Falls, Dataset (Word). - Health & Social Care Information

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Falls Dataset
Version 1.1
Falls Dataset Version 1.1
Note that a number of the data items defined below are not currently routinely captured as part of patient care records; the Falls data set may therefore be implemented in
phases, the first implementation phase consisting of those data items that are currently collected.
Data Item
Description
Purpose
Codes and Classifications
PERSON
DEMOGRAPHICS
1.1
NHS NUMBER
See NHS Data Dictionary
1.2
See NHS Data Dictionary
1.3
LOCAL PATIENT
IDENTIFIER
ORGANISATION CODE
(LOCAL PATIENT
IDENTIFIER)
CASE NUMBER
1.3a
LOCAL AUTHORITY CODE
1.4
1.2a
Used to uniquely identify the patient who is the
subject of the dataset.
Used to uniquely identify the patient within a
health care provider
See NHS Data Dictionary
See NHS Data Dictionary
an5
See NHS Data Dictionary
The unique number assigned to a person
when they are formally recognised as a
social service user and have a case opened
for them.
The identifier of a local authority within the
UK
Used to uniquely identify the patient who is the
subject of the Dataset within a local authority care
provider
PERSON FAMILY NAME
See NHS Data Dictionary
See NHS Data Dictionary
1.5
PERSON GIVEN NAME
See NHS Data Dictionary
Identifies that part of a person's name which is used
to describe family, clan, tribal group, or marital
association.
Identifies the forename or given name of a person.
1.6
PATIENT USUAL ADDRESS
See NHS Data Dictionary
Identifies the address details for the person at their
usual address
See NHS Data Dictionary
1.7
POSTCODE OF USUAL
ADDRESS
PRESENT ADDRESS
See NHS Data Dictionary.
1.8
1.9
POSTCODE OF PRESENT
ADDRESS
Version: 1.1
Issue Date: 07/12/04
This is the ADDRESS nominated by the
PATIENT, with ADDRESS ASSOCIATION
TYPE of Present address’
The POSTCODE of the ADDRESS
nominated by the PATIENT with ADDRESS
ASSOCIATION TYPE 'Present Address’.
an10 (up to 10 characters)
an4 nnaa
See NHS Data Dictionary
See NHS Data Dictionary
Identifies the address details for the person at their
present address where this is different from their
usual address
See NHS Data Dictionary PATIENT USUAL
ADDRESS
See NHS Data Dictionary POSTCODE
Page 1 of 18
Falls Dataset
Version 1.1
1.10
PERSON BIRTH DATE
See NHS Data Dictionary
1.11
PERSON GENDER CURRENT
See NHS Data Dictionary
1.12
ETHNIC CATEGORY
See NHS Data Dictionary.
1.13
GP NAME (NAME OF
REGISTERED OR
REFERRING GMP)
GMP (CODE OF
REGISTERED OR
REFERRING GMP)
See NHS Data Dictionary
1.14a
ORGANISATION NAME (GP
PRACTICE)
1.15
CODE OF GP PRACTICE
(REGISTERED GMP)
ORGANISATION CODE (PCT
OF GP PRACTICE)
1.14
1.16
1.17
1.18
ORGANISATION CODE
(CODE OF PROVIDER)
ORGANISATION CODE
(CODE OF COMMISSIONER)
Version: 1.1
Issue Date: 07/12/04
Additional identifier for the person who is the
subject of the dataset. Also required for the
calculation of age. To enable the provision of case
mix indicators.
Identifies the phenotypical gender classification
that currently applies to the person.
Records the ethnicity of a person, as specified by
the person.
Identifies the name of the person’s general medical
practitioner
See NHS Data Dictionary
See NHS Data Dictionary.
Identifies the unique code for the person’s general
medical practitioner
See NHS Data Dictionary
The name of the GP practice for the
GMP who has either registered or
referred the PATIENT
See NHS Data Dictionary
Identifies the name for the person’s general medical
practitioner
Max an255
Identifies the unique practise code for the person’s
general medical practitioner
Identifies the unique code of the Primary Care
Trust responsible for the GP practise at which the
person is registered.
