Choose and Book Utilisation Commissioner Data Set Overview

The Department of Health requires information to help monitor utilisation of the NHS Connecting for Health Choose and Book system.The Department of Health requires information to help monitor utilisation of the Choose and Book system.

The Choose and Book Utilisation Commissioner Data Set is commissioner based. Commissioners are the ORGANISATIONS commissioning out-patient and in-patient care for NHS PATIENTS

The Choose and Book Utilisation Commissioner Data Set contains the out-patient booking activity for the specified REPORTING PERIOD.

The following table details the approved versions of the Cancer Outcomes and Services Data Set Messages and associated 'Useable From' and 'Useable To' dates.  It also allows download of the Cancer Outcomes and Services Data Set Message Schema and associated supporting documentation in zip file format.

It also allows download of the Cancer Outcomes and Services Data Set Message Schema and associated supporting documentation in zip file format.

The Cancer Outcomes and Services Data Set provides a standard for secondary uses information required to support implementation and monitoring of Improving Outcomes: a strategy for cancer. It replaces the existing National Cancer Data Set and the Cancer Registration Data Set.

The standard is required by the Department of Health for the purposes of assessing implementation of the Improving Outcomes: a strategy for cancer (IOSC). The standard also supports local and national comparisons of performance and service activity to enable ORGANISATIONS providing Cancer Services to assess their progress towards implementation of Improving Outcomes: a strategy for cancer (IOSC). Additionally the output will support commissioning and service development through provision of relevant information on service delivery and outcomes.

All PATIENTS diagnosed with or receiving cancer treatment in or funded by the NHS in England are covered by the standard. This includes adult and paediatric cancer PATIENTS. The standard applies to all ORGANISATIONS providing Cancer Services within secondary care. It does not apply to general practice ORGANISATIONS.

The Cancer Outcomes and Services Data Set covers diseases as defined by the United Kingdom Association of Cancer Registries (UKACR) document "Mandatory Registerable Conditions (UKACR Library of Recommendations)".

Providers of Cancer Services are required to provide a monthly return on all cancer PATIENTS using the Cancer Outcomes and Services Data Set. There is a phased implementation of these monthly returns from January 2013.

For submission information, see the Cancer Outcomes and Services Data Set Submission Requirements.

Unless otherwise specified, the term cancer is used throughout the standard and related documents to cover all conditions registerable by the United Kingdom Association of Cancer Registries.

While the core and site specific data sets are shown as separate data sets within the NHS Data Model and Dictionary, the COSDS message integrates each core and site specific set of data elements. Documentation provided on the COSDS Message Versions page gives full details of the specification. Documentation provided on the Cancer Outcomes and Services Data Set Message Versions page gives full details of the specification.

For all diagnoses not covered by a site specific data set only, the Core Data Set should be completed. A full list of diagnoses mapped to the appropriate data set is provided in the National Cancer Intelligence Network User Guidance.

Further guidance for submission of the Cancer Outcomes and Services Data Set is provided by the National Cancer Intelligence Network at Cancer Outcomes and Services Dataset.

The Cancer Outcomes and Services Data Set is submitted to a Cancer Registry using the COSDS Message.

Supporting documentation for each version of the message is available as a downloadable zip file from the COSDS Message Versions page.Supporting documentation for each version of the message is available as a downloadable zip file from the Cancer Outcomes and Services Data Set Message Versions page.

In addition, further guidance for submissions is provided by the National Cancer Intelligence Network at Cancer Outcomes and Services Dataset.

A Cancer Outcomes and Services Data Set submission must only contain data relating to one ORGANISATION CODE (CODE OF PROVIDER) for one REPORTING PERIOD.

COSDS Submission Header

The COSDS submission header contains data items which are used by the Cancer Registry to manage data upon receipt.

The Mandatory, Required or Optional (M/R/O) column indicates the requirements for inclusion of data:

• M = Mandatory: this data element is mandatory, the message will be rejected if this data element is absent.

COSDS Record Identity

Each record within a COSDS submission must contain a unique identifier, to support data management and error reporting within the Cancer Registry system.

The Mandatory, Required or Optional (M/R/O) column indicates the requirements for inclusion of data:

• M = Mandatory: this data element is mandatory, the message will be rejected if this data element is absent.

Choose and Book is a national service that combines electronic booking and a choice of place, DATE and TIME for first hospital or clinic APPOINTMENTS.

For further information on Choose and Book, see the Choose and Book website.

• The Department of Health requires performance management information on utilisation of the NHS Connecting for Health Choose and Book System.
• The Department of Health requires performance management information on utilisation of the Choose and Book System.
• 
  
• This central information collection requirement is commissioner based and is the aggregation of commissioned PATIENT activity delivered by provider NHS Trusts and provider Primary Care Trusts.
• 
  
• The collection is for all PATIENTS given an APPOINTMENT and added to the Out-Patient Waiting List within the REPORTING PERIOD arising from a GENERAL PRACTITIONER referral processed using the NHS Connecting for Health Choose and Book System.
• The collection is for all PATIENTS given an APPOINTMENT and added to the Out-Patient Waiting List within the REPORTING PERIOD arising from a GENERAL PRACTITIONER referral processed using the Choose and Book System.
• 
  
• The NHS Connecting for Health Choose and Book system during the booking process issues a unique booking reference number when a PATIENT is offered one or more APPOINTMENT DATE OFFERED of an APPOINTMENT OFFER.
• The Choose and Book system, during the booking process, issues a unique booking reference number when a PATIENT is offered one or more APPOINTMENT DATE OFFERED of an APPOINTMENT OFFER.
• 
  
• When the PATIENT accepts an APPOINTMENT DATE OFFERED, the unique booking reference number is considered to be 'converted' i.e. an APPOINTMENT is created and recorded; and the PATIENT is placed on an Out-Patient Waiting List even if subsequently the PATIENT does not attend or cancels the APPOINTMENT.
• 
  
• The APPOINTMENT BOOKING SYSTEM TYPE of the APPOINTMENT records the type of booking system used and UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) records the 'converted' reference number.

