Consultant Upgrade Date is an ACTIVITY DATE TIME. 

The DATE that the CONSULTANT responsible for the care of the PATIENT (or an authorised member of the CONSULTANT team as defined by local policy) decided that the PATIENT should be upgraded onto an urgent Cancer PATIENT PATHWAY.Consultant Upgrade Date is the DATE that the CONSULTANT responsible for the care of the PATIENT (or an authorised member of the CONSULTANT team as defined by local policy) decided that the PATIENT should be upgraded onto an urgent Cancer PATIENT PATHWAY.

The Consultant Upgrade Date should only be recorded when the PRIORITY TYPE of the original SERVICE REQUEST was not National Code 3 - 'Two Week Wait'.

Consultant upgrades are not allowed for PATIENTS who were urgently referred with suspected cancer from an NHS Cancer Screening Programme (where the SOURCE OF REFERRAL FOR OUT-PATIENTS was National Code 17 - referral from a National Screening Programme, and the PRIORITY TYPE of the SERVICE REQUEST was National Code 2 -Urgent).  Therefore a Consultant Upgrade Date cannot be recorded in these circumstances.

The Consultant Upgrade Date must be on or before the DECISION TO TREAT DATE (if recorded). 

The Consultant Upgrade Date must also be on or before the MULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER) (if recorded).

TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital CONSULTANTS.

The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL eg Intermediate Care as the TREATMENT FUNCTION CODE for a Nursing Episode.

A full list of TREATMENT FUNCTION CODES (Table 2) follows the MAIN SPECIALTY CODES (Table 1).

MAIN SPECIALTY CODES are aligned with the specialties recognised in the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998. Pseudo codes should be used in Commissioning Data Set (CDS) messages for lead CARE PROFESSIONALS other than hospital CONSULTANTS eg Nursing Episode.

For further information, contact The NHS Information Centre for health and social care by email at: enquiries@ic.nhs.uk.

Table 1 Main Specialty codes

Table 2 Treatment Function codes

Release: August 2011

• CR1232 (Immediate) - ISB 0034 Amd 26/2006 Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) - NHS Data Model and Dictionary Overview
• CR1222 (1 April 2012) - ISB 0021 Amd 86/2010 Introduction of the International Classification of Diseases Tenth Revision 4th Edition
• CR1190 (1 September 2011) - ISB 1538 Amd 131/2010 Chlamydia Testing Activity Data Set
• CR1188 (Immediate) - Amd 85/2010 Genitourinary Medicine Clinic Activity Data Set (GUMCAD) Extension to include Enhanced Sexual Health Services (ESHS)

The following data set is initially being introduced for local use only. A future Information Standards Notice will be published to notify providers and system suppliers of the requirement to flow the data set nationally:

• CR1105 (1 April 2012) - ISB 1510 Amd 25/2010 Community Information Data Set

Release: July 2011

• CR1249 (Immediate) - DDCN 1249/2011 General Pharmaceutical Council Registration Changes

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 July 2012:

• CR1148 (1 July 2012) - ISB 1080 Amd 129/2010 NHS Health Checks Data Set

Release: June 2011

• CR1256 (Immediate) - DDCN 1256/2011 School Definitions
• CR1117 (26 August 2011) - ISB 0090 Amd 94/2010 Organisation Data Service Identification Codes for Local Authorities in England and Wales
• CR1251 (Immediate) - DDCN 1251/2011 Change to the Format/Length of Weekly Hours Worked
• CR1243 (Immediate) - DDCN 1243/2011 National Interim Clinical Imaging Procedure (NICIP) Code Set

Release: April 2011

• CR1154 (1 April 2011) - ISB 0011 Amd 87/2010 Mental Health Minimum Data Set Version 4.0
• CR1234 (Immediate) - DDCN 1234/2011 Technology Reference Data Update Distribution Service (TRUD)
• CR1168 (Immediate) - ISB 0097 Amd 140/2010 Genitourinary Medicine Access Monthly Monitoring Data Set Amendments - Removal of Human Immunodeficiency Virus data

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

• CR1050 (1 April 2012) - ISB 1520 Amd 51/2010 Improving Access to Psychological Therapies Data Set

