NATIONAL SYSTEMS UPDATE PROGRAMME
NCR3850 – NCAMP 2015
National Collections Annual Maintenance Project
Business Requirements - Sector
Version
1.2
Date
2/10/2014
Owner
Tracy Worsley
Status
Final
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National Collections Annual Maintenance Project
Business Requirements - Sector
Version 1.2
Table of Contents
1.
Introduction .................................................................................................................... 3
1.1.
1.2.
1.3.
2.
Business Context ........................................................................................................... 4
2.1.
2.2.
2.3.
2.4.
3.
Exclusions ............................................................................................................... 4
Business Rules ....................................................................................................... 4
Relevant Facts ........................................................................................................ 4
Business Scope....................................................................................................... 5
Multiple Collections ........................................................................................................ 6
3.1.
4.
Purpose ................................................................................................................... 3
Background ............................................................................................................. 3
Project goals and objectives .................................................................................... 4
Update Domicile codes following the 2013 Census ................................................. 6
National Minimum Data Set (NMDS) ............................................................................ 11
4.1. 2015/16 WIESNZ and Cost Weight Changes ........................................................ 11
4.2. Update Legal Status code and description ............................................................ 13
4.3. Update of Australia and New Zealand Standard Classification of Occupations
(ANZSCO) list, 2013, v1.2 ............................................................................................... 14
5.
National Non-Admitted Patient Collection (NNPAC) ..................................................... 16
5.1.
5.2.
5.3.
6.
Programme for the Integration of Mental Health Data (PRIMHD) ................................. 22
6.1.
6.2.
7.
Addition of an ‘Alcohol involved’ field ..................................................................... 16
Addition of ‘Mode of Delivery’ field, reinstatement of ‘Location code’ ..................... 18
Reinstatement of Health Speciality Code .............................................................. 21
Update Legal Status code and description ............................................................ 22
Alcohol and Drug Outcome Measure (ADOM) Collection ...................................... 23
Miscellaneous Requirements ....................................................................................... 24
7.1.
7.2.
Update of ANZSCO codes – Ministry Common Code tables ................................. 24
Update of Legal Status codes – Ministry Common Code tables ............................ 24
Appendix A Definitions....................................................................................................... 25
Appendix B Document Control........................................................................................... 27
B.1
B.2
B.3
B.4
Document Details .................................................................................................. 27
Version Control ..................................................................................................... 27
Related Documents ............................................................................................... 28
Document Contributors.......................................................................................... 28
Appendix C Document Sign-off .......................................................................................... 29
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NCR3850 – NCAMP 2015
National Collections Annual Maintenance Project
Business Requirements - Sector
Version 1.2
1. Introduction
1.1. Purpose
This document provides a vehicle for the discussion of the requests for changes to the
National Collections and documents the requirements that are within the final scope of the
2015 National Collections Annual Maintenance Project (NCAMP).
1.2. Background
NCAMP is run annually as a work programme under the National Systems Upgrade
Programme (NSUP).
NSUP
The NSUP will maintain oversight of NCAMP, along with those projects that initiate changes
to the District Health Boards (DHB) Patient Administration Systems (PAS) and any other
patient, financial or warehouse systems.
NSUP will be responsible for the Ministry’s “Maintenance and enhancement release process
for core health systems”.
The NSUP Programme Board, which will include the Chairs of the other Project Boards, will
co-ordinate all the activity, review and balance workload and priorities from both a Ministry
and DHB perspective.
NSUP may give direction to the NCAMP Project Executive as to the desired/permitted level
of change that the project may deliver.
Sector notifications will be provided in September 2014 which will give nine months
notification of change instead of the six months required under the Operational Policy
Framework (OPF).
NCAMP
NCAMP’s aim is to implement the notified changes to the Ministry’s National Collections and
to ensure they meet their on-going statutory obligations. The NCAMP 2015 project will
deliver changes to the following National Collections/Systems:






National Bookings Reporting System (NBRS)
National Non-admitted Patient Collection (NNPAC)
National Minimum Data Set (NMDS)
Programme for the Integration of Mental Health Data (PRIMHD)
New Zealand Cancer Registry
Mortality.
At times, other systems not listed above may also be included as part of NCAMP.
Some NCAMP changes require District Health Boards (DHBs), Non-Governmental
Organisations (NGOs) and those private hospitals reporting directly to the NMDS and
PRIMHD to implement changes to their Patient Administration Systems (PAS) sometimes
also referred to as Patient Management Systems (PMS). The annual process for making
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these changes is outlined in the Operational Policy Framework (OPF) and a Memorandum of
Understanding (MoU) with the District Health Boards.
1.3. Project goals and objectives
The goal of this work is to:





improve data quality to enable DHBs to accurately report on the provision and
funding of services or treatment, particularly in relation to inter-district flows
ensure data quality and integrity is maintained to avoid substantial rework by both the
Ministry and DHBs
improve DHB’s ability to provide timely, accurate and comparative information. This
will assist them to complete functions and meet objectives set out in the New
Zealand Public Health and Disability Act 2000
enable the Ministry to meet its obligations of providing high quality data to the DHBs
and other providers, particularly in relation to data processing and reporting, manual
data entry, and application of data collection business rules
initiation of upgrades to stated Collections to meet Ministerial standards.
2. Business Context
2.1. Exclusions
BA1.
BA2.
BA3.
The updating of Domicile codes within the National Health Index (NHI) systems
is outside the scope of NCAMP 2015.
The Health Identity Project (HIP) development is outside the scope of the
NCAMP 2015 project.
The National Patient Flow (NPF) project is outside the scope of the NCAMP
2015 project.
2.2. Business Rules
Where relevant the business rules will be listed individually with each request.
2.3. Relevant Facts