• Data Set Message Versions:
• Cancer Outcomes and Services Data Set Message Versions
• Diagnostic Imaging Data Set Message Versions
• HIV and AIDS Reporting Data Set Message Versions
• NHS Health Checks Data Set Message Versions
• Systemic Anti-Cancer Therapy Data Set Message Versions
• 
  Data Set Submission Requirements:
• COSDS Submission Requirements.
• HARS Data Set Submission Requirements
• Maternity and Childrens Data Sets Submission Requirements
• 
  XML Schema Constraints:
• Cancer Outcomes and Services
• Diagnostic Imaging
• HIV and AIDS Reporting
• NHS Health Checks
• Systemic Anti-Cancer Therapy
• Cancer Outcomes and Services Data Set XML Schema Constraints
• Diagnostic Imaging Data Set XML Schema Constraints
• HIV and AIDS Reporting Data Set XML Schema Constraints
• NHS Health Checks Data Set XML Schema Constraints
• Systemic Anti-Cancer Therapy Data Set XML Schema Constraints

The Community Diagram demonstrates  the delivery of Community Health Services for the purposes of the Community Information Data Set.

USING THE DIAGRAM

By clicking on a Class on the diagram opposite, the selected Class definition will be displayed. By clicking on an Attribute name displayed within the Class, the selected Attribute definition will be displayed.

Note that not all attributes for a class will be visible. The full list of attributes for a class can be viewed in the class definition, by selecting the 'Attribute' tab.

To view the diagram in full, select the 'Print Window' option, this will open a new window that will display only the diagram. You can also use this view to print the diagram, by right clicking on the diagram and selecting 'Print Picture'.

The following table details the approved versions of the Diagnostic Imaging Data Set Messages and associated 'Useable From' and 'Useable To' dates.  It also allows download of the Diagnostic Imaging Data Set Message Schema and associated supporting documentation in zip file format.

It also allows download of the Diagnostic Imaging Data Set Message Schema and associated supporting documentation in zip file format.

The HIV and AIDS Reporting Data Set is submitted to the Health Protection Agency (HPA) using the HARS Data Set Message.

Supporting documentation for each version of the message is available as a downloadable zip file from the HARS Data Set Message Versions page.Supporting documentation for each version of the message is available as a downloadable zip file from the HIV and AIDS Reporting Data Set Message Versions page.

In addition, further guidance for submissions is provided by the Health Protection Agency on the Health Protection Agency website.

A HIV and AIDS Reporting Data Set submission must only contain data relating to one ORGANISATION CODE (CODE OF PROVIDER) for one REPORTING PERIOD.

HARS Submission Header

The HARS submission header contains data items which are used by the Health Protection Agency to manage data upon receipt.

The Mandatory, Required or Optional (M/R/O) column indicates the requirements for inclusion of data:

• M = this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present.

HARS Record Identity

Each record within a HIV and AIDS Reporting Data Set submission must contain a unique identifier, to support data management and error reporting within the Health Protection Agency systems.

The Mandatory, Required or Optional (M/R/O) column indicates the requirements for inclusion of data:

• M = this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present.

The following table details the approved versions of the HIV and AIDS Reporting Data Set Messages and associated 'Useable From' and 'Useable To' dates.  It also allows download of the HIV and AIDS Reporting Data Set Message Schema and associated supporting documentation in zip file format.

It also allows download of the HIV and AIDS Reporting Data Set Message Schema and associated supporting documentation in zip file format.

Background:

The scope of the HIV and AIDS Reporting Data Set is all PATIENTS who are newly diagnosed with Human Immunodeficiency Virus (HIV) or newly transferred to other Health Care Providers.

NHS Health Care Providers are required to generate the HIV and AIDS Reporting Data Set.

• The HIV and AIDS Reporting Data Set is used to:
• Identify the groups at risk of HIV infection in England
• Monitor the short and long term clinical outcomes of people living with HIV infection
• Monitor the effectiveness of the national policies and guidance
• Adapt and refine interventions, as appropriate.

Secondary analyses of aggregate outputs from the HIV and AIDS Reporting Data Set will be used to:

• Support the commissioning of HIV Services through collation of data to inform the national HIV outpatient tariff for Payment by Results
• Conduct performance management at the Local Authority and national level.

For further information on Acquired Immune Deficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV), see the Health Protection Agency website.

Time period:

The extract covers one calendar quarter.

Frequency:

The HIV and AIDS Reporting Data Set is attendance based and should be submitted quarterly, 6 weeks after the end of the quarter.

Format:

Data for submission will be formatted into an xml file as per the HIV and AIDS Reporting Data Set Message.Data for submission will be formatted into an xml file as per the HIV and AIDS Reporting Data Set Message.

Transmission:

Submissions are transmitted to the Health Protection Agency through a secure web portal on the Health Protection Agency website.

The web portal enables ORGANISATIONS to submit data files in a secure manner to the HIV and STI Department of the Health Protection Agency across the internet and can be found at HIV & STI web portal.

For further information on the HIV and AIDS Reporting Data Set, see the Health Protection Agency website.

More information about Hospital Episode Statistics can be found at the HESonline website.

The tables in this section show the relationship between Hospital Episode Statistics data items and Commissioning Data Set data items, indicating from which CDS TYPE they are extracted.

HES - CDS Data items cross referenced by HES Name - Table 1 lists the Hospital Episode Statistics items alphabetically by HES name (ADMIMETH, ADMINCAT, etc.)

HES - CDS Data items cross referenced by HES Item - Table 2 lists the Hospital Episode Statistics data items alphabetically by item name which is usually the same as the Commissioning Data Set data item name.

A Local Health Board (Wales) (formerly known as Welsh Local Health Board) is an ORGANISATION.

Local Health Boards (Wales) are bodies corporate established by the Welsh Ministers under s.11 of the National Health Service (Wales) Act 2006.

A Local Health Board (Wales) will be responsible for:

• Those functions undertaken by the twenty-two Welsh Local Health Boards up to 30 September 2009 (including securing the provision of health care services for the PERSONS resident within their respective areas);
• The provision of health care services within their areas;
• The planning and provision of specialised and tertiary services that were commissioned by Health Commission Wales up to 30 September 2009. The planning of some of those specialised and tertiary services may be executed via joint committees such as that envisaged for the Welsh Health Specialised Services Committee (WHSSC).

