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| minLevel | 1 |
|---|---|
| maxLevel | 4 |
| outline | true |
| type | flat |
| separator | pipe |
ID
STD028
STD028 - Treatment Function and Main Specialty Standard | STD030 - Digital Imaging and Communications in Medicine (DICOM) |
STD069 - Pathology Test and Results Standard | |
ID | STD028 |
|---|---|
Name | Treatment Function and Main Specialty Standard |
External ID | SCCI1577 |
Version | 0.1 |
Link to standard | |
Standard Type | Guidance |
Status | Draft |
Effective Date | TBC |
...
Requirement ID | Requirement Text | Level |
|---|---|---|
STD028-1 | Radiology Information Systems MUST be able to capture and/or derive the data items defined within this standard. This includes mapping of local codes to national codes, and the ability to extract this information as envisaged within this standard, | MUST |
STD028-2 | IT supplier's systems MUST ensure that the increase in burden for providers for capturing and extracting the information defined in the DID Guidance is proportionate. | MUST |
STD028-3 | IT systems suppliers, when considering potential developments, minimising the burden on providers and supporting good data quality MUST be prioritised. | MUST |
STD028-4 | IT Systems Suppliers SHOULD review all related documentation to fully understand the background, objectives and scope of this information standard. | SHOULD |
STD028-5 | With immediate effect, IT Systems Suppliers SHOULD review the DID Guidance to understand the scope and definition of each data item. | SHOULD |
STD028-6 | As an Output Data Set, the DID is intended to only define “what should be extracted” from local IT systems, not “what should be captured”. A clinical data set will need data items beyond what the DID specifies. While IT Systems Suppliers SHOULD use this data set to support their system development, they SHOULD NOT use the data set exclusively and SHOULD also consider the full requirements of the care setting where it is used. The whole ethos around the DID is to only re-use clinical data, not specify standards for capturing clinical data. | SHOULD |
STD028-7 | IT Systems suppliers SHOULD provide the ability to extract the required data items from Radiology Information Systems in .xml format without the need for further manipulation of the extracted data. | SHOULD |
STD028-8 | IT Systems Suppliers SHOULD familiarise themselves with the .xml schema to understand how data items are grouped and formatted for the Data Submission File. | SHOULD |
STD028-9 | IT Systems Suppliers SHOULD provide tools to enable a ‘data mapping exercise’ to be carried out and where possible complete the mappings to the national codes on behalf of the providers of Imaging Services. | SHOULD |
STD028-10 | The DID Guidance Document explains the Information Governance issues surrounding the data set. IT Systems suppliers MUST provide a mechanism to allow providers to identify records where patients have objected to the use of their data for secondary purposes or where there is a legal requirement to restrict the flow of identifiable information for a patient. | MUST |
STD028-11 | IT System Suppliers SHOULD always ensure that any changes resulting from the implementation of the DID are compliant with the safety standards ISB 0129 and ISB 0160. | SHOULD |
STD028-12 | IT Systems Suppliers SHOULD review the DID Guidance on the NHS Digital website to understand the data validation rules that will be applied upon submission to all incoming Data Submission Files. Any hard validation rules not adhered to will result in the entire Data Submission File being rejected. Soft validation rules not adhered to will generate warnings in the Validation Error Report available on the DID submission portal. | SHOULD |
Health & Care Organisations Requirements
Requirement ID | Requirement Text | Level |
|---|---|---|
1 | From 1st April 2016 providers of Imaging Services as defined in this Information Standard MUST be able to collect the information as defined in this specification for local use | MUST |
2 | From 1st May 2016 providers of Imaging Services as defined in this Information Standard MUST submit monthly Mental Health Services Data Set submissions centrally as per the instructions in the DID Guidance. | MUST |
3 | The providers MUST allow time to review and implement corrections to their submission files within the designated window | MUST |
4 | Providers SHOULD review all related documentation to fully understand the background, objectives and scope to this information standard. | SHOULD |
5 | NHS Digital will continue to provide a local codes mapping service for Imaging Service Providers where within system mapping would be burdensome. Imaging Services Providers and Data Submitters MUST make sure that local mapping files are uploaded to the DID submission portal as per the instructions in the DID Guidance and MUST ensure mapping files are kept up to date. | MUST |
6 | As the DID Guidance is intended to only define “what should be extracted” from local IT systems, not “what should be captured”, A clinical data set will need data items beyond what the DID specifies; consequently, providers of Imaging Services SHOULD NOT use this data set to define their clinical and operational data capture. The DID is collected to only re-use clinical data and not specify standards for capturing clinical data. | SHOULD |