The cut-off date for requests for NCAMP 2015 was 01 June 2014.
The final scope for NCAMP 2015 is 31 August 2014.
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2.4. Business Scope
The following items have been reviewed, prioritised and will be included in the scope for
NCAMP 2015. Of these changes, some are Sector facing and some are Ministry-only
changes. Due to possible complexity with the Ministry-only changes it has been decided
to split the Business requirements for NCAMP 2015. The Sector/Ministry Requirements
will be distributed to both Sector and Ministry groups; whereas the Ministry only
Requirements will not be distributed to the Sector as there is no impact to the Sector in
making these changes.
NCAMP
Ref #
Collection(s)/
System(s)
Impacted
Description
Sector
and/or
Ministry
113
NNPAC
Addition of ‘Alcohol Involved’ field (Restricted
use to piloted sites)
Sector
Ministry
119
Multiple
Update Domicile codes from the 2013 Census
Sector/
Ministry
123
NMDS
Mortality
Common
code table
Update occupation codes using the latest
Australia New Zealand Standard Classification
of Occupations (ANZSCO) list, v1.2 issued in
2013
Sector/
Ministry
125
Multiple
Repointing of Collections to the NHI Patient
Online Analytical Processing (OLAP) database
(MoH change only)
Ministry
only
126
NMDS
2015/16 WIES NZ and Cost Weight changes
Sector /
Ministry
128
NMDS
PRIMHD
Add Legal Status code ‘TZ’, Act year
description amended for ‘YD’
Sector /
Ministry
129
PRIMHD
DB2 upgrade for PRIMHD database
(MoH change only)
Ministry
only
131
NNPAC
Introduce new ‘Mode of Delivery’ field which
include Telehealth values, restore ‘Activity
Setting’ to ‘Location code’ and reinstate
previous values (pre-NCAMP 2014)
Sector /
Ministry
135
PRIMHD
Make ADOM values for the Outcome Tool type
and Outcome Item codes mandatory
Sector /
Ministry
136
NNPAC
Reinstate Health Specialty Code ‘M87”
Sector /
Ministry
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3. Multiple Collections
3.1. Update Domicile codes following the 2013 Census
3.1.1.
Problem Statement
The problem of
New and amended Domicile information created as part of New
Zealand’s 2013 Census of Population and Dwellings held on 05 March
2013 is not available for demographic analysis in National Collections.
Affects
Reporting and data analysis carried out by the Ministry of Health and the
wider Health Sector.
The Impact(s) of
which are
Out of date mapping and reporting on the Domicile codes linked in the
National Collections.
A successful
solution would
Have all Domicile information captured as part of the 2013 Census
included in all relevant tables and available for reporting and data
analysis.
3.1.2. Business Requirements – Overarching for affected Collections – Update
Domicile codes
The following requirements under affected Collections – Domicile codes updates are a
Mandatory priority, unless otherwise stated, and apply to all affected Collections.
Background information:
The Domicile codes currently being used in the National Collections are from the 2006
Census. Populations may have increased and/or moved considerably in the past seven
years, so it is important to get an updated view of the population and its distribution over
New Zealand to enable better planning
The Health Domicile code, representing a person’s usual residential address, is also used
for facility addresses. ‘Usual residential address’ is defined by Statistics NZ as ‘the
address of the dwelling where a person considers themselves to usually reside, except in
some specific cases listed in the guidelines’. (ref NZ Statistics definition of usual residence).
The file that contains the Domicile codes (new, amended and retired) produced by the 2013
Census is created by the Ministry of Health and will be provided to the Sector. The format of
the 2013 Census Domicile codes is unchanged from previous years, ie 4 characters.
The new Domicile codes will be available from 01 July 2015. Please see each individual
Collection (below) for details of how this date is to be applied
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ID
Requirement
BR ALL-DOM-1
The Domicile code must be a valid code.
Version 1.2
All webpages and documentation for all affected Collections,
including:
BR ALL-DOM-2


