|
Data Definition Type |
Name |
Format |
Definition |
Value Set / Example |
Optional (O) or mandatory (M) |
|
Patient Details |
NHS Number |
10-character alphanumeric |
See existing NHS Wales Data Dictionary standard for NHS Number |
e.g. 0123456789 |
O |
|
Patient Details |
Local Patient Identifier |
10-character alphanumeric |
See existing NHS Wales Data Dictionary standard for Local Patient Identifier |
e.g. 9876543210 |
M |
|
Patient Details |
Patient Name (Forename) |
35-character alphanumeric |
See existing NHS Wales Data Dictionary standard for Patient's Name |
e.g. John |
M |
|
Patient Details |
Patient Name (Surname) |
35-character alphanumeric |
See existing NHS Wales Data Dictionary standard for Patient's Name |
e.g. Smith |
M |
|
Patient Details |
Date of Birth |
CCYY-MM-DD |
See existing NHS Wales Data Dictionary standard for Birth Date |
e.g. 1950-01-31 |
M |
|
Patient Details |
Gender Identity |
1-character alphanumeric |
See existing NHS Wales Data Dictionary standard for Core Reference Data |
e.g. F See existing standard for details |
M |
|
Patient Details |
Post Code |
8-Character alphanumeric |
See existing NHS Wales Data Dictionary standard for Core Reference Data |
e.g. CF11 9AD |
M |
|
Document Details |
Unique Document ID |
36-character alphanumeric |
This is the unique identifier within the WCRS store |
e.g. 8182AA66-4067-4DDD-9FB4-A4ED78036243 |
M |
|
Document Details |
Source System |
3-digit numeric |
This identifies the source system which generated and provided the document to the Welsh Care Record Service. |
See Appendix D |
M |
|
Document Details |
Originating Organisation |
5-character alphanumeric |
This is the organisation from which the document originated. See existing NHS Wales Data Dictionary standard for Organisation Code (Code of Provider) |
e.g. 7A100 See existing standard for details |
M |
|
Document Details |
Document Type |
18-character alphanumeric |
Document Type and Subtype are indexing metadata fields which enable the searching and retrieval of documents by clinicians. |
See Appendix C |
M |
|
Document Details |
Document Sub-Type |
18-character alphanumeric |
Document Type and Subtype are indexing metadata fields which enable the searching and retrieval of documents by clinicians. |
See Appendix C |
M |
|
Document Details |
Document Date & Time |
CCYY-MM-DD HH:MM:SS |
This is the date and time the document was generated by the application. This should be the same as the date the patient completes the form. |
e.g. 2020-01-31 00:00:00 |
M |
|
Document Details |
Document Transcriber |
100-character alphanumeric |
Where applicable, this is the person who transcribed the document. The user should be identified by their user credentials including name (SURNAME, First name, Middle initial, TITLE) and prof ID, if not available NADEX should be used). |
e.g.
OTHER, Alan, N, DR (GMC:1234567)
OTHER, Alan, N, MR (NADEX:AL123456) |
O |
|
Document Details |
Document Author |
100-character alphanumeric |
This is the person who authored the content of the document. The document author must always be present within the document metadata, for single authors they should be identified by their professional registration. The user should be identified by their user credentials including name (SURNAME, First name, Middle initial, TITLE) and prof ID, if not available NADEX should be used). |
e.g.
OTHER, Alan, N, DR (GMC:1234567)
OTHER, Alan, N, MR (NADEX:AL123456) |
M |
|
Document Details |
Document Author Type |
3-character alphanumeric |
This is the type of care professional who has been identified as the Document Author. |
TBC |
M |
|
Event Details |
Event Site Code |
5-character alphanumeric |
This is the hospital from which the document originated. See existing NHS Wales Data Dictionary standard for Site Code (of Treatment) |
e.g. 7A1A1 |
M |
|
Event Details |
Event Date & Time |
CCYY-MM-DD HH:MM:SS |
Where applicable, date stamp recorded on the date the PROMs form was completed by the patient. |
e.g. 2020-01-31 00:00:00 |
O |
|
Event Details |
Treatment Specialty |
3-digit numeric |
See existing NHS Wales Data Dictionary standard for Treatment Function Code |
e.g. 100 |
M |
|
Event Details |
Care Setting |
1-digit numeric |
This is to identify the care setting relating to the event to which the document relates. It enables differentiation of the same document type across settings i.e. a Nursing Assessment. |
Care Setting Code Hospital 1 Community 2 Primary Care 3 Social Care 4 |
M |
|
Event Details |
Senior Responsible Clinician |
GNNNNNNN |
This is the clinician who has the overall responsibility of the patient event to which the document relates to. The responsible clinician must have a professional registration with a professional registration body. |
C2345678 |
M |