Release: March 2011

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1224 (1 April 2011) - ISB 0092 Amd 02/20110 Commissioning Data Set Schema Version 6-1-1
• CR1223 (Immediate) - DDCN 1223/2011 Updates to Family Planning References
• CR1225 (Immediate) - DDCN 1225/2011 Practitioners with Special Interests
• CR1216 (1 April 2011) - ISB 0028 Amd 170/2010 Changes to Treatment Function Codes
• CR1203 (1 April 2011) - ISB 0084 Amd 150/2010 Introduction of OPCS Classification of Interventions and Procedures Version 4.6

Release: January 2011

• CR1116 (1 April 2010) - ISB 0003 Amd 79/2010 Immunisation Programmes Activity Data Set (KC50)
• CR1112 (1 April 2010) - ISB 1511 Amd 26/2010 NHS Continuing Healthcare and NHS Funded Nursing Care
• CR1068 (Immediate) - ISB 0133 Amd 161/2010 Change To Central Return: Human Papillomavirus (HPV) Immunisation Programme - Vaccine Monitoring Minimum Data Set
• CR1211 (Immediate) - DDCN 1211/2010 Commissioning Data Set Addressing Grid / Organisation Code (Code of Commissioner) Update

Release: December 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1175 (1 April 2011) - ISB 1518 Amd 166/2010 Changes to Sexual and Reproductive Health Activity Data Set
• CR1198 (Immediate) - ISB 1067 Amd 165/2010 National Workforce Data Set
• CR1207 (01 December 2010) - ISB 1573 Amd 168/2010 Mixed-Sex Accommodation
• CR1149 (01 January 2011) - ISB 0139 Amd 99/2010 GUMCAD: Change to Genitourinary (GU) Episode Types

Release: November 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1119 (Immediate) - DDCN 1119/2010 Organisation Codes Update 
• CR1192 (Immediate) - DDCN 1192/2010 Change of name for "Health Solution Wales"
• CR1199 (Immediate) - DDCN 1199/2010 General Pharmaceutical Council and Royal Pharmaceutical Society of Great Britain Update
• CR1189 (Immediate) - DDCN 1189/2010 National Institute for Health and Clinical Excellence
• CR1187 (Immediate) - DDCN 1187/2010 Introduction of the Department for Education

Release: September 2010

Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:

• CR1128 (Immediate) - DDCN 1128/2010 Changes to reporting procedures for Overseas Visitors from the European Economic Area and Switzerland
• CR1173 (Immediate) - DDCN 1173/2010 Care Quality Commission Update
• CR1143 (Immediate) - DDCN 1143/2010 General Pharmaceutical Council
• CR1061 (1 October 2010) - ISB 0092/2010 CDS Type 20: Out-patient: Retirement of Default Codes for Out-patient Procedures
• CR1133 (Immediate) - ISB 00289/2010 National Specialty List

Release: August 2010

• The August 2010 Release introduces the NHS Data Model and Dictionary Help Pages.

Release: July 2010

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

• CR1134 (Immediate - ISB 1067/2010 Amd 109/2010 National Workforce Data Set
• CR1082 (Immediate) - ISB 0153/2010 Critical Care Minimum Data Set
• CR1121 (Immediate) - DSCN 17/2010 Retirement of Data Standard KC60 Central Return

Release: May 2010

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

• CR957 (Immediate) - DSCN 19/2010 Central Returns: KA34 Ambulance Services

Release: March 2010

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

• CR1123 (1 April 2010) - DSCN 18/2010 Information Standards Notice (ISN)
• CR1139 (Immediate) - DSCN 16/2010 Person Weight
• CR1130 (Immediate) - DSCN 15/2010 Change of name for "The NHS Information Centre for health and social care"
• CR1013 (April 2010) - DSCN 14/2010 Sexual and Reproductive Health Activity Dataset (SRHAD)
• CR1125 (Immediate) - DSCN 13/2010 NHS Data Model and Dictionary Maintenance Update - Policy Definitions
• CR1122 (Immediate) - DSCN 11/2010 Changes to Family Planning References

Release: January 2010

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

• CR1115 (Immediate) - DSCN 10/2010 Data Standards: Updating of e-Government Interoperability Framework and Government Data Standards Catalogue References