Data Dictionaries
File Specifications.
Need to be reviewed and updated with 2013 Census information.
BR ALL-DOM-3
Ensure the Business Objects universes include the new Domicile
codes.
BR ALL-DOM-4
Update the Data warehouses with new Domicile codes, including the
2013 Geographical Information Systems (GIS).
3.1.3.
Business Requirements – Collection specific – Update Domicile codes
Some Collections have requirements that are specific to that particular system. Where this
is the case they have been listed below, by Collection. Each requirement listed below, for
each Collection, is a Mandatory priority, unless otherwise stated.
3.1.3.1.
National Minimum Data Set (NMDS)
ID
Requirement
The NMDS Domicile Code table must be updated with any new,
amended and retired 2013 Census Domicile codes.
BR NMDS-DOM-1
Current Domicile codes will be indicated with a ‘C’.
Retired Domicile codes will be indicated with an ‘R’.
BR NMDS-DOM-2
NMDS-DOM-2
Rationale
The backwards mapping table of Domicile codes must be updated as
follows (the ‘Domicile Conversion’ table).
For event end dates:
 Before 01 July 1998, the 1991 codes apply
 From 01 July 1998 to 30 June 2003, the 1996 codes apply
 From 01 July 2003 to 30 June 2008, the 2001 codes apply
 From 01 July 2008 to 30 June 2015, the 2006 codes apply
 From 01 July 2015 onwards the 2013 codes apply.
Where no event end date exists (eg for IM events), then:
i) Check that the status of the Domicile code is current
ii) If the code is current, use the event start date
iii) If the code is not current, generate an error.
Event end dates around June/July approximately two years after a
Census are on the cusp between two Censuses’. Using the above
logic the correct Census date, and therefore the correct Domicile
code, can be assigned to Health event records.
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ID
Requirement
BR NMDS-DOM-3
The year Retired field in the Domicile table must be updated to
indicate the Domicile codes that were retired during the analysis of
the 2013 Census data.
NMDS-DOM-3
Rationale
Domicile codes can be retired if they are no longer required. The
Retired year table needs to display the Census year that the code
was retired in.
BR NMDS-DOM-4
The year field in the Domicile table must be updated to indicate the
Domicile codes that were introduced during the analysis of the 2013
Census data.
NMDS-DOM-4
Rationale
New Domicile codes can be introduced as required, the Year of
Census field needs to display the Census year that the code was
introduced in.
BR NMDS-DOM-5
The Facility table must be reviewed and updated with new, amended
and retired Domicile codes.
NMDS-DOM-5
Rationale
A Domicile code is derived from the address of the facility and is
stored on the Facility table. In order to add a Facility, the Facility’s
Domicile Code must be determined.
BR NMDS-DOM-6
The TLA of Domicile needs to be reviewed and updated as required.
BR NMDS-DOM-7
The Area Unit code needs to be reviewed and updated as required.
BR NMDS-DOM-8
The DHB Area unit needs to be reviewed and updated as required.
NMDS-DOM-6, -7
and -8 Rationale
The TLA of Domicile and Area Unit codes are provided to the
Ministry of Health from Statistics New Zealand. The Ministry of
Health then derives the Domicile code and DHB Area unit.
3.1.3.2.
National Non-Admitted Patient Collection (NNPAC)
Background information:
NNPAC stores the submitted Domicile codes and the NHI Domicile code at the Date of
Service.
NNPAC Domicile codes must be in four character format. For Domicile codes that are less
than four characters (eg Warkworth = ‘81’) the Domicile codes must contain leading zeroes
(eg making the Domicile code for Warkworth = ‘0081’). The addition of leading zeroes to
create the four character Domicile code is needed to derive the patients DHB and as a data
quality test to compare with the NHI domicile code.
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ID
Requirement
BR NNPAC-DOM-1
Where the Datetime of Service is on or after 01 July 2015, the 2013
Census Domicile codes must apply.
The Domicile code must be current for the Datetime of Service.
BR NNPAC-DOM-2
A Domicile code entered for an Overseas Resident must show a
warning.
NNPAC-DOM-2
Rationale
If a Domicile code is entered for an Overseas Resident, a warning
(caution) message is displayed, as Domicile codes generated from
2013 Census are New Zealand specific (existing business rule).
BR NNPAC-DOM-3
The Domicile code entered for a Patient should be valid for the DHB.
NNPAC-DOM-3
Rationale
If a Domicile code is entered does not correspond to a valid DHB, a
warning (caution) message is displayed (existing business rule).
BR NNPAC-DOM-4
The Facility table must be reviewed and updated with new, amended
and retired Domicile codes.
3.1.3.3.
National Booking Reporting System (NBRS)
Background information:
NBRS Domicile codes must be in four character format. For Domicile codes that are less
than four characters (eg Warkworth = ‘81’) the Domicile codes must contain leading zeroes
(eg making the Domicile code for Warkworth = ‘0081’).
ID
Requirement
The 2013 Census Domicile code must exist in the Domicile table and
be valid at the time of Booking Event Type where:
BR NBRS-DOM-1
BR NBRS-DOM-2



Booking Status = ‘01’, ‘02’, ‘04’, ‘5” or ‘06’
CPAC Assessment Date (Booking Status = ‘07’) or
Exit Category Assigned Date (Booking Status = ‘20’).
These are existing business rules, restated here for
completeness.
All Domicile codes submitted will be validated.
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ID
Version 1.2
Requirement
Validation will be:



NBRS-DOM-2
Rationale

That the Domicile code exists
That the booking status date is on or after the domicile codes
start date and on or before the domicile codes end date
The CPAC assessment date is on or after the domicile codes
start date and on or before the domicile codes end date
That the exit category assigned date is on or after the
domicile codes start date and on or before the domicile codes
end date.
The event record will be accepted if it complies with the above
validation process, otherwise it will be returned with an error.
BR NBRS-DOM-3
3.1.3.4.
The 2013 Census Domicile code is mandatory for all booking events
where a Booking Status Date, CPAC Assessment Date or Exit
Category Assigned Date is on or after 01 July 2015.
Common Code tables
ID
Requirement
BR CC-DOM-1
Update the Common code tables to reflect the 2013 Census codes.
CC-DOM-1
Rationale
The common code tables are accessed by some National
Collections and are available to the general public on the Ministry of
Health website. The tables are found here: Domicile common code
table.
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4. National Minimum Data Set (NMDS)
4.1. 2015/16 WIESNZ and Cost Weight Changes
4.1.1.
Problem Statement
The problem that
Using 2014/15 WIESNZ would not reflect current costs and changes in
hospital activity.
Affects
Reporting and data analysis carried out by the Ministry of Health and
the wider Health Sector.
The Impact(s) of
which are on the
A successful
solution would
4.1.2.





casemix purchasing by DHBs.
calculation of case weighted discharge values.
identification of casemix purchased Purchase Units.
case complexity (for future costing work).
cost weight version used.
Be the usage of the 2015/16 Casemix Framework Document
(WIESNZ15).
Business Requirements – 2015/16 WIESNZ and Cost Weight changes
The following requirements under NMDS – Weighted Inlier Equivalent Separation (WIES)
and Cost Weight changes are sourced from the Cost Weights Working Group, and are a
Mandatory priority, unless otherwise stated.
Background information:
WIESNZ is the methodology used to calculate the Cost Weight value based on the assigned
Australian Refined Diagnosis Related Groups (AR-DRGs) and New Zealand costs.
Revisions of WIESNZ are performed annually as part of NCAMP.
The 2015/16 New Zealand Casemix Framework for Publicly Funded Hospitals document
(WIESNZ15) (Final tbc) is available on the NCAMP website here (tba).
This is a placeholder for the implementation of annual WIESNZ changes until the Casemix
Framework Document is completed around the end of October 2014.
ID
Requirement
http://www.health.govt.nz/system/files/documents/pages/wiesnz15_v1.
1_december_2014.docx
BR NMDS-WIES-1
http://www.health.govt.nz/system/files/documents/pages/wiesnz15_v1.
1_december_2014_tracked_changes.docx
Refer to the WEISNZ15 documents located at the above site.
This year was a full review year in which a new set of weights were
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developed together with some new structural elements. This version
includes the following changes from the previous year:

New facility added to the casemix eligible facilities list. The
facility is:
Mater Misericordiae Health Services, Brisbane (9136), see
Error! Reference source not found.












BR NMDS-WIES-2
Primary maternity – tables for initial filters, flags, RVUs and the
flow diagram have all been revised, see Error! Reference
source not found., Error! Reference source not found. and
Error! Reference source not found.
Same day blood transfusion – PU allocation rule revised, see
Error! Reference source not found.
Deleted wording in section Designated Hospital for Casemix
Revenue, see Error! Reference source not found.
A new DRG mapping so that pelvic exenteration surgery event
records group to NZ DRG N01Z Pelvic Evisceration and
Radical Vulvectomy, see Error! Reference source not found.
A new co-payment for treatment of cerebral aneurysms (CA)
via endovascular repair, see Error! Reference source not
found.
Extending the scoliosis eligibility rule to cover the DHB funding
agency rather than the facility, see Error! Reference source
not found.
77 new SD or OD designations were introduced to better direct
revenue to admitted patient events rather than ED or similar
short stay events, see Error! Reference source not found.
Reviewed existing co-payment values. Co-payment values
have been adjusted for AAA, ASD and scoliosis. No
adjustments were made to the EPS co-payment as further
analysis was deemed necessary. LDN and MV were not
reviewed
New purchase unit code created for Metabolic Services
M24001 Metabolic services – inpatient services (DRGs), see
Error! Reference source not found.
Revision of the payment for tonsils and adenoid (T&A)
procedures with a sleep apnoea diagnosis to be funded at a
similar level to T&A cases without a sleep apnoea diagnosis.
This was achieved by giving the DRG E02C Other Respiratory
System OR Procedures W/O CC a SD designation
Ophthalmology injections and excision skin lesion cost weights
revised, see Error! Reference source not found. and Error!
Reference source not found.
A new section listing all NZ DRGs and DRG mappings has
been added to the end of this document, see Error! Reference
source not found..
Business Objects must be able to report on WEISNZ15
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4.2. Update Legal Status code and description
4.2.1.
Business Requirements - NMDS
The following requirements under NMDS Legal Status are sourced from the Health
Information Standards Organisation (HISO) Group (which consists of representatives of
Provider Arm DHBs, NGOs and the Ministry of Health), and are a Mandatory priority, unless
otherwise stated.
Background information:
NMDS and PRIMHD Legal Status tables are required to be the same, as patients can be
reported to both collections. There is to be one new Legal Status code added to the NMDS.
Please note that HISO documentation has already been updated for the Legal Status code
‘TZ’ (June 2014).
ID
Requirement
BR NMDS-LS-1
Add the following Legal Status code to NMDS, to be available from
event records with an event end date on or after 01 July 2015:

TZ “Mental Health (Compulsory Assessment and
Treatment) Act 1992”, valid from 01-01-1900, used for ‘Use
to distinguish between end dates where the intention was to
discharge from formal status or transfer to another DHB still
under formal status’.
Withdrawn
All webpages and documentation including:
BR NMDS-LS-2


Data Dictionary
File Specification.
Need to be reviewed and updated with this new Legal Status code,
where applicable.
Amend the description for Legal Status code YD as follows:
BR NMDS-LS-3
NMDS-LS-3
Rationale

Children, Young Persons, and Their Families (CYPF) Act
1989, Section 181.
A typo when entering this description into NMDS has the year for
the Act as ‘1898’. The year should be ‘1989’. All other
documentation has the year correctly recorded.
MoH change only.
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4.3. Update of Australia and New Zealand Standard Classification of
Occupations (ANZSCO) list, 2013, v1.2
4.3.1.
Problem Statement
The problem
that



Existing Occupation codes in NMDS are from a New Zealand list
from 1996.
New, amended and retired Australian and New Zealand Standard
Classifications for Occupations (ANZSCO) list released in July
2013 are not available in NMDS.
Existing Occupation codes in NMDS are level 4 (four digits) when
both Accident Compensation Corporation (ACC) and Massey
University (the Centre for Public Health Research) require an
update to codes at level 5 (six digits).
Affects
Reporting and data analysis carried out by the Ministry of Health and the
wider Health Sector.
The Impact(s) of
which are
Occupation codes are being used that are 17 years old and are not
reflective of occupations of the current New Zealand population.
A successful
solution would
Be to allow the level 5 ANZSCO codes to be submitted for reporting and
analysis in NMDS.
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4.3.2.
Version 1.2
Business Requirements – Update of ANZSCO codes - NMDS
The following requirements under NMDS – ANZSCO code updates are a Mandatory priority,
unless otherwise stated.
Background information:
The file that contains all of the ANZSCO codes (new, amended and retired) was produced
by the Australian Bureau of Statistics in conjunction with Statistics New Zealand is available
on the Australian Bureau of Statistics website: Latest ANZSCO list v1.2.
NMDS currently holds four digit Occupation codes from a 1996 list supplied by Statistics NZ.
The ANZSCO codes will replace the existing NMDS codes. Events on or before 30 June
2015 will not be updated with the new codes.
When updating the Occupation codes to the ANZSCO codes, where the code contains a
dash (‘-‘) the dash will be removed. Codes that contain a dash are technically not part of the
actual code set, however have been included in the code set for completeness. Examples
are:



0999-10 Student
0999-20 Child/baby
0999-30 Invalid pensioner
Please note that currently the reporting of the Occupation code in NMDS is Optional.
ID
Requirement
BR NMDS-OCC-1
The Occupation field must be able to contain codes of 6 digits (level
5 codes).
BR NMDS-OCC-2
The Occupation codes must be from the latest ANZSCO release,
v1.2 only.
BR NMDS-OCC-3
The new Occupation codes (when used) must be from events with
an end date on or after 01 July 2015.
BR NMDS-OCC-4
The Data warehouse must be able to report on Occupation codes at
level 5.
BR NMDS-OCC-5
Business Objects must be able to report on Occupation codes at
level 5.
All webpages and documentation including:
BR NMDS-OCC-6


Data Dictionary
File Specification.
Need to be reviewed and updated with the new ANZSCO 2013 v1.2
list.
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5. National Non-Admitted Patient Collection (NNPAC)
5.1. Addition of an ‘Alcohol involved’ field
5.1.1.
Problem Statement
The problem of
The inability to record alcohol involvement in relation to patient
presentation in New Zealand hospitals.
The inability to submit events involving alcohol to the national
collections.
Affects
The Impact(s) of
which are
the ability to monitor trends in the presentation to Emergency
Departments (EDs) of patients where alcohol was associated.




A successful
solution would
Limiting the ability to have a strategic and coordinated approach
to alcohol research on the role of alcohol in injuries and violence.
Limiting the ability to plan effectively.
Limiting the ability to evaluate the effectiveness of policies and
interventions.
The inability to meet the needs of affected communities and
individuals.
record the ‘alcohol involvement’ in all emergency departments
presentations and submit this to the national collections.
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5.1.2.
Version 1.2
Business Requirements – Addition of Alcohol Involved field - NNPAC
The following requirements under NNPAC – Alcohol Involved field, were sourced from the
Emergency Department IT (EDIT) Group (a subset of the Emergency Department Advisory
Group (ED AG)) and are a Mandatory priority, unless otherwise stated.
Background information:
The addition of this field will be piloted with five/six ED AG suggested DHB’s (exact DHBs to
be determined/advised). A separate guidelines document around the use of this field will be
distributed to the pilot DHBs.
ID
Requirement
BR NNPAC-ALC-1
Collect the new Alcohol Involved field on all ED attendances where
the event type = ‘ED’ (Emergency Department) for the pilot DHBS
only.
Add a new field ‘Alcohol Involved’ to the NNPAC Input load file.
Valid values:
BR NNPAC-ALC-2




