Change Request: CR1426

Health and Social Care Information Centre

NHS Data Model and Dictionary Service

Type:	Patch
Reference:	1426
Version No:	1.0
Subject:	January 2014 Release Patch
Effective Date:	Immediate
Reason for Change:	Patch
Publication Date:	29 January 2014

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the January 2014 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
Website links updated
Items retired that are no longer used
HTML format corrected.

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Summary of changes:

Diagrams
ACTIVITY DIAGRAM	Changed Diagram
CARE PROFESSIONAL DIAGRAM	Changed Diagram
CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DIAGRAM	Changed Diagram
MATERNITY SERVICES SECONDARY USES DIAGRAM	Changed Diagram
ORGANISATION DIAGRAM	Changed Diagram

Supporting Information
FEEDBACK (RETIRED) renamed from FEEDBACK-	Changed status to Retired, Name, Description
HOSPITAL	Changed Description
MAIN SPECIALTY AND TREATMENT FUNCTION CODES TABLE	Changed Description
PUBLICATION FEEDBACK (RETIRED) renamed from PUBLICATION FEEDBACK	Changed status to Retired, Name, Description
WHAT'S NEW: JANUARY 2014 renamed from WHAT'S NEW: NOVEMBER 2013	Changed Name, Description

Class Definitions
WARD	Changed Attributes

Attribute Definitions
IC OR HD UNIT INDICATOR (RETIRED) renamed from IC OR HD UNIT INDICATOR	Changed status to Retired, Name, Description
MAIN SPECIALTY CODE	Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE	Changed Description
TREATMENT FUNCTION CODE	Changed Description

Date:	29 January 2014
Sponsor:	Richard Kavanagh, Head of Data Standards - Interoperability Specifications, Health and Social Care Information Centre

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.

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ACTIVITY DIAGRAM

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CARE PROFESSIONAL DIAGRAM

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CHILD AND ADOLESCENT MENTAL HEALTH SERVICES SECONDARY USES DIAGRAM

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MATERNITY SERVICES SECONDARY USES DIAGRAM

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ORGANISATION DIAGRAM

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FEEDBACK (RETIRED) renamed from FEEDBACK-

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Thank you for taking the time to submit feedback or comments. A member of the NHS Data Model and Dictionary Service will respond to your query shortly.

Publication Feedback has been retired from the NHS Data Model and Dictionary.

The last live version of Publication Feedback is available in the November 2013 release of the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@hscic.gov.uk with ‘NHS Data Model and Dictionary - Archive Request’ in the email Subject line.

FEEDBACK (RETIRED) renamed from FEEDBACK-

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Retired Feedback-
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HOSPITAL

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~~KH03A~~	~~Adult Intensive Care and High Dependency Provision~~
KH12	Imaging and Radiological Examinations or Tests in any Part of a Hospital

MAIN SPECIALTY AND TREATMENT FUNCTION CODES TABLE

Change to Supporting Information: Changed Description

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.

For additional queries contact the Health and Social Care Information Centre by email at: enquiries@hscic.gov.uk with the subject "Main Specialty and Treatment Function Codes".

Table 1 Main Specialty codes

	Code	Main Specialty Title
Surgical Specialties
	100	GENERAL SURGERY
	101	UROLOGY
	110	TRAUMA & ORTHOPAEDICS
	120	ENT
	130	OPHTHALMOLOGY
	140	ORAL SURGERY
	141	RESTORATIVE DENTISTRY
	142	PAEDIATRIC DENTISTRY
	143	ORTHODONTICS
	145	ORAL & MAXILLO FACIAL SURGERY
	146	ENDODONTICS
	147	PERIODONTICS
	148	PROSTHODONTICS
	149	SURGICAL DENTISTRY
	150	NEUROSURGERY
	160	PLASTIC SURGERY
	170	CARDIOTHORACIC SURGERY
	171	PAEDIATRIC SURGERY
	180	ACCIDENT & EMERGENCY
	191	PAIN MANAGEMENT (Retired 1 April 2004)
Medical Specialties
	190	ANAESTHETICS
	192	CRITICAL CARE MEDICINE
	300	GENERAL MEDICINE
	301	GASTROENTEROLOGY
	302	ENDOCRINOLOGY
	303	CLINICAL HAEMATOLOGY
	304	CLINICAL PHYSIOLOGY
	305	CLINICAL PHARMACOLOGY
	310	AUDIOLOGICAL MEDICINE
	311	CLINICAL GENETICS
*	312	CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010)
	313	CLINICAL IMMUNOLOGY and ALLERGY
	314	REHABILITATION
	315	PALLIATIVE MEDICINE
	320	CARDIOLOGY
	321	PAEDIATRIC CARDIOLOGY
	~~325~~	~~SPORTS AND EXERCISE MEDICINE~~
	325	SPORT AND EXERCISE MEDICINE
	326	ACUTE INTERNAL MEDICINE
	330	DERMATOLOGY
	340	RESPIRATORY MEDICINE (also known as thoracic medicine)
	350	INFECTIOUS DISEASES
	352	TROPICAL MEDICINE
	360	GENITOURINARY MEDICINE
	361	NEPHROLOGY
	370	MEDICAL ONCOLOGY
	371	NUCLEAR MEDICINE
	400	NEUROLOGY
	401	CLINICAL NEURO-PHYSIOLOGY
	410	RHEUMATOLOGY
	420	PAEDIATRICS
	421	PAEDIATRIC NEUROLOGY
	430	GERIATRIC MEDICINE
	450	DENTAL MEDICINE SPECIALTIES
	451	SPECIAL CARE DENTISTRY
	460	MEDICAL OPHTHALMOLOGY
†	500	OBSTETRICS and GYNAECOLOGY
	501	OBSTETRICS
	502	GYNAECOLOGY
	504	COMMUNITY SEXUAL AND REPRODUCTIVE HEALTH
	510	ANTENATAL CLINIC (Retired 1 April 2004)
	520	POSTNATAL CLINIC (Retired 1 April 2004)
	560	MIDWIFE EPISODE
	600	GENERAL MEDICAL PRACTICE
	601	GENERAL DENTAL PRACTICE
	610	MATERNITY FUNCTION (Retired 1 April 2004)
	620	OTHER THAN MATERNITY (Retired 1 April 2004)
Psychiatry
	700	LEARNING DISABILITY
	710	ADULT MENTAL ILLNESS
	711	CHILD and ADOLESCENT PSYCHIATRY
	712	FORENSIC PSYCHIATRY
	713	PSYCHOTHERAPY
	715	OLD AGE PSYCHIATRY
Radiology
	800	CLINICAL ONCOLOGY (previously RADIOTHERAPY)
	810	RADIOLOGY
Pathology
	820	GENERAL PATHOLOGY
	821	BLOOD TRANSFUSION
	822	CHEMICAL PATHOLOGY
	823	HAEMATOLOGY
	824	HISTOPATHOLOGY
	830	IMMUNOPATHOLOGY
	831	MEDICAL MICROBIOLOGY AND VIROLOGY
	832	NEUROPATHOLOGY (Retired 1 April 2004)
	833	MEDICAL MICROBIOLOGY (also known as MICROBIOLOGY AND BACTERIOLOGY)
	834	MEDICAL VIROLOGY
Other
	900	COMMUNITY MEDICINE
	901	OCCUPATIONAL MEDICINE
	902	COMMUNITY HEALTH SERVICES DENTAL
	903	PUBLIC HEALTH MEDICINE
	904	PUBLIC HEALTH DENTAL
	950	NURSING EPISODE
	960	ALLIED HEALTH PROFESSIONAL EPISODE
	990	JOINT CONSULTANT CLINICS (Retired 1 April 2004)

Notes:

†	Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
*	Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010.

