top of page
Definitions from

Digitising Social Care

The glossary includes definitions drawn together as part of NHS England's Digitising Social Care Programme. These include definitions relating to the Minimum Operational Dataset (MODS) for social care providers.

Definition

of

from

Source

About me

Digitising Social Care Glossary, v0.0.3

The information that people most want to share about themselves and that, when coded, can inform all health and social care records, for example, the PRSB Core Information Standard. See also: Reasonable Adjustments Flag.

Data descriptor

of

from

Source

Abuse

Digitising Social Care Glossary, v0.0.3

Abuse is a violation of an individual's human and civil rights. Abuse may consist of a single act or repeated acts and may affect one person or more. Abuse can take many forms the following are only examples. It may be physical, verbal, psychological, or discriminatory, it may be an act of neglect or an omission to act, or it may occur when a vulnerable person is persuaded to enter into a financial or sexual transaction to which he or she has not consented, or cannot consent. Abuse may take the form of honour based violence, modern slavery or exploitation.

Definition

of

from

Source

Accessibility

Digitising Social Care Glossary, v0.0.3

Information about the way in which information or facilities are accessible to all citizens and the steps taken to meet the required government standards so that people can do what they need to do in a similar amount of time and effort as someone that does not have a disability.

Definition

of

from

Source

Accidents

Digitising Social Care Glossary, v0.0.3

Dangerous occurrences or incidents that happen unexpectedly and unintentionally usually resulting in physical injuries

Data descriptor

of

from

Source

Accommodation

Digitising Social Care Glossary, v0.0.3

An indication of the type of accommodation that a client currently has. This should be based upon the client's main or permanent residence.

There are comments about this definition - please click here to read them

Data descriptor

of

from

Source

Action

Minimum Operational Data Set

Used to record an action that has been performed, which may have been ad hoc, or due to the execution of an Activity in an Instruction workflow.

Data descriptor

of

from

Source

Actions and activities

Digitising Social Care Glossary, v0.0.3

Guidance on specific actions or activities that may be required or should be avoided

Data descriptor

of

from

Source

Activity

Minimum Operational Data Set

Defines a single activity within an Instruction, such as a medication administration.

Value set

for

from

Source

Activity location type

Minimum Operational Data Set

The type of LOCATION for an ACTIVITY: where PATIENTS are seen where SERVICES are provided or from which requests for SERVICES are sent. Notes: National Code G04 'Integrated Care_Home_Without_Nursing and Care_Home_With_Nursing' is not valid for the Commissioning Data Set Version 6-2. The following National Codes have been introduced for the Improving_Access_to_Psychological_Therapies_Data_Set and Mental_Health_Services_Data_Set only to add further granularity to National Code M04 'Young_Offender_Institution'. However, National Code M04 is still valid for the Improving_Access_to_Psychological_Therapies_Data_Set and Mental_Health_Services_Data_Set where extra detail cannot be collected: M06 'Young_Offender_Institution_(15-17) M07 'Young_Offender_Institution_(18-21)' The following National Code has been updated in DCB0092-2062: Commissioning Data Sets: Emergency Care Data Set. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct: E04 'Emergency_Care_Department or Minor Injuries Department'. Further information on the groupings and scope of each ACTIVITY_LOCATION_TYPE_CODE is provided at: Activity_Location_Type_Codes: CodeDescription A01PATIENT's Home A02Carer's Home A03PATIENT's Workplace A04Other PATIENT Related Location B01Primary Care Health Centre B02Polyclinic C01General Medical Practitioner Practice C02Dental Practice C03OPHTHALMIC MEDICAL PRACTITIONER Premises D01Walk In Centre D02Out of Hours Centre D03Emergency Community Dental Service E01Out-Patient Clinic E02WARD E03Day Hospital E04Emergency Care Department or Minor Injuries Department E99Other Departments F01Hospice G01Care Home Services without Nursing G02Care Home Services with Nursing G03Children's Home G04Integrated Care Home Services without Nursing and Care Home Services with Nursing H01Day Centre J01Resource Centre K01Sure Start Children’s Centre K02Child Development Centre L01School L02Further Education College L03University L04Nursery Premises L05Other Childcare Premises L06Training Establishments L99Other Educational Premises M01Prison M02Probation Service Premises M03Police Station / Police Custody Suite M04Young Offender Institution M05Immigration Removal Centre M06Young Offender Institution (15-17) M07Young Offender Institution (18-21) N01Street or other public open space N02Other publicly accessible area or building N03Voluntary or charitable agency premises N04Dispensing Optician Premises N05Dispensing Pharmacy Premises X01Other locations not elsewhere classified

