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A Treatment record covers a period at which a patient is associated with a hospital and is classified as having a specific modality. It is possible for treatment records to overlap if a patient has multiple treatments (such as post-transplant dialysis).

A treatment record should exist for any period of time where they would be considered a patient (so for example code 900 record for pre-RRT CKD and a code 94 record for post-RRT Conservative care).

Systems should supply end dates to show when a record has ended, along with a reason for this happening.

Details of Transplants themselves should be recorded as Procedures but Treatment records should be used to record periods of Transplant related Inpatient/Outpatient care.

Types

Complex Types

Treatment
EncounterNumber
xs:string
EncounterType
General Encounter Type (PV1-2)
xs:string (restricted)
Enumeration:
  • E (Emergency)
  • I (Inpatient)
  • N (N/A)
  • G (?)
  • P (Pre-Admit)
  • S (?)
  • R (Reoccuring Patient)
  • B (Obstetrics)
  • C (Commercial Account)
  • U (Unknown)
FromTime
Start of Treatment (TXT00)
xs:date
ToTime
End of Treatment (TXT01)
xs:date
AdmittingClinician
Responsible Clinician as a National Clinicial code where possible or other local code if not.
Clinician
HealthCareFacility
Treatment Centre (TXT20)
Location
AdmitReason
Modality
CF_RR7_TREATMENT
AdmissionSource
Prior Main Renal Unit
Location
DischargeReason
Reason for Discharge
CF_RR7_DISCHARGE
DischargeLocation
Destination Main Renal Unit
Location
EnteredAt
National code for the hospital providing care - e.g. RXF01
Location
VisitDescription
Free text about the Treatment record.
xs:string
Attributes
HDP01
Times Per Week
xs:integer
HDP02
Time Dialysed in Minutes
xs:integer
HDP03
Blood Flow Rate
xs:integer
HDP04
Sodium in Dialysate
xs:integer
QBL05
HD Treatment Location (RR8)
xs:string (restricted)
Enumeration:
  • HOSP (Hospital Dialysis Unit)
  • SATL (Satellite Dialysis Unit)
  • HOME (Home Dialysis)
QBL06
HD Shared Care (RR21)
xs:string
QBL07
Patient Participation
RRYesNoUnk
ERF61
Assessed for suitability for Transplant by start of Dialysis Date. This should only be supplied for the First RRT Treatment. (RR13)
xs:string (restricted)
Enumeration:
  • 1 (Unsuitable)
  • 2 (Working Up or under discussion)
  • 3 (On Transplant List)
  • 4 (Suspended on Transplant List)
  • 5 (Not Assessed by Start of Dialysis)
PAT35
Date of referral to renal team (i.e. date letter received)
xs:dateTime

Schema

Schema Treatment (github)

Example

<Treatment>
	<EncounterType>O</EncounterType>
	<FromTime>2002-05-30T09:00:00</FromTime>
	<ToTime>2003-05-30T09:00:00</ToTime>
	<AdmitReason>
		<CodingStandard>CF_RR7_TREATMENT</CodingStandard>
		<Code>1</Code>
		<Description>Haemodialysis</Description>
	</AdmitReason>
	<AdmissionSource>
		<CodingStandard>RR1</CodingStandard>
		<Code>ABROAD</Code>
		<Description>Abroad</Description>
	</AdmissionSource>
	<HealthCareFacility>
		<CodingStandard>RR1_PLUS</CodingStandard>
		<Code>REE01</Code>
		<Description>Southmead Hospital</Description>
	</HealthCareFacility>
	<DischargeReason>
		<CodingStandard>CF_RR7_DISCHARGE</CodingStandard>
		<Code>38</Code>
		<Description>Patient transferred Out</Description>
	</DischargeReason>
	<DischargeLocation>
		<CodingStandard>RR1_PLUS</CodingStandard>
		<Code>REE01</Code>
		<Description>Southmead Hospital</Description>
	</DischargeLocation>
</Treatment>


SQL Table