Release: December 2009

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

• CR1100 (Immediate) - DSCN 25/2009 NHS Prescription Services Update
• CR1045 (1 December 2009) - DSCN 17/2009 Referral to Treatment Clock Stop Administrative Event
• CR1003 (1 December 2009) - DSCN 16/2009 Commissioning Data Sets: Mandation of 18 Week Referral To Treatment Data Items

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

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
• 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 Information Standards Notices and Data Set Change Notices, see the Information Standards Board for Health and Social Care Website

National Codes:

National Code 11 'PATIENT died (non heart beating solid organ donor)' should not be reported nationally until the functionality to do so becomes available in the next release of the Commissioning Data Sets (Version 6-2) and the associated CDS-XML Schema Release.National Code 'PATIENT died (non heart beating solid organ donor)' should not be reported nationally until the functionality to do so becomes available in the next release of the Commissioning Data Sets (Version 6-2) and the associated CDS-XML Schema Release. Prior to this release, this code may be recorded locally, however this National Code 11 cannot be transmitted in the current versions of the Commissioning Data Sets (6-0 and 6-1).

A classification of the reason why a delay occurred between the CANCER REFERRAL TO TREATMENT PERIOD START DATE and the DATE FIRST SEEN, when the PRIORITY TYPE of the SERVICE REQUEST was National Code 3 - Two Week Wait.

This is the reason why the Health Care Provider was unable to provide an APPOINTMENT DATE within the service standard of two weeks.

National Codes:

Note: If National Code 99 - Other reason is used, further detail must be recorded for the precise cause of the delay, within DELAY REASON COMMENT (FIRST SEEN).Note: If National Code 'Other reason' is used, further detail must be recorded for the precise cause of the delay, within DELAY REASON COMMENT (FIRST SEEN).

A classification of the reason why a Cancer Care Spell Delay was experienced with regard to a Cancer Care Spell.

The national codes to be used are the same for delays between:

• CANCER REFERRAL TO TREATMENT PERIOD START DATE and TREATMENT START DATE (CANCER)
• DECISION TO TREAT DATE and TREATMENT START DATE (CANCER)
• CONSULTANT UPGRADE DATE and TREATMENT START DATE (CANCER).  

This is the reason why the Health Care Provider was unable to offer a DATE within the service standard (31 days between DECISION TO TREAT DATE and TREATMENT START DATE (CANCER), and CONSULTANT UPGRADE DATE and TREATMENT START DATE (CANCER); or 62 days between the CANCER REFERRAL TO TREATMENT PERIOD START DATE and TREATMENT START DATE (CANCER)).

National Codes:

If National Code 99 - Other reason is used, the reason must be explained within DELAY REASON COMMENT (CONSULTANT UPGRADE), DELAY REASON COMMENT (REFERRAL TO TREATMENT) or DELAY REASON COMMENT (DECISION TO TREATMENT) as appropriate.If National Code 'Other reason' is used, the reason must be explained within DELAY REASON COMMENT (CONSULTANT UPGRADE), DELAY REASON COMMENT (REFERRAL TO TREATMENT) or DELAY REASON COMMENT (DECISION TO TREATMENT) as appropriate.

WAITING LIST tests/procedures are those for which the PATIENT needs to wait on a WAITING LIST for an APPOINTMENT. If the PATIENT is waiting for a first diagnostic test/procedure as part of a planned series of treatments, these should be included as WAITING LIST request types unless the procedure or test has to be carried out at a specific time for clinical reasons. WAITING LIST tests/procedures should not include any tests or procedures for PATIENTS who have a current Hospital Provider Spell and require an emergency or unscheduled diagnostic test/procedure as part of their inpatient treatment. Also excluded are any SERVICE REQUESTS for PATIENTS who are waiting for a therapeutic operation on the ELECTIVE ADMISSION LIST who may require these routine diagnostic tests/procedures following admission. This is only SERVICE REQUESTS where the prime purpose of the wait is for the diagnostic test/procedure.

A planned diagnostic test/procedure or series of procedures are those that are carried out as part of a treatment plan which are required for clinical reasons to be carried out at a specific time or repeated at a specific frequency. Examples include 6 month check cystoscopy or regular blood tests.