7 | Providers of Imaging Services MUST make submissions only for those data items defined in the DID Guidance and no additional data items should be included. | MUST |
8 | The DID Guidance Document explains the Information Governance issues surrounding the data set. Caldicott Guardians and the Heads of Information Services MUST review the Information Governance Guidelines within the DID Guidance Document to ensure their understanding is correct: - How data submission, storage and reporting processes handle identifiable and sensitive data items - How consent issues should be best managed This standard does not change what is being collected in DID or the Information Governance issues surrounding the data set. | MUST |
9 | Providers of Imaging Services MUST make available information and guidance to patients stating that their clinical care data MAY be re-used for the purpose of data analysis and reporting. It MUST be the sole responsibility of the care provider’s Caldicott Guardian to ensure the subject information is withheld where appropriate. Any immediate concerns SHOULD be addressed to the DID Service Team at the NHS DIGITAL or the Health Research Authority (HRA) Confidentiality Advisory Group (CAG). | MUST |
10 | With immediate effect, providers of Imaging Services SHOULD read the ‘NHS Confidentiality Code of Practice’, ‘Caldicott Report’ and subsequent ‘Information: To share or not to share?’ Information Governance Review (second Caldicott review) for guidance and technical support related to data and information sharing at both operational and secondary use levels. | SHOULD |
11 | Providers of Imaging Services SHOULD also consult and adhere to the good practice advice and guidance set out in ‘A Guide to Confidentiality in Health and Social Care’ to prevent breaches of confidentiality | SHOULD |
12 | It MUST be the sole responsibility of the care provider’s Caldicott Guardian to ensure the subject information is withheld where appropriate. | MUST |
13 | Any immediate concerns regarding Information Governance SHOULD be addressed to the DID Service Team at the NHS DIGITAL or the Health Research Authority (HRA) Confidentiality Advisory Group (CAG). | SHOULD |
14 | Clinical governance is defined by Department of Health as ‘the system through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care, by creating an environment in which clinical excellence will flourish’. As an Information Standard that approves a national patient-level data set: - Governing and audit bodies MAY use the data set to monitor whether providers of Imaging Services are making year on year improvements. - Providers of Imaging Services MAY use the data set to compare and contrast performance to drive service improvements. - The National Cancer Intelligence Network (NCIN) MAY use the data set benchmark GPs. - The Public Health England Cancer Registry MAY use the data set to extend the cancer pathway information. It is therefore clear that the data set can be used for clinical governance purposes. | MAY |
15 | Providers of Imaging Services SHOULD always seek to understand the context of published national reports and be aware that the information presented depends greatly upon the quality of information submitted. Ongoing efforts SHOULD be made to ensure that data quality is of the highest standard before forming judgements about reports and introducing changes. As an Information Standard that approves a national patient-level data set: - The Public Health England MAY use the data set to estimate exposure to radiation through use of imaging tests for diagnosis, intervention or treatment. | SHOULD |
16 | Providers of Imaging Services* MUST create a monthly data submission as set out in the DID Guidance. | MUST |
17 | Providers of Imaging Services MUST be able to: Collate and extract data from local IT (RIS) systems as per the DID Guidance. Structure the data and create a data submission file as per the DID Guidance. - Apply the basic validation rules and ensure that the submission file conforms to these. - Submit the data submission file on the secure DID submission portal using a personal login by authorised personnel only. | MUST |
18 | Providers of Imaging Services* MUST submit data monthly to the DID, based on a schedule that is available on the NHS Digital DID website. | MUST |
19 | Providers of Imaging Services* MUST check for error reports, correct errors and make re-submissions at the earliest opportunity. Further details on error correction and re-submissions are explained within the DID Guidance. | MUST |
20 | *In some circumstances one organisation may submit data to DID on behalf of other providers of Imaging Services. In these cases: - The imaging providers MUST agree who will be responsible for submitting to the DID and avoid submitting duplicate records. - The submitting organisation MUST use the correct ODS Site Code for the imaging activity so that the activity can be mapped to the correct provider. | MUST |
21 | Data Submitters MUST familiarise themselves with the DID Guidance Document which provides information on how to create a monthly submission file. However, noted below are key requirements of the technical submission architecture: | MUST |
22 | A submission MUST: Meet the conditions and validation rules explained in the DID Guidance. | MUST |
23 | Each Data Submission File - SHOULD be in .xml format - MAY be in .csv format if submission in .xml is not possible | SHOULD |
