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Part of Community Services Data Set Tier 2 and Tier 3 weight management service guidance

CYP202 Care Activity

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Every CYP202 care activity record must have an associated CYP201 care contact record included in a submission file.

A separate CYP202 care activity record should be submitted for each separate care activity that has taken place. See above for the difference in requirements for tier 2 and 3 weight management services. Each care activity record should be represented by a single specific SNOMED CT code, which can be submitted in one of the following 3 data items depending on the type of activity that has taken place:

  • CODED PROCEDURE (CLINICAL TERMINOLOGY) – to capture SNOMED CT procedure type codes
  • CODED FINDING (CODED CLINICAL ENTRY) – to capture SNOMED CT finding type codes
  • CODED OBSERVATION (CLINICAL TERMINOLOGY) – to capture SNOMED CT observable entity type codes

Specific SNOMED CT codes that are considered relevant for the NOA have been detailed against the relevant data item below.

CARE ACTIVITY IDENTIFIER

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

The unique identifier for a CARE ACTIVITY.

It would normally be automatically generated by the local system upon recording a new activity, although could be manually assigned.

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

Duplicate Care Activity Identifiers within the CYP202 group will cause all associated records to be rejected.

CARE CONTACT 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 CYP201 Care Contact group.

COMMUNITY CARE ACTIVITY TYPE

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

This indicates the type of Care Contact for Community Health Services.

For the purposes of the NOA, providers are recommended to populate with one of the following value:

03 - Clinical Intervention

CARE PROFESSIONAL LOCAL IDENTIFIER

This data item is required for submission by Tier 3 WMS providers. This data item can be used for linkage to the CYP901 Staff Details group in order to report the profession of the individual providing the care contact.

A number or set of characters which uniquely identifies a CARE PROFESSIONAL within a healthcare provider and may be assigned automatically by the IT system.

Where multiple Care Professionals are involved in a single Care Activity, a ‘lead’ Care Professional should be allocated to the Care Activity. There is no requirement to duplicate records for a single Care Activity for each involved Care Professional.

CLINICAL CONTACT DURATION OF CARE ACTIVITY

This data item is not required for the NOA.

PROCEDURE SCHEME IN USE (COMMUNITY CARE)

If a SNOMED CT code is being submitted in the CODED PROCEDURE (CLINICAL TERMINOLOGY) data item, then this data item must be populated with the value ‘06’ – SNOMED CT.

CODED PROCEDURE (CLINICAL TERMINOLOGY)

The following SNOMED CT codes are relevant for the NOA:

  • 149921000000102|Extended brief intervention for child weight management (procedure)|
  • 698563003 |Referral to bariatric surgeon (procedure)|
  • 812541000000106 |Referral to psychological wellbeing practitioner (procedure)|

FINDING SCHEME IN USE (COMMUNITY CARE)

If a SNOMED CT code is being submitted in the CODED FINDING (CODED CLINICAL ENTRY) data item, then this data item must be populated with the value ‘04’ – SNOMED CT.

CODED FINDING (CODED CLINICAL ENTRY)

The following SNOMED CT codes are relevant for the local authority commissioned tier 2 weight management services ONLY:

77386006 |Pregnant (finding)|

A separate list of relevant SNOMED CT codes has been included in the CYP601 Medical History section of this guidance document (again relevant to local authority commissioned tier 2 weight management services only).

For patients who are prescribed a low (or very low) calorie diet by the Tier 3 services this should be recorded in this section using SNOMED code: 77806000 |Calorie restricted diet (finding)| 

OBSERVATION SCHEME IN USE (COMMUNITY CARE)

If a SNOMED CT code is being submitted in the CODED OBSERVATION (CLINICAL TERMINOLOGY) data item, then this data item must be populated with the value ‘03’ – SNOMED CT.

When OBSERVATION SCHEME IN USE (COMMUNITY CARE) is populated, relevant associated values should be populated in the CODED OBSERVATION (CLINICAL TERMINOLOGY), OBSERVATION VALUE and UCUM UNIT OF MEASUREMENT data items.

SNOMED CT codes and examples of their associated values and measurements that are relevant for the NOA are shown in this table. 

Coded observation (clinical terminology) Observation value UCUM unit of measurement

50373000 |Body height measure (observable entity)|

*please note that this section should be used to record a body height that is measured in the presence of a professional (as opposed to self-reported by a patient and not validated by a professional)		 for example 150 cm
1047021000000101 |Self reported body height (observable entity)| *please note that this section should be used to record a body height that is self-reported by a patient (and not 
validated by a professional).		 for example 150 cm
27113001 |Body weight (observable entity)| *please note that this section should be used to record a body weight that is measured in the presence of a professional (as opposed to self-reported by a patient and not validated by a professional) for example 70 kg
784399000 |Self reported body weight (observable entity)|*please note that this section should be used to record a body weight that is self-reported by a patient (and not validated by a professional) this information. for example 68 kg
149901000000106| Planned number of weeks attendance at weight management programme (observable entity).  This field records the maximum number of weeks over which the intervention in a Tier 2 or 3 services is expected to last. It is expected that all Tier 2 providers submit this information. Where tier 3 providers know the expected maximum length of time a service user will remain in the service, please indicate through this code at first attendance. for example 12 weeks

1049601000000108 |Number of weeks attendance of weight management programme (observable entity)|

*please note this is only required to be submitted by tier 2 weight management services using option 2 (detailed in the Care Contacts section). This item reports the total number of weeks that an individual attended/ engaged with the weight management intervention (this will be used alongside the SNOMED code above to calculate engagement with the intervention.		 for example 6 weeks
1049741000000103 |Date of weight measurement (observable entity)| (observable entity) *please note this is only required to be submitted by tier 2 weight management services using Option 2 (detailed in the Care Contacts section. For all other submissions the date of a weight will be implied from the date of the care contact.

CCYY-MM-DD

(e.g. 2022-04-22)		  

 

Last edited: 13 June 2023 5:06 pm

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CYP201 Care Contact

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CYP403 Child Protection Plan

Chapters

  1. Community Services Data Set Tier 2 and Tier 3 weight management service guidance
  2. Services in scope of the National Obesity Audit
  3. Services out of scope of this Tier 2 and Tier 3 Weight Management Service (WMS) guidance
  4. Related reading
  5. OHID minimum data Set National Obesity Audit required data items mapping to CSDS v1.6
  6. OHID MDS National Obesity Audit required child specific data items mapping to CSDS v1.6
  7. Detailed guidance on specific tables and data items required
  8. CYP001 Master Patient Index and Risk Indicators
  9. CYP002 GP Practice Registration
  10. CYP006 Social and Personal Circumstances
  11. CYP007 Employment Status
  12. CYP101 Service or Team Referral
  13. CYP102 Service or Team Type referred to
  14. CYP105 Onward Referral
  15. CYP201 Care Contact
  16. CYP202 Care Activity
  17. CYP403 Child Protection Plan
  18. CYP601 Medical History (Previous Diagnosis)
  19. CYP602 disability type
  20. CYP609 Coded Scored Assessment (Referral),CYP611 Observation and CYP612 Coded Scored Assessment (Contact)
  21. CYP901 staff details
  22. Data groups not required for the National Obesity Audit (NOA)
  23. Appendix A Examples of WMS submissions