Further information

Data descriptor

of

from

Source

Additional support plans

Digitising Social Care Glossary, v0.0.3

Additional supporting plan, e.g. dieticians plan, wound management plan, discharge management plan and behaviour support plan.

Data descriptor

of

from

Source

Administrative information

Minimum Operational Data Set

Information recorded when a person interacts with health and social care services and concerning the management of a persons care and those responsible for caring for them.

Data descriptor

of

from

Source

Admission details

Digitising Social Care Glossary, v0.0.3

Details about a hospital admission.

Data descriptor

of

from

Source

Admission details

Minimum Operational Data Set

Data elements: NameDescriptionData Type Subject: Subject of care admitted. Subject of care. Date of admission: Date and time the person was admitted to hospital. Date/time. Legal status on admission: Whether the person was admitted as informal or formal/detained. UKCoreLegalStatusClassificationEngland Individual accompanying person: Details of the accompanying individual and the extent to which they have provided the information about the person. Personal Contact. Responsible care professional: [no description provided]. Care worker.

Data descriptor

of

from

Source

Admission method

Digitising Social Care Glossary, v0.0.3

How the person was admitted to hospital e.g. elective, emergency, maternity, transfer etc.

Data descriptor

of

from

Source

Admitted to

Digitising Social Care Glossary, v0.0.3

The hospital the person was admitted to.

Definition

of

from

Source

Adult Social Care Survey

Digitising Social Care Glossary, v0.0.3

The adult social care survey asks people who are over 18 and who use adult social care about their experiences.

Definition

of

from

Source

Adult education

Digitising Social Care Glossary, v0.0.3

Provision of adult learning opportunities which can increase skills to support learners into work, enable attendees to gain qualifications, help attendees to meet new friends or simply find new hobbies or interests. Courses may be available full time, part time or online.

Definition

of

from

Source

Adult placement

Digitising Social Care Glossary, v0.0.3

The Adult Placement Scheme helps approved Adult Placement Carers (ordinary people from the local community) to share their home and time with someone in need. It is similar to fostering but for adults.

Definition

of

from

Source

Advance decision to refuse treatment

Digitising Social Care Glossary, v0.0.3

Advance decision to refuse one or more specific types of future treatment, made by a person who had capacity at the time of recording the decision. The decision only applies when the person no longer has the capacity to consent to or refuse the specific treatment being considered. An ADRT must be in writing, signed and witnessed. If the ADRT is refusing life-sustaining treatment it must state specifically that the treatment is refused even if the person's life is at risk.

Definition

of

from

Source

Advance statement

Digitising Social Care Glossary, v0.0.3

Written requests and preferences made by a person with capacity conveying their wishes, beliefs and values for their future care should they lose capacity.

Definition

of

from

Source

Advocacy

Digitising Social Care Glossary, v0.0.3

Someone who puts a case on someone's else's behalf

Data descriptor

of

from

Source

Age

Digitising Social Care Glossary, v0.0.3

Age of person(s) calculated at a specific point in time.

Data descriptor

of

from

Source

Age Group

Digitising Social Care Glossary, v0.0.3

Categorised age of person(s).

Data descriptor

of

from

Source

Agreement for care and support plan

Digitising Social Care Glossary, v0.0.3

Indicates whether the plan was discussed and agreed with the person or legitimate representative and the decisions made.

