NHS Connecting for Health
NHS Data Model and Dictionary Service
| Reference: | Change Request 1097 |
| Version No: | 1.0 |
| Subject: | NHS Data Model and Dictionary Modelling Changes - Refugee / Asylum Seeker |
| Effective Date: | Immediate |
| Reason for Change: | Change to Data Standards |
| Publication Date: | 19 January 2010 |
Background:
The NHS Data Model and Dictionary Service are currently working with the Department of Health and 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 Data Set Change Notice adds the common data items and associated data modelling changes for "Refugee / Asylum Seeker" into the NHS Data Model and Dictionary in preparation for these Data Sets. The changes are detailed in the "Summary of changes" below.
The primary purpose is to introduce a new “Refugee / Asylum Seeker” Class into the NHS Data Model to support the new data sets currently under development. This will enable the new data sets to use the generic data items and codes for reporting Refugee / Asylum Seeker information for a person.
These changes do not need to be implemented in end-user systems until the Data Set Change Notices for the specific data sets come into effect. Other specific items will be added to the Data Sets during development.
Summary of changes:
| Supporting Information | |
| PERSON NATIONALITY OR RESIDENCY STATUS | Changed Description |
| Class Definitions | |
| CATEGORY VALUED PERSON OBSERVATION | Changed Description |
| PATIENT | Changed Attributes |
| REFUGEE OR ASYLUM SEEKER | New Class |
| Attribute Definitions | |
| CATEGORY VALUED PERSON OBSERVATION TYPE | Changed Description |
| REFUGEE OR ASYLUM SEEKER INDICATOR renamed from REFUGEE OR STATELESS PERSON INDICATOR | Changed Description, Name, Aliases |
| REFUGEE OR ASYLUM SEEKER STATUS | New Attribute |
| UNACCOMPANIED ASYLUM SEEKING CHILD INDICATOR | New Attribute |
| Data Elements | |
| REFUGEE OR ASYLUM SEEKER INDICATOR | New Data Element |
| REFUGEE OR ASYLUM SEEKER STATUS | New Data Element |
| UNACCOMPANIED ASYLUM SEEKING CHILD INDICATOR | New Data Element |
| Date: | 19 January 2010 |
| Sponsor: | Ken Lunn, Director of Data Standards and Products, 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
Person Nationality Or Residency Status provides further guidance on NATIONALITY OR RESIDENCY.
An association of a PERSON with an overseas country of which they are a national and/or a resident. If they are a resident but not a national of an overseas country the REFUGEE OR STATELESS PERSON INDICATOR may apply.
Change to Class: Changed Description
This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.
A type of PERSON PROPERTY.
Observations made regarding a PERSON. These observations do not include information about a treatment or intervention.
CATEGORY VALUED PERSON OBSERVATION allows coded classifications of observations about a PERSON and includes:
- ACCOMMODATION
- ALCOHOL STATUS
- ASPIRIN THERAPY LOCATION
- BLEED COMPLICATION
- DISABILITY
- DISABILITY SEVERITY
- ETHNIC CATEGORY
- JOINT REPLACEMENT REVISION CLASSIFICATION
- LANGUAGE CLASSIFICATION
- LANGUAGE FLUENCY
- LEGAL STATUS CLASSIFICATION
- PATIENT CLINICAL GROUP
- PERFORMANCE STATUS
- PERSON GENDER
- PERSON MARITAL STATUS
- REFUGEE OR ASYLUM SEEKER
- RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION
- RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP
- SARCOMA PREDISPOSING CONDITION
- SEXUAL ORIENTATION
- SKIN LYMPHOMA MORPHOLOGY
Note: MEASURED PERSON OBSERVATION allows for recording of measurements about a PERSON and OTHER PERSON OBSERVATION is where the PERSON states, for example, when they first experienced symptoms, the number of days on which alcohol has been consumed etc.