Table 2 Treatment Function codes

Code	Treatment Function Title	Comments
Surgical Specialties
100	GENERAL SURGERY	Includes sub-categories not elsewhere listed e.g. endocrine surgery
101	UROLOGY	Surgical treatment of disorders of the urinary system and male reproductive system
102	TRANSPLANTATION SURGERY	Includes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts
103	BREAST SURGERY	Includes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery
104	COLORECTAL SURGERY	Surgical treatment of disorders of the lower intestine (colon, anus and rectum)
105	HEPATOBILIARY & PANCREATIC SURGERY	Includes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery
106	UPPER GASTROINTESTINAL SURGERY	Surgical treatment of disorders of the upper parts of the gastrointestinal tract
107	VASCULAR SURGERY	Surgical treatment of diseases of the vascular system
108*	SPINAL SURGERY SERVICE	Surgery concentrating on specialised and complex treatment of the back and spine. The SERVICE has a significantly different composition and profile from the SERVICE provided in TREATMENT FUNCTION CODE - 110 Trauma & Orthopaedic. Excludes Spinal Injuries - see TREATMENT FUNCTION CODE 323
110	TRAUMA & ORTHOPAEDICS	Surgery to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
120	ENT	Ear, nose and throat
130	OPHTHALMOLOGY	The surgical treatment of disorders and diseases of the eye. Excludes Medical Ophthalmology - see TREATMENT FUNCTION CODE 460
140	ORAL SURGERY	The diagnosis and surgical treatment of diseases, injuries and defects involving both the functional and aesthetic aspects of the hard and soft tissues of the head, mouth, teeth, gums, jaws and neck
141	RESTORATIVE DENTISTRY	Endodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry
142	PAEDIATRIC DENTISTRY	Dentistry SERVICES dedicated to children with appropriate facilities and support staff
143	ORTHODONTICS	The treatment of malocclusions (improper bites). Orthodontic treatment can focus on dental displacement only, or can deal with the control and modification of facial growth
144	MAXILLO-FACIAL SURGERY	Mouth, jaw and face related surgery
150	NEUROSURGERY	The prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system
160	PLASTIC SURGERY	SERVICES to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns
161	BURNS CARE	To be used by recognised specialist units and associated outreach SERVICES only
170	CARDIOTHORACIC SURGERY	Should only be used where there are no separate SERVICES for Cardiac Surgery and Thoracic Surgery
171	PAEDIATRIC SURGERY	This is paediatric general surgery
172	CARDIAC SURGERY	Surgical treatment of the heart or great vessels
173	THORACIC SURGERY	Surgical treatment of diseases affecting organs inside the thorax (the chest). Generally treatment of conditions of the lungs, chest wall, and diaphragm
174	CARDIOTHORACIC TRANSPLANTATION	To be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services
180	ACCIDENT & EMERGENCY	SERVICES to care for PATIENTS with urgent problems delivered as part of an Accident and Emergency Attendance or admission at an Accident and Emergency Department
191	PAIN MANAGEMENT	Complex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
Other Children's Specialist Services - The Paediatric TREATMENT FUNCTION CODES represent CLINICS OR FACILITIES intended to provide dedicated SERVICES to children with appropriate facilities and support staff, i.e. they are designed for children only. If a CLINIC OR FACILITY provides this but also treats adult PATIENTS as part of the SERVICE then a Paediatric TREATMENT FUNCTION CODE may not be appropriate. The age of the PATIENT attending does not initiate a change to the TREATMENT FUNCTION CODE for the ACTIVITY.
211	PAEDIATRIC UROLOGY	Surgical treatment of disorders of the urinary system and male reproductive system
212	PAEDIATRIC TRANSPLANTATION SURGERY	Includes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts
~~213~~	~~PAEDIATRIC GASTROINTESTINAL SURGERY~~	~~Surgical treatment of disorders of the gatrointestinal tract~~
213	PAEDIATRIC GASTROINTESTINAL SURGERY	Surgical treatment of disorders of the gastrointestinal tract
214	PAEDIATRIC TRAUMA AND ORTHOPAEDICS	Surgery to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
215	PAEDIATRIC EAR NOSE AND THROAT	Ear, nose and throat
216	PAEDIATRIC OPHTHALMOLOGY	The surgical treatment of disorders and diseases of the eye.
217	PAEDIATRIC MAXILLO-FACIAL SURGERY	Mouth, jaw and face related surgery
218	PAEDIATRIC NEUROSURGERY	The prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system
219	PAEDIATRIC PLASTIC SURGERY	SERVICES to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns
220	PAEDIATRIC BURNS CARE	To be used by recognised specialist units and associated outreach SERVICES only
221	PAEDIATRIC CARDIAC SURGERY	Surgical treatment of the heart or great vessels
222	PAEDIATRIC THORACIC SURGERY	Surgical treatment of diseases affecting organs inside the thorax (the chest). Generally treatment of conditions of the lungs, chest wall, and diaphragm
223*	PAEDIATRIC EPILEPSY	Designated clinic which provides SERVICES to children led by CONSULTANT paediatrician with expertise in epilepsy supported by specialist staff
241	PAEDIATRIC PAIN MANAGEMENT	Complex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
242	PAEDIATRIC INTENSIVE CARE	Only to be used by designated Paediatric Intensive Care Units
251	PAEDIATRIC GASTROENTEROLOGY	The treatment of disorders of the digestive system
252	PAEDIATRIC ENDOCRINOLOGY	The treatment of disorders of the endocrine system
253	PAEDIATRIC CLINICAL HAEMATOLOGY	Excludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324
254	PAEDIATRIC AUDIOLOGICAL MEDICINE	The medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests
255	PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGY SERVICE	Clinical Immunology is the treatment of disorders of the immune system. Allergy Service is the diagnosis and management of allergic disease
256	PAEDIATRIC INFECTIOUS DISEASES	SERVICES to diagnose and treat contagious or communicable diseases
257	PAEDIATRIC DERMATOLOGY	SERVICES for the treatment of diseases of the skin
258	PAEDIATRIC RESPIRATORY MEDICINE	Also known as Thoracic Medicine
259	PAEDIATRIC NEPHROLOGY	SERVICES to treat kidney conditions and abnormalities
260	PAEDIATRIC MEDICAL ONCOLOGY	The diagnosis and treatment, typically with Chemotherapy of PATIENTS with cancer
261	PAEDIATRIC METABOLIC DISEASE	The diagnosis and management of inherited metabolic conditions
262	PAEDIATRIC RHEUMATOLOGY	SERVICES to treat rheumatism, arthritis, and other disorders of the joints, muscles and ligaments
263	PAEDIATRIC DIABETIC MEDICINE	SERVICES to diagnose, treat and support PATIENTS with diabetes
264	PAEDIATRIC CYSTIC FIBROSIS	Specialised, multidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only
280	PAEDIATRIC INTERVENTIONAL RADIOLOGY	Diagnosis and treatment of diseases utilising minimally-invasive image-guided procedures. Not to be used for Diagnostic Imaging - see TREATMENT FUNCTION CODE 812
290	COMMUNITY PAEDIATRICS	Includes routine health surveillance, health promotion, behavioural paediatrics and Looked After Children. Excludes Paediatric Neuro-Disability
291	PAEDIATRIC NEURO-DISABILITY	Dedicated SERVICES for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without Learning Disability
Medical Specialties
190	ANAESTHETICS	This can be used in out-patients only. Pain Management should be recorded in 191
192	CRITICAL CARE MEDICINE	also known as Intensive Care Medicine
300	GENERAL MEDICINE	Includes sub-categories not elsewhere listed e.g. Metabolic Medicine.
301	GASTROENTEROLOGY	The treatment of disorders of the digestive system
302	ENDOCRINOLOGY	The treatment of disorders of the endocrine system
303	CLINICAL HAEMATOLOGY	Excludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324
304	CLINICAL PHYSIOLOGY	Physiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Excludes Clinical Neurophysiology - see TREATMENT FUNCTION CODE 401, Audiology - see TREATMENT FUNCTION CODE 840 or Respiratory Physiology - see TREATMENT FUNCTION CODE 341
305	CLINICAL PHARMACOLOGY	SERVICES providing drug information, medication safety and other aspects of pharmacy practice
306	HEPATOLOGY	Also known as liver medicine
307	DIABETIC MEDICINE	SERVICES to diagnose, treat and support PATIENTS with diabetes
308	BLOOD AND MARROW TRANSPLANTATION	Previously coded within Clinical Haematology (TREATMENT FUNCTION CODE 303). Includes haemopoietic stem cell transplantation
309	HAEMOPHILIA SERVICE	Previously coded within Clinical Haematology (TREATMENT FUNCTION CODE 303).
310	AUDIOLOGICAL MEDICINE	The medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests
311	CLINICAL GENETICS	Diagnosis of disorders caused by genetic mechanisms and counselling SERVICE to PATIENTS and affected family members. To be used by recognised specialist units and associated outreach SERVICES only
312	not a Treatment Function
313	CLINICAL IMMUNOLOGY and ALLERGY SERVICE	Should only be used where there are no separate SERVICES for Clinical Immunology and Allergy
314	REHABILITATION SERVICE	SERVICES to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. Excludes Mental Health Recovery and Rehabilitation Service - see TREATMENT FUNCTION CODE 725
315	PALLIATIVE MEDICINE	The treatment for curable illnesses and those living with chronic diseases, as well as PATIENTS who are nearing the end of life
316	CLINICAL IMMUNOLOGY	The treatment of disorders of the immune system
317	ALLERGY SERVICE	The diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions
318	INTERMEDIATE CARE	Intermediate care encompasses a range of multi-disciplinary SERVICES designed to safeguard independence by maximising rehabilitation and recovery after illness or injury
319	RESPITE CARE	SERVICES providing temporary care of a dependant person, providing relief for their usual caregivers
320	CARDIOLOGY	SERVICES treating diseases and abnormalities of the heart
321	PAEDIATRIC CARDIOLOGY	Dedicated SERVICES to children with diseases and abnormalities of the heart, with appropriate facilities and support staff
322	CLINICAL MICROBIOLOGY	SERVICES to treat diseases caused by bacteria, viruses, fungi and parasites
323	SPINAL INJURIES	To be used by recognised specialist units and associated outreach SERVICES only, Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
324	ANTICOAGULANT SERVICE	The monitoring and control of anticoagulant therapy including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in out-patients only
325	SPORT AND EXERCISE MEDICINE	The diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment
327	CARDIAC REHABILITATION	Rehabilitation SERVICE for PATIENTS with or recovering from heart related conditions such as heart attacks or from procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health
328	STROKE MEDICINE	For stroke services excluding Transient Ischaemic Attack - see TREATMENT FUNCTION CODE 329
329	TRANSIENT ISCHAEMIC ATTACK	A multidisciplinary SERVICE for rapid diagnosis and treatment of PATIENTS presenting with suspected Transient Ischaemic Attack and mini-strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke
330	DERMATOLOGY	SERVICES for the treatment of diseases of the skin
331*	CONGENITAL HEART DISEASE SERVICE	The management and treatment of congenital heart disease, this includes the ongoing care of children in to adulthood
340	RESPIRATORY MEDICINE	Also known as Thoracic Medicine
341	RESPIRATORY PHYSIOLOGY	Physiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea)
342	PROGRAMMED PULMONARY REHABILITATION	A multidisciplinary programme of care for PATIENTS with chronic respiratory impairment that is individually tailored and designed to optimise the individual's physical and social performance and autonomy
343	ADULT CYSTIC FIBROSIS SERVICE	Specialised, multidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only
344*	COMPLEX SPECIALISED REHABILITATION SERVICE	Complex specialised rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 1 service. For further information see the NHS Specialised Services website
345*	~~SPECIALIST REHABILITATION SERVICE~~	~~Specialist rehabilitation~~ ~~SERVICE~~ ~~which meets the NHS Specialised Services Rehabiliation Services' criteria and is registered as a Level 2a service. For further information see the~~ ~~NHS Specialised Services website~~
345*	SPECIALIST REHABILITATION SERVICE	Specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2a service. For further information see the NHS Specialised Services website
346*	LOCAL SPECIALIST REHABILITATION SERVICE	Local specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2b service. For further information see the NHS Specialised Services website
350	INFECTIOUS DISEASES	SERVICES to diagnose and treat contagious or communicable diseases
352	TROPICAL MEDICINE	SERVICES to diagnose and treat diseases that are found most often in tropical or sub-tropical regions
360	GENITOURINARY MEDICINE	Primarily related to medicine dealing with sexually transmitted diseases
361	NEPHROLOGY	SERVICES to treat kidney conditions and abnormalities
370	MEDICAL ONCOLOGY	The diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer
371	NUCLEAR MEDICINE	The treatment of PATIENTS through the use of radioactive substances
400	NEUROLOGY	SERVICES to diagnose and treat conditions and diseases of the central nervous system
401	CLINICAL NEUROPHYSIOLOGY	The study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes Electroencephalogram (EEG)
410	RHEUMATOLOGY	SERVICES to treat rheumatism, arthritis, and other disorders of the joints, muscles and ligaments
420	PAEDIATRICS	SERVICES to treat infants, children, and adolescents
421	PAEDIATRIC NEUROLOGY	Dedicated SERVICES to children to diagnose and treat conditions and diseases of the central nervous system, with appropriate facilities and support staff
422	NEONATOLOGY	Special Care, High Dependency and Intensive Care
424	WELL BABIES	Use when NEONATAL LEVEL OF CARE = 0 - Normal Care: Care given by the mother/substitute with medical and neonatal nursing advice if needed. See Well Baby
430	GERIATRIC MEDICINE	SERVICES to treat diseases and disabilities in older adults. There is no set age at which PATIENTS may be under the care of Geriatric Medicine, this decision should be determined by the individual PATIENT's needs
450	DENTAL MEDICINE SPECIALTIES	Includes Oral Medicine.
460	MEDICAL OPHTHALMOLOGY	SERVICES to diagnose and treat medical conditions affecting the eye, orbits, and visual pathways
500	not a Treatment Function
501	OBSTETRICS	The management of pregnancy and childbirth including miscarriages and still births but excluding planned terminations. Excludes Midwifery Service see TREATMENT FUNCTION CODE 560
502	GYNAECOLOGY	Disorders of the female reproductive system. Includes planned terminations
503	GYNAECOLOGICAL ONCOLOGY	SERVICES to treat cancers of the female reproductive system
510	Retired	Record as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
520	Retired	Record as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
560	MIDWIFERY SERVICE	SERVICES provided under the direct care of a MIDWIFE. Excludes Obstetrics see TREATMENT FUNCTION CODE 501
600	not a Treatment Function
610	Retired	Record as Obstetrics
620	Retired	Use the appropriate function under which the patient is treated
Therapies
650	PHYSIOTHERAPY	The treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing
651	OCCUPATIONAL THERAPY	The use of specific activities to limit the effects of disability and promote independence in all aspects of daily life
652	SPEECH AND LANGUAGE THERAPY	The assessment, treatment and help to prevent speech, language and swallowing difficulties
653	PODIATRY	Also known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet. Excludes Podiatric Surgery see TREATMENT FUNCTION CODE 663
654	DIETETICS	The application of the science of nutrition to devise eating plans for PATIENTS to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities
655	ORTHOPTICS	The diagnosis and treatment of visual problems involving eye movement and alignment
656	CLINICAL PSYCHOLOGY	The diagnosis and treatment of emotional and behavioural disorders
657	PROSTHETICS	The supply of prosthetics for PATIENTS
658	ORTHOTICS	The supply of orthoses for PATIENTS
659	DRAMA THERAPY	The use of drama and theatre techniques including role play, voice work and storytelling for therapeutic purposes
660	ART THERAPY	The use of art techniques including clay, paint and paper for therapeutic purposes and as a means of communication
661	MUSIC THERAPY	The use of music and all of its facets to help clients to improve or maintain their health
662	OPTOMETRY	The diagnosis and non-surgical treatment of disorders of the eye and vision care
663*	PODIATRIC SURGERY	The treatment of foot problems, including soft tissue, bone and joint surgery of the foot, ankle and associated structures, excludes Podiatry see TREATMENT FUNCTION CODE - 653
Psychiatry
700	LEARNING DISABILITY	SERVICES provided to PATIENTS with a Learning Disability
710	ADULT MENTAL ILLNESS	SERVICES provided to adult PATIENTS for the assessment, diagnosis and treatment of mental illness
711	CHILD and ADOLESCENT PSYCHIATRY	SERVICES providing diagnosis, treatment, and prevention of psychopathological disorders of children and adolescents
712	FORENSIC PSYCHIATRY	SERVICES to assess PATIENTS who have committed an offence and are receiving treatment in high, medium and low secure units or prisons
713	PSYCHOTHERAPY	SERVICES providing therapy used to treat emotional problems and mental health conditions
715	OLD AGE PSYCHIATRY	SERVICES providing the diagnosis, treatment, and prevention of mental and emotional disorders in older adult PATIENTS
720	EATING DISORDERS	A specialist SERVICE for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating
721	ADDICTION SERVICES	The prevention and treatment of substance misuse including drugs and alcohol. If PATIENTS have both severe mental illness and problematic substance misuse, see TREATMENT FUNCTION CODE 726 Dual Diagnosis Service
722	LIAISON PSYCHIATRY	The provision of psychiatric treatment to PATIENTS attending general hospitals including out-patient clinics, Accident and Emergency Departments and admission to wards. Deals with the interface between physical and psychological health.
723	PSYCHIATRIC INTENSIVE CARE	The provision of psychiatric SERVICES to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings
724	PERINATAL PSYCHIATRY	A specialist psychiatric SERVICE for the diagnosis and treatment of ante-natal and post-natal psychiatric problems
725*	~~MENTAL HEALTH RECOVERY AND REHABILIATION SERVICE~~	~~SERVICES~~ ~~provided to support recovery from mental illness that maximises the~~ ~~PATIENT's quality of life and social inclusion by encouraging their skills, promoting independence and autonomy~~
725*	MENTAL HEALTH RECOVERY AND REHABILITATION SERVICE	SERVICES provided to support recovery from mental illness that maximises the PATIENT's quality of life and social inclusion by encouraging their skills, promoting independence and autonomy
726*	MENTAL HEALTH DUAL DIAGNOSIS SERVICE	SERVICES to provide support to PATIENTS with both severe mental illness and substance misuse problems. Personality disorder may coexist with psychiatric illness and/or substance misuse
727*	DEMENTIA ASSESSMENT SERVICE	SERVICES for the assessment of PATIENTS with dementia, which may complicate care giving and can occur at any stage of the illness. In addition to memory impairment, dementia may include behavioural and psychological problems
Radiology
800	CLINICAL ONCOLOGY (previously RADIOTHERAPY)	The diagnosis and treatment, typically with Radiotherapy, of PATIENTS with cancer.
810	not a Treatment Function
811	INTERVENTIONAL RADIOLOGY	Diagnosis and treatment of diseases utilising minimally-invasive image-guided procedures. Not to be used for Diagnostic Imaging - see TREATMENT FUNCTION CODE 812
812	DIAGNOSTIC IMAGING	The production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, Ultrasound Scan, MRI Scan, PET Scan or CT Scan.
Pathology
820	not a Treatment Function
821	not a Treatment Function
822	CHEMICAL PATHOLOGY	To be used for clinical management only
823	not a Treatment Function	See Clinical Haematology
824	not a Treatment Function
830	not a Treatment Function	See Clinical Immunology
831	not a Treatment Function	See Clinical Microbiology
832	Retired
834	MEDICAL VIROLOGY	The diagnosis and management and prevention of virus and related infections, in hospital and in the community including HIV/AIDS, other blood-borne infections like hepatitis B and C and viruses such as SARS and avian flu
840	AUDIOLOGY	Physiological measurement and diagnosis of hearing disorders, and the rehabilitation of PATIENTS with hearing loss
Other
900	not a Treatment Function
901	not a Treatment Function
920*	DIABETIC EDUCATION SERVICE	SERVICES providing dedicated small group education courses regarding self management for diabetic PATIENTS
950	not a Treatment Function	Use the appropriate function under which the patient is treated
960	not a Treatment Function	Use the appropriate function under which the patient is treated
990	Retired