Unscheduled diagnostic tests/procedures are tests carried out following an emergency admission, as well as any diagnostic tests/procedures carried out on PATIENTS in Accident and Emergency.

A test/procedure done following an Elective Admission includes any PATIENTS who have a current Hospital Provider Spell and are waiting for an emergency or unscheduled diagnostic test/procedure as part of their inpatient treatment and any SERVICE REQUEST for PATIENTS who are waiting for a therapeutic operation on the ELECTIVE ADMISSION LIST who may require these routine diagnostic tests/procedures following admission.

This classification should be recorded for all relevant tests/procedures irrespective of the referral route (i.e. whether the SERVICE REQUEST was from a GENERAL MEDICAL PRACTITIONER or a hospital-based CARE PROFESSIONAL or other route) and also irrespective of the setting they are to be carried out in (e.g. inpatient ward, x-ray department etc.).

National Codes:

This records the date the REFERRAL REQUEST was received by the Health Care Provider.The date the REFERRAL REQUEST was received by the Health Care Provider.

• For electronic REFERRAL REQUESTS the REFERRAL REQUEST RECEIVED DATE is the date the REFERRAL REQUEST is received electronically by the Health Care Provider
• For Choose and Book, the referral is received when the PATIENT's Unique Booking Reference Number (UBRN) is used to book the first outpatient APPOINTMENT slot (i.e. converted).

Where an electronic REFERRAL REQUEST made through Choose and Book is rejected by the chosen provider, the ORIGINAL REFERRAL REQUEST RECEIVED DATE should be used when the PATIENT is subsequently re-referred to another service, so that  PATIENTS are not unfairly disadvantaged when their waiting time calculations are made.

In the circumstance that a PATIENT calls the national Choose and Book Appointments Line and an APPOINTMENT SLOT is not available with the chosen Health Care Provider, the national Choose and Book Appointments Line will electronically forward the REFERRAL REQUEST details to the chosen Health Care Provider so the Health Care Provider can liaise directly with the PATIENT to arrange their Out-Patient Appointment. The REFERRAL REQUEST RECEIVED DATE will be the date that the Health Care Provider receives electronic notification from the national Choose and Book Appointments Line that the PATIENT has experienced slot unavailability. (Note that this is NOT the date that the Health Care Provider opens or actions the electronic notification).

For written REFERRAL REQUESTS letters must be opened and date stamped on the day of receipt. It is this date that must be entered on any Patient Administration System (PAS) or similar system, not the date on which the information is fed into the system if this is later than the date of receipt.

If the REFERRAL REQUEST takes the form of a phone call followed by a letter, record the date when the letter arrives. If there is no following letter, the date of the verbal request should be recorded.

A category of service to be provided by a Care Home, children's home or by independent health care.A category of service to be provided by a Care Home, Children's Home or by independent health care.

National Codes:

The SEXUAL ORIENTATION of a PATIENT.

National Codes:

A unique identifier for a TREATMENT FUNCTION.

The appropriate TREATMENT FUNCTION CODE should be used to record activity undertaken, irrespective of the type of Healthcare Professional who performs it, even where the name of the TREATMENT FUNCTION CODE suggests it is limited for use by a particular Healthcare Profession.

TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets (CDS). It is based on specialty, but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including hospital CONSULTANTS.

The appropriate TREATMENT FUNCTION CODE can be used by any lead CARE PROFESSIONAL e.g. Intermediate Care as the ACTIVITY TREATMENT FUNCTION CODE for a Nursing Episode.

For further information, contact The NHS Information Centre for health and social care by email at: enquiries@ic.nhs.uk.

National Codes:

Notes:
The number of days over which the treatment was given. This is calculated from the Start Date and End Date of the Anti-Cancer Drug Cycle.

Start Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

End Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 11 'End Date'.

Anti-Cancer Drug Cycle is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 02 'Anti-Cancer Drug Cycle'.

Notes:
The number of days over which the treatment was given. This is calculated from the Start Date and End Date of the Radiotherapy Treatment Course.

Start Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

End Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 11 'End Date'.

