• General Enquiries about the NHS Data Model and Dictionary:

  NHS Data Model and Dictionary Service
  NHS Connecting for Health
  Princes Exchange
  Princes Square
  Leeds
  LS1 4HY

  Email: datastandards@nhs.net

  NHS Data Model and Dictionary Service Website: http://www.connectingforhealth.nhs.uk/systemsandservices/data/datamodeldictionary
• 
  
• Information Standards Board for Health and Social Care:

  Information Standards Board for Health and Social Care
  Princes Exchange 
  Princes Square
  Leeds
  LS1 4HY

• Internet: http://www.isb.nhs.uk/

• Hospital Episode Statistics (HES):

  Website: HES online

  Queries: HES queries

• Clinical Coding general enquiries:

  International Classification of Diseases (ICD-10);
  OPCS-4 Classification of Interventions and Procedures;
  Clinical Terms (The Read Codes);
  SNOMED CT (Systematised Nomenclature of Medicine Clinical Terms)

  For all general enquiries, contact:

  NHS Connecting for Health
  Data Standards and Products Help Desk
  E-mail: datastandards@nhs.net
  Website: http://www.connectingforhealth.nhs.uk/systemsandservices/data/clinicalcoding/

  • Electronic copies of International Classification of Diseases (ICD-10) Volumes 1, 2 and 3
    • The ICD-10 metadata file and its specification;
    • The ICD-10 Codes and Titles (on diskette);
    • The ICD-10 Tables of Equivalence (on diskette);
  • OPCS-4 Classification of Interventions and Procedures;
    • OPCS-4 Codes and Titles;
    • OPCS-4 metadata file;
    • OPCS-4 Tables of Coding Equivalence;
    • Electronic format of Index and Tabular List of OPCS-4;
  • Clinical Terms (The Read Codes) and SNOMED CT® (Systematised Nomenclature of Medicine Clinical Terms) are released to licensees every six months (March and September) via the Terminology Reference Data Update Distribution Service (TRUD).

    Information on the Terminology Reference Data Update Distribution Service (TRUD) can be found at: https://www.uktcregistration.nss.cfh.nhs.uk/trud/

    Hard copy versions of ICD-10 and the Tabular List of OPCS-4 are available from The Stationery Office (formerly HMSO).

• Organisation Data Service Queries:

  Organisation Data Service
  Hexagon House
  Pynes Hill
  Rydon Lane
  Exeter
  Devon EX2 5SE

  exeter.helpdesk@nhs.net
  Tel: 01392 251 289

  Organisation Data Service website pages:

  • NHSnet pages where data is published: http://nww.connectingforhealth.nhs.uk/ods/
  • Public domain pages: http://www.nhs.uk/ods/
  • Information pages on the NHS Connecting for Health website:
    http://www.connectingforhealth.nhs.uk/systemsandservices/data/standards/ods/index_html

  Information on the Terminology Reference Data Update Distribution Service can be found at: https://www.uktcregistration.nss.cfh.nhs.uk/trud/

• Organisation Data Service Queries:

  Organisation Data Service
  Hexagon House
  Pynes Hill
  Rydon Lane
  Exeter
  Devon EX2 5SE

  exeter.helpdesk@nhs.net
  Tel: 01392 251 289

  Organisation Data Service website pages:

  • NHSnet pages where data is published: http://nww.connectingforhealth.nhs.uk/ods/
  • Public domain pages: http://www.nhs.uk/ods/
  • Information pages on the NHS Connecting for Health website:
    http://www.connectingforhealth.nhs.uk/systemsandservices/data/standards/ods/index_html

  Information on the Terminology Reference Data Update Distribution Service can be found at: https://www.uktcregistration.nss.cfh.nhs.uk/trud/

• Postcodes:

  Postcode and Geographic Area Queries
  All Fields Postcode Directory
  Areas of Residence Classification
  NHS Organisation Manual
  1991 Frozen Postcode File
  Communal Establishment File

  Office for National Statistics Geography Customer Services Unit
  Office for National Statistics
  Segensworth Road
  Titchfield
  Fareham
  Hants
  PO15 5RR

  Tel: 01329 813243 or 813477
  Fax: 01329 813383
  e-mail: ons.geography@ons.gov.uk
  Internet: http://www.statistics.gov.uk

Ward Attendance is a CARE CONTACT.