Notes:

†	Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
	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
*	The functionality to report these TREATMENT FUNCTION CODES is available in version 6-2 of the Commissioning Data Sets and the associated CDS-XML Schema Release (6-2). However note that they will not be processed by the Secondary Uses Service's Payment Grouper until SUS Release 13 (April 2013). These TREATMENT FUNCTION CODES cannot be transmitted in XML Schemas for the previous version of the Commissioning Data Sets (6-1-1)

PUBLICATION FEEDBACK (RETIRED) renamed from PUBLICATION FEEDBACK

Change to Supporting Information: Changed status to Retired, Name, Description

PUBLICATION FEEDBACK

~~Required fields marked with~~ * ~~must be completed.~~Publication Feedback has been retired from the NHS Data Model and Dictionary.

~~Your Feedback, Comments or Query:~~*

The last live version of Publication Feedback is available in the November 2013 release of the NHS Data Model and Dictionary.

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Access to this version can be obtained by emailing information.standards@hscic.gov.uk with ‘NHS Data Model and Dictionary - Archive Request’ in the email Subject line.

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The Health and Social Care Information Centre wants to ensure that all its publications meet a genuine need, are clearly structured and are relevant to their users. We are making every effort to improve the quality of publications to NHS organisations and general practices.

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PUBLICATION FEEDBACK (RETIRED) renamed from PUBLICATION FEEDBACK

Change to Supporting Information: Changed status to Retired, Name, Description
Retired Publication Feedback
Changed Name from Web_Site_Content.Supporting_Information.Publication_Feedback to Retired.Web_Site_Content.Supporting_Information.Publication_Feedback
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WHAT'S NEW: JANUARY 2014 renamed from WHAT'S NEW: NOVEMBER 2013

Change to Supporting Information: Changed Name, Description
Release: January 2014
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
CR1346 (1 June 2014) - ISB 1595 Amd 32/2012 National Neonatal Data Set
CR1386 (31 January 2014) - ISB 0090 Amd 9/2013 Special Health Authority (SpHA) Code Structure Change
CR1443 (Immediate) - DDCN 1443/2014 Change of name of the National Institute for Health and Clinical Excellence
CR1441 (Immediate) - DDCN 1441/2014 Retirement of Review of Central Returns (ROCR) - Central Return Form KH03A
CR1440 (Immediate) - DDCN 1440/2014 Retirement of Review of Central Returns (ROCR) - Genitourinary Medicine Access Monthly Monitoring Data Set
CR1439 (Immediate) - DDCN 1439/2013 Retirement of Review of Central Returns (ROCR) Returns
CR1405 (Immediate) - DDCN 1405/2013 Overseas Visitors
CR1393 (Immediate) - DDCN 1393/2013 Amendment to Inter-Provider Transfer Administrative Minimum Data Set Overview
CR1392 (Immediate) - DDCN 1392/2013 Review of Central Returns (ROCR) Discontinuations - Referral to Treatment Performance Sharing Data Set
CR1391 (Immediate) - DDCN 1391/2013 Review of Central Returns (ROCR) Discontinuations - Referral to Treatment (RTT) Summary Patient Tracking List Data Set
Release: November 2013
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
CR1424 (Immediate) - DDCN 1424/2013 Application Identifier (GS1)
~~CR1367 (29 November 2013) -~~ ~~ISB 0090 Amd 5/2013~~ ~~Organisation Data Service � Introduction of New Sub Type Identifier for Private Dental Practices~~
CR1367 (29 November 2013) - ISB 0090 Amd 5/2013 Organisation Data Service - Introduction of New Sub Type Identifier for Private Dental Practices
CR1359 (29 November 2013) - ISB 0090 Amd 47/2012 Organisation Data Service - Identification Codes for Local Authorities
CR1407 (Immediate) - DDCN 1407/2013 Clinical Investigations
CR1415 (Immediate) - DDCN 1415/2013 Area Teams
CR1411 (Immediate) - DDCN 1411/2013 Update to Supporting Information: SNOMED CT®
Release: September 2013
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
CR1348 (1 October 2013) - ISB 1597 Amd 35/2012 Breast Screening Programmes Data Set (KC63 and KC62)
CR1403 (Immediate) - DDCN 1403/2013 Religious or Other Belief System Affiliation
CR1384 (Immediate) - DDCN 1384/2013 Health and Social Care Information Centre Rebranding of XML Schemas
CR1397 (Immediate) - DDCN 1397/2013 Retired Main Specialty Codes
Release: July 2013
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
CR1377 (Immediate) - ISB 0105 Retirement of Accident and Emergency Quarterly Monitoring Data Set (QMAE)
Release: May 2013
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
CR1363 (Immediate) - ISB 1067 Amd 43/2012 National Workforce Data Set Version 2.6
CR1382 (Immediate) - DDCN 1382/2013 National Renal Data Set amendment
CR1381 (Immediate) - DDCN 1381/2013 Healthcare Resource Groups
CR1235 (1 June 2013) - ISB 1588 Amd 11/2012 Accident and Emergency Clinical Quality Indicators
Release: April 2013
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
CR1372 (Immediate) - DDCN 1372/2013 Organisation Update: April 2013
CR1369 (Immediate) - DDCN 1369/2013 Organisation Codes and Organisation Types
CR1347 (1 April 2013) - ISB 1521 Amd 40/2012 Updates to the Cancer Outcomes and Services Data Set and XML Schema
Release: March 2013
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
CR1364 (Immediate) - DDCN 1364/2013 Operating Theatre
CR1335 (1 April 2013) - ISB 1593 Amd 27/2012 Venous Thromboembolism Risk Assessment Data Set
CR1340 (1 April 2013) - ISB 0090 Amd 37/2012 Organisation Data Service - Non-Legislative Organisations
CR1321 (1 April 2013) - ISB 0011 Amd 25/2012 Mental Health Minimum Data Set version 4.1
Release: February 2013
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
CR1285 (Immediate) - DDCN 1285/2012 Elective Admission Type
CR1252 (Immediate) - DDCN 1252/2011 Geographic Area Changes
Release: November 2011
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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
Information Standards Notices and Data Dictionary Change Notices incorporated into the NHS Data Model and Dictionary:
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)
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.

