NHS Connecting for Health
NHS Data Model and Dictionary Service
| Reference: | Change Request 1240 |
| Version No: | 1.0 |
| Subject: | Preparatory Update Change Request |
| Effective Date: | Immediate |
| Reason for Change: | Change to Data Standards |
| Publication Date: | 11 April 2011 |
Background:
The NHS Data Model and Dictionary Service are currently working with the Department of Health and The NHS Information Centre for Health and Social Care to develop a number of Data Sets.
During the business analysis stage, it has been identified that these Data Sets cover a number of common areas which are either not currently in the NHS Data Model and Dictionary or amendments are required to make the current information suitable for use in these Data Sets.
This Change Request adds further common items and updates existing items as listed in the summary of changes below to support these new data sets.
Summary of changes:
| Diagrams | |
| PERSON AND PERSON PROPERTY DIAGRAM | Changed Diagram |
| Supporting Information | |
| ELECTROCARDIOGRAM | New Supporting Information |
| HEART RATE | New Supporting Information |
| Class Definitions | |
| PERSON PROPERTY | Changed Attributes |
| Attribute Definitions | |
| PATIENT HISTORY INDICATOR | New Attribute |
| Data Elements | |
| SERUM CHOLESTEROL LEVEL renamed from SERUM CHOLESTEROL | Changed Name, Aliases, Description |
| SMOKING STATUS | Changed Aliases, Description |
| SMOKING STATUS CODE | New Data Element |
| Date: | 11 April 2011 |
| Sponsor: | Nicholas Oughtibridge, Acting Director - Data Standards and Products, Technology Office, Department of Health Informatics Directorate |
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.
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Change to Supporting Information: New Supporting Information
An Electrocardiogram (ECG) is a Clinical Investigation.
An Electrocardiogram records the rhythm and electrical activity of the heart.
For further information on Electrocardiograms, see the NHS Choices website.
This supporting information is also known by these names:
| Context | Alias |
|---|---|
| shortname | ECG |
| plural | Electrocardiograms |
Change to Supporting Information: New Supporting Information
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Heart Rate is a MEASURED PERSON OBSERVATION.
Heart Rate is the number of heartbeats per unit of time, usually expressed as beats per minute (bpm).
This supporting information is also known by these names:
| Context | Alias |
|---|---|
| plural | Heart Rates |
Change to Class: Changed Attributes
| K | PERSON PROPERTY IDENTIFIER | |
| AMI HISTORY ITEM TYPE | ||
| FREE PRESCRIPTIONS INDICATOR | ||
| LAST MENSTRUAL PERIOD DATE | ||
| PATIENT HISTORY INDICATOR | ||
| PERSON BLOOD GROUP | ||
| PERSON PROPERTY EFFECTIVE DATE | ||
| PERSON PROPERTY EFFECTIVE END DATE | ||
| PERSON PROPERTY EFFECTIVE END TIME | ||
| PERSON PROPERTY EFFECTIVE TIME | ||
| PERSON PROPERTY OBSERVED DATE | ||
| PERSON PROPERTY OBSERVED TIME | ||
| PERSON PROPERTY RECORDED DATE | ||
| PERSON PROPERTY RECORDED TIME | ||
| PERSON RHESUS FACTOR | ||
| PREGNANCY STATUS |
Change to Attribute: New Attribute
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
An indication of whether the PATIENT has a history of a medical condition, for example Angina, Acute Myocardial Infarction, Human Papillomavirus (HPV) etc.
National Codes:
| Y | Yes |
| N | No |
This attribute is also known by these names:
| Context | Alias |
|---|---|
| plural | PATIENT HISTORY INDICATORS |
Change to Data Element: Changed Name, Aliases, Description
| Format/Length: | nn.n |
| HES Item: | |
| National Codes: | |
| Default Codes: |
Notes:
A fasting sample ideally taken within 24 hours of admission
Central Cardiac Audit Database (CCAD) item name:Serum cholesterol
SERUM CHOLESTEROL replaces PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) and should be used for all new and developing data sets and for XML messages.SERUM CHOLESTEROL LEVEL replaces PERSON OBSERVATION (SERUM CHOLESTEROL LEVEL) and should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Name, Aliases, Description
- Changed Name from Data_Dictionary.Data_Field_Notes.S.SERUM_CHOLESTEROL to Data_Dictionary.Data_Field_Notes.S.SERUM_CHOLESTEROL_LEVEL
- Alias Changes
Name Old Value New Value plural SERUM CHOLESTEROL SERUM CHOLESTEROL LEVELS formerly SERUM CHOLESTEROL - Changed Description
Change to Data Element: Changed Aliases, Description
| Format/Length: | n1 |
| HES Item: | |
| National Codes: | See SMOKING STATUS |
| Default Codes: | 9 - Unknown |
Notes:
SMOKING STATUS is the same as attribute SMOKING STATUS.
SMOKING STATUS will be replaced with SMOKING STATUS CODE, which should be used for all new and developing data sets and for XML messages.
Change to Data Element: Changed Aliases, Description
- Alias Changes
Name Old Value New Value plural SMOKING STATUS - Changed Description
Change to Data Element: New Data Element
| Format/Length: | an1 |
| HES Item: | |
| National Codes: | See SMOKING STATUS |
| Default Codes: | 9 - Unknown |
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Notes:
SMOKING STATUS CODE is the same as attribute SMOKING STATUS.
SMOKING STATUS CODE replaces SMOKING STATUS and should be used for all new and developing data sets and for XML messages.
This data element is also known by these names:
| Context | Alias |
|---|---|
| plural | SMOKING STATUS CODES |
For enquiries about this Change Request, please email datastandards@nhs.net