This model will ensure the emphasis remains on co-operation and engagement with local partners, particularly in relation to the Health, Social Care and Well-being Strategies and Children and Young People’s Plans.

WELSH LOCAL HEALTH BOARD DESCRIPTION REPLACED 1 OCTOBER 2009

A Welsh Local Health Board is an ORGANISATION.

A Welsh Local Health Board is a body corporate established by the Welsh Ministers under s.11 of the National Health Service (Wales) Act 2006; whose areas are coterminous with local authority boundaries. Welsh Local Health Boards are responsible for PATIENTS who are “usually resident in their area”.

The overall function of a Welsh Local Health Board is to improve the health of the responsible population, develop primary health services, and commission community and secondary care services. A Welsh Local Health Board will, if it so wishes and is capable of doing so, be able to provide directly a range of community health services, creating new opportunities to integrate primary and community health services as well as health and social care provision.

Welsh Local Health Boards will be the leading NHS ORGANISATION for partnership with Local Authorities and other partners; including NHS Trusts and other Welsh Local Health Boards, and local communities to improve health and deliver wider objectives for social and economic regeneration.

Save for certain specialised services commissioned by Health Commission Wales, Welsh Local Health Boards commission services themselves, although they may by agreement with other Welsh Local Health Boards, work together to commission certain services, e.g. on a Regional basis. In this case a lead Welsh Local Health Board will be identified for the group.

For further information regarding the definition and use of MAIN SPECIALTY see the attribute MAIN SPECIALTY CODE.

For further information regarding the definition and use of TREATMENT FUNCTION see the attribute TREATMENT FUNCTION CODE.

Table 1 Main Specialty codes

National Codes:

Table 2 Treatment Function codes

Notes:

Introduction

The National Interim Clinical Imaging Procedure Code Set (NICIP Code Set) is a comprehensive national standard set of codes and descriptions for imaging procedures and is maintained by the UK Terminology Centre of NHS Connecting for Health.The National Interim Clinical Imaging Procedure Code Set (NICIP Code Set) is a comprehensive national standard set of codes and descriptions for imaging procedures and is maintained by the UK Terminology Centre.  It is intended for use in all Imaging Department information systems.

Background

The NICIP Code Set has been approved by the Information Standards Board for Health and Social Care (ISB) and is mandated for all in-scope use cases. Further detail about the initial information standard and subsequent amendments can be found on the Information Standards Board for Health and Social Care website at: ISB 0148 "Interim Clinical Imaging Procedure Codes".

Distribution

The NICIP Code Set is released biannually. The release dates are the 1st of April and the 1st of October each year.

All versions of the NICIP Code Set, both with and without SNOMED CT maps, are only available from the NHS Connecting for Health Data Standards and Products Technology Reference Data Update Distribution Service (TRUD).All versions of the NICIP Code Set, both with and without SNOMED CT maps, are only available from the Technology Reference Data Update Distribution Service (TRUD).

Changes to the Code Set

Clinicians and system managers working with the Picture Archiving and Communication Systems (PACS) and Radiology Information Systems (RIS) can make requests for additions to the NICIP Code Set. All requests must first be checked for conformance to the Editorial Principles.

Requests for changes to the NICIP Code Set should be made via the Data Standards and Products helpdesk and clearly marked “Diagnostic Imaging."

For further information on the National Interim Clinical Imaging Procedure Code Set, see the UK Terminology website.

The following table details the approved versions of the NHS Health Checks Data Set Messages and associated 'Useable From' and 'Useable To' dates.  It also allows download of the NHS Health Checks Data Set Message Schema and associated supporting documentation in zip file format.

It also allows download of the NHS Health Checks Data Set Message Schema and associated supporting documentation in zip file format.

The NHS Health Checks Data Set is used to

• Support a uniform, quality and safe NHS Health Check Assessment for all those eligible between the age of 40 and 74 in England.
• Ensure that everyone who is eligible for the check will receive the same ‘face to face’ national offer wherever their check is conducted.
• Help estimate the impact of the NHS Health Check Programme on local services and enable commissioners to be more responsive and effective in their commissioning of services to support the NHS Health Check Programme.
• Provide a common and understood interface for Primary Care clinical system suppliers to support the process of risk assessment and PATIENT care.
• Support the reporting of NHS Health Check Assessment data for performance management and research purposes.

DATA EXTRACT SPECIFICATION

The Department of Health require NHS Primary Care System Suppliers to extract data, apply documented derivation rules and then securely transmit to the Health and Social Care Information Centre, where the information will be validated and stored for Department of Health analysis.

The data extract consists of anonymised demographic data and a limited set of clinical observations. The data does not constitute the full PATIENT record.

Time period: The extract covers one calendar quarter.

Frequency: Reports are run quarterly, 6 weeks after the end of the quarter.

Format: Data returned should be formatted into a single comma separated variable (csv) file. The data elements should be transmitted in the order specified in the NHS Health Checks Data Set and issued guidance document.Format: Data for submission will be formatted into an XML file as per the NHS Health Checks Data Set Message.

Transmission: Electronic files are transmitted to the Health and Social Care Information Centre via an encrypted web based portal hosted at the Health and Social Care Information Centre. This web portal enables delegated system suppliers to submit data files in a secure manner across the Internet after derivation rules have been applied.

Guidance and information on derivation rules, READ format mappings and transmission protocols are available from the Health and Social Care Information Centre.

The NHS Standard Contract for Community Services is an agreement made by the Commissioner with the Health Care Provider to secure the provision of general community-based and out of hospital care SERVICES by the Health Care Provider.

It is normally used if one of the following criteria applies:

• Where a Primary Care Trust providers deliver general community based and out of hospital care.
• Where Commissioners contract with General Medical Practitioner Practices who wish to provide community or secondary care-type SERVICES where the SERVICE is provided to a population greater than that of their practice population.
• Where the SERVICE has been procured through open tendering and is delivered by either a commercial vehicle such as a limited company, a third sector organisation or an NHS ORGANISATION.