Identifies the unique code of the ORGANISATION
providing the care to the patient.
Identifies the unique code of the ORGANISATION
commissioning the care for the patient.
See NHS Data Dictionary
See NHS Data Dictionary
See NHS Data Dictionary
See NHS Data Dictionary
See NHS Data Dictionary
See NHS Data Dictionary
See NHS Data Dictionary
See NHS Data Dictionary
See NHS Data Dictionary
See NHS Data Dictionary
Page 2 of 18
Falls Dataset
2
CASE FINDINGS - FALLS
FALL CHECK DATE
3
NUMBER OF FALLS IN
PREVIOUS 12 MONTHS
4
FALL DATE (SAP)
Version 1.1
The date on which the person was last
routinely asked about their fall history
over the past year.
This data item is not currently routinely
captured as part of patient care
records.
The number of falls that the person has
reported having in the 12 month period
prior to the fall check date.
This data item is not currently routinely
captured as part of patient care
records.
The date when the person fell.
Single Assessment Summary data set
v0.7.
This data item is not currently routinely
captured as part of patient care
records.
To monitor the proactive approach required by
NICE to screen older people for falls at least
once every year.
Business Requirements v1.0, Reference 1.1.
n8 (with 2 spaces): ccyy-mm-dd
Identifies those persons who have reported a
single fall or multiple falls and who should
undergo a simple observation for balance and
gait deficit and be considered for detailed fall
evaluation, as defined by NICE.
Business Requirements v1.0, Reference 1.1,
2.1b.
Identifies those persons who have fallen.
Supports the documentation of falls, when a
person presents for medical attention due to a
fall and/or when a person falls in an
institution.
Business Requirements v1.0, Reference
1,2,1.3.
n3
n8 (with 2 spaces): ccyy-mm-dd
Ensures that Fall History is included as part of
the detailed fall evaluation.
Business Requirements v0, Reference 3.1.
Version: 1.1
Issue Date: 07/12/04
Page 3 of 18
Falls Dataset
5
6
LOCATION (FALL)
DIAGNOSIS DATE
(FALL)
Version: 1.1
Issue Date: 07/12/04
Version 1.1
Identifies the type of the location where
the person fell.
For example:
 Home
 Hospital
 Residential care home
 Nursing care home
 Street
 Other
This data item is not currently routinely
captured as part of patient care records
Supports the documentation of falls, when a
person presents for medical attention due to a
fall and/or when person falls in an institution.
Business Requirements v1.0, References 1.2
and 1.3.
The date on which the person was
diagnosed as having an injury as the
result of a fall.
May or may not be the same as the
FALL DATE
Supports the documentation of falls, when a
person presents for medical attention due to a
fall.
Business Requirements v10, Reference 1.2.
Ensures that Fall History is evaluated as part
of the detailed fall evaluation.
Business Requirements v1.0, Reference 3.1.
n2
01 Home
02 Hospital
03 Residential care home
04 Nursing care home
05 Street
06 Other
07 Not specified
08 Not known
Note: The following existing data items and
classifications are not appropriate to use:
 Location Type
 A&E: Incident Location Type
n8 (with 2 spaces): ccyy-mm-dd
Page 4 of 18
Falls Dataset
7
DIAGNOSIS (FALL)
Repeating Data Item
Version 1.1
Identifies the diagnosis of the fragility
fracture(s) or other injuries sustained
by the person as the result of the fall.
Note: Current diagnostic coding is
insufficiently sensitive to identify a Fall
Supports the documentation of falls, when a
person presents for medical attention due to a
fall.
Identifies the reason why the person presented
for medical attention as the result of a fall.
Business Requirements v1.0, Reference 1.2.
Repeat group.