Definition

of

from

Source

Alcohol misuse

Digitising Social Care Glossary, v0.0.3

Alcohol misuse is when you drink in a way that's harmful, or when you're dependent on alcohol. To keep health risks from alcohol to a low level, both men and women are advised not to regularly drink more than 14 units a week. See https://www.nhs.uk/conditions/alcohol-misuse/

Further information

Definition

of

from

Source

Alcohol or drug dependency

Digitising Social Care Glossary, v0.0.3

A strong and often uncontrollable desire to drink or take drugs

Definition

of

from

Source

Alert

Digitising Social Care Glossary, v0.0.3

Details of an alert, which should be determined locally. They might, for example, include the fact that the person has a dangerous dog. It is important that alerts are managed and removed when they are no longer relevant - e.g. 'the dangerous dog' alert if the dog is no longer present. The alerts displayed to users viewing the core information may vary by use case and user's role.

Value set

for

from

Source

Alert status

Minimum Operational Data Set

Indicates whether this alert is active and needs to be displayed to a user, or whether it is no longer needed or was entered in error. Enumerations active:A current flag that should be displayed to a user. A system may use the category to determine which user roles should view the flag. inactive:The flag no longer needs to be displayed. entered-in-error:The flag was added in error and should no longer be displayed.

Data descriptor

of

from

Source

Allergies and adverse reactions

Digitising Social Care Glossary, v0.0.3

Details about a person's allergies and adverse reactions

Definition

of

from

Source

Also worth knowing about me

Digitising Social Care Glossary, v0.0.3

A description of what is also worth knowing about you for people caring or supporting you. This could include a short history of your life (where you have worked, where you lived, important events in your life, important people in your past life). This could include a short profile of your current life:- your work / study, your aspirations, your skills, your networks, things you like e.g. particular foods, places, a football team and things you like to talk about, things you dislike This could also include any care and support preferences that have not been included elsewhere.

Definition

of

from

Source

Anatomical Site

Digitising Social Care Glossary, v0.0.3

An Anatomical_Site is a structure of the human body.

Data descriptor

of

from

Source

Anticipatory actions

Digitising Social Care Glossary, v0.0.3

Guidance on specific interventions or actions that may be required or should be avoided in specific situations. A statement of anticipatory actions. Usually expressed as: in the event of X do Y.

Data descriptor

of

from

Source

Anticipatory medicines or equipment

Digitising Social Care Glossary, v0.0.3

Medicines or equipment available that may be required in specific situations and their location. A statement regarding the availability or location of the anticipatory medicines/equipment for contingency planning.

Data descriptor

of

from

Source

Appointment

Digitising Social Care Glossary, v0.0.3

Appointment e.g. diagnosis, investigation, treatment or assessment

Data descriptor

of

from

Source

Assessed level of care

Digitising Social Care Glossary, v0.0.3

An assessment of enhanced care observation that is needed and why

Placeholder definition

of

from

Source

Assessment and planning

Minimum Operational Data Set

Heading used in MODS to cover needs assessment and care planning

Value set

for

from

Source

Assessment method

Minimum Operational Data Set

Enumerations: in person telephone online

Data descriptor

of

from

Source

Assessment notice

Digitising Social Care Glossary, v0.0.3

Informs the social services team that an assessment will be required, with expected discharge date if known.

Data descriptor

of

from

Source

Assessment period

Digitising Social Care Glossary, v0.0.3

When an assessment was completed after referral.

Data descriptor

of

from

Source

Assessment type

Digitising Social Care Glossary, v0.0.3

The type of the assessment e.g. social care needs assessment.

Definition

of

from

Source

Assessment using Personal Wellbeing Score

Digitising Social Care Glossary, v0.0.3

Assessment of personal well-being (PWB). Part of the wider Measuring National Well-being (MNW) Programme at the Office for National Statistics (ONS), which aims to provide accepted and trusted measures of the nation's well-being.

Further information

Definition

of

from

Source

Assessment using Short Warwick-Edinburgh Mental Well-being Scale

Digitising Social Care Glossary, v0.0.3

Assessment of wellbeing using the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS). The SWEMWBS is a short version of the the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), developed to enable the monitoring of mental wellbeing in the general population and the evaluation of projects, programmes and policies which aim to improve mental wellbeing. The SWEMWBS uses seven of the WEMWBS's 14 statements about thoughts and feelings, which relate more to functioning than feelings and so offer a slightly different perspective on mental wellbeing. See https://www.corc.uk.net/outcome-experience-measures/short-warwick-edinburgh-mental-wellbeing-scale-swemws/

Further information

Definition

of

from

Source

Assessment using Warwick-Edinburgh Mental Well-being Scale

Digitising Social Care Glossary, v0.0.3

Assessment of wellbeing using the Warwick-Edinburgh Mental Well-being Scale. The Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) was developed to enable the monitoring of mental wellbeing in the general population and the evaluation of projects, programmes and policies which aim to improve mental wellbeing. See https://www.corc.uk.net/outcome-experience-measures/warwick-edinburgh-mental-wellbeing-scale-wemws/

Further information

Definition

of

from

Source

Assistive Equipment and Technology

Digitising Social Care Glossary, v0.0.3

Telecare services, as well as equipment and adaptations used to assist people.

Definition

of

from

Source

Asylum Seeker

Digitising Social Care Glossary, v0.0.3

Asylum seekers are defined by the United Nations as people who move across borders in search of protection, but who may not fulfil the strict criteria laid down by the UNCHR 1951 Refugee Convention. Asylum seeker describes someone who has applied for protection as a refugee and is awaiting the determination of his or her status.

Data descriptor

of

from

Source

Audio

Digitising Social Care Glossary, v0.0.3

Details about audio documents related to the person

Value set

for

from

Source

Audit information

Minimum Operational Data Set

Information about when a record was created, modified, completed and authorised and by whom. NameDescriptionData Type - Datetime: -- Date an event occurred on the record. -- xs:dateTime - Audit type: -- Type of audit activity logged to the record. -- changeType -- Enumerations: --- creation: addition of new record --- amendment: if the change is logically a correction (e.g. of wrongly entered data) --- modification: if the change is logically a change, addition etc to the content --- attestation: attestation of item. An attestation is an explicit signing by one healthcare agent of particular content for various particular purposes, including: for authorisation of a controlled substance or procedure (e.g. sectioning of patient under mental health act); witnessing of content by senior clinical professional; indicating acknowledgement of content by intended recipient, e.g. GP who ordered a test result. --- deleted: deletion of existing item --- access: if the the record has been accessed - Description: -- Description of the change. -- xs:string - System Identifier: -- Identifier of the system where the information is committed. -- xs:string. - Reason: -- Reason for attestation. Attestations may be used in different ways as follows: --- Signing content at committal: for some reason, the information being committed needs to be digitally signed. --- Marking content for review and signing: data entered, completed and committed by a data-entry person e.g. a secretary, transcriptionist or student need to be reviewed and signed by a senior care worker. --- Post-committal signing: data committed with an Attestation in the is_pending state is reviewed and signed at a later point in tme by an appropriate member of staff. -- xs:string - Proof: -- Digital signature accompanying attestation. -- xs:string. - Committer: -- Care actor who committed the change to the record if applicable e.g. care worker who filled in a form. -- Care actor. - Record Identifier: -- Unique identifier for the record. -- xs:string.

Definition

of

from

Source

Autism

Digitising Social Care Glossary, v0.0.3

Autistic people may act in a different way to other people. Autistic people may: -find it hard to communicate and interact with other people -find it hard to understand how other people think or feel -find things like bright lights or loud noises overwhelming, stressful or uncomfortable -get anxious or upset about unfamiliar situations and social events -take longer to understand information -do or think the same things over and over

Definition

of

from

Source

Awareness of prognosis

Digitising Social Care Glossary, v0.0.3

Description of the level of awareness the person and or their carer/family has regarding their estimated prognosis in end of life care.