Where a commissioner contracts with a Health Care Provider for a significant range of acute, mental health or Ambulance SERVICES, as well as a significant range of general community SERVICES then it will be appropriate to agree more than one contract with this provider.

For further information see the Department of Health website.For further information see the:

Payment by Results (PbR) is managed by the Department of Health and provides a transparent, rules-based system for paying NHS funded care in England.

It rewards efficiency, supports PATIENT choice and diversity and encourages ACTIVITY for sustainable waiting time reductions.

Payment is linked to ACTIVITY and adjusted for casemix. Importantly, this system ensures a fair and consistent basis for hospital funding rather than being reliant principally on historic budgets and the negotiating skills of individual managers.

For further information on Payment by Results, see the:

• Department of Health Payment by Results website
• Department of Health "Contact Us".
• Department of Health "Contact Us".

• NHS Data Model and Dictionary:

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

  Website: NHS Data Model and Dictionary Service website

• NHS Data Model and Dictionary:

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

  Website: NHS Data Model and Dictionary Service website

Email: datastandards@nhs.net

• Information Standards Board for Health and Social Care:

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

Website: Information Standards Board for Health and Social Care website

Email: information.standards@nhs.net

• Department of Health

Website:  Department of Health website

Queries:  Contact Us Details

Email: dhmail@dh.gsi.gov.uk

• Health and Social Care Information Centre

Website: Health and Social Care Information Centre website

Queries:  Contact Us

Email: enquiries@ic.nhs.uk

• Hospital Episode Statistics (HES):

Website: HES online

Queries: HES queries

• Clinical Coding general enquiries:

  International Classification of Diseases (ICD)
  OPCS Classification of Interventions and Procedures (OPCS-4)
  Read Coded Clinical Terms
  Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT®)

Website: NHS Classifications Service website

E-mail: datastandards@nhs.net

• Organisation Data Service Queries:

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

Website:

Organisation Data Service information is published:

• on the NHSnet at: http://nww.connectingforhealth.nhs.uk/ods/
• on the NHSnet
• to named recipients both inside the NHS and to others licensed to use this data in support of the NHS, through the online Technology Reference Data Update Distribution Service (TRUD)
• as a subset of the data on the NHS Choices website.

Email: exeter.helpdesk@nhs.net

Telephone: 01392 251 289

• Postcodes:

Office for National Statistics

Website: Office for National Statistics website

Email: info@statistics.gov.uk

Telephone: 0845 601 3034

Fax: 01633 652747

National Health Service Postcode Directory (NHSPD) Website: National Statistics Postcode Products.

Data Set Change Notice 18/2006 published in December 2006, defined essential new data items required to support the measurement of 18 week REFERRAL TO TREATMENT PERIODS (monitoring of DH PSA target 13 - "By 2008, no one will have to wait longer than 18 weeks from GP referral to hospital treatment"). In particular, the Data Set Change Notice 18/2006 introduced the following new data items.

• PATIENT PATHWAY IDENTIFIER
• REFERRAL TO TREATMENT PERIOD START DATE
• REFERRAL TO TREATMENT PERIOD END DATE
• REFERRAL TO TREATMENT STATUS (replaced with REFERRAL TO TREATMENT PERIOD STATUS at CDS V6-2)

Strategic reporting of 18 weeks will be undertaken by the Secondary Uses Service using data obtained via the Commissioning Data Sets . The new data items defined in Data Set Change Notice 18/2006 are enabled to flow in Commissioning Data Set versions 6-1 and 6-2, and will continue to flow in subsequent versions.

However, an event which results in an update to the REFERRAL TO TREATMENT PERIOD STATUS may occur outside the events that are defined in the Commissioning Data Sets (typically Outpatient or Inpatient encounters) and will therefore not flow to the Secondary Uses Service. These types of events have been termed as "administrative events". They can be defined as any communication event between the Health Care Provider and the PATIENT that occurs outside of an outpatient attendance or inpatient admission and that results in the PATIENT's REFERRAL TO TREATMENT PERIOD STATUS being changed to stop the 18 week clock. These events are not face to face consultations and do not necessarily involve clinical staff.

These Referral To Treatment Clock Stop Administrative Events may be carried using the Commissioning Data Set Type 020 Outpatient record type. They are differentiated from PATIENT contact ACTIVITY by the FIRST ATTENDANCE value carried within them. FIRST ATTENDANCE national code 5 "Referral to treatment clock stop administrative event" signifies that an ACTIVITY has taken place which has ended the REFERRAL TO TREATMENT PERIOD and changed the REFERRAL TO TREATMENT PERIOD STATUS to one of the following:

• 30 Start of First Definitive Treatment
• 31 Start of Active Monitoring initiated by the PATIENT
• 32 Start of Active Monitoring initiated by the CARE PROFESSIONAL
• 34 Decision not to treat - decision not to treat made or no further contact required
• 35 PATIENT declined offered treatment
• 36 PATIENT died before treatment

When to Use Referral To Treatment Clock Stop Administrative Events

These events may happen because:

• The ACTIVITY ending the event does not qualify as a "patient contact" between a clinician and PATIENT, or
• The ACTIVITY occurred in a setting where IT systems cannot produce REFERRAL TO TREATMENT PERIOD data items, or
• The ACTIVITY would be carried in a Commissioning Data Set record type not currently processed by the Secondary Uses Service

Secondary Uses Service Processing

The Secondary Uses Service currently processes the following Commissioning Data Set record types in order to build Referral To Treatment pathways.

• CDS V6-1 Type 020 - Outpatient CDS / CDS V6-2 Type 020 - Outpatient Commissioning Data Set
• CDS V6-1 Type 130 - Admitted Patient Care - Finished General Episode CDS / CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set
• CDS V6-1 Type 190 - Admitted Patient Care - Unfinished General Episode CDS / CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set

All other types are not currently processed and so if they carry the  REFERRAL TO TREATMENT PERIOD END DATE for a REFERRAL TO TREATMENT PERIOD, a Referral To Treatment Clock Stop Administrative Event must also be sent in order to inform the Secondary Uses Service of the clock stop.

