Identification of Patient

 

Reporting Data Item

Business Justification

Definition

Note: Where ‘NHS Wales Data Dictionary’ the definition is as per the Data Dictionary.

Permissible Values

1. IDENTIFICATION OF PATIENT

1.0

ENCDv4.5b (1.1)

 

SPDCv1.0

(1.1)

 

NOGCA

NHS number

Used for unique identification to match records from different providers. To allow ‘tracking’ through the clinical pathway.

It is mandatory to record the NHS number for each patient. The NHS number is allocated to an individual, to enable unique identification for NHS health care purposes.

NHS Wales Data Dictionary

 

1.1

ENCDv4.5b (1.10)

 

SPCDv1.0

(1.2)

 

NOGCA

Birth date

 

Used for unique identification to match records from different providers. Used to enable age at diagnosis to be established for epidemilogical and survival analyses.

Date of birth of patient.

NHS Wales Data Dictionary

 

1.2

ENCDv4.5b (1.9)

 

SPCDv1.0

(1.3)

 

NOGCA

Sex

Used for unique identification to match records from different providers. Used to enable sex to be established for survival analysis. Assists in the correct identification of gender specific primary cancer sites.

This is the sex of person, employee or patient.

NHS Wales Data Dictionary

      Male

      Female

      Not specified

1.3

ENCDv4.5b (1.12)

 

SPCDv1.0

(1.4)

 

GP practice code

To enable analysis by GP practice code. To enable the healthcare professionals to contact the GP practice and share patient information.

A code which uniquely identifies the GP Practice of the GP. Code as listed for Practices in Wales. These are updated monthly by the NHS Wales Informatics Service with information supplied by the Organisation Data Service (ODS) and can be viewed on the Health Reference Data Web Pages on HOWIS.

NHS Wales Data Dictionary

 

 

1.4

ENCDv4.5b (1.15)

 

SPCDv1.0

(1.5)

 

Ethnic group

To enable analysis by ethnicity.

This is the ethnic group of the patient, as selected by the patient. The patient is the arbiter of the information. Classifications are based on the 14+1 new ethnic group data categories used in the 2001 Census and the information recorded about ethnic group must be obtained by asking the patient.

NHS Wales Data Dictionary

      Any white background

      Mixed white and black Caribbean

      Mixed white and black African

      Mixed white and Asian

      Any other mixed background

      Indian and British Indian

      Pakistani or British Pakistani

      Bangladeshi or British Bangladeshi

      Any other Asian background (other than Chinese)

      Black Caribbean or black British Caribbean

      Black African of black British African

      Any other black background

      Chinese

      Any other ethnic group

      Not stated

1.5

ENCDv4.5b (1.2)

 

SPCDv1.0

(2.1)

Case record number

 

 

Used for unique identification to link events within a single service provider. To allow ‘tracking’ through the clinical pathway.

This is the patient's case record number which is unique to that patient within a hospital or health care provider.

NHS Wales Data Dictionary

 

1.6

ENCDv4.5b (1.5 & 1.6)

 

NOGCA

 

 

Patient’s name(s)

Used for unique identification to link records where the new NHS number is not available. To assist ‘tracking’ through the clinical pathway.

 

This will be the patient’s preferred name. The patient is the arbiter of his/her name.

NHS Wales Data Dictionary

 

1.7

ENCDv4.5b (1.7)

Patient’s address at date of diagnosis

 

Used to enable the address at diagnosis to be established for epidemiological and survival analyses.

This is the usual address nominated by the patient at the time of admission or attendance.  If patients usually reside elsewhere are staying in hotels, hostels or other residential establishments for a short term, say a week, they should be recorded as staying at their usual place of residence.  However if long term, such as at boarding school, the school address must be recorded.  University students may nominate either their home address or the address of their university accommodation.  Where patients are not capable of supplying this information, because of age or mental illness, for example, then the

person responsible for the patient, such as a parent or guardian, should nominate the usual address.  Patients not able to provide an address should be asked for their most recent address.  If this cannot be established then you should record the address as `No fixed abode' or `Address unknown'. These patients are regarded as resident in the local geographical district for contracting purposes. For birth episodes this should refer to the mother's usual place of residence.

NHS Wales Data Dictionary

 

1.8

ENCDv4.5b (1.8)

 

NOGCA

Patient’s postcode at date of diagnosis

Used to enable the postcode at diagnosis to be established for epidemiological and survival analyses.

The postcode applied to the usual address nominated by the patient at the time of admission or attendance, using rules supplied under the data item POSTCODE and those in the NHS Postcode User Directory.

NHS Wales Data Dictionary