SMR CHANGE CONTROL PROCEDURES (DOC download)

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					                             Change Control – Request Application



Date of Request: 08/11/07
Date Received:
Date Acknowledged:
Standard Affected: Weight

Dataset(s) Affected                                I.T. Systems Affected
Paediatric Diabetes Extension, Specialist          Includes: NaSH, NOSCAN Gynae,
Nursing Extension, Diabetes Core Data              Stroke
Standards, Dietetic Diabetes Extension,
Diabetes Secondary Care Extension
Dataset, Head and Neck Cancer Data
Standards, Breast Cancer Data
Standards, Endometrial Cancer Data
Standards, Child Health, Cardiac
Rehabilitation, Diabetes > Primary Care
Subset & Extension, Generic Data
Standards, Heart Failure,
Electrophysiology, Unscheduled Care
Communications, Epilepsy, Stroke Core
Data Standards, Stroke Inpatient Dataset

Raised By: Support Needs WG                    Reference (office use only): 071020
Name
Job Title
Organisation
Address


Tel. No.                                       Fax. No.
E-Mail

Change Requested
Change spelling of kg.

Change format and field length to take into account measuring neonatal weight.

- Also to take account of conventions (added GW)

Place verification information into a table.

Change of further information.
Level of Urgency:
Urgent




Background and Reason for request:
                          Change Control – Request Application



The Support Needs WG had been invited to give guidance for the ‘specific circumstances’ in
the further information. Also, the format and field length was inappropriate for neonatal
weight.

Proposal in response to request
                           Change Control – Request Application


NEW DATA DICTIONARY STANDARD(S) (with changes highlighted)



Weight
Definition: Weight in kilogrammes taken without shoes or outdoor clothing.

Format: Numeric (nnn.nnn)

Field Length: 7

Codes and Values: N/A

Sub-Data Item:
Verification level

Code    Value
00      Unverified
01      Verified

Further Information: If weight cannot be measured, record recently documented or self-
reported weight (if reliable and realistic) as 'unverified'.

In certain groups or diseases, measurement of weight may not be straightforward, e.g.
infants, amputees, patients undergoing dialysis. Guidance for such specific circumstances
will be included in specialist data standards as appropriate. In this instance health care
professionals may want to measure weight using alternative techniques, e.g. using chair and
sling scales. Infants should be weighed without clothes.




PREVIOUS DATA DICTIONARY STANDARD(S)


Weight
Definition: Weight in kilograms taken without shoes or outdoor clothing

Format: nnn.n

Field Length: 4

Sub Data Items
Verification level
0 Unverified
1 Verified

Further Information: If weight cannot be measured, record recently documented or self-
reported weight (if reliable and realistic) as 'unverified'.
                             Change Control – Request Application



In certain groups or diseases, measurement of weight may not be straightforward, e.g.
infants, amputees, patients undergoing dialysis. Guidance for specific circumstances will be
included in specialist data sets as appropriate.




Paediatric Diabetes Extension > Diagnosis Details > Weight at Diagnosis {Diabetes}
Formal Name:Weight at Diagnosis {Diabetes}
Definition

The recorded weight of the person at diagnosis of Diabetes Mellitus measured in kilograms
(kg) in indoor clothing.


Format
nnn.n

Field Length
5

Related Data Items
Height at Diagnosis {Diabetes


Clinical Datasets > Diabetes > Dietetic Diabetes Extension > Assessment and
Management > Target Weight
Formal Name:Target Weight
Definition

The weight target level set for the patient as part of the care plan (kg).


Format
nnn.nn

Field Length
6

Related Data Items
Weight Change


Clinical Datasets > Scottish Birth Record - Clinical (under development) > Birth Details
> Birth Weight
Formal Name:Birth Weight
Definition

The first weight of the baby obtained after birth recorded in grams, ideally within one hour of
delivery.
                            Change Control – Request Application


Clinical Datasets > Scottish Birth Record - Clinical (under development) > Assessment
of Baby > Subsequent Weight
Formal Name:Subsequent Weight
Definition

Any subsequent weight taken after birth weight, recorded in grams


Clinical Datasets > Diabetes > Diabetes Secondary Care Extension Dataset >
Pregnancy Details > Birth Weight of Largest Baby
Formal Name:Birth Weight of Largest Baby
Definition

The largest baby's birth weight recorded from all previous pregnancies, measured in grams.


Format
Characters

Field Length
4


Clinical Datasets > Child Health > Birth Details > Birth Weight
Formal Name:Birth Weight
Definition

The first weight of the baby obtained after birth recorded in grams, ideally within one hour of
delivery.


Format
nnnn

Field Length
4