPARTMENT temporarily during an ACCIDENT AND EMERGENCY ATTENDANCE, e.g. for an X-ray. The PATIENT may leave the ACCIDENT AND EMERGENCY DEPARTMENT temporarily during an ACCIDENT AND EMERGENCY ATTENDANCE, e.g. for an X-ray but they remain under the care of an Accident and Emergency CONSULTANT.



This attribute is also known by these names:
ContextAlias
pluralA+E DEPARTURE TIMES


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CANCELLATION OR DEFERMENT INDICATOR

Change to Attribute: Deleted

Deleted
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LODGED AFTER A+E ATTENDANCE

Change to Attribute: New Attribute

LODGED AFTER A+E ATTENDANCE

An indicator of whether a LODGED PATIENT was lodged as a result of an ACCIDENT AND EMERGENCY ATTENDANCE.

National Codes:
1 Patient lodged as a result of an A&E attendance
2 Patient not lodged as a result of an A&E attendance



This attribute is also known by these names:
ContextAlias
pluralLODGED AFTER A+E ATTENDANCES


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LODGING END TIME

Change to Attribute: change to description

The time that the responsibility for nursing care is transferred from an ACCIDENT AND EMERGENCY DEPARTMENT to a WARD thus ending the period as a LODGED PATIENT. The time that the responsibility for nursing care is transferred from an ACCIDENT AND EMERGENCY DEPARTMENT to a WARD thus ending the period as a LODGED PATIENT. This will be the same as A+E DEPARTURE TIME if the PATIENT was lodged as a result of an ACCIDENT AND EMERGENCY ATTENDANCE.

The transfer of responsibility may occur when the PATIENT is received into a bed in an appropriate WARD, an OPERATING THEATRE or another setting for immediate treatment (e.g. an X-ray Department) before being received into a bed in an appropriate WARD. A bed in an A&E observation and assessment WARD may be a transfer of responsibility but a trolley, bed or chair in a corridor would not.



This attribute is also known by these names:
ContextAlias
pluralLODGING END TIMES


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OPERATION CANCELLATION

Change to Attribute: New Attribute

OPERATION CANCELLATION

An indicator of whether the operation that the PATIENT is being admitted for was cancelled at the last minute for non-clinical reasons. 'Last minute' means on the day the patient was due to arrive, after the patient has arrived in hospital or on the day of the operation. This includes telephone cancellations made to patients on the day of their operation or day of admission.

An operation which is rescheduled to a time within 24 hours of the original scheduled operation should be recorded as a postponement and not as a cancellation. Some common non-clinical reasons for cancellations by the hospital include: ward beds unavailable; surgeon unavailable; emergency case needing theatre; theatre list over-ran; equipment failure; admin error; anaesthetist unavailable; theatre staff unavailable; and critical care bed unavailable. These examples are based on information from the Modernisation Agency's Theatres Project and do not necessarily cover all non-clinical reasons.

National Codes:
1 Operation cancelled at the last minute for non-clinical reasons on the day of surgery
2 Operation cancelled at short notice for non-clinical reasons although not on the day of surgery



This attribute is also known by these names:
ContextAlias
pluralOPERATIONS CANCELLATION


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OPERATION CANCELLATION PATIENT CHOICE

Change to Attribute: New Attribute

OPERATION CANCELLATION PATIENT CHOICE

The PATIENT's choice for treatment if their operation was cancelled on the day of surgery for non-clinical reasons. Another OFFER OF ADMISSION should be given with an OFFERED FOR ADMISSION DATE of not more than 28 days after the one that was cancelled. If this has not been offered the PATIENT is given a choice of how they are to be treated.

National Codes:
1 Patient chose to remain on list at existing NHS Trust
2 Patient chose to be treated at another NHS Trust
3 Patient chose to be treated at a private hospital
4 Patient chose to be treated abroad
5 Patient chose other alternative for treatment
6 Not known what choice was made



This attribute is also known by these names:
ContextAlias
pluralOPERATIONS CANCELLATION PATIENT CHOICE


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REQUEST FOR APPOINTMENT DATE

Change to Attribute: New Attribute

REQUEST FOR APPOINTMENT DATE

The date on which a PATIENT requested an appointment to see a HEALTH CARE PROFESSIONAL.



This attribute is also known by these names:
ContextAlias
pluralREQUESTS FOR APPOINTMENT DATE


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REQUEST FOR APPOINTMENT TIME

Change to Attribute: New Attribute

REQUEST FOR APPOINTMENT TIME

The time, recorded using the 24 hour clock, when a PATIENT requested to see a HEALTH CARE PROFESSIONAL.



This attribute is also known by these names:
ContextAlias
pluralREQUESTS FOR APPOINTMENT TIME


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A+E ATTENDANCE CONCLUSION TIME

Change to Data Element: change to description

Format/length: n4
HES item:
National Codes:
Default Codes:

Notes:
A+E ATTENDANCE CONCLUSION TIMES is the time the PATIENT's attendance comes to an end. For those Patients admitted into hospital, the A+E ATTENDANCE CONCLUSION TIMES is recorded as the time when the DECISION TO ADMIT was made.



This data element is also known by these names:
ContextAlias
pluralA+E ATTENDANCE CONCLUSION TIMES


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PC020 GMPS CLAIMS AND PAYMENTS/REIMBURSEMENTS FROM PRIMARY CARE TRUSTS

Change to Diagram: Change to diagram contents


 PC020 GMPS Claims and Payments/Reimbursements from Primary Care Trusts 


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Please address enquiries about this DSCN to:-
Data Standards Team
NHS Information Authority
Aqueous II
Aston Cross
Rocky Lane
Birmingham
B6 5RQ

Tel: 0121 333 0333