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WARD

Change to Class: Changed Attributes
Attributes of this Class are:

K WARD CODE

CHILD AND ADOLESCENT MENTAL HEALTH ADMISSION SETTING

CRITICAL CARE UNIT FUNCTION

~~IC OR HD UNIT INDICATOR~~

MIDWIFERY UNIT TYPE

UNIT BED CONFIGURATION

WARD NAME

WARD SECURITY LEVEL

WARD TYPE DISCHARGED TO FOR NATIONAL NEONATAL DATA SET

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IC OR HD UNIT INDICATOR (RETIRED) renamed from IC OR HD UNIT INDICATOR

Change to Attribute: Changed status to Retired, Name, Description
~~For those~~ ~~WARDS~~ ~~which are intensive care or high dependency units this indicates whether they are units providing only intensive care, only high dependency or a combination of both.~~This item has been retired from the NHS Data Model and Dictionary.
~~Classification:~~The last live version of this item is available in the ?????? release of the NHS Data Model and Dictionary.
a. ~~An intensive care unit~~
b. ~~A high dependency unit~~
c. ~~A combined intensive care and high dependency unit~~
Access to this version can be obtained by emailing information.standards@hscic.gov.uk with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

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IC OR HD UNIT INDICATOR (RETIRED) renamed from IC OR HD UNIT INDICATOR

Change to Attribute: Changed status to Retired, Name, Description
Retired IC OR HD UNIT INDICATOR
Changed Name from Data_Dictionary.Attributes.I.IC_OR_HD_UNIT_INDICATOR to Retired.Data_Dictionary.Attributes.I.IC_OR_HD_UNIT_INDICATOR
Changed Description
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MAIN SPECIALTY CODE

Change to Attribute: Changed Description
A unique code identifying each MAIN SPECIALTY designated by Royal Colleges. This is the same as the NHS OCCUPATION CODES describing specialties.
Specialties are divisions of clinical work which may be defined by body systems (dermatology), age (paediatrics), clinical technology (nuclear medicine), clinical function (rheumatology), group of diseases (oncology) or combinations of these factors. Only Specialty titles recognised by the Royal Colleges and Faculties should be used. This list is maintained by the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998.
Each CONSULTANT should be assigned a MAIN SPECIALTY by the ORGANISATION to which the CONSULTANT is contracted. For physicians and surgeons with a generalist component to their work, the MAIN SPECIALTY should be general medicine or general surgery. The hallmark of a general physician or general surgeon is the continued care of unselected emergency referrals. The MAIN SPECIALTY is specific to a Health Care Provider. If, for example, a CONSULTANT physician working in two Health Care Providers has a generalist component to the work in one and not the other, general medicine is only assigned as the MAIN SPECIALTY in the former case. CONSULTANTS in general medicine or general surgery may also have specialist interests and these should be recorded as well as the MAIN SPECIALTY.
The initial source of the information should be the designation on the CONSULTANT's contract. This should be checked periodically against the work a CONSULTANT is actually doing so that the statistics can relate to a CONSULTANT's current type of work.
The MAIN SPECIALTY only should be used for the purpose of producing Specialty costing statistics and for Workforce statistics where links with ACTIVITY and finance are required. Other specialist interests of CONSULTANTS may be recorded for workforce planning purposes.
This will be used to indicate the skill level of medical and dental employees.
Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff e.g. 560, 950 and 960.
The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice.
Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic.
For further information, contact the Health and Social Care Information Centre by email at: enquiries@hscic.gov.uk.uk with the subject "Main Specialty and Treatment Function Codes".
National Codes:
Code Main Specialty Title
Surgical Specialties
100 GENERAL SURGERY
101 UROLOGY
110 TRAUMA & ORTHOPAEDICS
120 ENT
130 OPHTHALMOLOGY
140 ORAL SURGERY
141 RESTORATIVE DENTISTRY
142 PAEDIATRIC DENTISTRY
143 ORTHODONTICS
145 ORAL & MAXILLO FACIAL SURGERY
146 ENDODONTICS
147 PERIODONTICS
148 PROSTHODONTICS
149 SURGICAL DENTISTRY
150 NEUROSURGERY
160 PLASTIC SURGERY
170 CARDIOTHORACIC SURGERY
171 PAEDIATRIC SURGERY
180 ACCIDENT & EMERGENCY
191 PAIN MANAGEMENT (Retired 1 April 2004)
Medical Specialties
190 ANAESTHETICS
192 CRITICAL CARE MEDICINE
300 GENERAL MEDICINE
301 GASTROENTEROLOGY
302 ENDOCRINOLOGY
303 CLINICAL HAEMATOLOGY
304 CLINICAL PHYSIOLOGY
305 CLINICAL PHARMACOLOGY
310 AUDIOLOGICAL MEDICINE
311 CLINICAL GENETICS
* 312 CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010)
313 CLINICAL IMMUNOLOGY and ALLERGY
314 REHABILITATION
315 PALLIATIVE MEDICINE
320 CARDIOLOGY
321 PAEDIATRIC CARDIOLOGY
~~325~~ ~~SPORTS AND EXERCISE MEDICINE~~
325 SPORT AND EXERCISE MEDICINE
326 ACUTE INTERNAL MEDICINE
330 DERMATOLOGY
340 RESPIRATORY MEDICINE (also known as thoracic medicine)
350 INFECTIOUS DISEASES
352 TROPICAL MEDICINE
360 GENITOURINARY MEDICINE
361 NEPHROLOGY
370 MEDICAL ONCOLOGY
371 NUCLEAR MEDICINE
400 NEUROLOGY
401 CLINICAL NEURO-PHYSIOLOGY
410 RHEUMATOLOGY
420 PAEDIATRICS
421 PAEDIATRIC NEUROLOGY
430 GERIATRIC MEDICINE
450 DENTAL MEDICINE SPECIALTIES
451 SPECIAL CARE DENTISTRY
460 MEDICAL OPHTHALMOLOGY
† 500 OBSTETRICS and GYNAECOLOGY
501 OBSTETRICS
502 GYNAECOLOGY
504 COMMUNITY SEXUAL AND REPRODUCTIVE HEALTH
510 ANTENATAL CLINIC (Retired 1 April 2004)
520 POSTNATAL CLINIC (Retired 1 April 2004)
560 MIDWIFE EPISODE
600 GENERAL MEDICAL PRACTICE
601 GENERAL DENTAL PRACTICE
610 MATERNITY FUNCTION (Retired 1 April 2004)
620 OTHER THAN MATERNITY (Retired 1 April 2004)
Psychiatry
700 LEARNING DISABILITY
710 ADULT MENTAL ILLNESS
711 CHILD and ADOLESCENT PSYCHIATRY
712 FORENSIC PSYCHIATRY
713 PSYCHOTHERAPY
715 OLD AGE PSYCHIATRY
Radiology
800 CLINICAL ONCOLOGY (previously RADIOTHERAPY)
810 RADIOLOGY
Pathology
820 GENERAL PATHOLOGY
821 BLOOD TRANSFUSION
822 CHEMICAL PATHOLOGY
823 HAEMATOLOGY
824 HISTOPATHOLOGY
830 IMMUNOPATHOLOGY
831 MEDICAL MICROBIOLOGY AND VIROLOGY
832 NEUROPATHOLOGY (Retired 1 April 2004)
833 MEDICAL MICROBIOLOGY (also known as MICROBIOLOGY AND BACTERIOLOGY)
834 MEDICAL VIROLOGY
Other
900 COMMUNITY MEDICINE
901 OCCUPATIONAL MEDICINE
902 COMMUNITY HEALTH SERVICES DENTAL
903 PUBLIC HEALTH MEDICINE
904 PUBLIC HEALTH DENTAL
950 NURSING EPISODE
960 ALLIED HEALTH PROFESSIONAL EPISODE
990 JOINT CONSULTANT CLINICS (Retired 1 April 2004)

Notes:
† Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
* Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010.

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RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE

Change to Attribute: Changed Description
The RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION of a PERSON, as specified by a PERSON.
Note: This is the Religious Affiliation of a PERSON, not their Religion.
Where applicable, RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE is aligned with descriptors for religious and other belief system affiliations in SNOMED CT® as follows:
the SNOMED CT Subset:
original ID is 10791000000130 and
name is Religious or Other Belief System Affiliation.
National Codes:
Baha'i
A1 Baha'i
Buddhist
B1 Buddhist
B2 Mahayana Buddhist
B3 New Kadampa Tradition Buddhist
B4 Nichiren Buddhist
B5 Pure Land Buddhist
B6 Theravada Buddhist
B7 Tibetan Buddhist
B8 Zen Buddhist
Christian
C1 Christian
C2 Amish
C3 Anabaptist
C4 Anglican
C5 Apostolic Pentecostalist
C6 Armenian Catholic
C7 Armenian Orthodox
C8 Baptist
C9 Brethren
C10 Bulgarian Orthodox
C11 Calvinist
C12 Catholic: Not Roman Catholic
C13 Celtic Christian
C14 Celtic Orthodox Christian
C15 Chinese Evangelical Christian
C16 Christadelphian
C17 Christian Existentialist
C18 Christian Humanist
C19 Christian Scientists
C20 Christian Spiritualist
C21 Church in Wales
C22 Church of England
C23 Church of God of Prophecy
C24 Church of Ireland
C25 Church of Scotland
C26 Congregationalist
C27 Coptic Orthodox
C28 Eastern Catholic
C29 Eastern Orthodox
C30 Elim Pentecostalist
C31 Ethiopian Orthodox
C32 Evangelical Christian
C33 Exclusive Brethren
C34 Free Church
C35 Free Church of Scotland
C36 Free Evangelical Presbyterian
C37 Free Methodist
C38 Free Presbyterian
C39 French Protestant
C40 Greek Catholic
C41 Greek Orthodox
C42 Independent Methodist
C43 Indian Orthodox
C44 Jehovah's Witness
C45 Judaic Christian
C46 Lutheran
C47 Mennonite
C48 Messianic Jew
C49 Methodist
C50 Moravian
C51 Mormon
C52 Nazarene Church
Synonym: Nazarene
C53 New Testament Pentacostalist
C54 Nonconformist
C55 Old Catholic
C56 Open Brethren
C57 Orthodox Christian
C58 Pentecostalist
Synonym: Pentacostal Christian
C59 Presbyterian
C60 Protestant
C61 Plymouth Brethren
C62 Quaker
C63 Rastafari
C64 Reformed Christian
C65 Reformed Presbyterian
C66 Reformed Protestant
C67 Roman Catholic
C68 Romanian Orthodox
C69 Russian Orthodox
C70 Salvation Army Member
C71 Scottish Episcopalian
C72 Serbian Orthodox
C73 Seventh Day Adventist
C74 Syrian Orthodox
C75 Ukrainian Catholic
C76 Ukrainian Orthodox
C77 Uniate Catholic
C78 Unitarian
C79 United Reform
C80 Zwinglian
Hindu
D1 Hindu
D2 Advaitin Hindu
D3 Arya Samaj Hindu
D4 Shakti Hindu
D5 Shiva Hindu
D6 ~~Vaishnava Hindu~~
~~Hare Krishna~~
D6 Vaishnava Hindu
Synonym: Hare Krishna
Jain
E1 Jain
Jewish
F1 Jewish
F2 Ashkenazi Jew
F3 Haredi Jew
F4 Hasidic Jew
F5 Liberal Jew
F6 Masorti Jew
F7 Orthodox Jew
F8 Reform Jew
Muslim
G1 Muslim
G2 Ahmadi
G3 Druze
G4 Ismaili Muslim
G5 Shi'ite Muslim
G6 Sunni Muslim
Pagan
H1 Pagan
H2 Asatruar
H3 Celtic Pagan
H4 Druid
H5 Goddess
H6 Heathen
H7 Occultist
H8 Shaman
H9 Wiccan
Sikh
I1 Sikh
Zoroastrian
J1 Zoroastrian
Other
K1 Agnostic *
K2 Ancestral Worship
K3 Animist
K4 Anthroposophist
K5 Black Magic
K6 Brahma Kumari
K7 British Israelite
K8 Chondogyo
K9 Confucianist
K10 Deist
K11 Humanist
K12 Infinite Way
K13 Kabbalist
K14 Lightworker
K15 New Age Practitioner
K16 Native American Religion
K17 Pantheist
K18 Peyotist
K19 Radha Soami
Synonym: Sant Mat
K20 Religion (Other Not Listed) **
K21 Santeri
K22 Satanist
K23 Scientologist
K24 Secularist
K25 Shumei
K26 Shinto
K27 Spiritualist
K28 Swedenborgian
Synonym: Neo-Christian
K29 Taoist
K30 Unitarian-Universalist
K31 Universalist
K32 Vodun
k33 Yoruba
None
L1 Atheist
L2 Not Religious
Declines to Disclose
M1 Religion not given - PATIENT refused
Unknown
N1 Patient Religion Unknown ***
Note:
* Where the PATIENT has been asked for their RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION but they are unsure what it is: Agnostic should be used
** Where the PATIENT has been asked for their RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION and it is one that is not listed: Religion (Other Not Listed) should be used
*** Where the PATIENT has not been asked for their RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION: Patient Religion Unknown should be used