Definition

of

from

Source

Bereavement

Digitising Social Care Glossary, v0.0.3

Bereavement is the experience of losing someone important to us.

Data descriptor

of

from

Source

Best interests requirement

Digitising Social Care Glossary, v0.0.3

Is the best interests requirement met, i.e. it is in the person's best interests to be deprived of their liberty in this care home or hospital for the purpose of giving the proposed care or treatment, it is necessary to prevent harm to that person, and it is proportionate to the risk and seriousness of that harm.

Definition

of

from

Source

Blind or severely sight impaired persons

Digitising Social Care Glossary, v0.0.3

People registered as blind or sight impaired

Definition

of

from

Source

CASSR Code

Digitising Social Care Glossary, v0.0.3

A three digit number unique to each council with adult social services responsibilities

Data descriptor

of

from

Source

CASSR Commissioned Support only

Digitising Social Care Glossary, v0.0.3

A client with a package of services provided by the CASSR but not within a personal budget, with no cash payments.

Data descriptor

of

from

Source

CASSR Managed Personal Budget

Digitising Social Care Glossary, v0.0.3

A client in receipt of a personal budget where none of their personal budget is being taken as a direct payment.

Data descriptor

of

from

Source

CPR decision

Digitising Social Care Glossary, v0.0.3

Decision about cardio-pulmonary resuscitation e.g. do not attempt cardiopulmonary resuscitation (DNAPR) who made the decision, the date of decision, date for review and location of documentation. Where the person or their family member/carer have not been informed of the clinical decision please state the reason why.

Definition

of

from

Source

CQC Location ID

Digitising Social Care Glossary, v0.0.3

A unique number given by the Care Quality Commission to each location that they inspect. This includes care homes, domiciliary care agencies, hospitals, opticians etc.

Definition

of

from

Source

CQC Provider ID

Digitising Social Care Glossary, v0.0.3

A unique number given by the Care Quality Commission to each provider that they inspect

Data descriptor

of

from

Source

Cancer type

Digitising Social Care Glossary, v0.0.3

The type of cancer diagnosed.

Data descriptor

of

from

Source

Cardio-pulmonary resuscitation

Minimum Operational Data Set

A record of any DNACPR (Do Not Attempt Cardio-Pulmonary Resuscitation) decision made by or on behalf of the person

Data descriptor

of

from

Source

Care Act assessment

Digitising Social Care Glossary, v0.0.3

Details of the person's care act assessments

Definition

of

from

Source

Care Quality Commission

Digitising Social Care Glossary, v0.0.3

CQC is the independent regulator of health and adult social care in England.

Definition

of

from

Source

Care and support

Digitising Social Care Glossary, v0.0.3

The core purpose of adult care and support is to help people to achieve the outcomes that matter to them in their life

Definition

of

from

Source

Care and support needs

Digitising Social Care Glossary, v0.0.3

Care and support needs identified as part of a care act assessment

Definition

of

from

Source

Care and support plan

Digitising Social Care Glossary, v0.0.3

Following a social care assessment the council will work with any adult who has social care needs to create a care and support plan which will detail how any eligible needs are to be met. The plan may also suggest ways of meeting needs for which the individual is not eligible to receive help from the council.

Definition

of

from

Source

Care and support plan

Digitising Social Care Glossary, v0.0.3

Following a social care assessment the council will work with any adult who has social care needs to create a care and support plan which will detail how any eligible needs are to be met. The plan may also suggest ways of meeting needs for which the individual is not eligible to receive help from the council.

Definition

of

from

Source

Care and support services

Digitising Social Care Glossary, v0.0.3

Services and care provided to support a person's needs.

Data descriptor

of

from

Source

Care funding source

Digitising Social Care Glossary, v0.0.3

A reference to the person's funding source for care and any conditions or limitations associated.