READ, ICD10, SNOMED (when available)
 Fragility Fracture
o Hip
o Humerus
o Pelvis
o Vertebrae
o Wrist
o Other – need to be defined
 Other
o Collapse
o Faint
o Head Injury
o Senility
o Soft Tissue Injury
Note: Fall is not strictly a diagnosis. There
may be the potential to use the A&E: Patient
Group data item and to extend the current
classification to include Falls, the current
classification is shown below:
 Road Traffic Accident
 Assault
 Deliberate Self-Harm
 Sports Injury
 Firework Injury
 Other accident
 Brought in Dead
 Other than above
Version: 1.1
Issue Date: 07/12/04
Page 5 of 18
Falls Dataset
8
9
FALLS ASSESSMENT
DATE (SAP)
RECURRENT SYNCOPE
Version 1.1
The date on which the person received
a detailed falls evaluation.
Single Assessment Summary data set
v0.7.
Identifies whether or not the person has
described recurrent syncope to a health
care professional.
Enables monitoring that a person having
reported a fall during the SAP (or other
assessment) is followed up by a detailed falls
evaluation.
To monitor that a detailed fall evaluation is
undertaken when a person suffers 2 or more
falls, presents for medical attention because of
a fall, falls in an institution, describes
recurrent syncope or suffers a single fall and
exhibits balance and gait deficit.
Business Requirements v1.0, References 1.2,
1.3, 1.4, 2.1b, 3.1.
Identifies that a person has described recurrent
syncope, therefore enables monitoring that a
detailed fall evaluation is performed on the
person.
Business Requirements v1.0, Reference 1.4,
2.1b.
n8 (with 2 spaces): ccyy-mm-dd
n2
01 Yes
02 No
98 Not specified
99 Not known
To monitor that a person with a history of
syncope is considered for referral for
specialist investigation, for example for
carotid sinus studies, as defined by NICE.
Business Requirements v1.0, Reference 3.2.
Version: 1.1
Issue Date: 07/12/04
Page 6 of 18
Falls Dataset
10
11
INITIAL ASSESSMENT &
SCREENING
SIMPLE BALANCE &
GAIT OBSERVATION
DATE
SIMPLE BALANCE &
GAIT OBSERVATION
Version: 1.1
Issue Date: 07/12/04
Version 1.1
The date on which the person had a
simple balance and gait observation
performed.
This data item is not currently routinely
captured as part of patient care
records.
Identifies whether or not the person’s
balance and gait was observed as stable
or unstable.
This data item is not currently routinely
captured as part of patient care
records.
Enables monitoring that a simple balance and
gait observation is performed on an older
person who has fallen or who is considered at
risk of falling, as defined by NICE.
Business Requirements v1.0, Reference 2.1a.
n8 (with 2 spaces): ccyy-mm-dd
Enables monitoring that people identified with
balance and gait problems have a detailed falls
evaluation performed.
Business Requirements v1.0, Reference 2.1.
n2
01
02
98
99
Stable
Unstable
Not specified
Not known
Page 7 of 18
Falls Dataset
12
12.1
12.2
DETAILED FALL
EVALUATION
FALL HISTORY &
CIRCUMSTANCES
FALL HISTORY
(FREQUENCY)
FALL HISTORY
(RECURRENT
UNEXPLAINED FALLS)
Version 1.1
The frequency with which the person
falls.
The average period between falls in
days.
Identifies people who fall frequently.
Identifies whether or not the person has
suffered 2 or more recurrent,
unexplained falls.
Ensures that Fall History is evaluated as part
of the detailed fall evaluation.
Business Requirements v1.0, Reference 3.1.
n3
Ensures that Fall History is evaluated as part
of the detailed fall evaluation.
Business Requirements v1.0, Reference 3.1.
n2
01 Yes
02 No
98 Not specified
99 Not known
Enables monitoring that a person with
recurrent unexplained falls is considered for
referral for specialist investigation, for
example for carotid sinus studies, as defined
by NICE.