An attendance at a WARD by a PATIENT for nursing care, where the PATIENT is not currently admitted to that Health Care Provider. A Ward Attendance should be recorded for only one Nurse or Midwife Contact. If the attendance is primarily for the purpose of examination or treatment by a doctor it is an Out-Patient Attendance Consultant and not a Ward Attendance. The care is for the prevention, cure, relief or investigation because of a disease, injury, health problem or other factor affecting their health status and may include one or more Patient Procedures. This includes:-

The ADMINISTRATIVE CATEGORY of the PATIENT can be recorded for the Ward Attendance.

The PATIENT's FIRST ATTENDANCE whether the first in a series or the only attendance should be recorded.

If the PATIENT is currently subject to a Mental Health Care Spell and during attendance is in contact with the NURSE who is their allocated care programme approach care coordinator then a Face To Face Contact CPA Care Coordinator should also be recorded.

Release: November 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1113 (Immediate) - DSCN 24/2009 Information Standards Board for Health and Social Care Update
• CR1087 (Immediate) - DSCN 23/2009 Health Professions Council Update
• CR1081 (Immediate) - DSCN 22/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
• CR1019 (27 November 2009) - DSCN 21/2009 Data Standards: Organisation Data Service (ODS) - Optical Sites and Optical Headquarters
• CR1034 (27 November 2009) - DSCN 20/2009 Data Standards: Organisation Data Service (ODS) - Care Homes in England and Wales and their Headquarters

Release: September 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service – Local Health Boards
• CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service – Local Health Boards

Release: June 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
• CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
• CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
• CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
• CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
• CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
• CR1047 (1 April 2011) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6 
• CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
• CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
• CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update

Release: March 2009

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
• CR976 (31 March 2009) - DSCN 26/2008 Subject: KP90 - Admissions, Changes in Status and Detentions under the Mental Health Act
• CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
• CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
• CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

Release: December 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
• CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS) 
• CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
• CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set 

Release: November 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
• CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
• CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme – Vaccine Monitoring Minimum Dataset
• CR861 (Immediate) - DSCN 16/2008 Central Return:  Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
• CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
• CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
• CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
• CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
• CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
• CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
• CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
• CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
• CR942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract

Release: February 2008

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
• CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
• CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
• CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
• CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
• CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
• CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
• CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
• CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
• CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
• CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
• CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
• CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
• CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
• CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
• CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
• CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
• CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
• CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
• CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
• CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
• CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
• CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
• CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
• CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
• CR776 (1 October 2006) - DSCN 05/2006 Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes

Release: September 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
• CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
• CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
• CR791 (1 April 2007) - DSCN 13/2006 Priority Type
• CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
• Correction to menu structure to include Critical Care Minimum Data Set

Release: April 2006

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
• CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
• CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
• CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
• CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
• CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
• CR690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

Data Set Change Notices incorporated into the NHS Data Model and Dictionary:

• CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
• CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
• CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
• CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

For all Data Set Change Notices, see the Data Set Change Notice (DSCN) Website

Programmes of care are delivered by NURSES working in the community to PATIENTS with identified physical or mental illness or disability. These programmes of care correspond to the type of NURSE providing the care.

Classification:

Notes:

Definition:
CDS PRIME RECIPIENT IDENTITY is the same as the attribute ORGANISATION CODE.

This is a mandatory 5-character NHS ORGANISATION CODE (or valid default code) representing the ORGANISATION determined to be the CDS Prime Recipient of the Commissioning Data Set Message as indicated in the Commissioning Data Set Addressing Grid detailed in the Commissioning Data Set Overview.

Usage:
The CDS Prime Recipient is, in most cases, identified as the 5-character ORGANISATION CODE of the Primary Care Trust of the PATIENT. In other specific circumstances, default codes are recommended as defined in the Commissioning Data Set Overview This is a mandatory data item crucial for the correct indexing of the database and must not be changed during the life of the associated Commissioning Data Set. In other specific circumstances, default codes are recommended as defined in the Commissioning Data Set Addressing Grid. This is a mandatory data item crucial for the correct indexing of the database and must not be changed during the life of the associated Commissioning Data Set. It does not identify the first or most important recipient of data, i.e. there is no inference of primacy of one recipient over another.

Notes:
This is the country where the PERSON was born.

COUNTRY CODE (BIRTH) is the same as attribute COUNTRY CODE.

Refer to the ISO 3166-1 standard for actual list of alphabetic codes and countries. The alphabetic code to be used is the 3-char alphabetic code available on the International Organisation for Standardisation website http://www.iso.org/iso/home.htm. The 2-char alphabetic code must not be used.