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Every CYP201 Care Contact record must have an associated CYP101 referral record included in a submission file.

A large amount of the information collected for the National Obesity Audit pertains to patient attendances and the data which is captured during these attendances. Within CSDS this is captured in tables CYP201 Care Contact and CYP202 Care Activity. Each CYP201 Care Contact record should have one or more associated CYP202 Care Activity records submitted.

While the majority of the technical detail is within the specific CYP201 and CYP202 sections please find a summary of the requirements for tier 2 and 3 services here:

For tier 2 weight management services there are 2 possible approaches to submitting care contact and care activity data:

1. Ideally providers would submit every care contact that a service user attends2  during their referral to the service along with

    • an associated SNOMED code reporting a height recording at each attendance (self-reported or validated by a health-care professional – see codes below)
    • an associated SNOMED code reporting the overall duration of the weight management programme at the first attendance (see code below)
    • an associated SNOMED code reporting a weight recording at each attendance where this is recorded (self-reported or validated by a health-care professional – see codes below)
    • a code communicating the consultation mechanism/ medium used in each care contact (see code below)
    • a group therapy indicator (see below) to report whether a contact was with an individual or in a group context

2. We recognise that the above may be challenging for some providers who may choose to use the following abridged approach instead: rather than submitting every care contact with a service user (contained in CYP201 and 202) we would ask you to submit the initial care contact and then the care contact at the end of a service user’s intervention (eg week 12 for a 12 week long intervention). Specifically, it would be necessary to submit the following:

With the first care contact (CYP201 and 202)

  • an associated SNOMED code reporting a height recording at the first attendance (self-reported or validated by a health-care professional – see codes below);
  • an associated SNOMED code reporting a weight recording at the first attendance (self- reported or validated by a health-care professional – see codes below);
  • an associated SNOMED code reporting the duration of the weight management programme (code 149901000000106 below);
  • a code communicating the consultation mechanism/ medium used (see below) (only one code can be submitted with each CYP201 submission therefore the code used here should reflect the most commonly used consultation mechanism used during the intervention as a whole: eg if it is purely digital delivery then this would be ‘98’ (see below) whereas if the intervention is a blended delivery model including face to face (60%) and virtual (40%) then you would mark ‘01’ here (see below);
  • a group therapy indicator (see below) to report whether a contact was with an individual or in a group context: the indicator used should be Y if the weight management service is delivered partly or entirely in group settings and N if delivered entirely in individual settings.

With the final care contact

  • an associated SNOMED code reporting the number of weeks that an individual engaged with the weight management service (eg if an individual engaged in weeks 1,2 and 4 only then this would be recorded as 3 weeks)
  • an associated SNOMED CT code reporting the last height (self-reported or validated by a health-care professional – see codes below) recorded during the service user’s engagement with the weight management service
  • an associated SNOMED code reporting the last weight (self-reported or validated by a health- care professional - see codes below) recorded during the service user’s engagement with the weight management service
  • an associated SNOMED code reporting the date when that last weight recording was occurred
  • a code communicating the consultation mechanism/ medium used (see below) (the code used here should reflect the second most commonly used consultation mechanism used during the intervention as a whole: eg if it is purely digital delivery then this would be ‘98’ (see below) whereas if the intervention is a blended delivery model including face to face (60%) and virtual (40%) then you would mark ’03 or 11’ here (see below)
  • a group therapy indicator (see below) to report whether a contact was with an individual or in a group context (the indicator used should be: Y if the weight management service is delivered entirely in group settings and N if delivered partly or entirely in individual settings

For tier 3 weight management services, providers are required to submit every care contact that was attended during a patient’s referral for weight management intervention along with the associated data items that are detailed below that are required for the NOA. We have not at present made an alternative approach available, as per tier 2 services, because tier 3 services are in general longer interventions and the additional data will facilitate the NOA in measuring engagement and driving improvements to the quality of care provided to patients.

For ALL services, each CYP201 Care Contact record that is submitted should have associated CYP202 Care Activity records submitted, with each separate CYP202 record detailing the patient’s height and weight where these have been captured as part of the care contact.

 

 

 


CARE CONTACT IDENTIFIER

This is a mandated data item; the record will be rejected if it is not included within this group.

An identifier used to identify a care contact uniquely within a health care provider.

This is the primary key that enables groups of data to be joined together.

Where multiple systems are used it is acceptable to include a prefix to the Care Contact Identifier, which relates to the system. The prefix enables each identifier to remain truly unique for all submissions from an organisation.

Duplicate Care Contact Identifiers within the CYP201 group will cause all associated records to be rejected.


SERVICE REQUEST IDENTIFIER

This is a mandated data item; the record will be rejected if it is not included within this group. This data item is used for linkage back to the CYP101 Service or Team Referral group.


CARE PROFESSIONAL TEAM LOCAL IDENTIFIER

This data item is not required for the NOA.


CARE CONTACT DATE

This is a mandated data item; the record will be rejected if it is not included within this group. The date on which a Care Contact took place, or, if cancelled, was scheduled to take place. This should be recorded in the eGIF Date format CCYY-MM-DD.


These data items are not required for the National Obesity Audit. 

  • CARE CONTACT TIME
  • ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
  • ADMINISTRATIVE CATEGORY CODE
  • CLINICAL CONTACT DURATION OF CARE CONTACT
  • CONSULTATION TYPE
  • CARE CONTACT SUBJECT

CONSULTATION MECHANISM (COMMUNITY CARE)

Amended data item name – CONSULTATION MEDIUM USED in CSDS v1.5. 

Identifies the communication mechanism used to relay information between the care professional and the person who is the subject of the consultation, during a care contact.

The following table provides suggested mappings for how to record the different types of consultation mechanism for capture in CSDS.

Suggested mappings for NOA CSDS v1.5 consultation medium used CSDS v1.6 Consultation mechanism (community care)
face to face 1 face to face communication 1 face to face
remote services via video call  03 Telemedicine  
remote service via social media    
  04 talk type for a person unable to speak  04 talk type for a person unable to speak 
Remote services via email  05 email  05 email 
Remote services via text  06 Short Message Service (SMS) text messaging   
    10  instant messaging (Asynchronous) 
    10 Instant messaging (Synchronous)
Remote services via video call    11 video consultation 
Remote services via social media  

12 Message board 

13 chat room (Asynchronous) 

 

 

Digital services 98 other (not listed) 98 other(not listed) 

 


These data items are not required for the National Obesity Audit. 

  • ACTIVITY LOCATION TYPE CODE
  • ORGANISATION SITE IDENTIFIER (OF TREATMENT)
  • EARLIEST REASONABLE OFFER DATE
  • EARLIEST CLINICALLY APPROPRIATE DATE
  • CARE CONTACT CANCELLATION DATE
  • CARE CONTACT CANCELLATION REASON
  • REPLACEMENT APPOINTMENT DATE OFFERED
  • REPLACEMENT APPOINTMENT BOOKED DATE

GROUP THERAPY INDICATOR

An indicator of whether a Care Activity was delivered as Group Therapy.

Group Therapy is a SESSION where more than one PATIENT attends at the same time,. notes are recorded in each individual PATIENT's case notes.


ATTENDANCE STATUS

This indicates whether an appointment for a care contact took place.

An appointment is classified as being a DNA if the patient does not attend for the entire duration of the appointment slot, or they do attend but there is insufficient time remaining to conduct the planned activity and therefore the appointment is not usable..

Last edited: 13 May 2022 3:48 pm