Business Requirements v1.0, Reference 3.2.
12.3
FALL HISTORY
(ALCOHOL HISTORY)
Version: 1.1
Issue Date: 07/12/04
Identifies whether or not the person
was asked about their alcohol
consumption history as part of the
detailed falls assessment.
Enables monitoring that people with recurrent
unexplained falls are considered for tailored,
multifactoral interventions, as defined by
NICE.
Business Requirements v1.0, Reference 4.1.
Ensures that Fall History is evaluated as part
of the detailed fall evaluation.
Business Requirements v1.0, Reference 3.1.
n2
01 Yes
02 No
98 Not specified
99 Not known
Page 8 of 18
Falls Dataset
12.4
12.5
12.6
Version 1.1
FALL HISTORY
(MEDICATION
HISTORY)
Identifies whether or not the person
was asked about their medication
history as part of the detailed falls
assessment.
Ensures that Fall History is evaluated as part
of the detailed fall evaluation.
Business Requirements v1.0, Reference 3.1.
FALL HISTORY
(MULTIPLE
MEDICATION)
Identifies whether or not the person is
currently taking 4 or more prescribed
drugs.
Derived data item from patient
medication record.
Identifies whether or not the person is
currently taking culprit medications
associated with falls.
Derived data item from patient
medication record.
Ensures that Fall History is evaluated as part
of the detailed fall evaluation.
Business Requirements v1.0, Reference 3.1.
FALL HISTORY
(CULPRIT
MEDICATION)
Ensures that Fall History is evaluated as part
of the detailed fall evaluation.
Business Requirements v1.0, Reference 3.1.
n2
01
02
98
99
n2
01
02
98
99
n2
01
02
98
99
Yes
No
Not specified
Not known
Yes
No
Not specified
Not known
Yes
No
Not specified
Not known
Note: The NHSIA will identify a Pharmacist
to provide a comprehensive list of Culprit
Medications, for example:
 Anticonvulsants
 Antidepressants
 Benzodiazapins
 Cardiac drugs
 Diuretics
 Neuroleptics
 Opiates
 Parkinson’s medicines
 Psychotropics
12.7
12.7.1
FALL HISTORY (FALLS)
Repeating Group in Data
Set
One incidence of the group
is recorded per Fall in the
Fall History
FALL DATE (SAP)
Version: 1.1
Issue Date: 07/12/04
This data item group is not currently
routinely captured as part of patient
care records.
See Data Item 4
Page 9 of 18
Falls Dataset
12.7.2
12.7.3
12.7.4
12.7.5
12.7.6
12.7.7
13
Version 1.1
FALL LOCATION
FALL HISTORY
(FAINTING OR
DIZZINESS)
See Data Item 5
Identifies whether or not the person
experienced any fainting or dizziness
associated with the fall.
FALL HISTORY
(ABILITY TO GET UP)
Identifies whether or not the person
was able to get up following the fall.
A long lie is implied, if the person was
not able to get up.
Ensures that Fall History is evaluated as part
of the detailed fall evaluation.
Business Requirements v1.0, Reference 3.1.
FALL HISTORY
(INJURY)
Identifies whether or not the person
was injured as the result of the fall.
Ensures that Fall History is evaluated as part
of the detailed fall evaluation.
Business Requirements v1.0, Reference 3.1.
FALL HISTORY
(WITNESSED)
Identifies whether or not one or more
third parties witnessed the person’s fall.
Ensures that Fall History is evaluated as part
of the detailed fall evaluation.
Business Requirements v1.0, Reference 3.1.
FALL HISTORY
(WITNESS ACCOUNT)
Identifies whether or not there is a
collaborating witness account of the
fall.
Ensures that Fall History is evaluated as part
of the detailed fall evaluation.
Business Requirements v1.0, Reference 3.1.