Change to Class: Changed Attributes
| K | NHS NUMBER | |
| CARER PERMISSION DATE | ||
| CARER SUPPORT INDICATOR | ||
| CHRONICALLY SICK OR DISABLED | ||
| DRUG MISUSE DATABASE NUMBER | ||
| DRUG MISUSER INJECTED EVER | ||
| DRUG MISUSER SHARED NEEDLE EVER | ||
| ENLISTMENT DATE | ||
| INJECTED IN LAST 4 WEEKS | ||
| LAST DISCHARGE DATE | ||
| NHS NUMBER OLD | ||
| OVERSEAS VISITOR UK ARRIVAL DATE | ||
| REFUGEE OR ASYLUM SEEKER INDICATOR | ||
| SHARED NEEDLE OR SYRINGE IN LAST 4 WEEKS | ||
| YEAR OF FIRST KNOWN PSYCHIATRIC CARE |
Change to Class: New Class
This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.
Observations for a PERSON who may be a refugee or asylum seeker.
Change to Class: New Class
| REFUGEE OR ASYLUM SEEKER INDICATOR | ||
| REFUGEE OR ASYLUM SEEKER STATUS | ||
| UNACCOMPANIED ASYLUM SEEKING CHILD INDICATOR |
Change to Class: New Class
| may be the category for one or more CATEGORY VALUED PERSON OBSERVATION |
Change to Attribute: Changed Description
This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.
A classification of a CATEGORY VALUED PERSON OBSERVATION.
National Codes:
Change to Attribute: Changed Description, Name, Aliases
An indication of whether or not a Person Nationality Or Residency Status applies to someone who is a refugee and stateless PERSON, or a dependant and survivor of a refugee and stateless PERSON.This item is being updated for development purposes and the changes have not yet been assured by the Information Standards Board for Health and Social Care.
Classification:An indication of whether a PERSON is a REFUGEE OR ASYLUM SEEKER.
National Codes:
| Y | Yes |
| N | No |
| Z | Not Stated (PERSON asked but declined to provide a response) |
Change to Attribute: Changed Description, Name, Aliases
- Changed Description
- Changed Name from Data_Dictionary.Attributes.R.Red.REFUGEE_OR_STATELESS_PERSON_INDICATOR to Data_Dictionary.Attributes.R.Red.REFUGEE_OR_ASYLUM_SEEKER_INDICATOR
- Alias Changes
Name Old Value New Value plural REFUGEE OR STATELESS PERSON INDICATORS REFUGEE OR ASYLUM SEEKER INDICATORS formerly REFUGEE OR STATELESS PERSON INDICATOR
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 a PERSON is seeking asylum or has been granted refugee status.
National Codes:
| 01 | Application for Asylum Applied For |
| 02 | Application for Asylum Refused |
| 03 | Application for Asylum Granted |
| 04 | Humanitarian Protection |
| 05 | Temporary Leave to Remain |
| 06 | Discretionary Leave to Remain |
| 07 | Exceptional Leave to Remain |
| 08 | Indefinite Leave to Remain |
| Z | Not Stated (PERSON asked but declined to provide a response) |
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 a PERSON with a REFUGEE OR ASYLUM SEEKER INDICATOR of National Code "Y - Yes", is an Unaccompanied Asylum Seeking Child (UASC).
For further information on Unaccompanied Asylum Seeking Children, see the Home Office UK Border Agency website.
National Codes:
| Y | Yes |
| N | No |
| U | Unknown |
| Z | Not Stated (PERSON asked but declined to provide a response) |
Change to Data Element: New Data Element
| Format/Length: | an1 |
| HES Item: | |
| National Codes: | See REFUGEE OR ASYLUM SEEKER INDICATOR |
| Default Codes: |
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:
REFUGEE OR ASYLUM SEEKER INDICATOR is the same as attribute REFUGEE OR ASYLUM SEEKER INDICATOR.
Change to Data Element: New Data Element
| Format/Length: | an2 |
| HES Item: | |
| National Codes: | See REFUGEE OR ASYLUM SEEKER STATUS |
| Default Codes: |
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:
REFUGEE OR ASYLUM SEEKER STATUS is the same as attribute REFUGEE OR ASYLUM SEEKER STATUS.
Change to Data Element: New Data Element
| Format/Length: | an1 |
| HES Item: | |
| National Codes: | See UNACCOMPANIED ASYLUM SEEKING CHILD INDICATOR |
| Default Codes: |
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:
UNACCOMPANIED ASYLUM SEEKING CHILD INDICATOR is the same as attribute UNACCOMPANIED ASYLUM SEEKING CHILD INDICATOR.
For enquiries about this Data Set Change Notice, please email datastandards@nhs.net