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PDS Tracing Data

Info

This will continue to be made available to the SIMPLIFIED project in the same way as now, namely a CSV file matching the one submitted to us with two additional columns for the Traced NHS Number of the patient (if found) and the Status Code associated with the lookup.

Clinical Data

Info

This will be returned in RDA format one file per patient, integrating data from a number of sources as described below. A sample file was sent to the SIMPLIFIED project a couple of months ago and confirmed suitable but it should be noted that the schema may have changed slightly since then and any code already written reviewed. The schema can be found at https://github.com/renalreg/ukrdc .

UKRR Data

Info

This data is only available after it has been processed by the UKRR Data Managers which happens approximately 12-18 months after the activity has happened.

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UKRR Data ItemDescriptionRDA Element
TXT00Date Treatment StartedFromTime
TXT01Date Treatment EndedToTime
TXT02Treatment Modality (Code)

AdmitReason (what treatment they will receive)

or

DischargeReason (why they ceased treatment)

TXT04Reason for Treatment ChangeDischargeReason
???Hospital CenterSendingFacility
TXT20Treatment CenterHealthCareFacility/Code
TXT40Where they were previouslyAdmissionSource/Code
TXT41Transfer out toDischargeLocation/Code

NHS Blood & Transplant Data

Info

This data is received by the UKRR approximatley 6 months after the activity in the extract happened.

Periods of Wait Listing / Transplantation will be recorded as Transplant Listing Elements.

The actual Transplants will be recorded as Transplant Procedure Elements.

Note that REGISTRATION_END_DATE doesn't seem to be well populated. There may be something we can do where we use the TRANSPLANT_DATE instead.

Transplant Listing

NHS BT Data Item (UKRR Field Name)DescriptionRDA Element
REGISTRATION_ID
EncounterNumber
REGISTRATION_DATE
FromTime
REGISTRATION_END_DATE
ToTime
TRANSPLANT_CONSIDERATIONKidney / Kidney + Pancreas etc.AdmitReason
REGISTRATION_END_STATUS
DischargeReason

Transplant Procedure

NHS BT Data Item (UKRR Field Name)DescriptionRDA Element

70536003 (SNOMED Code)

Renal TransplantationProcedureType
TRANSPLANT_DATE
ProcedureTime
UKT_FAIL_DATE
Attributes/TRA64


PatientView Feed Data

Info

PatientView data is received daily by the UKRDC for Patients who have been enrolled in PatientView. This must have happened for the SIMPLIFIED patients in order for their data to be available.

Medications

Info

There are a number of caveats around the Medication Data -

  • Sites either send "current" medicinces or the "last 10 prescribed" depending on the operation of their extract. In the UKRDC we attempt to retain all medications but a consequence of this is that we would also keep medications that were recorded in error and since removed.
  • If the Patient has left the Unit the renal system may still send their last known medications. to PatientView.
  • PatientView is only sent medications that are listed on their Renal System. Most Renal Systems are not a prescribing system so what has actually been prescribed by the renal unit may be different. It also may not include medications prescribed elsewhere.
  • In some cases the medication recorded on the prescription is what the Renal Unit advised the GP to prescribe in a letter. The GP may have chosen to prescribe something different.

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Panel
titleSIMPLIFIED Requested Medications

Vitamin D preparations:

  •             Alfacalcidol
  •             Paricalcitol
  •             Ergocalciferol

Phosphate binders

Statins

Ezetimibe

ACE inhibitors

Angiotensin Receptor Antagonists

Mineralocorticoid Receptor Blocker

Beta Blocker


Results / Observations

Info

There are some caveats around PV Results/Observations

  • Even if a test code is in the dataset there will be variations in whether a renal system holds it or is configured to send it to PatientView
  • Sites are unable to supply information about the units each result are in.
  • Not all sites supply PRE/POST flags. Those that do typically generate this from whether the result is the 1st or 2nd of the day which can lead to some errors.

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