Y = Yes (agreement with the Alcohol Involved question)
N = No (disagreement with the Alcohol Involved question)
U = Not known
S = Secondary (presentation is as a consequence of others’
alcohol consumption).
Only one value will be able to be submitted per event record.
BR NNPAC-ALC-3
Submission of Alcohol Involved data will be mandatory for the pilot
DHBs only.
BR NNPAC-ALC-4
The Alcohol Involved field will be populated and reported to NNPAC
in load file version 6.0 by the pilot DHBs only. Non pilot sites to
implement Alcohol Involved field but with zero reporting
Amend the file load protocol to add this Alcohol Involved field.
BR NNPAC-ALC-5
The new field will be positioned at the end of the load file after the
‘Mode of Delivery’ field.
BR NNPAC-ALC-6
Alcohol Involved field must be added to the Data Warehouse and
Business Objects Universes.
BR NNPAC-ALC-7
The Data Warehouse will populate the field for non-pilot DHBs with a
‘null’ value.
Rationale for
NNPAC-ALC-7
Data Warehouse to include values provided by the pilot DHBs only.
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ID
Requirement
BR NNPAC-ALC-8
All web pages and documentation including:
 Data Dictionary
 File Specification.
Need to be reviewed and updated with Alcohol Involved information.
5.2. Addition of ‘Mode of Delivery’ field, reinstatement of ‘Location
code’
5.2.1.
Problem Statement
The problem of
The ‘Activity Setting’ field currently being used for two separate
purposes in NNPAC:


Affects
The Impact(s) of
which are
The recording of Location, and Mode of Delivery information.


A successful
solution would
The actual location of the service/activity
The method of delivering the service/activity
The inability of Health workers to record both the Location of an
appointment and the Mode of Delivery between the Health
worker and the patient on any one event.
The inability to track how services are delivered with a view to
monitoring change over time.
Have the Location and Mode of Delivery information contained in
separate fields on the event record.
Both fields will be included in reporting solutions.
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5.2.2.
Version 1.2
Business Requirements – Addition of ‘Mode of Delivery’ field - NNPAC
The following requirements under NNPAC – Mode of Delivery field are sourced from
Common Counting Technical Advisory Group (CCTAG) and are a Mandatory priority, unless
otherwise stated.
Background information:
Telehealth will be further addressed in the National Patient Flow project/system.
The CCTAG will issue a separate guidelines document around the use of this field.
ID
Requirement
BR NNPAC-MOD-1
Rename the ‘Activity Setting’ field to ‘Location Code’.
BR NNPAC-MOD-2
Add a new field called ‘Mode of Delivery’ to the event record.
BR NNPAC-MOD-3
New Mode of Delivery field must be populated for event records with
a datetime of service on or after 01 July 2015.
New code values for ‘Mode of Delivery’ field are to be:
BR NNPAC-MOD-4
1
Face to Face (1 patient to 1 clinician)
2
Face to Face (1 patient to many clinician)
3
Face to Face (1 clinician to many patients)
4
Remote patient monitoring
5
Telephone
6
Videoconference
7
Non-contact (virutal)
This list of values were discussed and recommended by a subgroup
of CCTAG.
BR NNPAC-MOD-5
New field required on the load file and the procedure table of the
transactional database.
BR NNPAC-MOD-6
The Mode of Delivery field will be submitted to NNPAC in load file
version 6.0.
BR NNPAC-MOD-7
Amend the load protocol to add this Mode of Delivery field
information. The new field will be positioned at the end of the record
after the ‘Funding Agency Code’ field.
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ID
Version 1.2
Requirement
All webpages and documentation including:


BR NNPAC-MOD-8
Data Dictionary
File Specification.
Need to be reviewed and updated from the amended Activity Setting
field name and values, to the new Mode of Delivery field name and
values.
BR NNPAC-MOD-9
Update the Business Objects universe with the new and amended
fields and their values.
BR NNPAC-MOD-10
Update the Data Warehouse to dimensionalise the new ‘Mode of
Delivery’ data identifiers.
Update the Data Warehouse to add validations for version 5 files in
the event start dates prior to 01 July 2015, to remap existing
identifiers 20-25 (inclusive) to the new ‘Mode of Delivery’ identifiers.
BR NNPAC-MOD-11
BR NNPAC-MOD-12
BR NNPAC-MOD-13
Old
Identifier
New
Identifier
Description (unchanged)
20
6
Video Conference
21
5
Telephone
22
7
Written correspondence, email or
letter
23
7
SMS Messaging (text message)
24
4
Remote Patient Monitoring
25
1
Face to face
Update the Data Warehouse to accept, validate and process file
version 06.0 files.
Remove NNPAC file version 04.0 from processing support after 01
July 2015.
File versions 05.0 and 06.0 will be the only supported versions after
01 July 2015.
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5.3. Reinstatement of Health Speciality Code
5.3.1. Business Requirements – Reinstatement of Health Specialty Code NNPAC
The following requirements under NNPAC – Reinstatement of Health Specialty Code are
sourced from the Principal Advisor, Electives and National Services,DHB Performance and
are a Mandatory priority, unless otherwise stated.
Background information:
Health Speciality Code ‘M87’ was retired in June 2005. There has been a request by the
DHB Performance team to reinstate this code as part of NCAMP.
ID
Requirement
BR NNPAC-HSC-1
Health Specialty Code M87 must be a valid option for event records
with an event start date on or after 01 July 2015.

M87
Specialist Medical Genetics
BR NNPAC-HSC-2
Update the Common code tables to reflect the reinstated Health
Speciality Code.
NNPAC-HSC-2
Rationale
The common code tables are accessed by some National
Collections and are available to the general public on the Ministry of
Health website. The tables are found here: Health Specialty Code
common code table.
All webpages and documentation:
BR NNPAC-HSC-3


Data Dictionary
File Specification.
Need to be reviewed and updated with this reinstated Health
Speciality code, where applicable.
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6. Programme for the Integration of Mental Health Data (PRIMHD)
6.1. Update Legal Status code and description
6.1.1.
Business Requirements – PRIMHD
The following requirements under PRIMHD – Legal Status codes are sourced from the
Health Information Standards Organisation (HISO) Group (which consists of representatives
of Provider Arm DHBs, NGOs and the Ministry of Health), and are a Mandatory priority,
unless otherwise stated.
Background information:
NMDS and PRIMHD Legal Status tables are required to be the same, as patients can be
reported to both collections. There is to be one new Legal Status code added to PRIMHD.
Please note that HISO documentation has already been updated for the Legal Status code
‘TZ’ (June 2014).
ID
Requirement
BR PRIMHD-LS-1
Add the following Legal Status code to PRIMHD, to be available
from 01 July 2015:

TZ “Mental Health (Compulsory Assessment and
Treatment) Act 1992”, valid from 01-01-1900, used for ‘Use
to distinguish between end dates where the intention was to
discharge from formal status or transfer to another DHB still
under formal status’.
Withdrawn
All webpages and documentation:
BR PRIMHD-LS-2


Data Dictionary
File Specification.
Need to be reviewed and updated with this new Legal Status code,
where applicable.
Amend the description for Legal Status code YD as follows:
BR PRIMHD-LS-3
PRIMHD-LS-3
Rationale

Children, Young Persons, and Their Families (CYPF) Act
1989, Section 181.
A typo when entering this description into PRIMHD has the year for
the Act as ‘1898’. The year should be ‘1989’. All other
documentation has the year correctly recorded.
MoH change only.
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6.2. Alcohol and Drug Outcome Measure (ADOM) Collection
6.2.1.
Business Requirements – PRIMHD
The following requirements under PRIMHD – ADOM Collection are a Mandatory priority,
unless otherwise stated.
Background information:
The collection of ADOM information in PRIMHD was introduced as part of NCAMP 2014.
For the first year of use (July 2014 to June 2015) the reporting of Outcome Item codes
relating to ADOM (under the Outcome Tool type ‘M1’) will remain optional.
From NCAMP 2015 (valid from 01 July 2015) the ADOM Outcome Item codes (under the
Outcome tool type ‘M1’) will become mandatory.
ID
Requirement
ADOM Outcome Item Codes must become mandatory for
Collection Occasions with a start date on or after 01 July 2015.
Relates to:
BR PRIMHD-ADOM-1


Collection Occasions where the Outcome Tool type = M1
(ADOM)
Outcome Item codes 01 to 20 inclusive, including subsets of
the groups (eg 07a, 07b etc).
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7. Miscellaneous Requirements
7.1. Update of ANZSCO codes – Ministry Common Code tables
ID
Requirement
BR CC-OCC-1
Update the Common code tables to reflect the latest ANZSCO
Occupation codes, 2013, v1.2.
CC-OCC-1
Rationale
The common code tables are accessed by some National
Collections and are available to the general public. The tables are
found here: Occupation common code table.
7.2. Update of Legal Status codes – Ministry Common Code tables
ID
Requirement
Update the Common code tables to add the following Legal Status,
to be available from 01 July 2015:
BR CC-LS-1
CC-LS-1 Rationale

TZ Mental Health (Compulsory Assessment and Treatment)
Act 1992, valid from 01-01-1900, used for ‘Use to distinguish
between end dates where the intention was to discharge from
formal status or transfer to another DHB still under formal
status’.
The common code tables are accessed by some National
Collections and are available to the general public. The tables are
found here: Legal Status common code table.
Amend the description for Legal Status code YD as follows:
BR CC-LS-2
CC-LS-2 Rationale

Children, Young Persons, and Their Families (CYPF) Act
1989, Section 181.
A typo when entering this description has the year for the Act as
‘1898’. The year should be ‘1989’. All other documentation has the
year correctly recorded.
MoH change only.
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Appendix A Definitions
Term or
Abbreviation
Definition
ACC
Accident Compensation Corporation
ANZSCO
Australian and New Zealand Standard Classification of Occupations
AR-DRG
BDM
Australian Refined Diagnosis-Related Group
Births, Deaths and Marriages Registry
A function contained within the Department of Internal Affairs.
CCTAG
Common Counting Technical Advisory Group
DHB
District Health Board
CPAC
Clinical Priority Assessment Criteria
A tool that uses pre-determined assessment criteria to allocate a
priority score for the healthcare user. This priority score determines
the access to treatment for the healthcare user.
CYPF
Children, Young Persons, and their Families
DOM
Domicile code
Domicile Code
Statistics NZ Health Domicile code representing a person’s usual
residential address. Also used for facility addresses.
DRG
Diagnosis Related Group
ED
Emergency Department
ED AG
Emergency Department Advisory Group
EDIT
Emergency Department IT Group
e-SAM
New address validation web services, named ‘Health-e-Address’ or eSAM have been developed through the Health Identity Programme. ESAM uses data from NZ Post, Land Information NZ, Statistics NZ, and
the Ministry of Health to provide accurate and standardised address
and geospatial data
HIP
Health Identity Project
HISO
Health Information Standards Organisation
IM
Psychiatric Inpatient Event
Meshblock
The meshblock is the smallest geographic unit for which statistical
data is collected and processed by Statistics New Zealand. A
meshblock is a defined geographic area, varying in size from part of a
city block to large areas of rural land.
MOH
Ministry of Health
MoU
Memorandum of Understanding
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Term or
Abbreviation
Definition
NBRS
National Booking Reporting System
NCAMP
National Collections Annual Maintenance Project
NCR
National Collections and Reporting
NGOs
Non-Governmental Organisations
NHB
National Health Board
NHI
National Health Index
NMDS
National Minimum Data Set
NNPAC
National Non-Admitted Patient Collection
NZ
New Zealand
NZCR
New Zealand Cancer Registry
NZDRG
New Zealand Diagnosis Related Group
OLAP
Online Analytical Processing (OLAP) performs multidimensional
analysis of business data and provides the capability for complex
calculations, trend analysis and sophisticated data modelling
OPF
Operational Policy Framework
PAS
Patient Administration System
PHOs
Primary Health Organisations
PMS
Patient Management System
PRIMHD
Programme for the Integration of Mental Health Data
PU
Purchase Unit
SE
Java Standard Edition
For general-purpose use on desktop PCs, servers and similar devices
Sybase
Sybase is an enterprise software and services company offering
software to manage, analyze, and mobilize information, using
relational databases, analytics and data warehousing solutions and
mobile-application development platforms. Sybase is a standalone
subsidiary of SAP
TLA
WIES
Territorial Local Authority
An authority that performs local government services for a
geographical area, roughly equates to local council boundaries.
Weighted Inlier Equivalent Separation
WIESNZ
Weighted Inlier Equivalent Separation New Zealand
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Appendix B Document Control
B.1
Document Details
Project
NCR3850 – NCAMP 2015
Team
Business Analysis, Solutions Delivery Group
Document Title
National Collections Annual Maintenance Project
Business Requirements - Sector
Path/Filename
NCR 3850 NCAMP 2015\Product File\Analysis and Design\Business
Requirements\02.Detailed Level Business Requirements
Author(s)
Tracy Worsley
Version
1.2
Status
Final
B.2
Version Control
Date
Version
Description of Changes
Author(s)
18/12/14
1.2
Clarification of NNPAC “Alcohol
Involved “ requirement
Ron Wood
Addition of WIESNZ 15 changes
02/10/14
1.1
Final version including
incorporation of feedback from
internal Ministry and peer review,
Sector consultation
Tracy Worsley
26/08/2014
1.0
Final draft version
Tracy Worsley
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B.3
Version 1.2
Related Documents
Title
Version
Location
WIESNZ15 Final
Version tba
To be added when available for 2015
round (Oct/Nov 2014)
B.4
Document Contributors
Name
Position
Action
Barry Welsh
Principal Advisor, Mental Health
Service Improvement
Reviewer
Angela Pidd
Team Leader, National Collections &
Reporting
Reviewer
Hilary Sharp / Urwashi Singh
Senior Data Quality Analysts, National
Collections & Reporting
Contributors and
reviewers
Christine Fowler
Manager, Classification and
Terminology, National Collections &
Reporting
Contributor &
Reviewer
Tracy Thompson
Senior Analyst, Classification and
Terminology, National Collections &
Reporting
Reviewer
Steve Sambrook
Business Intelligence Data Warehouse
Team Leader
Reviewer
Shirley Miles
Team Leader, NZ Cancer Registry
Contributor &
Reviewer
Lynette Drew
Senior Advisor – ED and Acute
Demand, Sector Capability and
Implementation
Contributor
Ron Wood
NCAMP 2015 Project Manager
Project Manager
Lee Gibson
Systems Analyst, Systems Analysis
Reviewer
Anne Goodwin (or TBA)
Business Analyst, Information Group
BA Peer Reviewer
Tracy Worsley
Business Analyst, Information Group
Author
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Appendix C Document Sign-off
This signature indicates that the NCAMP Project Manager agrees with the content of this document,
insofar as it applies to his/her areas of management responsibility and in terms of its completeness
and deliverable scope.
Name: Ron Wood
Signature:
Date:
Project Manager, National Collections and Reporting
This signature indicates that the National Collections Team Leader agrees with the content of this
document, insofar as it applies to his/her area of management responsibility and in terms of its quality.
Name: Angela Pidd
Signature:
Date:
Team Leader , National Collections and Reporting
This signature indicates that the Solutions Delivery Group Team Leader agrees with the content of
this document, insofar as it applies to his/her area of management responsibility and in terms of its
quality.
Name: Mathew Tavendale
Signature:
Date:
Team Leader , Business Analysis, Solutions Delivery Group
This signature indicates that the Business Analyst is satisfied with the quality of this document in
terms of its completeness and accuracy.
Name: Tracy Worsley
Signature:
Date:
Business Analyst, Business Analysis, Solutions Delivery Group
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