NHS Connecting for Health
NHS Data Model and Dictionary Service
| Reference: | Change Request 1313 |
| Version No: | 1.0 |
| Subject: | Cancer Waits Update Patch |
| Effective Date: | Immediate |
| Reason for Change: | Patch |
| Publication Date: | 24 May 2012 |
Background:
This patch makes minor amendments to the NHS Data Model and Dictionary following incorporation of the National Cancer Waiting Times Monitoring Data Set Change Request.
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Summary of changes:
| Supporting Information | |
| BRACHYTHERAPY TREATMENT COURSE | Changed Description |
| HOSPITAL SITE | Changed Description |
| SPECIALIST PALLIATIVE CARE DATE | Changed Description |
| TELETHERAPY TREATMENT COURSE | Changed Description |
| Attribute Definitions | |
| CLINICAL INTERVENTION TYPE | Changed Description |
| WAITING TIME ADJUSTMENT REASON | Changed Description |
| Date: | 24 May 2012 |
| 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.
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Change to Supporting Information: Changed Description
Brachytherapy Treatment Course is a CLINICAL INTERVENTION.A Brachytherapy Treatment Course is a CLINICAL INTERVENTION.
A Brachytherapy Treatment Course is a prescribed course of Brachytherapy treatment for a PATIENT.
Unsealed Source Treatment Course is a Brachytherapy Treatment Course.
Change to Supporting Information: Changed Description
Hospital Site is an ORGANISATION SITE.A Hospital Site is an ORGANISATION SITE.
A Hospital Site is an ORGANISATION SITE that is a hospital. It should contain at least one Hospital Bed routinely used by PATIENTS overnight. However, a dental hospital which does not have Hospital Beds routinely used by PATIENTS overnight may be classified as a Hospital Site if it includes at least one Hospital Bed routinely used by PATIENTS by day. A hospital is an establishment for which the main purpose is to provide medical or psychiatric treatment for illness or mental disorder or Palliative Care. PATIENTS may have a Hospital Stay at a Hospital Site, as a result of one or more ELECTIVE ADMISSION LIST ENTRIES.
A hospital has an organisational hierarchy of SERVICE POINTS. Each SERVICE POINT serves a specific function and uses accommodation, equipment and money to provide residential care or allied and supporting services for PATIENTS.
A hospital which provides high security psychiatric services in high security accommodation for PATIENTS liable to be detained in hospital under provisions of the Mental Health Act 1983, who require treatment under conditions of special security on account of their dangerous, violent or criminal propensities, must be part of an NHS Trust approved by the Secretary of State for the purpose of providing such services.
Any establishment in which treatment or nursing (or both) are provided for PERSONS liable to be detained under the Mental Health Act 1983 is a Hospital Site.
The Hospital Site may or may not be classed as an NHS site.
Change to Supporting Information: Changed Description
Specialist Palliative Care Date is an ACTIVITY DATE TIME.A Specialist Palliative Care Date is an ACTIVITY DATE TIME.
The date on which the first Specialist Palliative Care treatment or support was given to a PATIENT.A Specialist Palliative Care Date is the date on which the first Specialist Palliative Care treatment or support was given to a PATIENT.
Change to Supporting Information: Changed Description
Teletherapy Treatment Course is a CLINICAL INTERVENTION.A Teletherapy Treatment Course is a CLINICAL INTERVENTION.
A course of Teletherapy treatment for a PATIENT.A Teletherapy Treatment Course is a course of Teletherapy treatment for a PATIENT.
Change to Attribute: Changed Description
A type of CLINICAL INTERVENTION.
National Codes:
Change to Attribute: Changed Description
The prime reason for an adjustment to waiting time in the National Cancer Waiting Times Monitoring Data Set.
Where there is more than one adjustment applicable, this should be the reason for the longest adjustment.
National Codes:
| Out-patient services | |
| 3 | Did Not Attend Out-Patient Appointment: Where the ATTENDED OR DID NOT ATTEND is National Code 3 'Did Not Attend - no advance warning given' or National Code 7 'PATIENT arrived late and could not be seen' |
| 9 | No adjustment to waiting time |
| In-patient services | |
| 8 | Patient pause: The PATIENT is paused on the ELECTIVE ADMISSION LIST because they have made themselves unavailable for treatment for a specified period (because of family reasons, holidays etc) |
| 9 | No adjustment to waiting time |
Notes:
- Where there has been no adjustment to waiting time, National code 9 'No adjustment to waiting time' should be used.
- National code 3 is only to be used, where applicable, within WAITING TIME ADJUSTMENT REASON (FIRST SEEN).
- National code 8 cannot be used within WAITING TIME ADJUSTMENT REASON (FIRST SEEN) as a patient pause can only be applied in relation to an OFFER OF ADMISSION for treatment.
For enquiries, please email datastandards@nhs.net