24 | Each Data Submission File MUST NOT contain duplicate records with the same Radiological Accession Number | MUST |
25 | Each .xml submission: - MUST conform to the published .xml schema. - MUST contain all Mandatory data items and at least one item from each Mandatory Group for every record as described in the DID Guidance. | MUST |
26 | Each .csv submission will be converted to .xml by the system before being validated therefore each .csv file: - MUST NOT contain a header row. - MUST be in the correct column order as described in the DID Guidance. - MUST NOT contain any blank rows after the last record. - MUST contain all Mandatory data items and at least one item from each Mandatory Group for every record as described in the DID Guidance. - MUST have all data items formatted correctly to allow necessary leading zeros and correct date formats as described in the DID Guidance. | MUST |
27 | Providers of Imaging Services MUST include in their submission all eligible completed imaging activity recorded in their RIS. | MUST |
28 | Providers of Imaging Services SHOULD include in their submission all Required data items where these are available for extraction from their RIS. | SHOULD |
29 | Existing data validation rules will not be affected by this standard. However, providers of Imaging Services MUST review the DID Guidance on the NHS Digital DID website to understand the data validation rules that will be applied upon submission to all incoming Data Submission Files. Any hard validation rules not adhered to will result in entire submission being rejected. | MUST |
30 | Where error reports are generated due to non-conformance against validation rules, DID submitters MUST take immediate action and resubmit the corrected file within the submission window. | MUST |
31 | Data quality issues will be reported back to data submitters on an ad-hoc basis as they arise by the NHS Digital Data Collections team. Providers of Imaging Services and submitters of DID data SHOULD make every effort to resolve inherent systemic errors and address recurring data quality issues. | SHOULD |
32 | Coverage, Completeness and Quality measures are published monthly on the NHS England Website for DID. Providers of Imaging Services and submitters of DID data SHOULD review these reports regularly and consider how the completeness and quality of their data can be improved. | SHOULD |
33 | A submission MUST be loaded onto the portal on a monthly basis and as per instructions laid out in the DID Guidance. | MUST |
34 | Heads of Imaging Services are responsible for capturing the information as part of the on-going care of patients. They MUST: - Familiarise themselves with the DID Guidance to understand what data items are mandated by this Information Standard - Ensure they understand and implement the Information Governance approach adopted for this data set, which can be found in the Consent section of the DID Guidance Document - Explain to operational and clinical staff the importance of capturing data for the DID. | MUST |
35 | Clinical staff MUST: - Capture the DID data items in an accurate and timely manner. - Understand the deployed IG approach, especially in relation to the handling of sensitive data. | MUST |
36 | Informatics staff are responsible for producing extracts that conform to the DID Guidance. They MUST: - Familiarise themselves with the DID Guidance to understand what data items are mandated by this Information Standard. - Configure Radiology Information Systems and/or associated data extracts to allow compliance with the standard. - Submit the data to the DID submission portal within the prescribed reporting periods and deadlines. - Review and work with clinicians to resolve data quality issues identified in the output reports. - Ensure they understand and implement the Information Governance approach adopted for this data set, which can be found in the Consent section of the DID Guidance Document. | MUST |
ID | STD030 |
|---|---|
Name | Digital Imaging and Communications in Medicine (DICOM) |
External ID | ISB 1556 |
Version | 0.1 |
Link to standard | |
Standard Type | Guidance |
Status | Draft |
Effective Date |
...
Requirement ID | Requirement Text | Level |
|---|---|---|
STD030-1 | DICOM Networking Conformance Requirements IT system suppliers implementations claiming DICOM network conformance shall:
| MUST |
STD030-2 | DICOM Media Interchange Conformance Requirements IT system suppliers implementations claiming DICOM Media Interchange conformance shall:
| MUST |
ID | STD069 |
|---|---|
Name | Pathology Test and Results Standard |
External ID | DAPB4017 |
Version | 0.1 |
Link to standard | |
Standard Type | Data Standard - NHS |
Status | Draft |
Effective Date |
...
Requirement ID | Requirement Text | Level |
|---|---|---|
STD0069-1 | Unified Test List (UTL) The IT system supplier MUST use the National catalogue of pathology test requests and results, using SNOMED CT. Specified in section 2.5 of DAPB4017 Specification. | MUST |
STD0069-2 | Units of Measures (UoM) The IT system supplier MUST use the National set of standardised units of measure, using The Unified Code for Units of Measure (UCUM), aligned with the UTL and HL7 FHIR. Specified in section 2.4 of DAPB4017 Specification. | MUST |
STD0069-3 | Message Specification The IT system supplier MUST use the Message specification, using Health Level 7 (HL7) Fast Healthcare Interoperability Resources (FHIR). Specified in section 2.3 of DAPB4017 Specification. | MUST |
MAY