Definition

of

from

Source

Care management

Digitising Social Care Glossary, v0.0.3

The process of assessing and reviewing a client's needs and arranging service delivery.

Placeholder definition

of

from

Source

Care organisation

Minimum Operational Data Set

Heading used in MODS to identify an organisation involved in providing care and support. MODS anticipates that these organisations will be identified via the NHS Organisation Data Service (ODS).

Definition

of

from

Source

Care package

Digitising Social Care Glossary, v0.0.3

A combination of support and services that meet a person's assessed needs as part of a care plan

Definition

of

from

Source

Care package

Digitising Social Care Glossary, v0.0.3

A combination of support and services that meet a person's assessed needs as part of a care plan

Definition

of

from

Source

Care priorities

Digitising Social Care Glossary, v0.0.3

The priorities agreed between the person and their health/care team, where the person has capacity: To get better; please consider all treatment to prolong life. To achieve a balance between getting better and ensuring good quality of life; please consider selected treatments. Comfort; please consider all treatments aimed at symptom control.

Definition

of

from

Source

Care provider

Digitising Social Care Glossary, v0.0.3

A legal entity, or a sub-set of a legal entity, which may provide health and social care; it may operate on one or more sites. This definition covers Local Authorities with social care responsibilities working in cooperation with an NHS Health Care Provider on nationally targeted and prioritised care as delivered within Care Spells. Lead responsibility for such care may be solely led by one Health Care Provider or jointly shared by two or more Health Care Providers each of which must share equal responsibility. The following ORGANISATIONS may act as Health Care Providers: -GP Practice -NHS Trust -NHS Foundation Trust -Registered non-NHS Provider (e.g. Independent Provider, Independent Sector Healthcare Provider etc) -Unregistered non-NHS Provider -Care Trust -Local Authorities with social care responsibilities -Other agencies

There are comments about this definition - please click here to read them

Data descriptor

of

from

Source

Care provision

Digitising Social Care Glossary, v0.0.3

Information about the provision of care on a weekly basis.

Definition

of

from

Source

Carer

Digitising Social Care Glossary, v0.0.3

Person looking after someone regularly because they're ill, elderly or disabled - including family members

Data descriptor

of

from

Source

Carer Support Reason

Digitising Social Care Glossary, v0.0.3

The Carer Support Reason describes the needs of the carer. The carer's support needs may change based on their personal circumstances and on the adult receiving care needs.

Definition

of

from

Source

Carer assessment

Digitising Social Care Glossary, v0.0.3

Anyone who is caring for another person for a substantial amount of time has the right to have a carer's assessment to identify their needs where either the person they are caring for has refused an assessment or is not receiving help from social care. The assessment is available to both adult carers and young carers.

There are comments about this definition - please click here to read them

Definition

of

from

Source

Carer support

Digitising Social Care Glossary, v0.0.3

Support provided for carers with support needs such as: -Carrying out any caring responsibilities the carer has for a child -Providing care to other persons for whom the carer provides care -Maintaining a habitable home environment in the carer's home, whether or not this is also the home of the adult needing care -Managing and maintaining nutrition -Developing and maintaining family or other personal relationships -Engaging in work, training, education or volunteering -Making use of necessary facilities or services in the local community, including recreational facilities or services -Engaging in recreational activities

Data descriptor

of

from

Source

Casualty type

Digitising Social Care Glossary, v0.0.3

Type and severity of casualty.

Definition

of

from

Source

Causative agent

Digitising Social Care Glossary, v0.0.3

An agent such as food, drug or substances that has caused or may cause an allergy, intolerance or adverse reaction in a person

Data descriptor

of

from

Source

Caveat

Minimum Operational Data Set

Details of any qualifications or exemptions to the informed consent

Definition

of

from

Source

Childcare

Digitising Social Care Glossary, v0.0.3

Family support that can include help looking after your child, such as: - day care for children under 5 - help with parenting - such as parenting classes - courses or family support workers - practical home help - access to a Children's Centre - support services provided by education or health authorities, or by voluntary organisations.

Data descriptor

of

from

Source

Circumstances

Minimum Operational Data Set

Used to record observed circumstances that impact a person’s health and wellbeing.

Data descriptor

of

from

Source

Client

Digitising Social Care Glossary, v0.0.3

Customers of the CASSR who are 'on the books' for an assessment, a review or the receipt of services.

Data descriptor

of

from

Source

Clinical Investigation

Digitising Social Care Glossary, v0.0.3

Information about a person's clinical investigation and results of the investigation

Data descriptor

of

from

Source

Clinical investigation request priority

Digitising Social Care Glossary, v0.0.3

The urgency of the investigation requested.

Data descriptor

of

from

Source

Clinical investigation requested

Digitising Social Care Glossary, v0.0.3

Details about an investigation that is requested. The investigation may refer to an individual test or a group of related tests or broader investigation required (so the investigator can determine the appropriate tests)

Data descriptor

of

from

Source

Clinical observations

Digitising Social Care Glossary, v0.0.3

The record of essential physiological measurements, e.g., heart rate, blood pressure, temperature, pulse, height, weight, respiratory rate, oxygen saturation.

Data descriptor

of

from

Source

Clinical plan and requested actions

Digitising Social Care Glossary, v0.0.3

The details of planned investigations, procedures and treatment, and whether this plan has been agreed with the person or their legitimate representative.

Data descriptor

of

from

Source

Clinical summary

Digitising Social Care Glossary, v0.0.3

Summary of a clinical encounter. Where possible, very brief. This may include interpretation of findings and results; differential diagnoses, opinion and specific action(s). Planned actions will be recorded under 'plan'.

Data descriptor

of

from

Source

Clinical treatments and interventions

Digitising Social Care Glossary, v0.0.3

Details about a person's treatments and interventions . Where appropriate record the rationale for the decision to treat and the information sources reviewed e.g. end of life care plan etc. All medications should be recorded under the medications heading.

Data descriptor

of

from

Source

Clinical urgency of referral

Digitising Social Care Glossary, v0.0.3

Priority and reason for urgency of clinical referral if not routine.

Data descriptor

of

from

Source

Cognitive impairment

Digitising Social Care Glossary, v0.0.3

Details of the person's cognitive impairment.

Definition

of

from

Source

Communal establishments

Digitising Social Care Glossary, v0.0.3

A communal establishment is an establishment providing managed residential accommodation

Data descriptor

of

from

Source

Communication

Digitising Social Care Glossary, v0.0.3

Description of how a person communicates normally including any communication aids they use, for example a hearing aid. Could include: - preferred language of communication, if your first language is not English. - how you would communicate when you are in pain or distress. - communicate choices. - how you give feedback or raise a concern. - how you like to receive information

Definition

of

from

Source

Community

Digitising Social Care Glossary, v0.0.3

Community is a very general term referring to the people living in a locality or to the locality itself. Note: Welsh Communities are subdivisions of Unitary Authorities and their councils are the most local level of government in Wales. They are the equivalent of (civil) Parishes in England, but unlike English Parishes, Communities cover the whole of Wales.

Definition

of

from

Source

Confidential information

Digitising Social Care Glossary, v0.0.3

Information in a form which identifies any individual, to whom the information relates or enables the identity of such an individual to be ascertained or any other information in respect of which the person who holds it owes a duty of confidence

Placeholder definition

of

from

Source

Consent and legal information

Minimum Operational Data Set

Heading used in MODS to record key consent details and other legal information, including: Cardio-pulmonary resuscitation Informed consent Lasting Power of Attorney Deprivation of Liberty Safeguards (DOLS) or equivalent Mental Health Act or equivalent Advance Decision to Refuse Treatment

Data descriptor

of

from

Source

Consent description

Minimum Operational Data Set

Narrative description of the informed consent required or recorded prior to performing the proposed procedure, clinical trial or healthcare-related activity.

bottom of page