Radiotherapy Treatment Course is a CLINICAL INTERVENTION where CLINICAL INTERVENTION TYPE is National Code 27 'Radiotherapy Treatment Course'.

Start Date is the same as attribute ACTIVITY DATE where ACTIVITY DATE TIME TYPE is National Code 31 'Start Date'.

Hospital Provider Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 21 'Hospital Provider Spell'.

Notes:
ORGANISATION CODE (EMPLOYER) is the same as attribute ORGANISATION CODE.

The ORGANISATION CODE that identifies the ORGANISATION acting as an employer.

Notes:
ORGANISATION CODE (NHS HEALTH CHECK PROVIDER) is the same as attribute ORGANISATION CODE.

The ORGANISATION CODE that identifies the ORGANISATION providing the NHS Health Check Assessment.

Notes:
This is the same as the attribute ORGANISATION CODE.ORGANISATION CODE (ON PATHWAY) is the same as the attribute ORGANISATION CODE.

This is the code of an ORGANISATION that has been involved in the PATIENT PATHWAY following the ORGANISATION that issued the PATIENT PATHWAY IDENTIFIER.ORGANISATION CODE (ON PATHWAY) is the code of an ORGANISATION that has been involved in the PATIENT PATHWAY following the ORGANISATION that issued the PATIENT PATHWAY IDENTIFIER.

For the Inter-Provider Transfer Administrative Minimum Data Set, multiple occurrences of the ORGANISATION CODE (ON PATHWAY) may be recorded to reflect all ORGANISATIONS involved in the PATIENT PATHWAY.

Notes:
This is the ORGANISATION CODE of the ORGANISATION issuing the PATIENT PATHWAY IDENTIFIER.ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) is the same as attribute ORGANISATION CODE. ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) is  the ORGANISATION CODE of the ORGANISATION issuing the PATIENT PATHWAY IDENTIFIER. 

Where Choose and Book has been used, the ORGANISATION CODE for NHS Connecting For Health (X09) should be used.

Use in Commissioning Data Set version 6-0 onwards

If the Commissioning Data Set record relates to a Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement, and is of the following Commissioning Data Set Types:

• CDS V6 TYPE 020 - OUTPATIENT CDS
• CDS V6 TYPE 130 - ADMITTED PATIENT CARE - FINISHED GENERAL EPISODE CDS
• CDS V6 TYPE 190 - ADMITTED PATIENT CARE - UNFINISHED GENERAL EPISODE CDS
• CDS V6 TYPE 030 - EAL - END OF PERIOD CENSUS STANDARD CDS
• CDS V6 TYPE 060 - EAL - EVENT DURING PERIOD - ADD CDS
• CDS V6 TYPE 070 - EAL - EVENT DURING PERIOD - REMOVE CDS
• CDS V6 TYPE 080 - EAL - EVENT DURING PERIOD - OFFER CDS 

then ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) must be present in the Commissioning Data Set PATIENT PATHWAY Data Group. 

Notes:
ORGANISATION CODE (PCT OF GP PRACTICE) is the same as the attribute ORGANISATION CODE.

This is the ORGANISATION CODE of the Primary Care Trust or Care Trust that holds the contract with the General Medical Practitioner Practice.

PATIENTS not registered with a General Medical Practitioner Practice but resident in the GEOGRAPHIC AREA covered by a Primary Care Trust or Care Trust are the responsibility of that ORGANISATION.

Notes:
ORGANISATION CODE (PCT OF RESIDENCE (MOTHER)) is the same as ORGANISATION CODE (PCT OF RESIDENCE).

Notes:
ORGANISATION CODE (POSITION NON-NHS FUNDER) is the same as attribute ORGANISATION CODE.

The ORGANISATION CODE of the non-NHS ORGANISATION responsible for a POSITION NON-NHS FUNDING for a POSITION.

Notes:
This is the ORGANISATION CODE of the Primary Care Trust or Care Trust for the Human Papillomavirus Immunisation Programme.

This covers any children for whom the Primary Care Trust is the Responsible Primary Care Trust plus, for a Schools based programme, all children at Educational Establishments within its boundary.

Notes:
This is the ORGANISATION CODE of the ORGANISATION acting as Health Care Provider when a decision is made to upgrade the PATIENT to an urgent Cancer PATIENT PATHWAY.ORGANISATION CODE (PROVIDER CONSULTANT UPGRADE) is the same as attribute ORGANISATION CODE.

ORGANISATION CODE (PROVIDER CONSULTANT UPGRADE) is the ORGANISATION CODE of the ORGANISATION acting as Health Care Provider when a decision is made to upgrade the PATIENT to an urgent Cancer PATIENT PATHWAY.

The decision to upgrade must be made by a CONSULTANT or an authorised member of the CONSULTANTS team (subject to local agreement).  See Consultant Upgrade Date for further guidance.

Notes:
This is the ORGANISATION CODE of the ORGANISATION acting as Health Care Provider where the PATIENT is first seen by an appropriate cancer specialist on the FIRST SEEN BY SPECIALIST DATE (CANCER). The code may be derived automatically by NHS IT systems.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Notes:
This is the ORGANISATION CODE of the ORGANISATION acting as a Health Care Provider where the CLINICAL INTERVENTION with FIRST CANCER DIAGNOSTIC TEST classification of a.ORGANISATION CODE (PROVIDER FIRST DIAGNOSTIC TEST) is the ORGANISATION CODE of the ORGANISATION acting as a Health Care Provider where the CLINICAL INTERVENTION with FIRST CANCER DIAGNOSTIC TEST classification of a. 'first diagnostic test' takes place. The code may be derived automatically by NHS IT systems.

From 01 January 2009, this data element is no longer used in the National Cancer Waiting Times Monitoring Data Set.  It may still be used in other data sets or collected locally if required.

Notes:
ORGANISATION CODE (PROVIDER TREATMENT START DATE (CANCER)) is the same as the attribute ORGANISATION CODE.

This is the ORGANISATION CODE of the Health Care Provider at which a PATIENT with a PRIMARY DIAGNOSIS (ICD) within the list of cancer diagnoses defined by the Department of Health (see Department of Health guidance at Cancer Waiting Times Documentation and Links), receives the first cancer treatment in their Cancer Treatment Period.  This is the ORGANISATION where the TREATMENT START DATE (CANCER) is recorded.

Notes:
This is the ORGANISATION CODE of the ORGANISATION at which the CARE PROFESSIONAL who requested the DIAGNOSTIC TEST REQUEST for suspected cancer is based.

Notes:
This is the same as ORGANISATION CODE (RESPONSIBLE PCT) with the exception of PERSONS receiving a Stop Smoking Service at or near their workplace, which may be some distance from their home.

For example, a Stop Smoking Service might be provided for commuters at their workplace in a large city. In such circumstances it is likely that PERSONS will be drawn from a range of places in the surrounding area e.g. commuters to London who live all around the south-east of England.

Where a SERVICE is judged to meet these criteria, the Primary Care Trust providing the SERVICE is the Responsible Primary Care Trust.

Notes:
The age in years of the PERSON as at the REPORTING PERIOD END DATE, it is calculated as follows:

The format of a date, see DATE, is ccmm-dd-yy and for calculation purposes only the ccmm elements should be used.The format of a DATE is CCYY-MM-DD and for calculation purposes only the CCYY components should be used.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
PLATELETS COUNT is the result of the Clinical Investigation of the count of platelets in a PATIENT's blood sample in 'x10⁹/l (i.e. times ten to the power 9 per litre).'

Notes:

The total number of Fractions or hyperfraction delivered as part of a Radiotherapy Treatment Course.

Notes:
This is the PRIMARY DIAGNOSIS (ICD) related to the Cancer Care Spell of the second PERSON in the PERSON RELATIONSHIP who is a RELATION WITH CANCER.

Cancer Care Spell is an ACTIVITY GROUP where ACTIVITY GROUP TYPE is National Code 05 'Cancer Care Spell'.

Notes:
PRIORITY TYPE is the same as attribute PRIORITY TYPE.

PRIORITY TYPES can be defined more precisely if this is needed for local purposes, as long as the classifications can be mapped back to the National Codes.

PRIORITY TYPE will be replaced with PRIORITY TYPE CODE, which should be used for all new and developing data sets and for XML messages.