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TREATMENT FUNCTION CODE

Change to Attribute: Changed Description
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@hscic.gov.uk.uk with the subject "Main Specialty and Treatment Function Codes".
National Codes:
Code Treatment Function Title Comments
Surgical Specialties
100 GENERAL SURGERY Includes sub-categories not elsewhere listed e.g. endocrine surgery
101 UROLOGY Surgical treatment of disorders of the urinary system and male reproductive system
102 TRANSPLANTATION SURGERY Includes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts
103 BREAST SURGERY Includes treatment for cancer, suspected neoplasms, cysts and post-cancer reconstructive surgery. Excludes cosmetic surgery
104 COLORECTAL SURGERY Surgical treatment of disorders of the lower intestine (colon, anus and rectum)
105 HEPATOBILIARY & PANCREATIC SURGERY Includes liver surgery, but liver transplantation should be recorded in 102 Transplantation Surgery
106 UPPER GASTROINTESTINAL SURGERY Surgical treatment of disorders of the upper parts of the gastrointestinal tract
107 VASCULAR SURGERY Surgical treatment of diseases of the vascular system
108* SPINAL SURGERY SERVICE Surgery concentrating on specialised and complex treatment of the back and spine. The SERVICE has a significantly different composition and profile from the SERVICE provided in TREATMENT FUNCTION CODE - 110 Trauma & Orthopaedic. Excludes Spinal Injuries - see TREATMENT FUNCTION CODE 323
110 TRAUMA & ORTHOPAEDICS Surgery to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
120 ENT Ear, nose and throat
130 OPHTHALMOLOGY The surgical treatment of disorders and diseases of the eye. Excludes Medical Ophthalmology - see TREATMENT FUNCTION CODE 460
140 ORAL SURGERY The diagnosis and surgical treatment of diseases, injuries and defects involving both the functional and aesthetic aspects of the hard and soft tissues of the head, mouth, teeth, gums, jaws and neck
141 RESTORATIVE DENTISTRY Endodontics, Periodontics and Prosthodontics are all part of Restorative Dentistry
142 PAEDIATRIC DENTISTRY Dentistry SERVICES dedicated to children with appropriate facilities and support staff
143 ORTHODONTICS The treatment of malocclusions (improper bites). Orthodontic treatment can focus on dental displacement only, or can deal with the control and modification of facial growth
144 MAXILLO-FACIAL SURGERY Mouth, jaw and face related surgery
150 NEUROSURGERY The prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system
160 PLASTIC SURGERY SERVICES to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns
161 BURNS CARE To be used by recognised specialist units and associated outreach SERVICES only
170 CARDIOTHORACIC SURGERY Should only be used where there are no separate SERVICES for Cardiac Surgery and Thoracic Surgery
171 PAEDIATRIC SURGERY This is paediatric general surgery
172 CARDIAC SURGERY Surgical treatment of the heart or great vessels
173 THORACIC SURGERY Surgical treatment of diseases affecting organs inside the thorax (the chest). Generally treatment of conditions of the lungs, chest wall, and diaphragm
174 CARDIOTHORACIC TRANSPLANTATION To be used by recognised specialist units and associated outreach services only. Includes pre- and post-operative services
180 ACCIDENT & EMERGENCY SERVICES to care for PATIENTS with urgent problems delivered as part of an Accident and Emergency Attendance or admission at an Accident and Emergency Department
191 PAIN MANAGEMENT Complex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
Other Children's Specialist Services - The Paediatric TREATMENT FUNCTION CODES represent CLINICS OR FACILITIES intended to provide dedicated SERVICES to children with appropriate facilities and support staff, i.e. they are designed for children only. If a CLINIC OR FACILITY provides this but also treats adult PATIENTS as part of the SERVICE then a Paediatric TREATMENT FUNCTION CODE may not be appropriate. The age of the PATIENT attending does not initiate a change to the TREATMENT FUNCTION CODE for the ACTIVITY.
211 PAEDIATRIC UROLOGY Surgical treatment of disorders of the urinary system and male reproductive system
212 PAEDIATRIC TRANSPLANTATION SURGERY Includes pre- and post-operative care for major organ transplants except heart and lung (see Cardiothoracic Transplantation). Excludes corneal grafts
~~213~~ ~~PAEDIATRIC GASTROINTESTINAL SURGERY~~ ~~Surgical treatment of disorders of the gatrointestinal tract~~
213 PAEDIATRIC GASTROINTESTINAL SURGERY Surgical treatment of disorders of the gastrointestinal tract
214 PAEDIATRIC TRAUMA AND ORTHOPAEDICS Surgery to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
215 PAEDIATRIC EAR NOSE AND THROAT Ear, nose and throat
216 PAEDIATRIC OPHTHALMOLOGY The surgical treatment of disorders and diseases of the eye.
217 PAEDIATRIC MAXILLO-FACIAL SURGERY Mouth, jaw and face related surgery
218 PAEDIATRIC NEUROSURGERY The prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system
219 PAEDIATRIC PLASTIC SURGERY SERVICES to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns
220 PAEDIATRIC BURNS CARE To be used by recognised specialist units and associated outreach SERVICES only
221 PAEDIATRIC CARDIAC SURGERY Surgical treatment of the heart or great vessels
222 PAEDIATRIC THORACIC SURGERY Surgical treatment of diseases affecting organs inside the thorax (the chest). Generally treatment of conditions of the lungs, chest wall, and diaphragm
223* PAEDIATRIC EPILEPSY Designated clinic which provides SERVICES to children led by CONSULTANT paediatrician with expertise in epilepsy supported by specialist staff
241 PAEDIATRIC PAIN MANAGEMENT Complex pain disorders requiring diagnosis and treatment by a specialist multi-professional team
242 PAEDIATRIC INTENSIVE CARE Only to be used by designated Paediatric Intensive Care Units
251 PAEDIATRIC GASTROENTEROLOGY The treatment of disorders of the digestive system
252 PAEDIATRIC ENDOCRINOLOGY The treatment of disorders of the endocrine system
253 PAEDIATRIC CLINICAL HAEMATOLOGY Excludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324
254 PAEDIATRIC AUDIOLOGICAL MEDICINE The medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests
255 PAEDIATRIC CLINICAL IMMUNOLOGY AND ALLERGY SERVICE Clinical Immunology is the treatment of disorders of the immune system. Allergy Service is the diagnosis and management of allergic disease
256 PAEDIATRIC INFECTIOUS DISEASES SERVICES to diagnose and treat contagious or communicable diseases
257 PAEDIATRIC DERMATOLOGY SERVICES for the treatment of diseases of the skin
258 PAEDIATRIC RESPIRATORY MEDICINE Also known as Thoracic Medicine
259 PAEDIATRIC NEPHROLOGY SERVICES to treat kidney conditions and abnormalities
260 PAEDIATRIC MEDICAL ONCOLOGY The diagnosis and treatment, typically with Chemotherapy of PATIENTS with cancer
261 PAEDIATRIC METABOLIC DISEASE The diagnosis and management of inherited metabolic conditions
262 PAEDIATRIC RHEUMATOLOGY SERVICES to treat rheumatism, arthritis, and other disorders of the joints, muscles and ligaments
263 PAEDIATRIC DIABETIC MEDICINE SERVICES to diagnose, treat and support PATIENTS with diabetes
264 PAEDIATRIC CYSTIC FIBROSIS Specialised, multidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only
280 PAEDIATRIC INTERVENTIONAL RADIOLOGY Diagnosis and treatment of diseases utilising minimally-invasive image-guided procedures. Not to be used for Diagnostic Imaging - see TREATMENT FUNCTION CODE 812
290 COMMUNITY PAEDIATRICS Includes routine health surveillance, health promotion, behavioural paediatrics and Looked After Children. Excludes Paediatric Neuro-Disability
291 PAEDIATRIC NEURO-DISABILITY Dedicated SERVICES for children with Cerebral Palsy and non-progressive handicapping neurological conditions, with or without Learning Disability
Medical Specialties
190 ANAESTHETICS This can be used in out-patients only. Pain Management should be recorded in 191
192 CRITICAL CARE MEDICINE also known as Intensive Care Medicine
300 GENERAL MEDICINE Includes sub-categories not elsewhere listed e.g. Metabolic Medicine.
301 GASTROENTEROLOGY The treatment of disorders of the digestive system
302 ENDOCRINOLOGY The treatment of disorders of the endocrine system
303 CLINICAL HAEMATOLOGY Excludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324
304 CLINICAL PHYSIOLOGY Physiological measurement including ECG (e.g. exercise testing, stress testing), gastrointestinal physiology, cardiac physiology, vascular technology, urodynamics, and ophthalmic and vision science. Excludes Clinical Neurophysiology - see TREATMENT FUNCTION CODE 401, Audiology - see TREATMENT FUNCTION CODE 840 or Respiratory Physiology - see TREATMENT FUNCTION CODE 341
305 CLINICAL PHARMACOLOGY SERVICES providing drug information, medication safety and other aspects of pharmacy practice
306 HEPATOLOGY Also known as liver medicine
307 DIABETIC MEDICINE SERVICES to diagnose, treat and support PATIENTS with diabetes
308 BLOOD AND MARROW TRANSPLANTATION Previously coded within Clinical Haematology (TREATMENT FUNCTION CODE 303). Includes haemopoietic stem cell transplantation
309 HAEMOPHILIA SERVICE Previously coded within Clinical Haematology (TREATMENT FUNCTION CODE 303).
310 AUDIOLOGICAL MEDICINE The medical specialty concerned with the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes audiology and hearing tests
311 CLINICAL GENETICS Diagnosis of disorders caused by genetic mechanisms and counselling SERVICE to PATIENTS and affected family members. To be used by recognised specialist units and associated outreach SERVICES only
312 not a Treatment Function
313 CLINICAL IMMUNOLOGY and ALLERGY SERVICE Should only be used where there are no separate SERVICES for Clinical Immunology and Allergy
314 REHABILITATION SERVICE SERVICES to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. Excludes Mental Health Recovery and Rehabilitation Service - see TREATMENT FUNCTION CODE 725
315 PALLIATIVE MEDICINE The treatment for curable illnesses and those living with chronic diseases, as well as PATIENTS who are nearing the end of life
316 CLINICAL IMMUNOLOGY The treatment of disorders of the immune system
317 ALLERGY SERVICE The diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions
318 INTERMEDIATE CARE Intermediate care encompasses a range of multi-disciplinary SERVICES designed to safeguard independence by maximising rehabilitation and recovery after illness or injury
319 RESPITE CARE SERVICES providing temporary care of a dependant person, providing relief for their usual caregivers
320 CARDIOLOGY SERVICES treating diseases and abnormalities of the heart
321 PAEDIATRIC CARDIOLOGY Dedicated SERVICES to children with diseases and abnormalities of the heart, with appropriate facilities and support staff
322 CLINICAL MICROBIOLOGY SERVICES to treat diseases caused by bacteria, viruses, fungi and parasites
323 SPINAL INJURIES To be used by recognised specialist units and associated outreach SERVICES only, Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
324 ANTICOAGULANT SERVICE The monitoring and control of anticoagulant therapy including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage. This can be used in out-patients only
325 SPORT AND EXERCISE MEDICINE The diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment
327 CARDIAC REHABILITATION Rehabilitation SERVICE for PATIENTS with or recovering from heart related conditions such as heart attacks or from procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health
328 STROKE MEDICINE For stroke services excluding Transient Ischaemic Attack - see TREATMENT FUNCTION CODE 329
329 TRANSIENT ISCHAEMIC ATTACK A multidisciplinary SERVICE for rapid diagnosis and treatment of PATIENTS presenting with suspected Transient Ischaemic Attack and mini-strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke
330 DERMATOLOGY SERVICES for the treatment of diseases of the skin
331* CONGENITAL HEART DISEASE SERVICE The management and treatment of congenital heart disease, this includes the ongoing care of children in to adulthood
340 RESPIRATORY MEDICINE Also known as Thoracic Medicine
341 RESPIRATORY PHYSIOLOGY Physiological measurement of the function of the respiratory system. Includes Sleep Studies (the diagnosis and treatment of sleep disordered breathing, including upper airway resistance syndrome and sleep apnoea)
342 PROGRAMMED PULMONARY REHABILITATION A multidisciplinary programme of care for PATIENTS with chronic respiratory impairment that is individually tailored and designed to optimise the individual's physical and social performance and autonomy
343 ADULT CYSTIC FIBROSIS SERVICE Specialised, multidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only
344* COMPLEX SPECIALISED REHABILITATION SERVICE Complex specialised rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 1 service. For further information see the NHS Specialised Services website
345* ~~SPECIALIST REHABILITATION SERVICE~~ ~~Specialist rehabilitation~~ ~~SERVICE~~ ~~which meets the NHS Specialised Services Rehabiliation Services' criteria and is registered as a Level 2a service. For further information see the~~ ~~NHS Specialised Services website~~
345* SPECIALIST REHABILITATION SERVICE Specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2a service. For further information see the NHS Specialised Services website
346* LOCAL SPECIALIST REHABILITATION SERVICE Local specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2b service. For further information see the NHS Specialised Services website
350 INFECTIOUS DISEASES SERVICES to diagnose and treat contagious or communicable diseases
352 TROPICAL MEDICINE SERVICES to diagnose and treat diseases that are found most often in tropical or sub-tropical regions
360 GENITOURINARY MEDICINE Primarily related to medicine dealing with sexually transmitted diseases
361 NEPHROLOGY SERVICES to treat kidney conditions and abnormalities
370 MEDICAL ONCOLOGY The diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer
371 NUCLEAR MEDICINE The treatment of PATIENTS through the use of radioactive substances
400 NEUROLOGY SERVICES to diagnose and treat conditions and diseases of the central nervous system
401 CLINICAL NEUROPHYSIOLOGY The study of the central and peripheral nervous systems through the recording of bioelectrical activity. Includes Electroencephalogram (EEG)
410 RHEUMATOLOGY SERVICES to treat rheumatism, arthritis, and other disorders of the joints, muscles and ligaments
420 PAEDIATRICS SERVICES to treat infants, children, and adolescents
421 PAEDIATRIC NEUROLOGY Dedicated SERVICES to children to diagnose and treat conditions and diseases of the central nervous system, with appropriate facilities and support staff
422 NEONATOLOGY Special Care, High Dependency and Intensive Care
424 WELL BABIES Use when NEONATAL LEVEL OF CARE = 0 - Normal Care: Care given by the mother/substitute with medical and neonatal nursing advice if needed. See Well Baby
430 GERIATRIC MEDICINE SERVICES to treat diseases and disabilities in older adults. There is no set age at which PATIENTS may be under the care of Geriatric Medicine, this decision should be determined by the individual PATIENT's needs
450 DENTAL MEDICINE SPECIALTIES Includes Oral Medicine.
460 MEDICAL OPHTHALMOLOGY SERVICES to diagnose and treat medical conditions affecting the eye, orbits, and visual pathways
500 not a Treatment Function
501 OBSTETRICS The management of pregnancy and childbirth including miscarriages and still births but excluding planned terminations. Excludes Midwifery Service see TREATMENT FUNCTION CODE 560
502 GYNAECOLOGY Disorders of the female reproductive system. Includes planned terminations
503 GYNAECOLOGICAL ONCOLOGY SERVICES to treat cancers of the female reproductive system
510 Retired Record as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
520 Retired Record as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
560 MIDWIFERY SERVICE SERVICES provided under the direct care of a MIDWIFE. Excludes Obstetrics see TREATMENT FUNCTION CODE 501
600 not a Treatment Function
610 Retired Record as Obstetrics
620 Retired Use the appropriate function under which the patient is treated
Therapies
650 PHYSIOTHERAPY The treatment of human function and movement to help people to achieve their full physical potential. The use of physical approaches to promote, maintain and restore wellbeing
651 OCCUPATIONAL THERAPY The use of specific activities to limit the effects of disability and promote independence in all aspects of daily life
652 SPEECH AND LANGUAGE THERAPY The assessment, treatment and help to prevent speech, language and swallowing difficulties
653 PODIATRY Also known as Chiropody. The diagnosis and treatment of disorders, diseases and deformities of the feet. Excludes Podiatric Surgery see TREATMENT FUNCTION CODE 663
654 DIETETICS The application of the science of nutrition to devise eating plans for PATIENTS to treat medical conditions. The promotion of good health by helping to facilitate a positive change in food choices amongst individuals, groups and communities
655 ORTHOPTICS The diagnosis and treatment of visual problems involving eye movement and alignment
656 CLINICAL PSYCHOLOGY The diagnosis and treatment of emotional and behavioural disorders
657 PROSTHETICS The supply of prosthetics for PATIENTS
658 ORTHOTICS The supply of orthoses for PATIENTS
659 DRAMA THERAPY The use of drama and theatre techniques including role play, voice work and storytelling for therapeutic purposes
660 ART THERAPY The use of art techniques including clay, paint and paper for therapeutic purposes and as a means of communication
661 MUSIC THERAPY The use of music and all of its facets to help clients to improve or maintain their health
662 OPTOMETRY The diagnosis and non-surgical treatment of disorders of the eye and vision care
663* PODIATRIC SURGERY The treatment of foot problems, including soft tissue, bone and joint surgery of the foot, ankle and associated structures, excludes Podiatry see TREATMENT FUNCTION CODE - 653
Psychiatry
700 LEARNING DISABILITY SERVICES provided to PATIENTS with a Learning Disability
710 ADULT MENTAL ILLNESS SERVICES provided to adult PATIENTS for the assessment, diagnosis and treatment of mental illness
711 CHILD and ADOLESCENT PSYCHIATRY SERVICES providing diagnosis, treatment, and prevention of psychopathological disorders of children and adolescents
712 FORENSIC PSYCHIATRY SERVICES to assess PATIENTS who have committed an offence and are receiving treatment in high, medium and low secure units or prisons
713 PSYCHOTHERAPY SERVICES providing therapy used to treat emotional problems and mental health conditions
715 OLD AGE PSYCHIATRY SERVICES providing the diagnosis, treatment, and prevention of mental and emotional disorders in older adult PATIENTS
720 EATING DISORDERS A specialist SERVICE for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating
721 ADDICTION SERVICES The prevention and treatment of substance misuse including drugs and alcohol. If PATIENTS have both severe mental illness and problematic substance misuse, see TREATMENT FUNCTION CODE 726 Dual Diagnosis Service
722 LIAISON PSYCHIATRY The provision of psychiatric treatment to PATIENTS attending general hospitals including out-patient clinics, Accident and Emergency Departments and admission to wards. Deals with the interface between physical and psychological health.
723 PSYCHIATRIC INTENSIVE CARE The provision of psychiatric SERVICES to vulnerable individuals who are admitted to Psychiatric Intensive Care Units from open acute wards and forensic settings
724 PERINATAL PSYCHIATRY A specialist psychiatric SERVICE for the diagnosis and treatment of ante-natal and post-natal psychiatric problems
725* ~~MENTAL HEALTH RECOVERY AND REHABILIATION SERVICE~~ ~~SERVICES~~ ~~provided to support recovery from mental illness that maximises the~~ ~~PATIENT's quality of life and social inclusion by encouraging their skills, promoting independence and autonomy~~
725* MENTAL HEALTH RECOVERY AND REHABILITATION SERVICE SERVICES provided to support recovery from mental illness that maximises the PATIENT's quality of life and social inclusion by encouraging their skills, promoting independence and autonomy
726* MENTAL HEALTH DUAL DIAGNOSIS SERVICE SERVICES to provide support to PATIENTS with both severe mental illness and substance misuse problems. Personality disorder may coexist with psychiatric illness and/or substance misuse
727* DEMENTIA ASSESSMENT SERVICE SERVICES for the assessment of PATIENTS with dementia, which may complicate care giving and can occur at any stage of the illness. In addition to memory impairment, dementia may include behavioural and psychological problems
Radiology
800 CLINICAL ONCOLOGY (previously RADIOTHERAPY) The diagnosis and treatment, typically with Radiotherapy, of PATIENTS with cancer.
810 not a Treatment Function
811 INTERVENTIONAL RADIOLOGY Diagnosis and treatment of diseases utilising minimally-invasive image-guided procedures. Not to be used for Diagnostic Imaging - see TREATMENT FUNCTION CODE 812
812 DIAGNOSTIC IMAGING The production and interpretation of high quality images of the body to diagnose injuries and disease, e.g. x-rays, Ultrasound Scan, MRI Scan, PET Scan or CT Scan.
Pathology
820 not a Treatment Function
821 not a Treatment Function
822 CHEMICAL PATHOLOGY To be used for clinical management only
823 not a Treatment Function See Clinical Haematology
824 not a Treatment Function
830 not a Treatment Function See Clinical Immunology
831 not a Treatment Function See Clinical Microbiology
832 Retired
834 MEDICAL VIROLOGY The diagnosis and management and prevention of virus and related infections, in hospital and in the community including HIV/AIDS, other blood-borne infections like hepatitis B and C and viruses such as SARS and avian flu
840 AUDIOLOGY Physiological measurement and diagnosis of hearing disorders, and the rehabilitation of PATIENTS with hearing loss
Other
900 not a Treatment Function
901 not a Treatment Function
920* DIABETIC EDUCATION SERVICE SERVICES providing dedicated small group education courses regarding self management for diabetic PATIENTS
950 not a Treatment Function Use the appropriate function under which the patient is treated
960 not a Treatment Function Use the appropriate function under which the patient is treated
990 Retired

Notes:
† Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
* The functionality to report these TREATMENT FUNCTION CODES is available in version 6-2 of the Commissioning Data Sets and the associated CDS-XML Schema Release (6-2). However note that they will not be processed by the Secondary Uses Service's Payment Grouper until SUS Release 13 (April 2013). These TREATMENT FUNCTION CODES cannot be transmitted in XML Schemas for the previous version of the Commissioning Data Sets (6-1-1)

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Page last Published - 29 January 2014

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