EXAMINATION
Repeating Group in Data
Set
Version: 1.1
Issue Date: 07/12/04
Ensures that Fall History is evaluated as part
of the detailed fall evaluation.
Business Requirements v1.0, Reference 3.1.
n2
01
02
98
99
n2
01
02
98
99
n2
01
02
98
99
n2
01
02
98
99
n2
01
02
98
99
Yes
No
Not specified
Not known
Yes
No
Not specified
Not known
Yes
No
Not specified
Not known
Yes
No
Not specified
Not known
Yes
No
Not specified
Not known
Provides a Working Group checklist for best
practice recommendations.
Page 10 of 18
Falls Dataset
13.1
Version 1.1
FALL EXAMINATION
TYPE
Identifies the type of examination
considered as part of the detailed fall
evaluation.
This data item is not currently routinely
captured as part of patient care
records.
Ensures that detailed fall evaluation
Examination is in accordance with Working
Group recommendations for best practice.
Business Requirements v1.0, Reference 3.1.
n2
13.2
FALL EXAMINATION
TYPE CARRIED OUT
Identifies whether or not the person
was assessed for the FALL
EXAMINATION TYPE specified.
13.3
FALL EXAMINATION
DATE
Identifies the date that the FALL
EXAMINATION was carried out
n2
01 Yes
02 No
98 Not specified
n10 – ccyy-mm-dd
14
OSTEOPOROTIC RISK
Repeating Group in Data
Set
Ensures that detailed fall evaluation
Examination is in accordance with Working
Group recommendations for best practice.
Business Requirements v1.0, Reference 3.1.
Ensures that detailed fall evaluation
Examination is in accordance with Working
Group recommendations for best practice.
Business Requirements v1.0, Reference 3.1.
Provides a Working Group checklist for best
practice recommendations.
Version: 1.1
Issue Date: 07/12/04
01 Balance and Gait Assessment
(see Data Item 9)
03 Transfers Assessment
04 Footwear Assessment
05 Walking Aids Assessment
06 Blood Pressure Lying
07 Blood Pressure Standing
08 Visual Assessment
09 Foot Examination
10 Lower Limb Examination
11 Cognition Assessment
12 Functional History
(Activities of Daily Living)
13 Home Environment History
14 Social Support
15 Alarm Raising
16 Anxiety
17 Depression
18 Fear of Falling
19 Restriction of Activities
Page 11 of 18
Falls Dataset
14.1
OSTEOPOROTIC RISK
TYPE
Version 1.1
Identifies the type of osteoporotic risk
considered as part of the detailed fall
evaluation.
This data item is not currently routinely
captured as part of patient care
records.
Ensures that detailed fall evaluation
Osteoporotic Risk is assessed in accordance
with Working Group recommendations for
best practice.
Business Requirements v1.0, Reference 3.1.
To monitor that osteoporosis risk assessment
is carried out on a person diagnosed with a
fragility fracture.
Business Requirements v1.0, Reference 5.2.
14.2
FALL OSTEOPOROTIC
RISK TYPE ASSESSED
Identifies whether or not the person
was assessed for the OSTEOPOROTIC
RISK TYPE specified.
Ensures that detailed fall evaluation
Osteoporotic Risk is assessed in accordance
with Working Group recommendations for
best practice.
Business Requirements v1.0, Reference 3.1.
n2
01 Body Mass Index (BMI)
02 Previous Fragility Fractures
03 Prolonged Corticosteroid
Therapy
04 Hysterectomy, Premature
Menopause or History of
Amenorrhoea
05 Liver or Thyroid Disease,
Malabsorption, Alcoholism,
Rheumatoid Arthritis & Male
Hypogonadism
06 Family History of
Osteoporosis, including
Maternal Hip Fracture
07 Alcohol Consumption
08 Exercise Status
09 Nutrition Status
10 Smoking Status
n2
01 Yes
02 No
98 Not specified
To monitor that osteoporosis risk assessment
is carried out on a person diagnosed with a
fragility fracture.
