Introduction

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

Background

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

Distribution

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

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

Changes to the Code Set

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

Requests for changes to the NICIP Code Set should be made via the Information Standards Service Desk and clearly marked “Diagnostic Imaging."

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

Neonatal Level Of Care Period is an ACTIVITY GROUP.A Neonatal Level Of Care Period is an ACTIVITY GROUP.

A period of time during a Hospital Provider Spell that a neonate is identified as receiving a particular level of care classified by the list in NEONATAL LEVEL OF CARE. Note that it is agreed nationally that the level of care should be recorded daily, as a minimum, but locally it may be desirable that it is recorded more frequently showing the time as well as date. During the Neonatal Level Of Care Period a number of PATIENT DIAGNOSES may be recorded.A Neonatal Level Of Care Period is a period of time during a Hospital Provider Spell that a Neonate is identified as receiving a particular level of care classified by the NEONATAL LEVEL OF CARE.

Information recorded for a Neonatal Level Of Care Period includes:Note that it is agreed nationally that the level of care should be recorded daily, as a minimum, but locally it may be desirable that it is recorded more frequently showing the time as well as date.

Nurse or Midwife Contact is a CARE CONTACT.A Nurse or Midwife Contact is a CARE CONTACT.

A contact, attendance or visit as defined in each of the following:A Nurse or Midwife Contact is a contact, attendance or visit as defined in each of the following:

• Face To Face Contact Community Care
• Clinic Attendance Midwife
• Clinic Attendance Nurse
• Professional Advice And Support Contact
• Maternity Domiciliary Visit
• Clinic Attendance Sexual and Reproductive Health Service
• Sexual and Reproductive Health Domiciliary Visit
• Face To Face Contact Surveillance
• Ward Attendance 

There must be only one Nurse or Midwife Contact recorded for an actual face to face contact, classified in the above list, whether it be at a clinic or any other location at one Health Care Provider.There must be only one Nurse or Midwife Contact recorded for a face to face contact, whether it is at a clinic or any other location at one Health Care Provider.

There must be only one responsible NURSE or MIDWIFE for each Nurse or Midwife Contact.

Nursing contacts may actually be made either by qualified NURSES or by community support workers (nursing).Nursing contacts may be made either by qualified NURSES or by community support workers (nursing).

A Nurse or Midwife Contact may be made by one of the NURSE types classified in CARE PROFESSIONAL GROUP TYPE.

Nutritional Assessment is a CARE CONTACT.A Nutritional Assessment is a CARE CONTACT.

Nutritional Assessment is a dietary and weight assessment.A Nutritional Assessment is a dietary and weight assessment. This may be a partial or full assessment.

Introduction

The OPCS Classification of Interventions and Procedures (OPCS-4) is a Fundamental Information Standard.  The classification is used by Health Care Providers and Strategic Health Authorities.

OPCS-4 is used to support operational and strategic planning, resource utilisation, performance management, reimbursement, research and epidemiology.  It is used by NHS suppliers to build/update software to support NHS business functions and interoperability.

The OPCS-4 is subject to annual review and potential update to ensure that modern clinical practice is represented appropriately.  This will be continued until further notice as shown below:

*Tables of Coding Equivalences are issued for mapping back to previous versions are available from the Technology Reference Data Update Distribution Service (TRUD).

The NHS Data Model and Dictionary contains a number of data collections that require OPCS-4 codes, such as Central Returns and Commissioning Data Sets.  All data collections should use the latest version of the  OPCS-4 classification as specified in the table above.

Background

The classification of Surgical Operations and Procedures was originally issued by the Office of Population Censuses and Surveys (OPCS). The 4th revision was first implemented in hospital information systems in 1987. This was subject to a significant number of amendments and a consolidated version was reproduced in 1990.

The OPCS Classification of Surgical Operations and Procedures (OPCS-4.2) was substantially enhanced to ensure that modern clinical practice was represented appropriately within the classification and a new version was implemented in 2006 titled OPCS Classification of Interventions and Procedures (OPCS-4.3) with a commitment to undertake annual review and potential update. The classification comprises a list of alphanumeric codes with mainly anatomically based chapters, most of which relate to the whole or part of a body system. Each chapter is designated alphabetically e.g. Chapter A covers the nervous system and Chapter K is assigned to the heart. The alphabetic character for each chapter forms the prefix of the 3 and 4 digit codes within it. The strict link between chapters and body systems with specific procedures being listed for individual organs was breached in OPCS-4.3 because of limited capacity.

There are instances where an existing category needs extension because all the available codes have been allocated. In such cases an extended category is created within the Tabular List chapter. These categories are referred to as principal category or extended category and identified by an accompanying note to ease navigation.

Chapters that have reached capacity are extended using alphanumeric categories which are assigned using the free alpha O. This has occurred within three chapters (Chapters L, W and Z). Codes created in this way still form part of an existing chapter even though they have a different alpha prefix to the rest of that chapter. Such new codes will, therefore, logically sit at the end of the body system chapter and are readily identified within the alphabetical index. There is an additional chapter (Chapter X) for operations on multiple systems using miscellaneous procedures.

The classification is published in two volumes. The Tabular List and Alphabetical Index are available from The Stationery Office at www. The Tabular List and Alphabetical Index are available from The Stationery Office at www.tsoshop.co.uk

OPCS-4 Requests Portal

The OPCS-4 Requests Portal allows stakeholders to submit change requests to the NHS Classification Service all year round. A cut-off date is necessary to support the annual review of requests and business case to proceed with an update to the classification.

For further information and access to the OPCS-4 Requests Portal, see Submissions for review of OPCS-4.

High Cost Drugs and Chemotherapy Regimens

The listings of High Cost Drugs and Chemotherapy Regimens which are mapped to OPCS-4 codes are provided as look-up tables downloadable either from:

• the NHS Classifications website or
• the Technology Reference Data Update Distribution Service (TRUD) via the TRUD website.

The Read Coded Clinical Terms are a comprehensive computerised coded thesaurus for use by clinicians. They are available in two main formats, known as Version 2 and Clinical Terms Version 3 (CTV3). They are designed for use in the electronic health care record. Clinical Terms Version 3 (CTV3) of the Read Codes is a "Superset" of all the codes from the earlier versions.

Read Coded Clinical Terms may be used for coding within local systems but are not acceptable directly for coding Hospital Episode Statistics which are extracted from the Admitted Patient Care Commissioning Data Sets. Version 2 and Clinical Terms Version 3 (CTV3) of the Read Codes contain mapping tables which can be used to generate ICD-10 and OPCS-4 codes.

For further information on Read Coded Clinical Terms, see Read Codes.For further information on Read Coded Clinical Terms, see Read Codes.

This return is out of date therefore the information should not be used.
For the latest version of the guidance, please see the Department of Health part of the gov.uk website at: Stop Smoking Service: monitoring and guidance update.

• Smoking is one of the most significant contributing factors to life expectancy, health inequalities and ill health, particularly cancer and coronary heart disease.
  

• The Department of Health requires information on services provided by NHS Health Care Providers.

• The Stop Smoking Services Quarterly Data Set provides essential information used to monitor the process of achieving the NHS targets to increase life expectancy at birth in England and to monitor the performance of Stop Smoking Services.

Collection and Submission

• This return relates to ACTIVITY taking place over a 3 month period. The return is made quarterly and should be submitted by the thirty second working day after the end of the quarter to which it relates.

• This data should be submitted for each Primary Care Trust.

• The data should be collected on responsible Primary Care Trust basis. The Primary Care Trust's responsible population comprises:

  • all PERSONS registered with a GP Practice that forms part of the Primary Care Trust, regardless of where the PERSON is resident, plus any PERSONS not registered with a GP Practice who are resident within the Primary Care Trust's statutory geographical boundary.
    
  • Note that PERSONS resident within the Primary Care Trust's statutory geographical boundary, but registered with a GP Practice that forms part of another Primary Care Trust, are the responsibility of that other Primary Care Trust.
    
  • The only exception to the above rules is where PERSONS receive a Stop Smoking Service at or near their workplace, which may be some distance from their home. For example, a Stop Smoking Service might be provided for commuters at their workplace in a large city. In such circumstances it is likely that people will be drawn from a range of places in the surrounding area e.g. commuters to London who live all around the south-east of England. Where a PERSON is judged to meet these criteria, the Primary Care Trust providing the Stop Smoking Service should include these people in their returns.
  • 
    

• The information in this Central Return Data Set is transmitted at aggregate level to the Health and Social Care Information Centre's web based data collection systems at https://stopsmokingservices.hscic.gov.uk/welcome.aspx. NHS providers enter their data directly.

• Further information on the NHS Stop Smoking Services and the monitoring guidance can be found on the Department of Health part of the gov.uk website at Stop Smoking Service: monitoring and guidance update.

Synopsis of Data Set Content

• The Stop Smoking Services Quarterly Data Set requires the REPORTING PERIOD START DATE and REPORTING PERIOD END DATE for the quarter to which it relates.

• The collection is for:

  • Part 1A - The number of PERSONS with a Person Stop Smoking Episode setting a SMOKING QUIT DATE and successfully quitting by ETHNIC CATEGORY and PERSON GENDER. Pregnant women should be included but not separately identified.
    
  • Part 1B - The number of PERSONS setting a SMOKING QUIT DATE by AGE BAND AT SMOKING QUIT DATE and PERSON GENDER together with the outcome at 4 week follow-up. Pregnant women should be included but not separately identified.
    
  • Part 1C - The number of PERSONS with a PREGNANCY STATUS of 'Yes' at the time of the SMOKING QUIT DATE and the outcome at 4 week follow-up.
    
  • Part 1D - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters with a FREE PRESCRIPTIONS INDICATOR of 'Entitled to free prescriptions'.
  • 
    
  • Part 1E - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters by SOCIO-ECONOMIC CLASSIFICATION
    
  • Part 1F - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters by PHARMACOTHERAPY STOP SMOKING AID RECEIVED
    
  • Part 1G - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters by INTERVENTION SESSION TYPE
    
  • Part 1H - The number of PERSONS setting a SMOKING QUIT DATE and successful quitters by INTERVENTION SETTING
    
  • Part 2A - Financial Allocations for the year by type of allocation. (See STOP SMOKING SERVICE PCT FINANCIAL ALLOCATION and
    STOP SMOKING SERVICE OTHER FINANCIAL ALLOCATION.)
    Figures should be to the nearest pound.
    
  • Part 2B - Cumulative total spend on Stop Smoking Services in the year up to the REPORTING PERIOD END DATE.
    (See STOP SMOKING SERVICE CUMULATIVE TOTAL SPEND.)
    Parts 2A and 2B should include all monies from whatever source which have been specifically allocated to, or spent on, Stop Smoking Services e.g. additional funding such as Neighbourhood Renewal Funding.
    Figures should be to the nearest pound.

REFERRAL REQUEST
DIAGNOSTIC TEST REQUEST
PRESCRIPTIONA request for the provision of care services to a PATIENT.

A request for the provision of care services to a PATIENT.Subtypes of SERVICE REQUEST are:

The means by which a PATIENT arrived at an Accident and Emergency Department.The mode by which a PATIENT arrived at an Accident and Emergency Department.

National Codes:

Notes: For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Department of Health website.For guidance on the use of this data item in the Accident and Emergency Clinical Quality Indicators, further information is available on the Health and Social Care Information Centre website.

A code to identify how an Accident and Emergency Attendance might end.

National Codes:

Notes: For the Accident and Emergency Clinical Quality Indicators, further guidance on National Code 'Left DEPARTMENT before being seen for treatment' is available on the Department of Health website.For the Accident and Emergency Clinical Quality Indicators, further guidance on National Code 'Left DEPARTMENT before being seen for treatment' is available on the Health and Social Care Information Centre website.

A classification of Accident and Emergency Department according to the ACTIVITY performed.The type of Accident and Emergency Department according to the ACTIVITY performed.

National Codes:

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

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