Change Request: CR1338

NHS Connecting for Health

NHS Data Model and Dictionary Service

Type:	Patch
Reference:	1338
Version No:	1.0
Subject:	November Release Patch
Effective Date:	Immediate
Reason for Change:	Patch
Publication Date:	20 November 2012

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the November 2012 Release and includes:

What's New amended to include Change Requests incorporated since the last version of the NHS Data Model and Dictionary was published
Missing hyperlinks added
Html format corrected.

To view a demonstration on "How to Read an NHS Data Model and Dictionary Change Request", visit the NHS Data Model and Dictionary help pages at: http://www.datadictionary.nhs.uk/Flash_Files/changerequest.htm.

Note: if the web page does not open, please copy the link and paste into the web browser.

Summary of changes:

Central Return Forms
KC62 A 1	Changed Description
KC62 A 2	Changed Description
KC62 A 3	Changed Description
KC62 ANNEX 1	Changed Description
KC62 B 1	Changed Description
KC62 B 2	Changed Description
KC62 B 3	Changed Description
KC62 C1 1	Changed Description
KC62 C1 2	Changed Description
KC62 C1 3	Changed Description
KC62 C2 1	Changed Description
KC62 C2 2	Changed Description
KC62 C2 3	Changed Description
KC62 D 1	Changed Description
KC62 D 2	Changed Description
KC62 D 3	Changed Description
KC62 E 1	Changed Description
KC62 E 2	Changed Description
KC62 E 3	Changed Description
KC62 F1 1	Changed Description
KC62 F1 2	Changed Description
KC62 F1 3	Changed Description
KC62 F2 1	Changed Description
KC62 F2 2	Changed Description
KC62 F2 3	Changed Description
KC62 T 1	Changed Description
KC62 T 2	Changed Description
KC62 T 3	Changed Description

Supporting Information
ABOUT US HELP	Changed Description
GLOSSARY OF TERMS	Changed Description
INDEX	Changed Description
SAME SEX ACCOMMODATION	Changed Description
SECURITY ISSUES AND PATIENT CONFIDENTIALITY	Changed Description
SUPPORTING INFORMATION MENU	Changed Description
WHAT'S NEW: NOVEMBER 2012 renamed from WHAT'S NEW: SEPTEMBER 2012	Changed Name, Description

Attribute Definitions
ACTIVITY DATE AND TIME TYPE	Changed Description
ATTENDED OR DID NOT ATTEND	Changed Description
CURRENCY TYPE	Changed Description
LIVE OR STILL BIRTH	Changed Description
MEASUREMENT VALUE TYPE CODE	Changed Description
ORGANISATION CODE	Changed Description
ORGANISATION SITE CODE	Changed Description
PATIENT DIAGNOSIS TYPE FOR NHS HEALTH CHECK	Changed Description

Data Elements
ABSENCE WITHOUT LEAVE END DATE (RETIRED) renamed from ABSENCE WITHOUT LEAVE END DATE	Changed Name, status to Retired, Description
ABSENCE WITHOUT LEAVE START DATE (RETIRED) renamed from ABSENCE WITHOUT LEAVE START DATE	Changed Name, status to Retired, Description
ACTIVITY TREATMENT FUNCTION CODE	Changed Description
ASSESSMENT DATE (FOR TRANSPLANT SUITABILITY)	Changed Description
CDS RECORD IDENTIFIER	Changed Description
COMMISSIONER OR PROVIDER STATUS INDICATOR	Changed Description
COMMISSIONER REFERENCE NUMBER	Changed Description
COMMISSIONING SERIAL NUMBER	Changed Description
EARLIEST CLINICALLY APPROPRIATE DATE	Changed Description
END TIME (SUPERVISED COMMUNITY TREATMENT RECALL)	Changed Description
LEAVE OF ABSENCE END DATE (RETIRED) renamed from LEAVE OF ABSENCE END DATE	Changed Name, status to Retired, Description
LEAVE OF ABSENCE START DATE (RETIRED) renamed from LEAVE OF ABSENCE START DATE	Changed Name, status to Retired, Description
OPERATION STATUS CODE	Changed Description
PASSPORT NUMBER (OLD)	Changed Description
PERSON BIRTH DATE	Changed Description
PERSON BIRTH DATE (BABY)	Changed Description
PERSON BIRTH DATE (MOTHER)	Changed Description
PERSON HEIGHT IN CENTIMETRES	Changed Description
PERSON HEIGHT IN METRES	Changed Description
RENAL TREATMENT MODALITY NO TREATMENT REASON DATE	Changed linked Attribute

Packages
NE renamed from NE	Changed Name
OC renamed from OF	Changed Name

Date:	20 November 2012
Sponsor:	Richard Kavanagh, NHS Connecting for Health

Note: New text is shown with a blue background. Deleted text is crossed out. Retired text is shown in grey. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.

Click here for a printer friendly view of this page.

KC62 A 1

Change to Central Return Form: Changed Description

Central Return Form Guidance

KC62: Adult Screening Programmes - Breast Screening

~~Table A: 1st Invitation for Routine Screening~~
~~This table reports the persons in a~~ ~~Screening Programme~~ ~~(see~~ ~~PERSON IN PROGRAMME) for Breast Screening whose~~ ~~SCREENING STATUS~~ is ~~first call~~.
~~Part A1: Invitations and Outcomes~~

Table A: 1st Invitation for Routine Screening

This table reports the persons in a Screening Programme (see PERSON IN PROGRAMME) for Breast Screening whose SCREENING STATUS is first call.