Business Requirements v1.0, Reference 5.2.
Version: 1.1
Issue Date: 07/12/04
Page 12 of 18
Falls Dataset
14.3
FALL OSTEOPOROTIC
RISK ASSESSMENT
DATE
Version 1.1
Identifies the date that the
OSTEOPOROTIC RISK was assessed.
Ensures that detailed fall evaluation
Osteoporotic Risk is assessed in accordance
with Working Group recommendations for
best practice.
Business Requirements v1.0, Reference 3.1.
n10 – ccyy-mm-dd
To monitor that osteoporosis risk assessment
is carried out on a person diagnosed with a
fragility fracture.
Business Requirements v1.0, Reference 5.2.
Version: 1.1
Issue Date: 07/12/04
Page 13 of 18
Falls Dataset
15
15.1
INTERVENTIONS
FALL INTERVENTION
Repeating Group in Data
Set
FALL INTERVENTION
TYPE
Version 1.1
Provides a Working Group checklist for best
practice recommendations.
Identifies the type of intervention
considered as a result of the detailed
falls evaluation.
Ensures that interventions arising from a
detailed falls evaluation are in accordance
with Working Group recommendations for
best practice.
Business Requirements v1.0, Reference 4.1.
Ensures that older people with a history of
syncope or recurrent unexplained falls are
considered for specialist referral.
Business Requirements v1.0, Reference 3.2.
Version: 1.1
Issue Date: 07/12/04
n2
01 Diagnosis & treatment of
underlying Medical Problem
02 Intervention for cardiac syncope
Intervention for postural
hypotension
03 Full Dose Calcium and Vitamin
D
04 Medication Review
05 Balance and Gait Training
06 Strengthening Training
07 Footwear Advice
08 Vision Advice and Follow Up
08 Foot Advice and Follow Up
09 OT Referral
10 Rehabilitation, e.g. OT and/or
PT referral
11 Getting Up Strategies
12 Home hazard modification
13 Safety and/or Mobility
Equipment
14 Repairs and/or Improvements
15 Social Care Support
16 Psychological Support
Page 14 of 18
Falls Dataset
15.2
FALL INTERVENTION
CONSIDERED
15.3
FALL INTERVENTION
REFERRAL DATE
15.4
FALL INTERVENTION
DATE
16
17
MEDICATION START
DATE (FOR
PSCHOTROPIC DRUGS)
MEDICATION REVIEW
DATE (FOR
PSYCHOTROPIC
DRUGS)
Version: 1.1
Issue Date: 07/12/04
Version 1.1
Identifies whether or not the person
was considered for the FALL
INTERVENTION specified, if
appropriate, and if so, whether or not
the person was referred.
This data item is not currently routinely
captured as part of patient care
records.
The date on which the person
considered for the FALL
INTERVENTION specified was
referred to the care professional or
service.
The actual date on which the FALL
INTERVENTION commenced.
The date when the person was first
prescribed psychotropic drugs.
Note: The NHSIA will identify a
Pharmacist to provide a comprehensive
list of Psychotropic Medications
The date on which the person was
prescribed psychotropic drugs were last
reviewed.
Ensures that interventions arising from a
detailed falls evaluation are in accordance
with Working Group recommendations for
best practice.
Business Requirements v1.0, Reference 4.1.
n2
Ensures that interventions arising from a
detailed falls evaluation are in accordance
with Working Group recommendations for
best practice.
Business Requirements v1.0, Reference 4.1.
Ensures that interventions arising from a
detailed falls evaluation are in accordance
with Working Group recommendations for
best practice.
Business Requirements v1.0, Reference 4.1.
n8 (with 2 spaces): ccyy-mm-dd
Enables person’s waiting time from referral to
start of intervention to be monitored.
Ensures that a person prescribed psychotropic
medication should undergo a medication
review with justification for continuing
medication, as defined by NICE.
Business Requirements v1.0, Reference 4.2.