Note that future versions of the Secondary Uses Service will also process:

• CDS V6-1 Type 030 - Elective Admission List - End of Period Census (Standard) CDS / CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set
• CDS V6-1 Type 060 - Elective Admission List - Event During Period (Add) CDS / CDS V6-2 Type 060 - Elective Admission List - Event During Period (Add) Commissioning Data Set
• CDS V6-1 Type 070 - Elective Admission List - Event During Period (Remove) CDS / CDS V6-2 Type 070 - Elective Admission List - Event During Period (Remove) Commissioning Data Set
• CDS V6-1 Type 080 - Elective Admission List - Event During Period (Offer) CDS / CDS V6-2 Type 080 - Elective Admission List - Event During Period (Offer) Commissioning Data Set

The dates when ORGANISATIONS submitting REFERRAL TO TREATMENT PERIOD data to the Secondary Uses Service can cease having to also send a Referral To Treatment Clock Stop Administrative Event when a clock stop is carried in one of the Elective Admission List Commissioning Data Set Types, will be notified as part of the Secondary Uses Service release documentation. It is also anticipated that CDS V6-2 Type 021 - Future Outpatient CDS will be processed once piloting is complete and its use is approved by the Information Standards Board for Health and Social Care. A cancelled future APPOINTMENT record could carry a REFERRAL TO TREATMENT PERIOD Clock Stop. Again the timescales will be notified as part of the Secondary Uses Service release documentation.

There are no current plans for the Secondary Uses Service to process the remaining Commissioning Data Set Types:

• CDS V6-1 Type 010 - Accident and Emergency CDS / CDS V6-2 Type 010 - Accident and Emergency Commissioning Data Set
• CDS V6-1 Type 040 - Elective Admission List - End Of Period Census (Old) CDS / CDS V6-2 Type 040 - Elective Admission List - End Of Period Census (Old) Commissioning Data Set
• CDS V6-1 Type 050 - Elective Admission List - End Of Period Census (New) CDS / CDS V6-2 Type 050 - Elective Admission List - End Of Period Census (New) Commissioning Data Set
• CDS V6-1 Type 090 - Elective Admission List - Event During Period (Available / Unavailable) CDS / CDS V6-2 Type 090 - Elective Admission List - Event During Period (Available or Unavailable) Commissioning Data Set
• CDS V6-1 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) CDS / CDS V6-2 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) Commissioning Data Set
• CDS V6-1 Type 110 - Elective Admission List - Event During Period (New Service Agreement) CDS / CDS V6-2 Type 110 - Elective Admission List - Event During Period (New Service Agreement) Commissioning Data Set
• CDS V6-1 Type 120 - Admitted Patient Care - Finished Birth Episode CDS / CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set
• CDS V6-1 Type 140 - Admitted Patient Care - Finished Delivery Episode CDS / CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set
• CDS V6-1 Type 150 - Admitted Patient Care - Other Birth Event CDS / CDS V6-2 Type 150 - Admitted Patient Care - Other Birth Event Commissioning Data Set
• CDS V6-1 Type 160 - Admitted Patient Care - Other Delivery Event CDS / CDS V6-2 Type 160 - Admitted Patient Care - Other Delivery Event Commissioning Data Set
• CDS V6-1 Type 170 - Admitted Patient Care - Detained and/or Long Term Psychiatric Census CDS / CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set
• CDS V6-1 Type 180 - Admitted Patient Care - Unfinished Birth Episode CDS / CDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode Commissioning Data Set
• CDS V6-1 Type 200 - Admitted Patient Care - Unfinished Delivery Episode CDS / CDS V6-2 Type 200 - Admitted Patient Care - Unfinished Delivery Episode Commissioning Data Set

This is the because a Referral To Treatment Clock Stop Administrative Event occurring in the scenarios where these record types are generated, would be rare. However this will be reviewed as part of the ongoing maintenance of the Referral To Treatment Clock Stop Administrative Event, and the requirements for the Secondary Uses Service.

When NOT to Use a Referral To Treatment Clock Stop Administrative Event

The Referral To Treatment Clock Stop Administrative Event should NOT be used to correct previously submitted records where a REFERRAL TO TREATMENT PERIOD END DATE was submitted incorrectly to the Secondary Uses Service.

For example, if an Out-Patient Appointment took place where First Definitive Treatment was started, but the REFERRAL TO TREATMENT PERIOD END DATE was not sent in the corresponding CDS V6-1 Type 020 - Outpatient Commissioning Data Set/ CDS V6-2 Type 020 - Outpatient Commissioning Data Set record as it was not entered on the Patient Administration System until later; then the CDS V6-1 Type 020 - Outpatient Commissioning Data Set/CDS V6-2 Type 020 - Outpatient Commissioning Data Set record should be resubmitted with the correct data. A Referral To Treatment Clock Stop Administrative Event should NOT be used.

Where an ORGANISATION's Patient Administration System supports the submission of cancelled and Did Not Attend appointments in the CDS V6-1 Type 020 - Outpatient Commissioning Data Set/CDS V6-2 Type 020 - Outpatient Commissioning Data Set, the Referral To Treatment Clock Stop Administrative Event should NOT be used when a PATIENT has a booked Out-Patient Appointment, which is then cancelled because, for example, the PATIENT dies. In these cases the CDS V6-1 Type 020 - Outpatient Commissioning Data Set/CDS V6-2 Type 020 - Outpatient Commissioning Data Set can carry the details of a cancelled CARE ACTIVITY, including the REFERRAL TO TREATMENT PERIOD END DATE and update to the REFERRAL TO TREATMENT PERIOD STATUS. (Note - not all Patient Administration Systems provide functionality to create and submit Commissioning Data Set records for cancellations/Did Not Attend's as this is not yet mandated - you should contact your Patient Administration System support team to ascertain whether your Patient Administration System supports this. If not, then it is permissible to send a Referral To Treatment Clock Stop Administrative Event in order to stop the clock in the Secondary Uses Service instead).