Part A1: Invitations and Outcomes

This is a summary of the outcomes of screening and assessment of all women invited and/or screened.
Age at first offered appointment (first column)
~~This is derived from the~~ ~~BIRTH DATE~~ ~~of the~~ ~~PERSON~~. Line 01 includes all women who were aged 44 or less at the time of the date of their first offered appointment for screening in the period covered by the return. Lines 02 to 09 include women in specified age groups. Line 10 includes all women who were aged 75 or over. Line 11 gives the total of all women in lines 03 to 08, giving a summary of the women in the NHS Breast ~~Screening Programme~~ ~~target age range of 50 to 70 - the~~ ~~Screening Population. Line 12 gives the total of all women in lines 01 to 10 regardless of age.~~
This is derived from the PERSON BIRTH DATE of the PERSON. Line 01 includes all women who were aged 44 or less at the time of the date of their first offered appointment for screening in the period covered by the return. Lines 02 to 09 include women in specified age groups. Line 10 includes all women who were aged 75 or over. Line 11 gives the total of all women in lines 03 to 08, giving a summary of the women in the NHS Breast Screening Programme target age range of 50 to 70 - the Screening Population. Line 12 gives the total of all women in lines 01 to 10 regardless of age.
Lines 13 - 24 in Part A2 Assessment and lines 25 - 36 in Part A3 Cancer diagnosed follow the pattern described above.
Number of women invited (column 1)
Count of Screening Test Invitations where the first Screening Test Invitation has a first test date offered (see APPOINTMENT DATE OFFERED) in the period covered by the return.
Lost to follow-up after technically inadequate screening mammogram (column 2)
Count of women whose SCREENING TEST RESULT classification was Inadequate test, and for whom no REFERRAL REQUEST for breast assessment was made.
Number screened (technically adequate) (column 3)
Count of women with a Screening Test Date in the period covered by the return whose SCREENING TEST RESULT classification was not Inadequate test.
Outcome of initial screen : Not known (column 4)
Count of women with a valid Screening Test Date but where no breast cancer screening test outcome (see BREAST ASSESSMENT OR TEST OUTCOME) has been recorded.
Outcome of initial screen: Routine recall (column 5)
Count of women with a breast cancer screening test outcome classification of Routine recall.
Outcome of initial screen: Early recall (column 6)
Count of women with a breast cancer screening test outcome classification of Early recall but without a REFERRAL REQUEST for breast assessment.
Outcome of initial screen: Referred for assessment (column 7)
Count of women with a REFERRAL REQUEST for breast assessment. This covers all the women reported in columns 8 to 12.
Final outcome of assessment: Failed to attend for assessment (column 8)
Count of women with a REFERRAL REQUEST for breast assessment who failed to attend for all required assessment appointments and for whom there is no breast assessment final outcome (see BREAST ASSESSMENT OR TEST OUTCOME).
Final outcome of assessment: Outcome of assessment not known (column 9)
Count of women with a breast assessment date (see ACTIVITY DATE) but where no breast assessment final outcome has been recorded.
Final outcome of assessment: Routine recall (column 10)
Count of women with a breast assessment date and a breast assessment final outcome classification of Routine recall.
Final outcome of assessment: Early recall (column 11)
Count of women with a breast assessment date and a breast assessment final outcome classification of Early recall.
Final outcome of assessment: Cancer (column 12)
Count of women with a breast assessment date and a breast assessment final outcome classification of Cancer diagnosed. The total recorded in this column will equal the total recorded in columns 13, 18 and 24.
Part A2: Assessment
This part breaks down the outcomes of assessment by the procedures involved for all women assessed as a result of screening.
Cancer diagnosed without cytology or histology (column 13)
Count of women with a breast assessment date and a breast assessment final outcome classification was Cancer diagnosed, but who had no REFERRAL REQUEST for biopsy or a REFERRAL REQUEST for biopsy where the PATHOLOGY INVESTIGATION TYPE CODE classification was not Cytology and the BIOPSY REFERRAL OUTCOME classification was Inconclusive.
Referred for cytology and/or core biopsy (column 14)
Count of women with a breast cancer screening test outcome classification of Referred for assessment and a subsequent REFERRAL REQUEST for biopsy with a PATHOLOGY INVESTIGATION TYPE CODE classification of Cytology or Core biopsy.
Not referred for open biopsy: No result recorded/inadequate result (column 15)
Count of women with a breast cancer screening test outcome classification of Referred for assessment and a subsequent REFERRAL REQUEST for biopsy with a PATHOLOGY INVESTIGATION TYPE CODE classification of Cytology or Core biopsy but without any PATHOLOGY INVESTIGATION TYPE CODE classification of Histology (open biopsy). These women did not complete any or all procedures within 6 months of the date of the screen or had no breast assessment final outcome recorded.
Not referred for open biopsy: Routine recall (column 16)
Count of women with a breast cancer screening test outcome classification of Referred for assessment, a subsequent REFERRAL REQUEST for biopsy with a PATHOLOGY INVESTIGATION TYPE CODE classification of Cytology or Core biopsy but without any PATHOLOGY INVESTIGATION TYPE CODE classification of Histology (open biopsy). These women have a breast assessment final outcome classification of Routine recall.
Not referred for open biopsy: Early recall (column 17)
Count of women with a breast cancer screening test outcome classification of Referred for assessment, a subsequent REFERRAL REQUEST for biopsy with a PATHOLOGY INVESTIGATION TYPE CODE classification of Cytology or Core biopsy but without any PATHOLOGY INVESTIGATION TYPE CODE classification of Histology (open biopsy). These women have a breast assessment final outcome classification of Early recall.
Not referred for open biopsy: Cancer (column 18)
Count of women with a breast cancer screening test outcome classification of Referred for assessment, a subsequent REFERRAL REQUEST for biopsy with a PATHOLOGY INVESTIGATION TYPE CODE classification of Cytology or Core biopsy but without any PATHOLOGY INVESTIGATION TYPE CODE classification of Histology (open biopsy). These women have a breast assessment final outcome classification of Cancer diagnosed.
Referred for open biopsy (column 19)
Count of women with a REFERRAL REQUEST for biopsy with a PATHOLOGY INVESTIGATION TYPE CODE classification of Cytology or Core biopsy followed by a REFERRAL REQUEST for biopsy with a PATHOLOGY INVESTIGATION TYPE CODE classification of Histology (open biopsy).
Total referred for open biopsy (column 20)
Total count of women with a REFERRAL REQUEST for biopsy with a PATHOLOGY INVESTIGATION TYPE CODE classification of Histology (open biopsy).
Up to and including open biopsy: No result/inadequate result (column 21)
Count of women with a REFERRAL REQUEST for biopsy with a PATHOLOGY INVESTIGATION TYPE CODE classification of Histology (open biopsy). These women have a BIOPSY REFERRAL OUTCOME classification of Inconclusive or Biopsy not done or result not yet known or did not attend for the biopsy within 6 months of the date of the Screening Test having no recorded date biopsy taken (see ACTIVITY DATE) .
Up to and including open biopsy: Result: Benign/normal: Routine recall (column 22)
Count of women with a REFERRAL REQUEST for biopsy with a PATHOLOGY INVESTIGATION TYPE CODE classification of Histology (open biopsy). The BIOPSY REFERRAL OUTCOME classification is Benign or negative. The breast assessment final outcome classification for these women is Routine recall.
Up to and including open biopsy: Result: Benign/normal: Early recall (column 23)
Count of women with a REFERRAL REQUEST for biopsy with a PATHOLOGY INVESTIGATION TYPE CODE classification of Histology (open biopsy). The BIOPSY REFERRAL OUTCOME classification is Benign or negative. The breast assessment final outcome classification for these women is Early recall.
Up to and including open biopsy: Cancer (column 24)
Count of women with a REFERRAL REQUEST for biopsy with a PATHOLOGY INVESTIGATION TYPE CODE classification of Histology (open biopsy). The BIOPSY REFERRAL OUTCOME classification is Positive; i.e cancer diagnosed. The breast assessment final outcome classification for these women is Cancer diagnosed.

~~Invasive size (of cancer)~~	~~<10mm (column 29)~~
~~Invasive size (of cancer)~~	~~>=10mm & <15mm (column 30)~~
~~Invasive size (of cancer)~~	~~>=15mm & <20mm (column 31)~~
~~Invasive size (of cancer)~~	~~>=20mm & <50mm (column 32)~~
~~Invasive size (of cancer)~~	~~>=50mm (column 33)~~

Invasive size (of cancer)	<10mm (column 29)
Invasive size (of cancer)	>=10mm & <15mm (column 30)
Invasive size (of cancer)	>=15mm & <20mm (column 31)
Invasive size (of cancer)	>=20mm & <50mm (column 32)
Invasive size (of cancer)	>=50mm (column 33)

~~KC62 Table A~~	~~First invitation for routine screening~~
~~KC62 Table B~~	~~Routine invitation to previous non-attenders~~
~~KC62 Table C1~~	~~Routine invitation to previous attenders (Last screen within 5 years)~~
~~KC62 Table C2~~	~~Routine invitation to previous attenders (Last screen more than 5 years)~~
~~KC62 Table D~~	~~Early Recalls~~
~~KC62 Table E~~	~~Self/GP referrals of women not screened previously~~
~~KC62 Table F1~~	~~Self/GP referrals of women screened previously (Last screen within 5 years)~~
~~KC62 Table F2~~	~~Self/GP referrals of women screened previously (Last screen more than 5 years previously)~~

KC62 Table A	First invitation for routine screening
KC62 Table B	Routine invitation to previous non-attenders
KC62 Table C1	Routine invitation to previous attenders (Last screen within 5 years)
KC62 Table C2	Routine invitation to previous attenders (Last screen more than 5 years)
KC62 Table D	Early Recalls
KC62 Table E	Self/GP referrals of women not screened previously
KC62 Table F1	Self/GP referrals of women screened previously (Last screen within 5 years)
KC62 Table F2	Self/GP referrals of women screened previously (Last screen more than 5 years previously)

KC62 Table A: Part A1 & A2	First invitation for routine screening
KC62 Table B: Part B1 & B2	Routine invitation to previous non-attenders
KC62 Table C1: Part C1/1 & C1/2	Routine invitation to previous attenders (Last screen within 5 years)
KC62 Table C2: Part C2/1 & C2/2	Routine invitation to previous attenders (Last screen more than 5 years)
KC62 Table D: Part D1 & D2	Early Recalls
KC62 Table E: Part E1 & E2	Self/GP referrals of women not screened previously
KC62 Table F1: Part F1/1 & F1/2	Self/GP referrals of women screened previously (Last screen within 5 years)
KC62 Table F2: Part F2/1 & F2/2	Self/GP referrals of women screened previously (Last screen more than 5 years previously)

KC62 Table A: Part A3	First invitation for routine screening
KC62 Table B: Part B3	Routine invitation to previous non-attenders
KC62 Table C1: Part C1/3	Routine invitation to previous attenders (Last screen within 5 years)
KC62 Table C2: Part C2/3	Routine invitation to previous attenders (Last screen more than 5 years)
KC62 Table D: Part D3	Early Recalls
KC62 Table E: Part E3	Self/GP referrals of women not screened previously
KC62 Table F1: Part F1/3	Self/GP referrals of women screened previously (Last screen within 5 years)
KC62 Table F2: Part F2/3	Self/GP referrals of women screened previously (Last screen more than 5 years previously)

KC62 Table A: Part A4, A5 & A6	First invitation for routine screening
KC62 Table B: Part B4, B5 & B6	Routine invitation to previous non-attenders
KC62 Table C1: Part C1/4, C1/5 & C1/6	Routine invitation to previous attenders (Last screen within 5 years)
KC62 Table C2: Part C2/4, C2/5 & C2/6	Routine invitation to previous attenders (Last screen more than 5 years)
KC62 Table D: Part D4, D5 & D6	Early Recalls
KC62 Table E: Part E4, E5 & E6	Self/GP referrals of women not screened previously
KC62 Table F1: Part F1/4, F1/5 & F1/6	Self/GP referrals of women screened previously (Last screen within 5 years)
KC62 Table F2: Part F2/4, F2/5 & F2/6	Self/GP referrals of women screened previously (Last screen more than 5 years previously)

Class	Attribute
Admission
Hospital Provider Spell	ACTIVITY DATE of the ACTIVITY DATE TYPE Start Date
Annual Census
Hospital Provider Spell	ACTIVITY DATE of the ACTIVITY DATE TYPE Start Date
OPERATIVE PROCEDURE
Mental Health Act Legal Status	MENTAL CATEGORY
Hospital Provider Spell	ACTIVITY DATE of the ACTIVITY DATE TYPE Discharge Date
PATIENT DIAGNOSIS
Booked Admission
ELECTIVE ADMISSION LIST ENTRY	ELECTIVE ADMISSION TYPE
Code of General Practitioner
GENERAL MEDICAL PRACTITIONER	GENERAL MEDICAL PRACTITIONER PPD CODE
GENERAL DENTAL PRACTITIONER	GENERAL DENTAL PRACTITIONER CODE
Consultant Code
CONSULTANT	CONSULTANT CODE
Consultant Name
PERSON NAME
Day Case Admission
Hospital Provider Spell	PATIENT CLASSIFICATION
Diagnostic Services
Pathology Department
Radiology Department
Isotope Procedure Department
Physiological Measurement Department
Discharge
Hospital Provider Spell	ACTIVITY DATE of the ACTIVITY DATE TYPE Discharge Date
Drop-In Clinic
REFERRAL REQUEST	OUT-PATIENT CLINIC REFERRING INDICATOR
Emergency Admission
Hospital Provider Spell	ADMISSION METHOD
Emergency Journey
Emergency Transport Request
General Practitioner Name
PERSON NAME
GMC or GDC Reference Number
CARE PROFESSIONAL	CARE PROFESSIONAL IDENTIFIER
Local Patient Identifier
PATIENT ORGANISATION	LOCAL PATIENT IDENTIFIER
Maternity Admission
Hospital Provider Spell	ADMISSION METHOD
Neonate
PATIENT
Nurse Identifier
CARE PROFESSIONAL	CARE PROFESSIONAL IDENTIFIER
Nurse Name
PERSON NAME
Ordinary Admission
Hospital Provider Spell	PATIENT CLASSIFICATION
Organisation Postcode
ADDRESS	POSTCODE
ADDRESS ASSOCIATION
Organisation Address
ADDRESS ASSOCIATION	ADDRESS ASSOCIATION TYPE
Patient Name
PERSON NAME
Patients Usual Address
ADDRESS ASSOCIATION	ADDRESS ASSOCIATION TYPE
Planned Admission
ELECTIVE ADMISSION LIST ENTRY	ELECTIVE ADMISSION TYPE
Postcode of Usual Address
ADDRESS	POSTCODE
Regular Day Admission
Hospital Provider Spell	PATIENT CLASSIFICATION
Sex
PERSON GENDER	PERSON GENDER CODE
~~PERSON GENDER CURRENT~~
~~PERSON GENDER AT REGISTRATION~~
PERSON GENDER CODE CURRENT
PERSON GENDER CODE AT REGISTRATION
Special/Planned Journey
Special Transport Request
Planned Transport Request
Telephone Number
COMMUNICATION CONTACT INFORMATION	COMMUNICATION CONTACT METHOD
COMMUNICATION CONTACT INFORMATION	COMMUNICATION CONTACT STRING
Two Man/One Man Crew
TRANSPORT REQUIREMENT	TRANSPORT NEED
TCI (To Come In Date)
OFFER OF ADMISSION	OFFERED FOR ADMISSION DATE
~~Urgent Journey~~
~~Urgent Transport Request~~
Waiting List Admission
ELECTIVE ADMISSION LIST ENTRY	ELECTIVE ADMISSION TYPE
Ward Transfer
Ward Stay	ACTIVITY DATE of the ACTIVITY DATE TYPE End Date
Ward Stay	WARD STAY TERMINATION REASON

Description	OPCS-4*	ICD-10
Standard In Vitro Fertilisation (IVF)	Q13.-¹ Introduction of gamete into uterine cavity, or Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.2 In vitro fertilization
In Vitro Fertilisation (IVF) with donor sperm	Q13.- ¹ Introduction of gamete into uterine cavity, or Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.2 In vitro fertilization
In Vitro Fertilisation (IVF) with donor eggs	Q13.-¹ Introduction of gamete into uterine cavity, or Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.2 In vitro fertilization
Donor insemination (DI)	Q13.3 Intrauterine artificial insemination, or Q13.2 Intracervical artificial insemination	Z31.1 Artificial insemination
Gamete intrafallopian transfer (GIFT) with donor sperm	Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.3 Other assisted fertilization methods
Gamete intrafallopian transfer (GIFT) with donor eggs	Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.3Other assisted fertilization methods
Intracytoplasmic sperm injection (ICSI)
Sub-zonal insemination (SUZI)
Zygote intrafallopian transfer (ZIFT)	Q38.3 Endoscopic intrafallopian transfer of gamete	Z31.2 In vitro fertilization
Partial Zona Dissection (PZD)
Zona drilling
Hamster- egg penetration test
Assisted hatching
Pre-implantation Genetic Diagnosis (PGD)
Storage of sperm
Storage of embryos
Use and storage of testicular tissue
Transport/satellite In Vitro Fertilisation (IVF) / Intracytoplasmic sperm injection (ICSI)
Embryo donation		Z31.8 Other procreative management
Research

300	Maternal Critical Incident Date and Time
301	Procedure Date and Time
302	Baby First Feed Date and Time
303	Date and Time of Decision to Deliver
304	Discharge Date and Time (Mother Post Delivery Hospital Provider Spell)
305	Oxytocin Administered Date and Time
306	Rupture of Membranes Date and Time
307	Transfer Start Date and Time (Neonatal Unit)
308	Urgent Care Service Accessed Date and Time

5	Attended on time or, if late, before the relevant CARE PROFESSIONAL was ready to see the PATIENT
6	Arrived late, after the relevant CARE PROFESSIONAL was ready to see the PATIENT, but was seen
7	PATIENT arrived late and could not be seen
2	APPOINTMENT cancelled by, or on behalf of, the PATIENT
3	Did not attend - no advance warning given
4	APPOINTMENT cancelled or postponed by the Health Care Provider
0	Not applicable - APPOINTMENT occurs in the future *

GBP	Pound Sterling
USD	US Dollar
EUR	Euro

1	Live
2	Still birth ante-partum
3	Still birth intra-partum
4	Still birth indeterminate

01	Millimoles per litre (mmol/L)
02	Micromoles per litre (µmol/L)
03	~~Microgrammes per litre (ug/L)~~
04	~~Microgrammes per mililitre (ug/mmol)~~
05	~~Microgramme albumin per hour (ug/ml/hr)~~
06	~~Microgramme albumin per minute (ug/min)~~
07	~~Microgramme albumin per 24 hours (ug/24hr)~~
03	Micrograms per litre (ug/L)
04	Micrograms per millimole (ug/mmol)
05	Microgram albumin per hour (ug/ml/hr)
06	Microgram albumin per minute (ug/min)
07	Microgram albumin per 24 hours (ug/24hr)
08	Number
09	Percentage (%)
10	Kilograms (kg)
11	Metres (m)
13	Square Metres (m²)
14	Millilitres per Minute (ml/min)
15	Millimetre of mercury (mmHg)
16	Litres (l)
17	Beats per minute (bpm)
18	Centimetres (cm)
19	Milligrams (mg)
20	Millilitres (ml)
21	Minutes
22	Celsius

Character Position	1	2	3	4	5	6	7	8
Format	a/n	a/n	a/n	a/n	a/n	a/n	a/n	a/n
A Frame	Organisation Type Identifier	Organisation Identifier
B Frame	Organisation Type Identifier			Organisation Identifier
C Frame	Organisation Type Identifier		Organisation Identifier
D Frame	Organisation Type Identifier	Organisation Identifier
E Frame	Organisation Identifier
F Frame	Organisation Type Identifier	Organisation Identifier
G Frame	Organisation Type Identifier	Practice Identifier
H Frame	Organisation Type Identifier		Organisation Identifier
I Frame	Organisation Type Identifier		Organisation Identifier
J Frame	Organisation Type Identifier				Organisation Identifier
K Frame	Organisation Identifier
L Frame	Organisation Type Identifier			Organisation Identifier	Organisation Type Identifier
M Frame	Organisation and Organisation Type Identifier

Cancer Registry	e.g. Y0401
Primary Care Group/Local Health Group (now all closed)	e.g. 4AA24

Application Service Provider	e.g. YGM01
Education (Deanery)	e.g. YDF01
NHS Support Agencies	e.g. YDD01
Workforce Development Confederation (All closed June 2006)	e.g. LWF03

Care Trust	e.g. TAK
Local Health Board (Wales)	e.g. 7A1
NHS Trust	e.g. RH8
Primary Care Trust	e.g. 5CT
Welsh Local Health Board (All closed 30 September 2009)	e.g. 6C4

Care Home Headquarters	e.g.CA0A
Local Authority Please Note: The Local Authority codes are not available for general use but must only be used to facilitate Spine Smartcard and Endpoint Registration.	e.g.V001
Optical Headquarters	e.g.T1A1

Booking Management System (BMS) Call Centre Establishment	e.g. YF1
Government Department	e.g. XDA
Independent Sector Healthcare Provider (ISHP) (where the 2nd character is alpha)	e.g. NV7
IT Cluster (ITC) (All closed in England on 31 March 2007)	e.g. Y41
National Application Service Provider (NASP) (NPfIT)	e.g. YEA
Other Statutory Authority (OSA)	e.g. X16
Pan SHA	e.g. Y51

Organisation Type	Frame Type	Character Position								Code allocated by:	Notes/Comments
	See Coding Frames Table	1	2	3	4	5	6	7	8
Application Service Provider	B	Y	G	M	A-9	A-9				ODS	e.g. YGM01
Booking Management System (BMS) Call Centre Establishment	H	Y	F	A-9						ODS	e.g. YF1
Cancer Network	H	N	0-9	A-9						ODS	e.g. N01
Cancer Registry	A	Y	A-9	A-9	A-9	A-9				ODS	e.g. Y0401
Care Home Headquarters	F	A, C or D	A-9	A-9	A-9					ODS	e.g. CA0A
Care Trust (CT)	D	T	A-Y	A-Y						ODS	e.g. TAK
Clinical Commissioning Group (CCG) From April 2013	M	0-9	0-9	A-Y						ODS	From April 2013 e.g. 12A
~~Directorate of Health and Social Care (DHSC)~~	~~N/A~~ ~~All Closed~~	Y	2	~~0-9~~						~~ODS~~	~~DHSCs in England all closed in June 2003~~ ~~e.g. Y21~~
Directorate of Health and Social Care (DHSC)	N/A All Closed	Y	2	0-9						ODS	DHSCs in England all closed in June 2003 e.g. Y21
Education (Deanery)	B	Y	D	F	A-9	A-9				ODS	e.g. YDF01
Executive Agency	N/A See Note 1	X	0-9	0-9						ODS	e.g. X09
Executive Agency Programme	N/A See Note 1	X	0-9	0-9	0-9	0-9	0-9			ODS	First three characters denote Executive Agency e.g. X09001
General Dental Practice - England and Wales	G	V	0-9	0-9	0-9	0-9	0-9			NHS Dental Services	e.g. V20052
Government Department	H	X	A-Y	A-Y						ODS	e.g. XDA
Government Office Region (GOR)	E	A-Y								ONS	e.g. K Government Office Regions (GORs) closed 31 March 2011 - from 1 April 2011 referred to as Regions
GP Practice - England and Wales	G	A-H, J-N, P, W & Y	0-9	0-9	0-9	0-9	0-9			NHS Prescription Services	Char 1 = W for Welsh GP Practice. All other values represent English GP Practices From 2003, ALL newly allocated Practice Codes begin with a Y" e.g. Y00001
Independent Provider (IP)	A	8	A-Y	A-9	0-9	0-9				ODS - England NHS Wales Informatics Service - Wales	Character 2: W - Wales. All other values represent England. e.g. 8HA03
~~Independent Sector Healthcare Provider~~ (~~ISHP~~)	H	~~A, B, D, G, I, K, L, M , N, O, S, U, V, W~~	~~A-Y~~	~~A-Y, 0-9~~						~~ODS~~	~~e.g. NV7~~ ~~Note: The A-Y range includes all letters except Z~~
~~IT Cluster (ITC)~~	H	Y	4	~~0-9~~						~~ODS~~	~~e.g. Y41~~ ~~All IT Clusters in England closed on 31 March 2007~~
Independent Sector Healthcare Provider (ISHP)	H	A, B, D, G, I, K, L, M , N, O, S, U, V, W	A-Y	A-Y, 0-9						ODS	e.g. NV7
IT Cluster (ITC)	H	Y	4	0-9						ODS	e.g. Y41 All IT Clusters in England closed on 31 March 2007
Local Authority (LA)	F	V	A-9	A-9	A-9					ODS	e.g. V001
Local Commissioning Group (Northern Ireland)	L	Z	C	0	0-9	0				Department for Health, Social Services and Public Safety (DHSSPS), Northern Ireland	e.g.ZC010 Note that characters 3 and 5 are ‘fillers’ to create a 5 character code. If a 3 character code is required (as used by the Office for National Statistics in the NHS Postcode Directory), zeros can be omitted and fits under the H frame: e.g. ZC1. Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009.
Local Health Board (Wales)	B	7	A-9	A-9						ODS	e.g. 7A1
Local Service Provider (LSP)	B	L	S	P	0-9	0-9				ODS	e.g. LSP01
National Application Service Provider (NASP) (NPfIT)	H	Y	E	A-9						ODS	e.g. YEA
NHS Support Agencies (Shared Services and Health Informatics Services)	B	Y	D	D	A-9	A-9				ODS	e.g. YDD01
NHS Trust	D	R	A-9	A-9						ODS	e.g. RH8
NHS Wales Informatics Service (NWIS)	K	W	0	0						ODS	Only one organisation of this type exists for Wales e.g. W00
Optical Headquarters	F	T	0-9	A-9	A-9					ODS	e.g. T1A1
Other Statutory Authority (OSA)	H	X	0-9	0-9						ODS	e.g. X16
Pan SHA	H See Note 2	Y	5	0-9						ODS	e.g. Y51
Pharmacy HQ	F	P	A-9	A-9	A-9					ODS	e.g. P001
~~Primary Care Group/ Local Health Group~~	A	4	~~A-Y~~	~~A-Y~~	~~0-9~~	~~0-9~~				~~ODS~~	~~Primary Care Groups in England and Local Health Groups in Wales~~ ~~2nd char = W for Welsh LHGs.~~ ~~PCGs all closed by March 2002~~ ~~e.g. 4AA24~~
Primary Care Group/ Local Health Group	A	4	A-Y	A-Y	0-9	0-9				ODS	Primary Care Groups in England and Local Health Groups in Wales 2nd char = W for Welsh LHGs. PCGs all closed by March 2002 e.g. 4AA24
Primary Care Trust (PCT)	D	5	A-9	A-9						ODS	e.g. 5CT
School	C	E	E	A-9	A-9	A-9	A-9	A-9	A-9	Department for Education and ODS	e.g. EE134290
Special Health Authority (SpHA)	I	T	1	0-9	0-9	0				ODS	e.g. T1150
Strategic Health Authority (SHA)	D	Q	A-9	A-9						ODS	Strategic Health Authorities in England e.g. Q30
~~Transplant Consortium~~	J	~~Y, S, W or Z~~	~~0-9~~	~~0-9~~	T	~~0-9~~				~~ODS~~	~~English Transplant Consortiums are all Closed.~~ ~~England = Y, Scotland = S, Wales = W and N.Ireland = Z~~ ~~e.g. Y01T1~~
~~Welsh Local Health Board~~ ~~(WLHB)~~	D	6	~~A-Y~~	~~0-9~~						~~ODS~~	~~e.g. 6C4~~ ~~All Welsh Local Health Boards closed on 30 September 2009.~~ ~~Local Health Boards introduced from 1 October 2009.~~
~~Workforce Development Confederation~~	B	L	W	F	~~A-9~~	~~A-9~~				~~ODS~~	~~e.g. LWF03~~ ~~All closed June 2006~~
Transplant Consortium	J	Y, S, W or Z	0-9	0-9	T	0-9				ODS	English Transplant Consortiums are all Closed England = Y, Scotland = S, Wales = W and N.Ireland = Z e.g. Y01T1
Welsh Local Health Board (WLHB)	D	6	A-Y	0-9						ODS	e.g. 6C4 All Welsh Local Health Boards closed on 30 September 2009 Local Health Boards introduced from 1 October 2009
Workforce Development Confederation	B	L	W	F	A-9	A-9				ODS	e.g. LWF03 All closed June 2006

Organisation Type	Character Position						Code allocated by:	Notes/Comments
	1	2	3	4	5	6
GP Practice - Scotland	S	0-9	0-9	0-9	0-9	0-9	NHS
Scottish GP Fundholder	S	A-Z	B	0-9	0-9		ISD, Scotland	2nd character identifies the Health Board the GPFH reports to. 3rd character (always B) shows GPFH status.
Scottish Health Agency	S	D	0-9	0-9	0-9		ISD, Scotland	2nd character (D) identifies Scottish Office agencies
Scottish Health Board	S	A-Z	9	9	9		ISD, Scotland
Scottish Provider	S	A-Z	A,C,D	0-9	0-9		ISD, Scotland	2nd character identifies the Health Board the organisation reports to. 3rd character identifies the organisation type: A= Health Unit C = Hospital Trust D = Nursing Home

Organisation Type	Character Position						Code allocated by:	Notes/Comments
	1	2	3	4	5	6
GP Practice - Alderney	A	L	D	0-9	0-9	0-9	NHS Prescription Services
GP Practice - Guernsey	G	U	E	0-9	0-9	0-9	NHS Prescription Services
GP Practice - Isle of Man (IOM)	Y	0-9	0-9	0-9	0-9	0-9	NHS Prescription Services
GP Practice - Jersey	J	E	R	0-9	0-9	0-9	NHS Prescription Services
Isle of Man (IOM) Government Department	Y	J	A-9				ODS	e.g. YJM
Primary Healthcare Directorate (Isle of Man)	Y	K	A-9				ODS	e.g. YK1

Primary Care Trust Site	e.g. 5CT49
Care Trust Site	e.g. TAK01
Other Statutory Authority (OSA) Site	e.g. X1601
NHS Trust Site	e.g. RH802
Government Department Site	e.g. XDA01
Local Health Board (Wales) Site	e.g. 7A101
Welsh Local Health Board Site (all closed 30 September 2009)	e.g. 6C401
Treatment Centre	e.g. 5CG12

NHS Connecting for Health

NHS Data Model and Dictionary Service

KC62 A 1

KC62: Adult Screening Programmes - Breast Screening

Table A: 1st Invitation for Routine Screening

Part A1: Invitations and Outcomes

Table A: 1st Invitation for Routine Screening

Part A1: Invitations and Outcomes

Age at first offered appointment (first column)

Number of women invited (column 1)

Lost to follow-up after technically inadequate screening mammogram (column 2)

Number screened (technically adequate) (column 3)

Outcome of initial screen : Not known (column 4)

Outcome of initial screen: Routine recall (column 5)

Outcome of initial screen: Early recall (column 6)

Outcome of initial screen: Referred for assessment (column 7)

Final outcome of assessment: Failed to attend for assessment (column 8)

Final outcome of assessment: Outcome of assessment not known (column 9)

Final outcome of assessment: Routine recall (column 10)

Final outcome of assessment: Early recall (column 11)

Final outcome of assessment: Cancer (column 12)

Part A2: Assessment

Cancer diagnosed without cytology or histology (column 13)

Referred for cytology and/or core biopsy (column 14)

Not referred for open biopsy: No result recorded/inadequate result (column 15)

Not referred for open biopsy: Routine recall (column 16)

Not referred for open biopsy: Early recall (column 17)

Not referred for open biopsy: Cancer (column 18)

Referred for open biopsy (column 19)

Total referred for open biopsy (column 20)

Up to and including open biopsy: No result/inadequate result (column 21)

Up to and including open biopsy: Result: Benign/normal: Routine recall (column 22)

Up to and including open biopsy: Result: Benign/normal: Early recall (column 23)

Up to and including open biopsy: Cancer (column 24)

KC62 A 2

KC62: Adult Screening Programmes - Breast Screening

Table A: 1st Invitation for Routine Screening

Table A: 1st Invitation for Routine Screening

Part A3: Cancers Diagnosed

Age at first offered appointment (first column)

Total number of women with cancer (column 25)

Total number of women with cancer (column 25)

Invasive status not known (column 26)

Non-invasive or possibly micro-invasive (column 27)

Definitely micro-invasive (column 28)

Invasive size (columns 29 - 33)

Invasive size: Size not known (column 34)

Invasive size: Size not known (column 34)

Total invasive (column 35)

KC62 A 3

KC62: Adult Screening Programmes - Breast Screening

Part A4: Outcome measures

Part A4: Outcome measures

Age Groups of women (first column)

Age Group (50-64) (line 37)

Age Group (50-70) (line 38)

Total all ages (line 39)

Uptake rate (% of invited) (column 36)

Referral rate (% of screened) (column 37)

Non-invasive or micro-invasive cancers (per 1,000 screened) (column 38)

Benign biopsy rate (per 1,000 screened) (column 39)

Benign Therapeutic operation: Number (column 40)

Benign Therapeutic operation: Number (column 40)

Benign Therapeutic operation: Rate (per 1,000 screened) (column 41)

Invasive cancer detection rate (per 1,000 screened) (column 42)

Detection rate of invasive cancers <10 mm (per 1,000 screened) (column 43)

Detection rate of invasive cancers <15 mm (per 1,000 screened) (column 44)

Referral rate for cytology and/or core biopsy (% of screened) (column 45)

Referral rate for open biopsy (% of screened) (column 46)

Pre-operative diagnosis rate (% of cancers diagnosed) (column 47)

Early recall rate following assessment (% of screened) (column 48)

Number of invasive cancers observed (column 49)

Number of invasive cancers expected (column 50)

Standardised Detection Ratio (SDR) (column 51)

Part A5: Data Completeness Indicators

Age Groups of women (first column) in Part A5.

Age Group (50-64) (line 40)

Age Group (50-70) (line 41)

Total all ages (line 42)

Assessment result not known (% of referred) (column 52)

Organisation Type	Frame Type	Character Position									Code allocated by:	Notes/Comments
	See Coding Frames Table	1	2	3	4	5	6	7	8	9
Care Home Site	J	V	L, M or N	A-9	A-9	A-9					ODS	e.g. VN01A, VM01A, VL01A
Care Trust Site	B	T	A-Y	A-Y	A-9	A-9					ODS	First three characters denote owning Care Trust e.g. TAK01
Clinical Commissioning Group (CCG) Site From April 2013	K	0-9	0-9	A-Y	A-Y	A-Y					ODS	From April 2013 First three characters denote owning Clinical Commissioning Group e.g. 11AAA - 99YZZ
Dispensary	F	F	A-Y	A-9	0-9	0-9					NHS Prescription Services	e.g. FA002
Executive Agency Site	N/A See Note	X	0-9	0-9	0-9	0-9					ODS	First three characters denote Executive Agency e.g. X0901
Government Department Site	B	X	A-Y	A-Y	0-9	0-9					ODS	First three characters denote Government Department e.g. XDA01
GP Practice Branch Surgery - England and Wales	D	A-H, J-N, P, W & Y	0-9	0-9	0-9	0-9	0-9	0-9	0-9	0-9	ODS	First 6 characters denote parent practice. Char 1 = W for Welsh GP Practice. All other values represent English GP Practices e.g. H81010002
Independent Sector Healthcare Provider (ISHP) Site	C	A, B, D, G, I, K, L, M , N, O, S, U, V, W	A-Y	A-Y, 0-9	A-Y, 0-9	A-Y, 0-9					ODS	First three characters denote owning Independent Sector Healthcare Provider (ISHP) e.g. NV701 Note: The A-Y range includes all letters except Z
Local Authority (LA) Site	G	V	A-9	A-9	A-9	A-Y	A-Y				ODS	First four characters denote LA e.g. V001AA
Local Health Board (Wales) Site	B	7	A-9	A-9	A-9	A-9					ODS	First three characters denote owning NHS Trust e.g. 7A101
Local Service Provider (LSP) Site	A	L	S	P	0-9	0-9	0-9	0-9			ODS	First five characters denote owning Local Service Provider e.g. LSP0101
NHS Trust Site	B	R	A-9	A-9	A-9	A-9					ODS	First three characters denote owning NHS Trust e.g. RH802
Optical Site	I	T	P or Q	0-9	A-9	A-9					ODS	e.g. TP01A, TQ01A
Other Statutory Authority (OSA) Site	B	X	0-9	0-9	0-9	0-9					ODS	First three characters denote owning Other Statutory Authority e.g. X1601
Primary Care Trust (PCT) Site	B	5	A-9	A-9	A-9	A-9					ODS	First three characters denote owning Primary Care Trust e.g. 5CT49
Prison	H	Y	D	E	A-9	A-9					ODS	e.g. YDE01
Special Health Authority (SpHA) Site	E	T	1	0-9	0-9	A-Y, 1-9					ODS	First three characters denote owning SpHA e.g. T115A
Strategic Health Authority (SHA) Site	B	Q	A-9	A-9	A-9	A-9					ODS	First three characters denote owning SHA Trust e.g. Q3001
Treatment Centre	B	5, N or R	A-9	A-9	A-9	A-9					ODS	First three characters denote owning NHS Trust, PCT or Private Healthcare Provider e.g. 5CG12, NT501, RBFTC
~~Welsh Local Health Board~~ ~~Site~~	B	6	~~A-Y~~	~~0-9~~	~~A-9~~	~~A-9~~					~~NHS Wales Informatics Service~~	~~First three characters denote owning~~ ~~Local Health Board (Wales)~~ ~~e.g. 6C4A1~~ ~~All Welsh Local Health Board Sites closed on 30 September 2009.~~ ~~Local Health Board Sites introduced from 1 October 2009.~~
Welsh Local Health Board Site	B	6	A-Y	0-9	A-9	A-9					NHS Wales Informatics Service	First three characters denote owning Local Health Board (Wales) e.g. 6C4A1 All Welsh Local Health Board Sites closed on 30 September 2009 Local Health Board Sites introduced from 1 October 2009

01	Chronic Kidney Disease Stage 3
02	Chronic Kidney Disease Stage 4
03	Chronic Kidney Disease Stage 5
04	Type 2 Diabetes
05	Hypertension
06	Non Diabetic Hyperglycaemia

~~Format/Length:~~	~~see~~ ~~DATE~~
~~HES Item:~~
~~National Codes:~~
~~Default Codes:~~

~~Format/Length:~~	~~an3~~
~~HES Item:~~	~~TRETSPEF~~
~~National Codes:~~	~~See~~ ~~TREATMENT FUNCTION CODE~~
~~Default codes:~~	~~199 - Non-UK provider;~~ ~~TREATMENT FUNCTION~~ ~~not known, treatment mainly surgical~~
	~~499 - Non-UK provider;~~ ~~TREATMENT FUNCTION~~ ~~not known, treatment mainly medical~~

Format/Length:	See DATE
HES Item:
National Codes:
Default Codes:

~~Format/length:~~	~~an35~~
~~HES item:~~
Format/Length:	an35
HES Item:
National Codes:
Default Codes:

REF	RID COMPONENT	FORMAT	CODES / VALUES
1	CDS SENDER IDENTITY	an5	As generated in the CDS V6-2 Type 005B - CDS Transaction Header Group - Bulk Update Protocol or the CDS V6-2 Type 005N - CDS Transaction Header Group - Net Change Protocol
2	Not Used	an2	Set = Blank
3	CDS INTERCHANGE CONTROL REFERENCE	an14 (n7) *	As generated in the CDS V6-2 Type 001 - CDS Interchange Header
4	CDS MESSAGE REFERENCE	an14 (n7) *	As generated in the CDS V6-2 Type 003 - CDS Message Header

~~Format/length:~~	~~an17~~
~~HES item:~~
Format/Length:	an17
HES Item:
National Codes:
Default Codes:	8 (left justified padded with spaces) - Not applicable 9 (left justified padded with spaces) - Not known

~~Format/length:~~	~~an6~~
~~HES item:~~	~~CSNUM~~
Format/Length:	an6
HES Item:	CSNUM
National Codes:
Default Codes:

Format/Length:	See TIME
HES Item:
National Codes:
Default Codes: