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1 DSC Notice: 38/2002 Date of Issue: October 2002 NHS Information Standards Board Subject: Data Standards: Requirements for Accreditation RFA99 V1.2 Implementation Date: April 2003 DATA SET CHANGE CONTROL PROCEDURE This paper gives notification of changes to be included in the NHS Data Dictionary & Manual and the NHS CDS Manual as appropriate. These will be consolidated into the publications in due course. Summary of Changes: Changes to the NHS Data Dictionary & Manual as a result of the release of Version 2.1 of RFA99. Change Proposal Reference No: CP 30/02 The NHS Information Standards Board (NHS ISB) is responsible for approving information standards. The NHS ISB is supported by the Management Information Standards Board, the Clinical Information Standards Board and the Technical Standards Board. The packaging of standards document is under review. Any changes will be notified in due course. Please note that the website address has changed, and that Data Set Change Notices are now located at: and on the NHSnet at:
2 DATA SET CHANGE NOTICE 38/2002 Reference: CP30/02 - DG1065/08/02 v1.6 Subject: Requirements for Accreditation RFA99 V1.2 Type of Change: Revision of NHS data standards Effective Date: April 2003 Reason for Change: The Requirements for Accreditation RFA99 V1.2 consultation document. Background: In view of the anticipated changes in requirements for systems across Primary Care, the Primary Care Information Management Board (PCIMB) has had to consider how the principles of RFA should be developed to support those changes. It was felt inappropriate at this time to release a major new version for RFA2001 and more appropriate to include the core elements that had been intended for RFA2001 in Version 2.1 of RFA99. It is intended that these standards will form the minimum for GP computer systems. Information on Requirements For Accreditation for GP computer systems can be found at The Requirements for Accreditation for GP computer system revisions have highlighted some data standards which need amendment. The following are the changes to the NHS Data Dictionary & Manual to reflect this. Summary of Changes: Entity Definitions GENERAL MEDICAL PRACTITIONER GMP CONTACT FOR PERSON PATIENT PERSON PRIVATE GMP ASSOCIATION REGISTRATION Change entity type description, attributes and relationships Change entity type attributes New entity type Attribute Definitions CARER PERMISSION DATE PERSON RELATIONSHIP TYPE Model View Diagrams PC090 - General Medical Practitioners' Partnerships and Persons' Registration New attribute Change attribute description Change model view diagram Page 2 of 9
3 Central Return Diagrams CEN3 - GMP Additional Data KH06R - Demand for Elective Admission: Events Occurring During the Quarter, Responsible Population Based KH07AR - Demand for Elective Admission: Number of Patients who have Deferred Admission Waiting at the End of the Quarter, Responsible Population Based QF01 - Demand for Elective Admission: Position at the End of the Quarter, Responsible Population Based QM08R - Out-Patient First Attendances: Responsible Population Based CDS and CMDS View Diagrams CDS020 Patient Details - all CDS Types Change CDS and CMDS view diagram Page 3 of 9
4 CHANGES GENERAL MEDICAL PRACTITIONER The description and attributes are unchanged Each GENERAL MEDICAL PRACTITIONER may be designated as one or more GMP CONTACTS FOR PERSONS may be associated with one or more REGISTRATIONS The remaining relationships are unchanged Change entity type description, attributes and relationships GMP CONTACT FOR PERSON A type of PERSON GMP ASSOCIATION. The GENERAL MEDICAL PRACTITIONER who is designated as being the contact for delivery of items of General Medical Service to a PERSON or the GENERAL MEDICAL PRACTITIONER who usually sees the PATIENT. This may or may not be the GENERAL MEDICAL PRACTITIONER with whom the PERSON is registered. Attributes of this entity type are: K START DATE O END DATE Each GMP CONTACT FOR PERSON K must be an arrangement with one and only one GENERAL MEDICAL PRACTITIONER K must be with one and only one PERSON Change entity type attributes PATIENT The description is unchanged. Attributes of this entity type are: CARER PERMISSION DATE Page 4 of 9
5 The remaining attributes and relationships are unchanged. PERSON The description and attributes are unchanged Each PERSON may be involved in one or more GMP CONTACTS FOR PERSONS may be the subject of one or more REGISTRATIONS The remaining relationships are unchanged New entity type PRIVATE GMP ASSOCIATION A type of PERSON GMP ASSOCIATION. An agreement between a PERSON and a GENERAL MEDICAL PRACTITIONER whereby a PERSON receives treatment from a GENERAL MEDICAL PRACTITIONER who has accepted and classified the person as a private patient for delivery of the treatment. This entity type has no attributes. This entity type has no relationships. REGISTRATION The description and attributes are unchanged. Each REGISTRATION K must be the responsibility of one and only one GENERAL MEDICAL PRACTITIONER K must be for one and only one PERSON New attribute CARER PERMISSION DATE The date on which permission was given for details of PATIENT s carer to be recorded. Page 5 of 9
6 Change attribute description PERSON RELATIONSHIP TYPE The classification of the role of the second PERSON in a PERSON RELATIONSHIP. Classification: a. Guardian b. Next Of Kin c. Not the same person d. Carer Change model view diagram contents Model View Diagrams Primary Care PC090 - General Medical Practitioners' Partnerships and Persons' Registration Include the new entity type PRIVATE GMP ASSOCIATION as a subtype of PERSON GMP ASSOCIATION. Move entity type GMP CONTACT FOR PERSON to be a subtype of PERSON GMP ASSOCIATION. Delete relationships from GMP CONTACT FOR PERSON to PERSON and GENERAL MEDICAL contents Central Return Diagrams Workforce CEN3 - GMP Additional Data MEDICAL contents Page 6 of 9
7 Central Return Diagrams Hospital Aggregated Statistics KH06R - Demand for Elective Admission: Events Occurring During the Quarter, Responsible Population Based MEDICAL contents Central Return Diagrams Hospital Aggregated Statistics KH07AR - Demand for Elective Admission: Number of Patients who have Deferred Admission Waiting at the End of the Quarter, Responsible Population Based MEDICAL contents Central Return Diagrams Quarterly Monitoring QF01 - Demand for Elective Admission: Position at the End of the Quarter, Responsible Population Based MEDICAL contents Central Return Diagrams Quarterly Monitoring QM08R - Out- Patient First Attendances: Responsible Population Based MEDICAL Page 7 of 9
8 Change CDS and CMDS view diagram contents CDS and CMDS View Diagrams CDS Views CDS020 Patient Details - all CDS Types MEDICAL Page 8 of 9
9 PERSON GENERAL MEDICAL PRACTITIONER PERSON GMP ASSOCIATION EMERGENCY TREATMENT IMMEDIATELY NECESSARY TREATMENT REGISTRATION TEMPORARY RESIDENT GMP CONTACT FOR PERSON PRIVATE GMP ASSOCIATION Please address enquiries about this DSCN to: Data Standards Team NHS Information Authority Aqueous II Aston Cross Rocky Lane Birmingham B6 5RQ Tel: Page 9 of 9
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