Referral To Treatment Clock Stop Administrative Events only require a sub-set of the data elements contained in the CDS V6-1 Type 020 - Outpatient Commissioning Data Set / CDS V6-2 Type 020 - Outpatient Commissioning Data Set record, to be submitted to the Secondary Uses Service. All other data elements not listed should be omitted from the XML submission of the CDS V6-1 Type 020 - Outpatient Commissioning Data Set/CDS V6-2 Type 020 - Outpatient Commissioning Data Set record to the Secondary Uses Service. The submission of a Referral To Treatment Clock Stop Administrative Event is not reliant on the use of the Net Change Commissioning Data Set Submission Protocol to the Secondary Uses Service

The required data elements making up a Referral To Treatment Clock Stop Administrative Event are:

The Secondary Uses Service is designed to provide anonymous PATIENT-based data for purposes other than direct clinical care such as healthcare planning, commissioning, public health, clinical audit and governance, benchmarking, performance improvement, medical research and national policy development.

The Health and Social Care Information Centre is establishing a single, secure data environment for the whole of the NHS. The Secondary Uses Service provides a consistent environment for the management and linkage of data, allowing better comparison of data across the care sector, together with associated analysis and reporting tools.The Health and Social Care Information Centre Secondary Uses Service has overall responsibility for delivering the Secondary Uses Service to users, Commissioners and Providers of NHS funded care.

The Health and Social Care Information Centre is working in partnership with NHS Connecting for Health, which manages the National Programme for IT. This joint programme team is responsible for the development and implementation of the Secondary Uses Service.The Secondary Uses Service provides a consistent environment for the management and linkage of data, allowing better comparison of data across the care sector, together with associated analysis and reporting tools.

Further information about the Secondary Uses Service can be found on the NHS Connecting for Health managed website at Secondary Uses Service.Further information about the Secondary Uses Service can be found on the Secondary Uses Service website.

A SNOMED CT Subset is a set of SNOMED CT® (Systematized Nomenclature of Medicine Clinical Terms) Concepts, Descriptions, or Relationships that is appropriate to deployment to support particular requirements of implementation.

SNOMED CT Subsets support user interface development through the organisation of clinical display, creation of menus and pick-lists, or support of knowledge structures.

SNOMED CT Subsets may be created as value sets for messaging or data entry or to provide pre-coordinated SNOMED CT® concepts for certain constrained use, or can inter-relate with qualifier value tables appropriate to the concept types.

SNOMED CT Subsets usually represent groups of concepts or objects (e.g. a specific clinical domain) which share specified characteristics.

Different types of Subsets are used to represent:

• Descriptions or concepts for particular realms or specialties
• Suitability of particular concepts for use in a particular context in a record
• Structure and ordering of hierarchies displaying concepts for user navigation

SNOMED CT Subsets can be registered or downloaded from the NHS Connecting for Health SNOMED CT Subset Registration page.SNOMED CT Subsets can be registered or downloaded from the SNOMED CT Subset Registration page. This page is also used by the UK Terminology Centre to register SNOMED CT Subsets for distribution nationally in future releases.

For further information on SNOMED CT® see: NHS Connecting for Health - SNOMED CT.For further information on SNOMED CT®, see SNOMED CT.

The following table details the approved versions of the Systemic Anti-Cancer Therapy Data Set Messages and associated 'Useable From' and 'Useable To' dates.  It also allows download of the Systemic Anti-Cancer Data Set Message Schema and associated supporting documentation in zip file format.

It also allows download of the Systemic Anti-Cancer Therapy Data Set Message Schema and associated supporting documentation in zip file format.

NHS Connecting for Health is the host of the UK Terminology Centre which is a member of the International Health Terminology Standards Development Organisation.The UK Terminology Centre is a member of the International Health Terminology Standards Development Organisation.

The core activities of the UK Terminology Centre are:

• Product Development
• Technical Infrastructure and
• Product Support

The UK Terminology Centre's responsibilities include:

• Being the primary point of liaison with the International Health Terminology Standards Development Organisation (IHTSDO) with regard to all aspects of the management of the Terminology Products within the UK
• Establishing and maintaining processes for distributing and sub-licensing the Terminology Products within the UK
• Being the principal contact point within the UK for contact in relation to the Terminology Products, including sub-licensing, technical support; and obtaining updates and enhancements to the Terminology Products ensuring that any products and their releases that the Member deploys within its jurisdiction that are based on the IHTSDO’s Terminology Products, are prepared, checked and managed in conformance with the IHTSDO’s standards
• Maintaining a record of problems and other issues reported within the UK in connection with the Terminology Products
• Documenting, submitting and supporting requests (to the IHTSDO) for proposed updates and enhancements to the Terminology Products
• Monitoring the distribution and applications of the IHTSDO’s Terminology Products, Trade Marks and other Intellectual Property within the UK and reporting to the IHTSDO
• Maintaining the UK National extension to SNOMED CT® (Systematized Nomenclature of Medicine Clinical Terms) and co-ordinating its release with the International Terminology Products. The combined International Release and local extension is known as the National Release
• Creation, maintenance, co-ordination and release of UK sub-sets (reference sets) and other UK derivative works
• Managing UK National release content requests
• Administration for the UK Health Terminology Governance Board (organise meetings; distribute papers; minutes, etc)

For further information on the UK Terminology Centre, see the UK Terminology website.

Release: February 2013

• CR1336 (Immediate) - DDCN 1336/2013 XML Schema Constraint Pages
• CR1362 (Immediate) - DDCN 1362/2013 Update to Organisations in the NHS Data Model and Dictionary
• CR1246 (Immediate) - DDCN 1246/2013 Guidance for Merging Organisations
• CR1345 (Immediate) - DDCN 1345/2013 e-Government Interoperability Framework (e-GIF) and Government Data Standards Catalogue
• CR1354 (Immediate) - DDCN 1354/2013 Treatment Function Code - Well Babies

Release: December 2012

• CR1155 (Immediate) - ISB 1567 Amd 12/2011 National Joint Registry Data Set Version 5
• CR1324 (1 December 2012) - ISB 1067 Amd 23/2012 Workforce Data Set Version 2.5
• CR1196, CR1287 and CR1195 (1 January 2013) - ISB 1521 Amd 64/2010 Cancer Outcomes and Services Data Set, Cancer Outcomes and Services Data Set Message and Retirement of Cancer Registration Data Set and National Cancer Data Set

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

• CR1337 (1 April 2013) - ISB 1072 Amd 30/2012 Update to Child and Adolescent Mental Health Services Secondary Uses Data Set

Release: November 2012

• CR1166, CR1167 and CR1306 (1 November 2012) - ISB 0092 Amd-16-2010 Commissioning Data Set Version 6-2, Commissioning Data Set XML Message Version 6-2 and Retirement of CDS 6-0
• CR1305 (1 April 2013) - ISB 0092 Amd 06/2011 Allied Health Professions Referral to Treatment (AHP RTT) Update - CDS 6-2
• CR1286 (1 November 2012) - ISB 0028 Amd 17/2012 Treatment Function Codes Update
• CR1343 (Immediate) - DDCN 1343/2012 Change of name for NHS Commissioning Board Authority
• CR1342 (Immediate) - DDCN 1342/2012 Overseas Visitors Update
• CR1341 (Immediate) - DDCN 1341/2012 Discharge Default Code Descriptions
• CR1323 (Immediate) - National Cancer Waiting Times Monitoring Data Set Update for "Delay Reason To Treatment For Cancer"

CR1323 is a corrigendum to CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set published in the June 2012 release

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

• CR1231 and CR1288 (1 April 2013) - ISB 1570 Amd 164/2010 HIV and AIDS Reporting Data Set and HIV and AIDS Related Data Set Message

Release: September 2012

• CR1103 (Immediate) - ISB 0066 Amd 43/2010 Renal Data Set - Data Item Addition, Changes and Deletions
• CR1334 (Immediate) - DDCN 1334/2012 Psychology Definitions
• CR1331 (Immediate) - DDCN 1331/2012 Activity Date Time Type
• CR1329 (Immediate) - DDCN 1329/2012 Change of name for "Health and Social Care Information Centre"

Release: August 2012

• CR1326 (Immediate) - DDCN 1326/2012 Health and Care Professions Council
• CR1241 (Immediate) - DDCN 1241/2012 NHS dictionary of medicines and devices
• CR1292 (Immediate) - ISB 1549 Amd 4/2011 and DDCN 1292/2012 Deprecation and withdrawal of version 3.2 of the Acute Myocardial Infarction Data Set and subsequent retiring of the Data Set from the NHS Data Model and Dictionary

Release: June 2012

• CR1314 (Immediate) - DDCN 1314/2012 Reasonable Offer Update
• CR1282 (29 June 2012) - ISB 0090 Amd 36/2011 Independent Sector Healthcare Provider (ISHP) Codes extended for ISHPs and Sites
• CR1258 (1 July 2012) - ISB 0147 Amd 23/2011 Changes to the National Cancer Waiting Times Monitoring Data Set

Release: May 2012

• CR1215 (1 June 2012) - ISB 1067 Amd 30/2011 National Workforce Data Set

  The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2013:

• CR1028 (1 April 2013) - ISB 1069 Amd 14/2012 Children and Young People's Health Services Data Set
• CR1029 (1 April 2013) - ISB 1072 Amd 12/2012 Child and Adolescent Mental Health Services (CAMHS) Data Set
• CR1104 (1 April 2013) - ISB 1513 Amd 13/2012 Maternity Secondary Uses Data Set

Release: March 2012

• CR1242 (Immediate) - DDCN 1242/2012 Retirement of Mental Health Minimum Data Set Version 3
• CR1238 and CR1276 (1 April 2012) - ISB 1577 Amd 10/2011 Diagnostic Imaging Data Set and Diagnostic Imaging Data Set Message v 1-0
• CR1290 (Immediate) - DDCN 1290/2012 Data Set Notation
• CR1263 (Immediate) - ISB 0090 Amd 5/2012 Health and Social Care Bill Changes
• CR1255 (31 March 2012) - ISB 1576 Amd 08/2011 Quarterly Bed Availability and Occupancy Data Set
• CR1295 (Immediate) - Retirement of old Commissioning Data Set messages
  The Information Standards Board for Health and Social Care have been involved in the redesign and retirement of the old Commissioning Data Set Pages, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.

Release: January 2012

• CR1285 (Immediate) - DDCN 1285/2012 Elective Admission Type
• CR1252 (Immediate) - DDCN 1252/2011 Geographic Area Changes

Release: November 2011

• CR1264 (Immediate) - ISB 1077 Amd 3/2012 Automatic Identification and Data Capture (AIDC) for Patient Identification Data Set
• CR1274 (Immediate) - DDCN 1274/2011 CDS Prime Recipient Identity Update

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

• CR1265 (1 April 2012) - ISB 1520 Amd 29/2011 Changes to the Improving Access to Psychological Therapies Data Set

Release: October 2011

• CR1271 (Immediate) - DDCN 1271/2011 Commissioning Data Set Addressing Grid Update
• CR1268 (Immediate) - DDCN 1268/2011 Sexual Orientation Code

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

• CR1158 and CR1260 (1 April 2012) - ISB 1533 Amd 63/2010 Systemic Anti-Cancer Therapy Data Set and Systemic Anti-Cancer Therapy Data Set Message Schema

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

• CR1270 (1 July 2012) - ISB 1080 Amd 25/2011 Amendments to NHS Health Check Data Set
• CR1250 (1 July 2012) - ISB 1080 Amd 25/2011 NHS Health Checks Data Set Message Schema Version 2.0.0

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:

• 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:

• 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
• CR1069 (Immediate) - Redesign of the Commissioning Data Set Pages
  The Information Standards Board for Health and Social Care have been involved in the redesign of the Commissioning Data Set Pages and are satisfied that it meets the requirements of the service, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.

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) 
• 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

A single CARE ISSUE will provide the focus for a Care Spell.

The CARE ISSUE provides an association between other PERSON PROPERTIES and CARE ACTIVITIES that are relevant to that particular issue. For example, a Blood Pressure reading taken during a routine GP visit, can be associated with a Diabetes Care Issue.

CARE ISSUES include:

• Diabetes Care Issue

An indication of the type of booking system used for allocating the Out-Patient Appointment.The type of booking system used for allocating the Out-Patient Appointment.

• In any booked system in use, the PATIENT is given the choice of when to attend.
• In a partial booking system the PATIENT is given an indication of how long the wait should be and is contacted by the Health Care Provider at some point after the referral is made to be given a choice of dates for the APPOINTMENT.
• In a full booking system the PATIENT should be given the opportunity to book an APPOINTMENT within one working day of the request.

In any booked system in use, the PATIENT is given the choice of when to attend. In a partial booking system the PATIENT is given an indication of how long the wait should be and is contacted by the Health Care Provider at some point after the referral is made to be given a choice of dates for the appointment. In a full booking system the PATIENT should be given the opportunity to book an appointment within one working day of the request.

Classification:

The Start Date of a Cancer Referral To Treatment Period.  This is a specific type of the attribute ACTIVITY DATE.  A CANCER REFERRAL TO TREATMENT PERIOD START DATE will be one of the following:

A CANCER REFERRAL TO TREATMENT PERIOD START DATE will be one of the following:

• The REFERRAL REQUEST RECEIVED DATE of the SERVICE REQUEST to secondary care by a GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER where the PRIORITY TYPE of the SERVICE REQUEST was National Code 3 - Two Week Wait
• The ORIGINAL REFERRAL REQUEST RECEIVED DATE for the initial SERVICE REQUEST to secondary care where the PATIENT was subsequently upgraded onto a Cancer PATIENT PATHWAY.  The CONSULTANT UPGRADE DATE will also be recorded, as this is the DATE used to calculate the start of the two month (62 day) waiting time target for PATIENTS who have been upgraded to a cancer pathway.
• The REFERRAL REQUEST RECEIVED DATE for the SERVICE REQUEST into secondary care when the PATIENT was referred urgently for 'breast symptoms' (the PRIORITY TYPE of the SERVICE REQUEST is recorded as National Code 3 - Two Week Wait)
• The REFERRAL REQUEST RECEIVED DATE for the SERVICE REQUEST to an Assessment Clinic following the identification of an abnormality by an NHS Cancer Screening Service (the PRIORITY TYPE of the SERVICE REQUEST is recorded as National Code 2 - Urgent)
• The ORIGINAL REFERRAL REQUEST RECEIVED DATE for the initial SERVICE REQUEST to secondary care by an NHS Cancer Screening Service, where the PRIORITY TYPE of the SERVICE REQUEST is recorded as National Code 1 - Routine, and where the PATIENT was subsequently upgraded onto a Cancer PATIENT PATHWAY.  The CONSULTANT UPGRADE DATE will also be recorded.

Note that for a SERVICE REQUEST received from the Choose and Book system, 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).Note that for a SERVICE REQUEST received from the Choose and Book system, 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).   See REFERRAL REQUEST RECEIVED DATE.

This item has been retired from the NHS Data Model and Dictionary.

The last live version of this item is available in the November 2012 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing datastandards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

A classification of the type of care professional staff dealing with the PATIENT during an Out-Patient Attendance Consultant or Nurse or Midwife Contact.The type of CARE PROFESSIONAL staff dealing with the PATIENT during an Out-Patient Attendance Consultant or Nurse or Midwife Contact.

National Codes:

This is a specific type of the attribute ACTIVITY IDENTIFIER.

Where a pathway is initiated by a SERVICE REQUEST using the Choose and Book system, the PATIENT PATHWAY will be uniquely identified by the Unique Booking Reference Number (UBRN) of the first referral and the ORGANISATION CODE of NHS Connecting for Health which is X09.Where a pathway is initiated by a SERVICE REQUEST using the Choose and Book system, the PATIENT PATHWAY will be uniquely identified by the Unique Booking Reference Number (UBRN) of the first referral and the ORGANISATION CODE of Choose and Book which is X09.

Where the pathway is initiated by some other method, the PATIENT PATHWAY IDENTIFIER will be allocated by the ORGANISATION receiving the SERVICE REQUEST which together with that ORGANISATION's ORGANISATION CODE will uniquely identify the PATIENT PATHWAY.

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

The waiting time for a first Out-Patient Appointment should be calculated from the date when the REFERRAL REQUEST is received.

• 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).
• 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.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.

TREATMENT FUNCTION CODE is a unique identifier for a TREATMENT FUNCTION.

TREATMENT FUNCTION CODE is recorded to report the specialised service within which the PATIENT is treated.

It is based on MAIN SPECIALTY but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including CONSULTANTS.

TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets.

TREATMENT FUNCTION CODES should be used for all aggregate Central Returns unless otherwise stated eg National Workforce Data Set uses MAIN SPECIALTY CODES.

GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated.

Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service.

Assigning a Treatment Function Code:

• Assigning a TREATMENT FUNCTION CODE for a SERVICE is a decision which must be made locally. For national reporting purposes, only the TREATMENT FUNCTION CODES listed in the table below must be used.
• Recording of activity according to TREATMENT FUNCTION CODES is not on the basis of the procedure carried out, but should be allocated according to whether a specialised SERVICE exists within the Health Care Provider for that TREATMENT FUNCTION CODE, such as a CLINIC OR FACILITY.
• TREATMENT FUNCTION CODES have not been mapped to procedures or MAIN SPECIALTY.
• TREATMENT FUNCTION CODE should be assigned irrespective of the type of CARE PROFESSIONAL responsible. This is also applicable where the name of the TREATMENT FUNCTION CODE suggests it is limited for use by a particular Healthcare Profession.
• A change in TREATMENT FUNCTION CODE, but no change in responsible CARE PROFESSIONAL, does not initiate a new episode of care. For the Commissioning Data Sets, the ACTIVITY TREATMENT FUNCTION CODE reported should be that which is recorded at the CDS ACTIVITY DATE.

For further information, contact the Health and Social Care Information Centre by email at: enquiries@ic.nhs.uk.

National Codes: