An Appointment Request is a type of SERVICE REQUEST for an APPOINTMENT.

Each originating request may result in one or more APPOINTMENT OFFERS, the originating request may be from:Each originating request may result in one or more APPOINTMENT OFFERS.

The originating request may be from:

• a PATIENT self-referral REFERRAL REQUEST
• a REFERRAL REQUEST from one ORGANISATION or CARE PROFESSIONAL to another ORGANISATION or CARE PROFESSIONAL
• follow up to a previous APPOINTMENT at which attendance or contact has taken place related to the same REFERRAL REQUEST
• an APPOINTMENT at which attendance did not take place for whatever reason, requiring a new APPOINTMENT to be made
• an invitation for an APPOINTMENT as part of a HEALTH PROGRAMME
• an ACTIVITY which requires an APPOINTMENT to be made for further care or treatment.

Each Appointment Request should be reviewed by the receiving CARE PROFESSIONAL, ORGANISATION or SERVICE to decide whether an offer of an APPOINTMENT should be made.

It is on this date it is considered that the PATIENT has been added to the Out-Patient Waiting List for the APPOINTMENT with the expectation that it will take place.

When it is decided that an offer of an APPOINTMENT should be made then one or more APPOINTMENT OFFER should be offered each of which will record a separate and different APPOINTMENT DATE OFFERED and APPOINTMENT TIME OFFERED to the PATIENT.

The APPOINTMENT DATE OFFERED and APPOINTMENT TIME OFFERED of the APPOINTMENT OFFER equate to the allocated APPOINTMENT SLOT.

When more than one date is offered for the same Appointment Request, the PATIENT can choose which date and time to accept. APPOINTMENT ACCEPTED DATE records whether the offer has been accepted. APPOINTMENT ACCEPTED DATE records the date that the offer is accepted. When multiple dates are offered, the PATIENT should only be allowed to select one of them.

The SERVICE REQUEST DATE and SERVICE REQUEST TIME will also be the default created and recorded date and time for each APPOINTMENT OFFER made for the Appointment Request.

An indication of whether the face to face contact is the first occasion on which a PATIENT is seen by the particular Professional Staff Group Service, staff group (community) or Sexual and Reproductive Health Service between 1st April and the following 31st March.An indication of whether the face to face contact is the first occasion on which a PATIENT is seen by the particular Professional Staff Group Service, staff group (community) or Sexual and Reproductive Health Service between 1st April and the following 31st March. This contact may also be the Initial Contact.

An Initial Contact is not necessarily the First Contact In Financial Year as the PATIENT may have had another episode which ended earlier in the financial year.

The following table details the approved versions of the Maternity Services Data Set Messages and associated 'Useable From' and 'Useable To' dates.

It also allows download of the Maternity Services Data Set Message Schema and associated supporting documentation.

The "XMLSchemaSpecificationsPack" contains the schema for:

• Maternity Services Data Set (MSDS) where the information is identifiable

• Mothers Sexual Health and Infectious Diseases Data Set (MSHID) where the information is anonymised.

XML Schema WITH NO Validation

For enquires regarding the XML Schemas, please contact the Health and Social Care Information Centre at children.maternity@hscic.For enquires regarding the XML Schemas, please contact the Health and Social Care Information Centre at enquiries@hscic.gov.uk.uk, .

Mental Health Treatment is a CLINICAL INTERVENTION.A Mental Health Treatment is a CLINICAL INTERVENTION.

Mental Health Treatment is the delivery of treatment or intervention to a PATIENT during a Mental Health CARE CONTACT.A Mental Health Treatment is the delivery of treatment or intervention to a PATIENT during a mental health CARE CONTACT.

Pathology Laboratory Investigation is a CLINICAL INTERVENTION.A Pathology Laboratory Investigation is a Clinical Investigation.

A single (laboratory) service resulting from a DIAGNOSTIC TEST REQUEST, to be carried out in respect of a specified subject of investigation that leads to the production of one or more results.A Pathology Laboratory Investigation is a single (laboratory) service resulting from a DIAGNOSTIC TEST REQUEST, to be carried out in respect of a specified subject of investigation that leads to the production of one or more results.

References: The version 1.1 NHS Standard EDIFACT Messages for Pathology Requests and Reports, 2001

Public Health England requires the mandatory collection of information on the SERVICES provided by Sexual and Reproductive Health Services.Public Health England requires the mandatory collection of information on the SERVICES provided by Sexual and Reproductive Health Services.

The Sexual and Reproductive Health Activity Data Set provides essential data to:

• Ensure more relevant and timely collection of electronic data to support local service development
• Allow monitoring of key policy initiatives and indicators such as Public Health Outcome Framework Indicator on under 18 conceptions, promotion of Long Acting Reversible Contraceptions (LARC), reducing teenage conceptions, reducing the rate of unintended pregnancies and modernisation of Sexual and Reproductive Health Services
• Provide appropriate definitions and guidance material to enable a standardised data set from Sexual and Reproductive Health Services
• Support commissioners in understanding which population groups are accessing Sexual and Reproductive Health Services and which SERVICES they are receiving, including the LARC methods as recommended by National Institute for Health and Care Excellence (NICE), and therefore allowing for long-term commissioning of SERVICES
• Develop, over time, indicators of quality and outcome in SERVICE delivery (especially in comparative reports). For example the removal and length of use for LARC devices, provision of emergency CONTRACEPTION, the provision of CONTRACEPTION post abortion and referrals to secondary care, the comparison of attendance rates for selected care and the diversity of young PERSON provision by Sexual and Reproductive Health Services including social referrals
• Allow monitoring of key policy initiatives and indicators such as Public Health Outcome Framework Indicator on under 18 conceptions, promotion of Long Acting Reversible Contraceptions (LARC), reducing teenage conceptions, reducing the rate of unintended pregnancies and modernisation of Sexual and Reproductive Health Services
• Provide appropriate definitions and guidance material to enable a standardised data set from Sexual and Reproductive Health Services
• Support commissioners in understanding which population groups are accessing Sexual and Reproductive Health Services and which SERVICES they are receiving, including the LARC methods as recommended by National Institute for Health and Care Excellence (NICE), and therefore allowing for long-term commissioning of SERVICES
• Develop, over time, indicators of quality and outcome in SERVICE delivery (especially in comparative reports). For example the removal and length of use for LARC devices, provision of emergency CONTRACEPTION, the provision of CONTRACEPTION post abortion and referrals to secondary care, the comparison of attendance rates for selected care and the diversity of young PERSON provision by Sexual and Reproductive Health Services including social referrals
• Aid the development of a benchmark measure to indicate how SERVICES compare in delivering the most appropriate and effective care to PATIENTS
• Reflect current data collection practices and requirements at Sexual and Reproductive Health Services.
• Reflect current data collection practices and requirements at Sexual and Reproductive Health Services.

The Sexual and Reproductive Health Activity Data Set covers PATIENT contact with the Sexual and Reproductive Health Service whether in a clinic setting, in the PATIENT's home or at an alternative location.The Sexual and Reproductive Health Activity Data Set covers PATIENT contact with the Sexual and Reproductive Health Services whether in a clinic setting, in the PATIENT's home or at an alternative location.

DATA EXTRACT SPECIFICATION

Description: The Sexual and Reproductive Health Activity Data Set return includes PATIENT ACTIVITY provided by Sexual and Reproductive Health Services in clinics and non-clinic venues (e.g. outreach facilities or domiciliary visits). Also included are Sexual and Reproductive Health Services provided by non - NHS clinics funded wholly or in part by Local Authorities and/or Clinical Commissioning Groups (e.g. Brook). It does not include SERVICES provided by CONSULTANTS in Outpatient Clinics or those provided by GENERAL MEDICAL PRACTITIONERS.

Data collected will be used by the NHS, Care Quality Commission, Clinical Commissioning Groups, Public Health England and other appropriate ORGANISATIONS to support the monitoring of the National Strategies on Sexual and Reproductive Health Services, service provision, benchmarking and develop commissioning.

Time period: The extract will cover one financial quarter.

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

Format: Data returned should be formatted to a comma separated variable (CSV) or in a MS Excel file. The data variables should be transmitted in the order specified in the Sexual and Reproductive Health Activity Data Set.

Transmission: Data is submitted via an on-line process to the Health and Social Care Information Centre.

For further information on the Sexual and Reproductive Health Activity Data Set see the Health and Social Care website.

Tissue Typing is a CLINICAL INTERVENTION Tissue Typing is a Clinical Investigation. 

Tissue Typing is used for the purposes of producing a Human Leukocyte Antigen report.

Release: January 2015

• CR1473 (1 January 2015) - ISB 1538 Amd 13/2014 Chlamydia Testing Activity Data Set Update
• CR1496 (Immediate) - DDCN 1496/2014 Clinical Coding

Release: December 2014

• CR1396 (31 October 2014) - ISB 1567 Amd 15/2014 National Joint Registry Data Set Version 6

  The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 October 2015:

• CR1487 (1 October 2015) - ISB 0089 Amd 8/2014 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set

Release: November 2014

• CR1420 (Immediate) - ISB 0139 Amd 29/2013 Genitourinary Medicine Clinic Activity Data Set (GUMCAD) Update
• CR1421 (Immediate) - ISB 1518 Amd 30/2013 Sexual and Reproductive Health Activity Data Set (SRHAD) Update
• CR1422 (Immediate) - ISB 1518 Amd 30/2013 Retirement of Central Return Form KT31 Cross Sector Services

Release: October 2014

• CR1355 (1 November 2014) - ISB 1513 Amd 45/2012 Maternity Services Data Set Update and XML Schema

Release: September 2014

• CR1484 (Immediate) - DDCN 1484/2014 Female Genital Mutilation SNOMED CT Subsets

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 31 July 2015:

• CR1344 (31 July 2015) - ISB 1594 Amd 31/2012 Information Sharing to Tackle Violence Minimum Data Set

Release: August 2014

• CR1360 (1 September 2014) - ISB 0011 Amd 5/2014 Mental Health and Learning Disabilities Data Set

Release: July 2014

• CR1351 (1 July 2014) - ISB 1520 Amd 02/2013 Improving Access to Psychological Therapies Data Set Version 1.5
• CR1482 (Immediate) - DDCN 1482/2014 Source of Referral for Mental Health
• CR1480 (Immediate) - DDCN 1480/2014 Mental Health Care Cluster 9
• CR1477 (Immediate) - DDCN 1477/2014 Payment by Results
• 
  
• Note: CR1383 (31 December 2014) - ISB 1555 Amd 10/2012 Personal Demographics Service Birth Notification Data Sets

At the Standardisation Committee for Care Information meeting on 28th May 2014, an amendment to the implementation date of the ISB information standard was approved. The implementation date is now 31 December 2014.

• The July 2014 Release updates the NHS Data Model and Dictionary Help Pages to reflect the new organisation structure.

Release: June 2014

• CR1465 (Immediate) - DDCN 1465/2014 Primary Care Trusts and NHS Trusts
• CR1461 (Immediate) - DDCN 1461/2014 New Standardisation Committee for Care Information (SCCI) Process
• CR1383 (30 June 2014) - ISB 1555 Amd 10/2012 Personal Demographics Service Birth Notification Data Sets

Release: May 2014

• CR1353 (1 June 2014) - ISB 1067 Amd 22/2013 Workforce Data Set Version 2.7

Release: April 2014

• CR1449 (Immediate) - ISB 1610 Amd 01/2014 Female Genital Mutilation Prevalence Data Set

Release: March 2014

• CR1388 (1 April 2014) - ISB 1521 Amd 23/2013 Updates to the Cancer Outcomes and Services Data Set and XML Schema
• CR1370 (1 April 2014) - ISB 1533 Amd 24/2013 Updates to the Systemic Anti-Cancer Therapy Data Set and XML Schema
• CR1322 (1 April 2014) - ISB 0111 Amd 26/2012 Changes to the Radiotherapy Data Set
• CR1387 (1 April 2014) - ISB 0084 Amd 10/2013 Introduction of OPCS-4.7
• CR1376 (1 April 2014) - ISB 1607 Amd 26/2013 Emergency Care Weekly Situation Report Data Set
• CR1433 (Immediate) - DDCN 1433/2014 Data Services for Commissioners
• CR1467 (1 April 2014) - DDCN 1467/2014 Retirement of Standards
• CR1464 (1 April 2014) - DDCN 1464/2014 Retirement of Standards - Domains and Diagrams
• CR1458 (1 April 2014) - DDCN 1458/2014 Retirement of Standards - DSCNs - 11/97/P05, 12/97/P06, 15/97/P09, 18/97/P12, 22/96/P19, 32/96/P27, 49/97/P35, 62/95/P51, 07/2007, 08/2009, 17/92, 20/2001, 22/2006 and 38/2002
• CR1444 (1 April 2014) - DDCN 1444/2014 Retirement of Standards
• CR1436 (1 April 2014) - DDCN 1436/2014 Retirement of Standards
• CR1435 (1 April 2014) - DDCN 1435/2014 Retirement of Standards - DSCNs 22/95/P21, 20/91, 21/93, 40/95/P34, 09/94/P04, 93/95/P76, 23/94/A04, 8/92 and 17/93
• CR1432 (1 April 2014) - DDCN 1432/2014 Retirement of Standards - DSCN 3/92, DSCN 12/96/P11, DSCN 50/94/P36, DSCN 66/96/W09 and DSCN 16/93
• CR1429 (1 April 2014) - DDCN 1429/2014 Retirement of Standards - DSCN 07/96/P06
• CR1425 (1 April 2014) - DDCN 1425/2014 Retirement of Standards
• CR1423 (1 April 2014) - DDCN 1423/2014 Retirement of Standards - DSCNs 37/98/A09, 14/97/P08, 12/2002, 37/2003, 14/2004 and 27/2001
• CR1419 (1 April 2014) - DDCN 1419/2014 Retirement of Standards - DSCNs 39/98/A11, 09/99/P06, 11/99/P07, 13/2003, 38/2001, 22/2001, 19/98/A02, 40/96/P34, 29/94/P19, 49/94/P35, 34/95/P29, 53/96/P44 and 96/95/P79
• CR1418 (1 April 2014) - DDCN 1418/2014 Retirement of Standards
• CR1417 (1 April 2014) - DDCN 1417/2014 Retirement of Standards - DSCNs 13/95/P12, 44/2001, 29/2004, 18/98/W02 and 24/98/F01
• CR1416 (1 April 2014) - DDCN 1416/2014 Retirement of Standards - KC64 - DSCNs 05/98/P05 and 26/95/W02
• CR1414 (1 April 2014) - DDCN 1414/2014 Retirement of Standards - DSCNs 03/99/P03, 10/2002, 12/99/A04, 20/98/A03, 30/98/P21, 35/99/P25, 37/97/P24 and 43/97/P29
• CR1413 (1 April 2014) - DDCN 1413/2014 Retirement of Standards - DSCNs 13/97/P07, 15/96/P14, 17/2001, 20/2004, 21/2001, 21/2003, 28/98/P20, 33/2003 and 43/2002
• CR1409 (1 April 2014) - DDCN 1409/2014 Retirement of Standards - DSCN's 46/97/P32, 01/2004, 04/2004, 11/2005, 27/2002, 31/2002, 53/2002 and 54/2002

Release: February 2014

• CR1460 (Immediate) - DDCN 1460/2014 NHS Dental Services Update
• CR1459 (Immediate) - DDCN 1459/2014 General Medical Practitioner (Specified), Doctor Index Number and General Medical Practitioner PPD Code Update
• CR1446 (Immediate) - DDCN 1446/2014 Health and Social Care Information Centre Update
• CR1404 (Immediate) - DDCN 1404/2014 Retirement of e-Gif definitions
• CR1395 (28 February 2014) - ISB 0090 Amd 17/2013 Organisation Data Service – NHS Postcode Directory

Release: January 2014

• 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

The following have been incorporated early to allow users to see the changes, but please note that the implementation date is 1 June 2014:

• CR1346 (1 June 2014) - ISB 1595 Amd 32/2012 National Neonatal Data Set

Release: November 2013

• 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
• 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

• 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

• CR1377 (Immediate) - ISB 0105 Retirement of Accident and Emergency Quarterly Monitoring Data Set (QMAE)

Release: May 2013

• 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

• 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

• 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

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

Release: December 2012

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

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

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

Release: November 2012

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

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

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

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

Release: September 2012

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

Release: August 2012

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

Release: June 2012

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

Release: May 2012

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

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

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

Release: March 2012

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

Release: January 2012

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

Release: November 2011

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

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

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

Release: October 2011

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

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

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

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

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

Release: August 2011

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

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

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

Release: July 2011

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

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

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

Release: June 2011

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

Release: April 2011

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

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

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

Release: March 2011

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

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

Release: January 2011

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

Release: December 2010

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

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

Release: November 2010

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

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

Release: September 2010

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

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

Release: August 2010

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

Release: July 2010

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

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

Release: May 2010

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

• CR957 (Immediate) - DSCN 19/2010 Central Returns: KA34 Ambulance Services
• CR1069 (Immediate) - Redesign of the Commissioning Data Set Pages
  The Information Standards Board for Health and Social Care have been involved in the redesign of the Commissioning Data Set Pages and are satisfied that it meets the requirements of the service, however a formal Information Standard and Collection (including Extraction) Notice (ISCE) 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

The type of CLINICAL INTERVENTION.

National Codes:

An indication of whether it is the PATIENT's initial CARE CONTACT with a Sexual and Reproductive Health Service within a Health Care Provider.An indication of whether it is the PATIENT's initial CARE CONTACT with a Sexual and Reproductive Health Service within a Health Care Provider.

National Codes:

An indication of whether a PERSON is currently a prisoner.

PRISONER INDICATOR is used where the SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE is code 'Z - Prisoner'.For the Genitourinary Medicine Clinic Activity Data Set, PRISONER INDICATOR is used where the SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE is code 'Z - Prisoner'.

National Codes:

A code which identifies the PROFESSIONAL REGISTRATION BODY or Representative Body.

National Codes:

The registration identifier allocated by an ORGANISATION.

Examples include:

• GENERAL DENTAL COUNCIL REGISTRATION NUMBER;
• GENERAL MEDICAL COUNCIL REFERENCE NUMBER etc;
• GENERAL DENTAL COUNCIL REGISTRATION NUMBER
• GENERAL MEDICAL COUNCIL REFERENCE NUMBER.

The year and month of the latest Test Date where the PATIENT was tested negative for Human Immunodeficiency Virus (HIV) in the United Kingdom.The year and month of the latest test date where the PATIENT was tested negative for Human Immunodeficiency Virus (HIV) in the United Kingdom.

Attribute:

For an APPOINTMENT this is the earliest of the APPOINTMENT DATES OFFERED where the REASONABLE OFFER INDICATOR of the APPOINTMENT OFFER is National code 1 - Reasonable Offer.

For an OFFER OF ADMISSION this is the earliest of the OFFERED FOR ADMISSION DATES where the REASONABLE OFFER INDICATOR of the OFFER OF ADMISSION is National code 1 - Reasonable Offer.

Patient Cancellations
Where, for any reason, a PATIENT cancels or does not attend an APPOINTMENT or an OFFER OF ADMISSION the EARLIEST REASONABLE OFFER DATE for the rearranged APPOINTMENT or OFFER OF ADMISSION will be the EARLIEST REASONABLE OFFER DATE of the cancelled APPOINTMENT or OFFER OF ADMISSION.

Provider Cancellations
Where, for any reason, any Health Care Provider cancels and re-arranges an APPOINTMENT or an OFFER OF ADMISSION, the EARLIEST REASONABLE OFFER DATE for the re-arranged APPOINTMENT or OFFER OF ADMISSION will be the date of the earliest Reasonable Offer made following the cancellation.

Patients who are unavailable
Where a PATIENT makes themself unavailable for a longer period of time, for example a PATIENT who is a teacher who wishes to delay their admission until the summer holidays, making a Reasonable Offer may be inappropriate.

In these circumstances, so long as the Health Care Provider could have made at least two Reasonable Offers, the EARLIEST REASONABLE OFFER DATE will be the date of the earliest Reasonable Offer that the provider could have offered the PATIENT. This must be communicated to the PATIENT.

Use in Commissioning Data Set version 6-0 onwards for Referral To Treatment Consultant-Led Waiting Times:

If the Commissioning Data Set record:

relates to a Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement

and

includes the REFERRAL TO TREATMENT PERIOD END DATE of the REFERRAL TO TREATMENT PERIOD

and

is of the following Commissioning Data Set Types:

• CDS V6-1 Type 130 - Admitted Patient Care - Finished General Episode CDS / CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode CDS
• CDS V6-1 Type 190 - Admitted Patient Care - Unfinished General Episode CDS / CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode CDS

then EARLIEST REASONABLE OFFER DATE must be populated in the Commissioning Data Set record if a Patient Pause (the PATIENT is paused on the ELECTIVE ADMISSION LIST because they have made themselves unavailable for treatment for a specified period (for non-clinical reasons)) is to be applied to a REFERRAL TO TREATMENT PERIOD by the Secondary Uses Service. 

Failure to include EARLIEST REASONABLE OFFER DATE in the Admitted Patient Care General Episode Commissioning Data Set record carrying the REFERRAL TO TREATMENT PERIOD END DATE, will mean no Patient Pause is applied to the duration of wait calculation for the REFERRAL TO TREATMENT PERIOD performed by the Secondary Uses Service.

Use in the Community Information Data Set For Secondary Uses and Commissioning Data Set (version 6-2 onwards) for Allied Health Professional Referral To Treatment:Use in the Community Information Data Set and Commissioning Data Set (version 6-2 onwards) for Allied Health Professional Referral To Treatment:

For the Community Information Data Set and the Commissioning Data Sets (version 6-2 onwards) the EARLIEST REASONABLE OFFER DATE may be used locally to inform waiting time calculations for Allied Health Professional Referral To Treatment Measurement.  It can be used to account for periods of time where the PATIENT has not accepted the first available APPOINTMENT OFFER and this has extended the Allied Health Professional Referral To Treatment Measurement waiting time, for example:

• where a PATIENT who is a child has been offered an APPOINTMENT but their parent/carer states that they wish to wait until the school holidays commence. The Community Health Service cannot commence planned treatment until the PATIENT is available.
• where the PATIENT works away and cannot attend for a period of time, but it is not appropriate to discharge the PATIENT from the Community Health Service.

This number is used to identify a PATIENT uniquely within a Health Care Provider. It may be different from the PATIENT's casenote number and may be assigned automatically by the computer system.

Where care for NHS PATIENTS is sub-commissioned in the independent sector or overseas, the NHS commissioner LOCAL PATIENT IDENTIFIER should be used. If no NHS LOCAL PATIENT IDENTIFIER has been assigned the independent sector or overseas provider identifier should be used.

The last live version of this item is available in the December 2014 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.

Attribute:

ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) is  the ORGANISATION CODE of the ORGANISATION issuing the PATIENT PATHWAY IDENTIFIER. 

Where Choose and Book has been used, the ORGANISATION CODE X09 should be used.

Use in Commissioning Data Set version 6-0 onwards

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

• CDS V6-1 Type 020 - Outpatient Commissioning Data Set/CDS V6-2 Type 020 - Outpatient Commissioning Data Set
• CDS V6-1 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set/CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set
• CDS V6-1 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set/CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set
• CDS V6-1 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set/CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set
• CDS V6-1 Type 060 - Elective Admission List - Event During Period (Add) Commissioning Data Set/CDS V6-2 Type 060 - Elective Admission List - Event During Period (Add) Commissioning Data Set
• CDS V6-1 Type 070 - Elective Admission List - Event During Period (Remove) Commissioning Data Set/CDS V6-2 Type 070 - Elective Admission List - Event During Period (Remove) Commissioning Data Set
• CDS V6-1 Type 080 - Elective Admission List - Event During Period (Offer) Commissioning Data Set/CDS V6-2 Type 080 - Elective Admission List - Event During Period (Offer) Commissioning Data Set

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

Permitted National Codes:

Notes:
SOURCE OF REFERRAL FOR COMMUNITY is the same as attribute SOURCE OF REFERRAL FOR COMMUNITY