Notes:
PRIORITY TYPE CODE is the same as attribute PRIORITY TYPE.

PRIORITY TYPE CODES can be defined more precisely if this is needed for local purposes, as long as the classifications can be mapped back to the National Codes.

PRIORITY TYPE CODE replaces PRIORITY TYPE and should be used for all new and developing data sets and for XML messages.

The waiting time for a first Out-Patient Appointment should be calculated from the date when the REFERRAL REQUEST is received.For the purposes of the National Cancer Waiting Times Monitoring Data Set, REFERRAL REQUEST RECEIVED DATE is used to derive the CANCER REFERRAL TO TREATMENT PERIOD START DATE.

For electronic REFERRAL REQUESTS the REFERRAL REQUEST RECEIVED DATE is the date the REFERRAL REQUEST is received electronically by the Health Care Provider. For Choose and Book, the referral is received when the PATIENT's Unique Booking Reference Number (UBRN) is used to book the first outpatient appointment slot (i.e. converted).

Where an electronic REFERRAL REQUEST made through Choose and Book is rejected by the chosen provider, the ORIGINAL REFERRAL REQUEST RECEIVED DATE should be used when the PATIENT is subsequently re-referred to another service, so that patients are not unfairly disadvantaged when their waiting time calculations are made.

In the circumstance that a PATIENT calls the national Choose and Book Appointments Line and an APPOINTMENT SLOT is not available with the chosen Health Care Provider, the national Choose and Book Appointments Line will electronically forward the REFERRAL REQUEST details to the chosen Health Care Provider so the Health Care Provider can liaise directly with the PATIENT to arrange their Out-Patient Appointment. The REFERRAL REQUEST RECEIVED DATE will be the date that the Health Care Provider receives electronic notification from the national Choose and Book Appointments Line that the PATIENT has experienced slot unavailability. (Note that this is NOT the date that the Health Care Provider opens or actions the electronic notification).

For written REFERRAL REQUESTS letters must be opened and date stamped on the day of receipt. It is this date that must be entered on any PAS or similar system, not the date on which the information is fed into the system if this is later than the date of receipt.

If the REFERRAL REQUEST takes the form of a phone call followed by a letter, record the date when the letter arrives. If there is no following letter, the date of the verbal request should be recorded.

For the purposes of the National Cancer Waiting Times Monitoring Data Set, REFERRAL REQUEST RECEIVED DATE is used to derive the CANCER REFERRAL TO TREATMENT PERIOD START DATE, and is no longer in the data set itself.

Notes:
This is the same as attribute REFERRAL TO TREATMENT PERIOD START DATE.

Use in Commissioning Data Set version 6-0 onwards

If the Commissioning Data Set record relates to a Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement, and is of the following Commissioning Data Set Types:

• CDS V6 TYPE 020 - OUTPATIENT CDS
• CDS V6 TYPE 130 - ADMITTED PATIENT CARE - FINISHED GENERAL EPISODE CDS
• CDS V6 TYPE 190 - ADMITTED PATIENT CARE - UNFINISHED GENERAL EPISODE CDS
• CDS V6 TYPE 030 - EAL - END OF PERIOD CENSUS STANDARD CDS
• CDS V6 TYPE 060 - EAL - EVENT DURING PERIOD - ADD CDS
• CDS V6 TYPE 070 - EAL - EVENT DURING PERIOD - REMOVE CDS
• CDS V6 TYPE 080 - EAL - EVENT DURING PERIOD - OFFER CDS 

then REFERRAL TO TREATMENT PERIOD START DATE must be present in the Commissioning Data Set PATIENT PATHWAY Data Group. 

The ORGANISATION SITE CODE of the ORGANISATION SITE of the ORGANISATION at which the imaging took place.SITE CODE (OF IMAGING) is the ORGANISATION SITE CODE of the ORGANISATION at which the imaging took place.

This item is being used for development purposes and has not yet been assured by the Information Standards Board for Health and Social Care.

Notes:
WHITE BLOOD CELL COUNT is the outcome of the Clinical Investigation which measures the PERSON's white cell blood count in 'x10⁹/l (i.e. times ten to the power 9 per litre).'