Ensures that a person prescribed psychotropic
medication should undergo a medication
review with justification for continuing
medication, as defined by NICE.
Business Requirements v1.0, Reference 4.2.
01 Yes, considered but not referred
02 Yes, considered and referred
03 Not considered
98 Not specified
n8 (with 2 spaces): ccyy-mm-dd
n8 (with 2 spaces): ccyy-mm-dd
n10 – ccyy-mm-dd
Page 15 of 18
Falls Dataset
18
MEDICATION
CONTINUED
Version: 1.1
Issue Date: 07/12/04
Version 1.1
Identifies whether or not the person
was continued on psychotropic drugs
with documented justification
following a medication review.
Ensures that a person prescribed psychotropic
medication should undergo a medication
review with justification for continuing
medication, as defined by NICE.
Business Requirements v1.0, Reference 4.2.
n2
01 Yes
02 No
98 Not specified
99 Not known
Page 16 of 18
Falls Dataset
19
BONE HEALTH
PERSON’S RESIDENCE
TYPE
Version 1.1
Identifies the person’s usual type of
residence.
Enables monitoring of equity of access to
osteoporosis investigation and treatment.
Business Requirements v1.0, Reference 5.2.
To ensure identification of a person with
fragility fractures for referral for osteoporosis
assessment, investigation and treatment.
Business Requirements v1.0, Reference 5.2.
To ensure identification of a person with
fragility fractures for referral for osteoporosis
assessment, investigation and treatment.
Business Requirements v1.0, Reference 5.2.
20
DIAGNOSIS DATE
(FRAGILITY
FRACTURE)
The date on which the person was
diagnosed with a fragility fracture.
21
DIAGNOSIS (FRAGILITY
FRACTURE)
Repeat Data Item
Identifies the diagnosis of the fragility
fracture(s) sustained by the person
which may or may not have been as the
result of a fall.
22
CURRENT BONE
STRENGTHENING
DRUGS
Identifies whether or not the person is
currently taking any bone strengthening
drugs.
23
DEXA DATE
The date on which the person received
a DEXA bone mineral scan.
Version: 1.1
Issue Date: 07/12/04
To ensure identification of a person with
fragility fractures for referral for appropriate
osteoporosis assessment, investigation and
treatment.
Business Requirements v1.0, Reference 5.2.
To monitor that osteoporosis investigation is
carried out on a person diagnosed with a
fragility fracture.
Business Requirements v1.0, Reference 5.2.
n2
01 Own home
02 Residential care home
03 Nursing car home
04 Prison
98 Not specified
99 Not known
n10 – ccyy-mm-dd
READ, ICD10, SNOMED (when available)
 Fragility Fracture
o Hip
o Humerus
o Pelvis
o Vertebrae
o Wrist
o Other
n2
01 Yes
02 No
98 Not specified
99 Not known
n10 – ccyy-mm-dd
Page 17 of 18
Falls Dataset
24
24.1
24.2
OSTEOPOROSIS
TREATMENT
Repeat group in data set
BONE STRENGTHENING
TREATMENT
BONE STRENGTHENING
TREATMENT
CONSIDERED
Version: 1.1
Issue Date: 07/12/04
Version 1.1
Identifies the type of bone
strengthening treatment.
To monitor whether or not a person with a
fragility fracture was treated for osteoporosis.
Business Requirements v1.0, Reference 5.2.
n2
01 Full Dose Ca and Vitamin D
02 Bisphosphonates
03 Others
Identifies whether or not the person
was considered for the BONE
STRENGTHENING TREATMET
specified, if appropriate, and if so,
whether or not the person was given
treatment.
Ensures that interventions arising from a
detailed falls evaluation are in accordance
with Working Group recommendations for
best practice.
Business Requirements v1.0, Reference 5.2.
n2
01 Yes, considered but not given
02 Yes, considered and given
03 Not considered
98 Not specified
Page 18 of 18
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