Health and Social Care Information Centre

NHS Data Model and Dictionary Service

Type:Patch
Reference:1533
Version No:1.0
Subject:July 2015 Release Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:28 July 2015

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the July 2015 Release and includes:

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

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Summary of changes:

Data Set
CDS V6-2 TYPE 020 - OUTPATIENT CDS   Changed Description
CDS V6-2 TYPE 021 - FUTURE OUTPATIENT CDS   Changed Description
CDS V6-2 TYPE 130 - ADMITTED PATIENT CARE - FINISHED GENERAL EPISODE CDS   Changed Description
CDS V6-2 TYPE 170 - ADMITTED PATIENT CARE - DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS CDS   Changed Description
CDS V6-2 TYPE 190 - ADMITTED PATIENT CARE - UNFINISHED GENERAL EPISODE CDS   Changed Description
CRITICAL CARE MINIMUM DATA SET   Changed Description
INFORMATION SHARING TO TACKLE VIOLENCE MINIMUM DATA SET   Changed Description
NEONATAL CRITICAL CARE MINIMUM DATA SET   Changed Description
PAEDIATRIC CRITICAL CARE MINIMUM DATA SET   Changed Description
 
Supporting Information
CDS VERSION 6-1 DETAILS LIST NAVIGATION MENU (RETIRED) renamed from CDS VERSION 6-1 DETAILS LIST NAVIGATION MENU   Changed status to Retired, Name, Description
CLINICAL DATA SETS MESSAGE DOCUMENTATION MENU   Changed Description
COMMISSIONING DATA SET NOTATION   Changed Description
MULTI-PROFESSIONAL CONSULTATION (NATIONAL TARIFF PAYMENT SYSTEM)   Changed Description
WHAT'S NEW: JULY 2015 renamed from WHAT'S NEW: JUNE 2015   Changed Name, Description
 
Attribute Definitions
CRITICAL CARE DISCHARGE STATUS   Changed Description
 
Data Elements
ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT)   Changed Description
ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT)   Changed Description
ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT)   Changed Description
ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT)   Changed Description
ACCIDENT AND EMERGENCY ADMISSIONS NUMBER OF HOURS WAIT BAND   Changed Description
ACCIDENT AND EMERGENCY ADMISSIONS TOTAL PER WAIT BAND   Changed Description
ADVISED OF HEALTH IMPLICATIONS INDICATOR   Changed Description
ADVISED OF LEGAL IMPLICATIONS INDICATOR   Changed Description
AGE AT CDS ACTIVITY DATE   Changed Description
AGE OR PROTOCOL AGE   Changed Description
ANAESTHETIC METHOD TYPE (DIALYSIS ACCESS CONSTRUCTION)   Changed Description
ANAPLASTIC NEPHROBLASTOMA TYPE   Changed Description
ANATOMICAL SIDE   Changed Description
ANKLE DORSIFLEXION CODE   Changed Description
ANKLE PLANTARFLEXION CODE   Changed Description
ANN ARBOR STAGE DATE   Changed Description
ANTIRETROVIRAL THERAPY GROUP CODE   Changed Description
ANTIRETROVIRAL THERAPY HOME DELIVERY INDICATOR   Changed Description
APGAR SCORE (10 MINUTES)   Changed Description
APGAR SCORE (1 MINUTE)   Changed Description
APGAR SCORE (5 MINUTES)   Changed Description
APPOINTMENT TYPE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)   Changed Description
AREA OF WORK NAME   Changed Description
ARRIVAL DATE AND TIME AT ACCIDENT AND EMERGENCY DEPARTMENT   Changed Description
ASSAULT DATE AND TIME   Changed Description
ASSAULT LOCATION DESCRIPTION   Changed Description
ASSAULT LOCATION TYPE   Changed Description
ASSAULT METHOD   Changed Description
ASSAULT METHOD OTHER DESCRIPTION   Changed Description
ASSOCIATED PROCEDURE TYPE (ANKLE REPLACEMENT)   Changed Description
BARCELONA CLINIC LIVER CANCER STAGE DATE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNICATION) SCALE SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNICATION) TOTAL RAW SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNITY USE) SCALE SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNITY USE) TOTAL RAW SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (FUNCTIONAL PRE-ACADEMICS) SCALE SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (FUNCTIONAL PRE-ACADEMICS) TOTAL RAW SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (HEALTH AND SAFETY) SCALE SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (HEALTH AND SAFETY) TOTAL RAW SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (HOME LIVING) SCALE SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (HOME LIVING) TOTAL RAW SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (LEISURE) SCALE SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (LEISURE) TOTAL RAW SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (MOTOR) SCALE SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (MOTOR) TOTAL RAW SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (SELF-CARE) SCALE SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (SELF-CARE) TOTAL RAW SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (SELF-DIRECTION) SCALE SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (SELF-DIRECTION) TOTAL RAW SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (SOCIAL) SCALE SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR (SOCIAL) TOTAL RAW SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL COMPOSITE SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL RAW SCORE   Changed Description
BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL SCALE SCORE   Changed Description
BAYLEY III COGNITIVE COMPOSITE SCORE   Changed Description
BAYLEY III COGNITIVE DEVELOPMENTAL AGE EQUIVALENT SCORE   Changed Description
BAYLEY III COGNITIVE SCALE SCORE   Changed Description
BAYLEY III COGNITIVE TOTAL RAW SCORE   Changed Description
BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) COMPOSITE SCORE   Changed Description
BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) DEVELOPMENTAL AGE EQUIVALENT SCORE   Changed Description
BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) SCALE SCORE   Changed Description
BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) TOTAL RAW SCORE   Changed Description
BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) COMPOSITE SCORE   Changed Description
BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) DEVELOPMENTAL AGE EQUIVALENT SCORE   Changed Description
BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) SCALE SCORE   Changed Description
BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) TOTAL RAW SCORE   Changed Description
BAYLEY III COMMUNICATION SUM TOTAL COMPOSITE SCORE   Changed Description
BAYLEY III COMMUNICATION SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE   Changed Description
BAYLEY III COMMUNICATION SUM TOTAL RAW SCORE   Changed Description
BAYLEY III COMMUNICATION SUM TOTAL SCALE SCORE   Changed Description
BAYLEY III NEUROMOTOR (FINE MOTOR) COMPOSITE SCORE   Changed Description
BAYLEY III NEUROMOTOR (FINE MOTOR) DEVELOPMENTAL AGE EQUIVALENT SCORE   Changed Description
BAYLEY III NEUROMOTOR (FINE MOTOR) SCALE SCORE   Changed Description
BAYLEY III NEUROMOTOR (FINE MOTOR) TOTAL RAW SCORE   Changed Description
BAYLEY III NEUROMOTOR (GROSS MOTOR) COMPOSITE SCORE   Changed Description
BAYLEY III NEUROMOTOR (GROSS MOTOR) DEVELOPMENTAL AGE EQUIVALENT SCORE   Changed Description
BAYLEY III NEUROMOTOR (GROSS MOTOR) SCALE SCORE   Changed Description
BAYLEY III NEUROMOTOR (GROSS MOTOR) TOTAL RAW SCORE   Changed Description
BAYLEY III NEUROMOTOR SUM TOTAL COMPOSITE SCORE   Changed Description
BAYLEY III NEUROMOTOR SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE   Changed Description
BAYLEY III NEUROMOTOR SUM TOTAL RAW SCORE   Changed Description
BAYLEY III NEUROMOTOR SUM TOTAL SCALE SCORE   Changed Description
BAYLEY III SOCIAL-EMOTIONAL COMPOSITE SCORE   Changed Description
BAYLEY III SOCIAL-EMOTIONAL DEVELOPMENTAL AGE EQUIVALENT SCORE   Changed Description
BAYLEY III SOCIAL-EMOTIONAL SCALE SCORE   Changed Description
BAYLEY III SOCIAL-EMOTIONAL TOTAL RAW SCORE   Changed Description
BENIGN BIOPSY RATE (PER 1,000 SCREENED)   Changed Description
BENIGN THERAPEUTIC OPERATION NUMBER   Changed Description
BENIGN THERAPEUTIC OPERATION RATE (PER 1,000 SCREENED)   Changed Description
BLOOD GLUCOSE CONCENTRATION (ON ADMISSION TO NEONATAL CRITICAL CARE)   Changed Description
BLOOD GROUP ABO CLASSIFICATION   Changed Description
BLOOD PRESSURE SITTING   Changed Description
BLOOD RHESUS CLASSIFICATION   Changed Description
BLOOD TRANSFUSION PRODUCT TYPE   Changed Description
BLOOD TRANSFUSION TYPE   Changed Description
BLOOD TRANSFUSION UNITS TRANSFUSED (DURING LAST 3 MONTHS)   Changed Description
BLOOD TRANSFUSION UNITS TRANSFUSED (DURING LAST MONTH)   Changed Description
BLOOD TRANSFUSION UNITS TRANSFUSED (DURING LAST WEEK)   Changed Description
BRAIN ACTIVITY SCAN PERFORMED INDICATOR   Changed Description
BREAST CANCER GRADE NOT KNOWN (PERCENTAGE OF DUCTAL CARCINOMA IN-SITU)   Changed Description
BREAST CANCER INVASIVE SIZE NOT KNOWN TOTAL   Changed Description
BREAST CANCER INVASIVE STATUS NOT KNOWN (PERCENTAGE OF ALL CANCERS DIAGNOSED)   Changed Description
BREAST INVASIVE GRADE   Changed Description
BREAST SCREENING AGE GROUP CODE (KC62) PARTS 1 TO 3   Changed Description
BREAST SCREENING AGE GROUP CODE (KC62) PARTS 4 TO 5   Changed Description
BREAST SCREENING AGE GROUP CODE (KC63)   Changed Description
CARER RESIDENT INDICATION CODE (NATIONAL NEONATAL DATA SET)   Changed Description
CDS COPY RECIPIENT IDENTITY   Changed Description
CDS RECORD IDENTIFIER   Changed Description
CHANG STAGING SYSTEM STAGE DATE   Changed Description
CHLAMYDIA TEST RESULT (SNOMED CT)   Changed Description
CLARKS LEVEL IV INDICATION CODE   Changed Description
CLINICAL STAGE DATE (PANCREATIC CANCER)   Changed Description
COMPLEX SOCIAL FACTORS INDICATOR (MOTHER AT BOOKING)   Changed Description
COMPONENT REMOVAL INDICATOR (ACETABULAR)   Changed Description
COMPONENT REMOVAL INDICATOR (FEMORAL)   Changed Description
COMPONENT REMOVAL INDICATOR (GLENOID)   Changed Description
COMPONENT REMOVAL INDICATOR (HUMERAL)   Changed Description
COMPONENT REMOVAL INDICATOR (MENISCAL)   Changed Description
COMPONENT REMOVAL INDICATOR (RADIAL)   Changed Description
COMPONENT REMOVAL INDICATOR (TALAR)   Changed Description
COMPONENT REMOVAL INDICATOR (TIBIAL)   Changed Description
COMPONENT REMOVAL INDICATOR (ULNAR)   Changed Description
COUNTRY CODE (FATHER ORIGIN)   Changed Description
COVERAGE (PERCENTAGE OF ELIGIBLE WOMEN SCREENED IN LAST THREE YEARS)   Changed Description
CRANIAL ULTRASOUND SCAN PERFORMED INDICATOR   Changed Description
CRITICAL CARE DISCHARGE STATUS   Changed Description
CRITICAL CARE DISCHARGE YEAR AND MONTH   Changed Description
CYSTIC PERIVENTRICULAR LEUKOMALACIA OBSERVED DURING CRANIAL ULTRASOUND SCAN INDICATOR   Changed Description
CYTOLOGY AND/OR CORE BIOPSY RESULT NOT KNOWN (PERCENTAGE OF REFERRED)   Changed Description
DAUGHTER BORN AT THIS ENCOUNTER INDICATOR   Changed Description
DEATH CAUSE IDENTIFICATION METHOD   Changed Description
DEATH CAUSE RECORDED TEXT   Changed Description
DEATH CAUSE RECORDED TEXT (CONTRIBUTING CONDITION)   Changed Description
DEATH CAUSE RECORDED TEXT (DUE TO CONDITION)   Changed Description
DEATH CAUSE RECORDED TEXT (IMMEDIATE CONDITION)   Changed Description
DEATH CAUSE RECORDED TEXT (OTHER CONDITION)   Changed Description
DELIVERED IN WATER INDICATOR   Changed Description
DELIVERY INSTRUMENT TYPE   Changed Description
DELIVERY PLACE TYPE (INTENDED MIDWIFERY UNIT TYPE)   Changed Description
DIABETES TYPE (RENAL CARE)   Changed Description
DIAGNOSIS CARDIOVASCULAR COMPLICATIONS (RENAL RECIPIENT)   Changed Description
DIAGNOSIS DATE (ACUTE REJECTION INDICATOR)   Changed Description
DIAGNOSIS DATE (ASPIRATION INFECTION)   Changed Description
DIAGNOSIS DATE (CARDIAC ARREST DONOR)   Changed Description
DIAGNOSIS DATE (CARDIOVASCULAR DISEASE)   Changed Description
DIAGNOSIS DATE (CHEST INFECTION)   Changed Description
DIAGNOSIS DATE (DEEP VEIN THROMBOSIS PERI OR POST OPERATIVE)   Changed Description
DIAGNOSIS DATE (HYPERTENSION)   Changed Description
DIAGNOSIS DATE (HYPOTENSION)   Changed Description
DIAGNOSIS DATE (LIVER DISEASE)   Changed Description
DIAGNOSIS DATE (NORMOTENSIVE)   Changed Description
DIAGNOSIS DATE (PNEUMONIA PERI OR POST OPERATIVE)   Changed Description
DIAGNOSIS DATE (PNEUMOTHORAX PERI OR POST OPERATIVE)   Changed Description
DIAGNOSIS DATE (PRIMARY OR RECURRENT RENAL DISEASE)   Changed Description
DIAGNOSIS DATE (PULMONARY THROMBO EMBOLISM PERI OR POST OPERATIVE)   Changed Description
DIAGNOSIS DATE (RESPIRATORY ARREST DONOR)   Changed Description
DIAGNOSIS DATE (TUMOUR)   Changed Description
DIAGNOSIS DATE (URINARY TRACT INFECTION)   Changed Description
DIAGNOSIS DATE (URINE INFECTION)   Changed Description
DIAGNOSIS DATE (WOUND INFECTION PERI OR POST OPERATIVE)   Changed Description
DIAGNOSIS DATE AND TIME (CIRCULATORY ARREST)   Changed Description
DIAGNOSTIC TEST (ENDOSCOPY)   Changed Description
DIAGNOSTIC TEST (ENDOSCOPY CENSUS)   Changed Description
DIAGNOSTIC TEST (IMAGING)   Changed Description
DIAGNOSTIC TEST (IMAGING CENSUS)   Changed Description
DIAGNOSTIC TEST (PATHOLOGY CENSUS)   Changed Description
DIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT)   Changed Description
DIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT CENSUS)   Changed Description
DIAGNOSTIC TEST DATE   Changed Description
DIAGNOSTIC TEST REQUEST DATE   Changed Description
DIAGNOSTIC TEST REQUEST RECEIVED DATE   Changed Description
DIAGNOSTIC TESTS COMMISSIONED FROM INDEPENDENT SECTOR   Changed Description
DIAGNOSTIC TESTS DONE TOTAL   Changed Description
DISCHARGE LETTER ISSUED DATE (COMMUNITY CARE)   Changed Description
DOMINANT ARM CODE   Changed Description
ELIGIBLE POPULATION IMMUNISED PERCENTAGE   Changed Description
EMERGENCY CARE FACILITY TYPE   Changed Description
EMERGENCY CARE PATIENTS WAITING OVER 4 HOURS TOTAL   Changed Description
END DATE AND TIME (RENAL DIALYSIS)   Changed Description
ENTERAL FEEDING METHOD   Changed Description
ENTERAL FEED TYPE GIVEN   Changed Description
EPIDERMAL GROWTH FACTOR RECEPTOR MUTATIONAL STATUS   Changed Description
EPISIOTOMY PERFORMED REASON   Changed Description
ESTIMATED DATE OF DELIVERY (AGREED)   Changed Description
ESTIMATED DATE OF DELIVERY (AGREED) YEAR AND MONTH   Changed Description
ESTIMATED DATE OF DELIVERY METHOD (AGREED)   Changed Description
EXTRANODAL SPREAD INDICATOR   Changed Description
FEMALE GENITAL MUTILATION AGE CATEGORY   Changed Description
FEMALE GENITAL MUTILATION FAMILY HISTORY INDICATOR   Changed Description
FEMALE GENITAL MUTILATION IDENTIFICATION METHOD CODE   Changed Description
FEMALE GENITAL MUTILATION TYPE 4 CODE   Changed Description
FINAL FIGO STAGE DATE   Changed Description
FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE)   Changed Description
FURTHER ASSESSMENT REQUIRED INDICATOR (DIABETES ASSESSMENT)   Changed Description
FURTHER ASSESSMENT REQUIRED INDICATOR (FASTING CHOLESTEROL ASSESSMENT)   Changed Description
FURTHER ASSESSMENT REQUIRED INDICATOR (HYPERTENSION ASSESSMENT)   Changed Description
FURTHER ASSESSMENT REQUIRED INDICATOR (IMPAIRED FASTING GLYCAEMIA IMPAIRED GLUCOSE TOLERANCE LIFESTYLE MANAGEMENT)   Changed Description
FURTHER ASSESSMENT REQUIRED INDICATOR (SERUM CREATININE ASSESSMENT)   Changed Description
GRADE OF DIFFERENTIATION   Changed Description
GRIFFITHS EYE AND HAND CO-ORDINATION SCALE SCORE   Changed Description
GRIFFITHS LANGUAGE SCALE SCORE   Changed Description
GRIFFITHS LOCOMOTOR SCALE SCORE   Changed Description
GRIFFITHS PERFORMANCE SCALE SCORE   Changed Description
GRIFFITHS PERSONAL-SOCIAL SCALE SCORE   Changed Description
GRIFFITHS PRACTICAL REASONING SCALE SCORE   Changed Description
HEAD CIRCUMFERENCE IN CENTIMETRES   Changed Description
HEAD CIRCUMFERENCE IN CENTIMETRES (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT)   Changed Description
HEIGHT IN CENTIMETRES FIRST VISIT   Changed Description
HEPATITIS B ANTIGEN STATUS (RENAL CARE)   Changed Description
HEPATITIS B INFECTION INDICATOR   Changed Description
HIGH COST DRUGS (OPCS)   Changed Description
HIGH RISK WOMEN INVITED FOR SCREENING IN PERIOD TOTAL   Changed Description
HIGH RISK WOMEN SCREENED TOTAL (TECHNICALLY ADEQUATE)   Changed Description
HONOS RATING 3 SCORE   Changed Description
IMAGING CODE (SNOMED CT)   Changed linked Attribute, Description
IMMUNISATION DOSES GIVEN TOTAL (COVER)   Changed Description
IMPLANT BATCH OR LOT NUMBER   Changed Description
INFECTION CULTURE TEST INDICATOR (CEREBROSPINAL FLUID)   Changed Description
INFECTION CULTURE TEST INDICATOR (URINE)   Changed Description
IN LABOUR BEFORE CAESARIAN SECTION INDICATOR   Changed Description
INOTROPE INFUSION RECEIVED INDICATOR   Changed Description
INTENDED AGE GROUP   Changed Description
INTERGROUP RHABDOMYOSARCOMA STUDY POST SURGICAL GROUP DATE   Changed Description
INTERNATIONAL NEUROBLASTOMA STAGING SYSTEM DATE   Changed Description
INTRAPARTUM ANTIBIOTICS GIVEN INDICATOR   Changed Description
INTRAVENOUS INFUSION OF GLUCOSE AND ELECTROLYTE SOLUTION RECEIVED INDICATOR   Changed Description
INTRAVENTRICULAR HAEMORRHAGE GRADE (LEFT SIDE)   Changed Description
INTRAVENTRICULAR HAEMORRHAGE GRADE (RIGHT SIDE)   Changed Description
LESION DIAMETER GREATER THAN 20MM INDICATION CODE   Changed Description
LESION VERTICAL THICKNESS GREATER THAN 2MM INDICATION CODE   Changed Description
LIVER TRANSPLANT PERFORMED INDICATOR   Changed Description
LONG HEAD BICEPS TENOTOMY INDICATOR   Changed Description
MATERNITY CARE PLAN DATE   Changed Description
MATERNITY COMPLICATING SEXUALLY TRANSMITTED INFECTION DIAGNOSIS (MOTHER AT BOOKING)   Changed Description
MATERNITY FAMILY HISTORY DIAGNOSIS TYPE (AT BOOKING)   Changed Description
MATERNITY OBSTETRIC DIAGNOSIS TYPE (CURRENT PREGNANCY)   Changed Description
MATERNITY PREVIOUS COMPLICATING OBSTETRIC DIAGNOSIS TYPE (MOTHER AT BOOKING)   Changed Description
MEAN ARTERIAL BLOOD PRESSURE (ON ADMISSION TO NEONATAL CRITICAL CARE)   Changed Description
MEASURED 24HR CREATININE CLEARANCE   Changed Description
MEASURED CREATININE CLEARANCE   Changed Description
MEASURED GLOMERULAR FILTRATION RATE TYPE CODE   Changed Description
MEDICATION GIVEN DURING LABOUR (SNOMED CT DM+D)   Changed Description
MEDICATION GIVEN DURING NEONATAL CRITICAL CARE DAILY CARE DATE (SNOMED CT DM+D)   Changed Description
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION PERIOD END REASON   Changed Description
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION PERIOD START REASON   Changed Description
MENTAL HEALTH CARE CONTACT IDENTIFIER   Changed Description
MENTAL HEALTH DELAYED DISCHARGE ATTRIBUTABLE TO INDICATION CODE   Changed Description
MENTAL HEALTH DELAYED DISCHARGE REASON   Changed Description
MENTAL HEALTH PREDICTION AND DETECTION INDICATOR (MOTHER AT BOOKING)   Changed Description
MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION   Changed Description
MICROSATELLITE OR IN-TRANSIT METASTASIS INDICATION CODE   Changed Description
MICROSCOPIC INVOLVEMENT INDICATOR (CERVICAL STROMA)   Changed Description
MICROSCOPIC INVOLVEMENT INDICATOR (CERVICAL SURFACE OR GLANDS)   Changed Description
MICROSCOPIC INVOLVEMENT INDICATOR (PARAMETRIUM)   Changed Description
MICROSCOPIC INVOLVEMENT INDICATOR (SEROSA)   Changed Description
MICROSCOPIC INVOLVEMENT INDICATOR (VAGINAL)   Changed Description
MODE OF DELIVERY   Changed Description
MOLECULAR DIAGNOSTIC CODE   Changed Description
MONITORING INTENT   Changed Description
MORE THAN THREE RECTAL WASHOUTS RECEIVED INDICATOR   Changed Description
MURPHY ST JUDE STAGE   Changed Description
MYELOMA INTERNATIONAL STAGING SYSTEM STAGE DATE   Changed Description
MYOMETRIAL INVASION IDENTIFICATION CODE   Changed Description
NEONATAL ABSTINENCE SYNDROME OBSERVED INDICATOR   Changed Description
NEONATAL CRITICAL CARE DAILY CARE DATE   Changed Description
NEONATAL CRITICAL CARE DAILY CARE YEAR AND MONTH   Changed Description
NEONATAL CRITICAL INCIDENT TYPE   Changed Description
NEONATAL LEVEL OF CARE CODE   Changed Description
NEONATAL RESUSCITATION DRUG (SNOMED CT DM+D)   Changed Description
NEONATAL RESUSCITATION DRUG OR FLUID   Changed Description
NEONATAL RESUSCITATION METHOD   Changed Description
NEUROLOGICAL SUPPORT DAYS   Changed Description
NEWBORN HEARING SCREENING OUTCOME LEFT EAR (NATIONAL NEONATAL DATA SET)   Changed Description
NEWBORN HEARING SCREENING OUTCOME RIGHT EAR (NATIONAL NEONATAL DATA SET)   Changed Description
NEWBORN HEARING SCREENING TEST TYPE   Changed Description
NEW HIV DIAGNOSIS IN UNITED KINGDOM INDICATOR   Changed Description
NICIP CODE   Changed Description
NON-INVASIVE OR MICRO-INVASIVE BREAST CANCERS DETECTED (PER 1,000 SCREENED)   Changed Description
NON-OPERATIVE DIAGNOSIS RATE (PERCENTAGE INVASIVE)   Changed Description
NON-OPERATIVE DIAGNOSIS RATE (PERCENTAGE NON-INVASIVE)   Changed Description
NON-OPERATIVE DIAGNOSIS RATE (PERCENTAGE OVERALL)   Changed Description
NUMBER OF ARTERIES LEFT KIDNEY (DONOR)   Changed Description
NUMBER OF BABIES IDENTIFIER (PATIENT IDENTIFICATION)   Changed Description
NUMBER OF DAUGHTERS UNDER 18   Changed Description
NUMBER OF MINUTES (BIRTH TO EVENT)   Changed Description
NUMBER OF YEARS SMOKED   Changed Description
OMENTUM INVOLVEMENT INDICATION CODE   Changed Description
OPEN BIOPSY RESULT NOT KNOWN (PERCENTAGE OF REFERRED)   Changed Description
ORGANISATION CODE (ADMITTED FROM TO NEONATAL UNIT)   Changed Description
ORGANISATION CODE (OF ADMITTING NEONATAL UNIT)   Changed Description
ORGANISATION CODE (OF RETINOPATHY OF PREMATURITY SCREENING)   Changed Description
ORGANISATION CODE (PCT OF RESIDENCE)   Changed Description
ORGANISATION CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY)   Changed Description
ORGANISATION IDENTIFIER (BREAST SCREENING UNIT)   Changed Description
ORGAN OR TISSUE UNSUITABLE FOR TRANSPLANTATION REASON CODE   Changed Description
OXYGEN SATURATION (ON ADMISSION TO NEONATAL CRITICAL CARE)   Changed Description
PARENTERAL NUTRITION RECEIVED INDICATOR   Changed Description
PARENTS SEEN BY SENIOR STAFF MEMBER DATE AND TIME   Changed Description
PARENTS SEEN BY SENIOR STAFF MEMBER WITHIN 24 HOURS OF ADMISSION INDICATOR   Changed Description
PARENTS SEEN BY SENIOR STAFF MEMBER YEAR AND MONTH   Changed Description
PATHOLOGICAL RISK CLASSIFICATION CODE (AFTER NEPHRECTOMY)   Changed Description
PATHOLOGICAL RISK CLASSIFICATION CODE (AFTER PREOPERATIVE CHEMOTHERAPY)   Changed Description
PATHOLOGY REPORT TEXT   Changed Description
PATIENT SOURCE SETTING TYPE (DIAGNOSTIC IMAGING)   Changed Description
PATIENT TRANSPORT JOURNEY PROVIDER TYPE (RENAL DIALYSIS)   Changed Description
PATIENT TREATMENT OR INTERVENTION (MENTAL HEALTH)   Changed Description
PATIENT USUAL ADDRESS (MOTHER)   Changed Description
PCP-D QUESTION 10 SCORE   Changed Description
PCP-D QUESTION 11 SCORE   Changed Description
PCP-D QUESTION 12 SCORE   Changed Description
PCP-D QUESTION 13 SCORE   Changed Description
PCP-D QUESTION 14 SCORE   Changed Description
PCP-D QUESTION 1 SCORE   Changed Description
PCP-D QUESTION 2 SCORE   Changed Description
PCP-D QUESTION 3 SCORE   Changed Description
PCP-D QUESTION 4 SCORE   Changed Description
PCP-D QUESTION 5 SCORE   Changed Description
PCP-D QUESTION 6 SCORE   Changed Description
PCP-D QUESTION 7 SCORE   Changed Description
PCP-D QUESTION 8 SCORE   Changed Description
PCP-D QUESTION 9 SCORE   Changed Description
PDS ADDRESS DESCRIPTION (PATIENT TEMPORARY ADDRESS)   Changed Description
PDS ADDRESS TYPE (PATIENT ADDRESS)   Changed Description
PDS COMMUNICATION CONTACT METHOD (MOTHER OF BABY)   Changed Description
PDS COUNTRY OF BIRTH   Changed Description
PDS COUNTY OR DISTRICT OF BIRTH   Changed Description
PDS DEATH NOTIFICATION STATUS CODE   Changed Description
PDS DELIVERY TIME   Changed Description
PDS ETHNIC CATEGORY CODE   Changed Description
PDS GMP PRACTICE NAME   Changed Description
PDS PAF KEY (PATIENT ADDRESS)   Changed Description
PDS PATIENT CARE PROVISION TYPE   Changed Description
PDS PERSON BIRTH DATE (MOTHER)   Changed Description
PDS PERSON GIVEN NAME (AT BIRTH)   Changed Description
PDS PERSON NAME PREFIX   Changed Description
PDS PERSON NAME SUFFIX   Changed Description
PDS PERSON NAME TYPE   Changed Description
PDS POSTCODE (PATIENT ADDRESS)   Changed Description
PDS REGISTERING AUTHORITY TYPE   Changed Description
PDS SENIOR PARTNER NAME (GMP PRACTICE)   Changed Description
PDS SUSPECTED CONGENITAL ABNORMALITY INDICATION CODE   Changed Description
PDS TELECOM USAGE   Changed Description
PDS TOWN OF BIRTH   Changed Description
PERFORATIONS OR SEROSAL INVOLVEMENT INDICATION CODE   Changed Description
PERITONEAL DIALYSIS RECEIVED INDICATOR   Changed Description
PERSON GENDER CODE CURRENT (DONOR)   Changed Description
PHYSICAL DISABILITY STATUS INDICATOR (MOTHER AT BOOKING)   Changed Description
PLANE OF SURGICAL EXCISION TYPE   Changed Description
PORTAL VEIN INVASION INDICATOR   Changed Description
POST AND/OR PRE EXPOSURE PROPHYLAXIS CODE   Changed Description
POSTCODE OF GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION)   Changed Description
POSTCODE OF TESTING SERVICE (CHLAMYDIA TESTING)   Changed Description
POST HAEMORRHAGIC HYDROCEPHALUS OBSERVED DURING CRANIAL ULTRASOUND SCAN INDICATOR   Changed Description
POST MORTEM CARRIED OUT INDICATOR   Changed Description
POST OPERATIVE TUMOUR SITE (UPPER GASTROINTESTINAL)   Changed Description
PREGNANCY INDICATOR (HIV)   Changed Description
PREGNANCY STATUS INDICATOR   Changed Description
PRESCRIBED DOSE (ANTI-HUMAN T-LYMPHOCYTE GLOBULIN)   Changed Description
PRESCRIBED DOSE (ANTITHYMOCYTE GLOBULIN)   Changed Description
PRESCRIBED DOSE (AZATHIOPRINE)   Changed Description
PRESCRIBED DOSE (BASILIXIMAB)   Changed Description
PRESCRIBED DOSE (CICLOSPORIN)   Changed Description
PRESCRIBED DOSE (DACLIZUMAB)   Changed Description
PRESCRIBED DOSE (MUROMONAB-CD3)   Changed Description
PRESCRIBED DOSE (MYCOPHENOLATE MOFETIL)   Changed Description
PRESCRIBED DOSE (MYCOPHENOLATE SODIUM)   Changed Description
PRESCRIBED DOSE (PREDNISOLONE OR PREDNISONE)   Changed Description
PRESCRIBED DOSE (SIROLIMUS)   Changed Description
PRESCRIBED DOSE (TACROLIMUS)   Changed Description
PRESCRIBED FREQUENCY (AZATHIOPRINE)   Changed Description
PRESCRIBED FREQUENCY (CICLOSPORIN)   Changed Description
PRESCRIBED FREQUENCY (MYCOPHENOLATE MOFETIL)   Changed Description
PRESCRIBED FREQUENCY (MYCOPHENOLATE SODIUM)   Changed Description
PRESCRIBED FREQUENCY (SIROLIMUS)   Changed Description
PRESCRIBED FREQUENCY (TACROLIMUS)   Changed Description
PRESCRIBED MEDICATION (THROMBOSIS PREVENTION DRUG)   Changed Description
PRESCRIPTION DATE (ALEMTUZUMAB)   Changed Description
PRESCRIPTION DATE (ANTICOAGULANT)   Changed Description
PRESCRIPTION DATE (ANTI-FUNGAL PROPHYLAXIS)   Changed Description
PRESCRIPTION DATE (ANTI-HUMAN T-LYMPHOCYTE GLOBULIN)   Changed Description
PRESCRIPTION DATE (ANTITHYMOCYTE GLOBULIN)   Changed Description
PRESCRIPTION DATE (AZATHIOPRINE)   Changed Description
PRESCRIPTION DATE (BASILIXIMAB)   Changed Description
PRESCRIPTION DATE (CICLOSPORIN)   Changed Description
PRESCRIPTION DATE (CYTOMEGALOVIRUS TREATMENT)   Changed Description
PRESCRIPTION DATE (DACLIZUMAB)   Changed Description
PRESCRIPTION DATE (DEEP VEIN THROMBOSIS PROPHYLAXIS)   Changed Description
PRESCRIPTION DATE (HEPARIN SUBCUTANEOUS PROPHYLAXIS)   Changed Description
PRESCRIPTION DATE (INSULIN)   Changed Description
PRESCRIPTION DATE (INTRAPERITONEAL ANTIBIOTICS)   Changed Description
PRESCRIPTION DATE (INTRAVENOUS ANTIBIOTICS)   Changed Description
PRESCRIPTION DATE (INTRAVENOUS IRON)   Changed Description
PRESCRIPTION DATE (MUROMONAB-CD3)   Changed Description
PRESCRIPTION DATE (MYCOPHENOLATE MOFETIL)   Changed Description
PRESCRIPTION DATE (MYCOPHENOLATE SODIUM)   Changed Description
PRESCRIPTION DATE (OTHER MONOCLONAL ANTIBODY)   Changed Description
PRESCRIPTION DATE (PHOSPHATE BINDERS)   Changed Description
PRESCRIPTION DATE (PREDNISOLONE OR PREDNISONE)   Changed Description
PRESCRIPTION DATE (PROTON PUMP INHIBITORS)   Changed Description
PRESCRIPTION DATE (SIROLIMUS)   Changed Description
PRESCRIPTION DATE (TACROLIMUS)   Changed Description
PRESCRIPTION DATE (THROMBO EMBOLISM DETERRENT STOCKING)   Changed Description
PRESCRIPTION DATE (THROMBOSIS PREVENTION DRUG)   Changed Description
PRETEXT STAGING SYSTEM STAGE   Changed Description
PRETEXT STAGING SYSTEM STAGE (OUTSIDE LIVER)   Changed Description
PRIMARY EXTRANODAL SITE   Changed Description
PRIMARY PROCEDURE (READ)   Changed Description
PRIMARY PROCEDURE (SNOMED CT)   Changed Description
PROCEDURE (OPCS RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE)   Changed Description
PROCEDURE (READ)   Changed Description
PROCEDURE (SNOMED CT)   Changed Description
PROCEDURE (SNOMED CT ON NEONATAL CRITICAL CARE DAILY CARE DATE)   Changed Description
PROCEDURE (SNOMED CT RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE)   Changed Description
PROCEDURE DATE (FIRST END STAGE RENAL FAILURE TREATMENT)   Changed Description
PROCEDURE DATE (GRAFT NEPHRECTOMY)   Changed Description
PROCEDURE DATE AND TIME (DURING NEONATAL CRITICAL CARE PERIOD)   Changed Description
PROTEIN CREATININE RATIO   Changed Description
PSYCHOSIS TREATMENT START DATE   Changed Description
PSYCHOTROPIC MEDICATION USAGE   Changed Description
RECEIVING OXYGEN THERAPY ON DISCHARGE INDICATOR   Changed Description
REFERRAL DATE (TRANSPLANT CONSIDERATION)   Changed Description
REFERRAL RATE FOR BREAST ASSESSMENT (PERCENTAGE OF SCREENED)   Changed Description
REFERRAL RATE FOR CYTOLOGY AND/OR CORE BIOPSY (PERCENTAGE OF SCREENED)   Changed Description
REFERRAL RATE FOR OPEN BIOPSY (PERCENTAGE OF SCREENED)   Changed Description
REGION OF COUNTRY CODE FOR FEMALE GENITAL MUTILATION (ORIGIN)   Changed Description
REGISTERED FOR OTHER TRANSPLANT TYPE   Changed Description
REHABILITATION ASSESSMENT TEAM TYPE   Changed Description
RENAL TRANSPLANT FAILED CAUSE CODE   Changed Description
RENAL VEIN TUMOUR INDICATOR   Changed Description
RESECTION MARGIN INVOLVEMENT INDICATOR   Changed Description
RESPIRATORY RATE (ON ADMISSION TO NEONATAL CRITICAL CARE)   Changed Description
RETINOBLASTOMA ASSESSMENT DATE   Changed Description
RUPTURE OF MEMBRANES YEAR AND MONTH   Changed Description
SECONDARY CAUSE OF END STAGE RENAL FAILURE   Changed Description
SECONDARY DIAGNOSIS (READ)   Changed Description
SOURCE OF REFERRAL FOR FEMALE GENITAL MUTILATION   Changed Description
SPECIMEN TYPE (CHLAMYDIA TESTING SNOMED CT)   Changed Description
TREATMENT FUNCTION CODE (RECEIVING SERVICE)   Changed Description
TREATMENT FUNCTION CODE (REFERRING SERVICE)   Changed Description
TUMOUR INVASION INDICATOR (PERIRENAL FAT)   Changed Description
TUMOUR INVASION INDICATOR (PT3)   Changed Description
TUMOUR INVASION INDICATOR (RENAL SINUS)   Changed Description
TUMOUR REGRESSION INDICATION CODE   Changed Description
ULCERATION INDICATION CODE   Changed Description
VIABLE TUMOUR INDICATOR   Changed Description
WARD DAY PERIOD AVAILABILITY CODE   Changed Description
WARD NIGHT PERIOD AVAILABILITY CODE   Changed Description
WILMS TUMOUR STAGE DATE   Changed Description
WOMEN RECALL CEASED TOTAL (UPPER TIER LOCAL AUTHORITY)   Changed Description
 
XML Schema Constraint
CANCER OUTCOMES AND SERVICES DATA SET XML SCHEMA CONSTRAINTS   Changed Description
DIAGNOSTIC IMAGING DATA SET XML SCHEMA CONSTRAINTS   Changed Description
 
Binary
MATERNITY XML SCHEMA-RELEASE NOTES-V1-0   Changed attached binary file
 

Date:28 July 2015
Sponsor:Richard Kavanagh, Head of Data Standards - Interoperability Specifications, Architecture, Standards and Innovation, 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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CDS V6-2 TYPE 020 - OUTPATIENT CDS

Change to Data Set: Changed Description

CDS V6-2 Type 020 - Outpatient Commissioning Data Set Overview

Click CDS V6-2 Type 020 - Outpatient Commissioning Data Set for a "Full Screen" view.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button.

For guidance on the XML Schema constraints, see the Commissioning Data Set Version 6-2 XML Schema Constraints.

CDS V6-2 TYPE 020 - OUTPATIENT COMMISSIONING DATA SET
FUNCTION: To support the details of an Outpatient Attendance.

NotationDATA GROUP: CDS V6-2 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-2 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED
NotationDATA GROUP: CDS V6-2 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL
Group
Status
Group
Repeats
FUNCTION:
To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
OR
NotationDATA GROUP: CDS V6-2 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL
Group
Status
Group
Repeats
FUNCTION:
To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: PATIENT PATHWAY
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Patient Pathway.
This Group must be present if the record relates to a Referral To Treatment Period Included In 18 Weeks Target or is subject to Allied Health Professional Referral To Treatment Measurement.
M1..1DATA GROUP: PATIENT PATHWAY IDENTITYRules
M
Or
M
1..1

1..1
UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
Or
PATIENT PATHWAY IDENTIFIER
F
 
F
I2
M1..1ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)F
I2
M1..1DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICSRules
M1..1REFERRAL TO TREATMENT PERIOD STATUSV
M1..1WAITING TIME MEASUREMENT TYPEV
O0..1REFERRAL TO TREATMENT PERIOD START DATEF
S13
O0..1REFERRAL TO TREATMENT PERIOD END DATEF
S13

NotationDATA GROUP: PATIENT IDENTITY
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the Identity of the Patient.
See Note
: S3 in Commissioning Data Set Business Rules.
One of the following DATA GROUPS must be used:
1..1DATA GROUP: WITHHELD IDENTITY STRUCTURE
Must be used where the Commissioning Data Set record has been anonymised
M1..1Data Element ComponentsRules
M1..1NHS NUMBER STATUS INDICATOR CODEV
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1WITHHELD IDENTITY REASONV
OR
1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the NHS NUMBER STATUS INDICATOR CODE
Code Value = 01 (Number present and verified)
 
1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the NHS NUMBER STATUS INDICATOR CODE
National Code = 01 (Number present and verified)
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIERF
S3
M1..1ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
M1..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
M1..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1PERSON BIRTH DATEF
S3
S12
OR
1..1DATA GROUP: UNVERIFIED IDENTITY STRUCTURE
Must be used for all other values of the NHS NUMBER STATUS INDICATOR CODE NOT included in the above
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIERF
S3
M1..1ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
R0..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
O0..1PATIENT NAME - PERSON NAME STRUCTURED
OR
PATIENT NAME - PERSON NAME UNSTRUCTURED
F
S3
O0..1PATIENT USUAL ADDRESS - ADDRESS STRUCTURED (Label format Postal Address)
OR
PATIENT USUAL ADDRESS - ADDRESS UNSTRUCTURED (Character string)
F
S3
R0..1Data Element ComponentsRules
R0..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1PERSON BIRTH DATEF
S3
S12

NotationDATA GROUP: PATIENT CHARACTERISTICS (CARE ACTIVITY)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the characteristics of the Patient.
R1..1Data Element ComponentsRules
R0..1PERSON GENDER CODE CURRENTV
H4
O0..1CARER SUPPORT INDICATORV
R0..1ETHNIC CATEGORYV

NotationDATA GROUP: CARE EPISODE - PERSON GROUP (CONSULTANT)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Responsible Care Professional.
R1..1Data Element ComponentsRules
R0..1CONSULTANT CODEF
R0..1CARE PROFESSIONAL MAIN SPECIALTY CODEV
H4
R0..1ACTIVITY TREATMENT FUNCTION CODEV
H4
O0..1LOCAL SUB-SPECIALTY CODEF

NotationDATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS GROUP (ICD)
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the ICD coded Clinical Diagnoses.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USEV
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (ICD)F
O0..1PRESENT ON ADMISSION INDICATORV
O0..*DATA GROUP: SECONDARY DIAGNOSESRules
M1..1SECONDARY DIAGNOSIS (ICD)F
O0..1PRESENT ON ADMISSION INDICATORV

NotationDATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS GROUP (READ)
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the READ coded Clinical Diagnoses.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USEV
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (READ)F
O0..*DATA GROUP: SECONDARY DIAGNOSESRules
M1..1SECONDARY DIAGNOSIS (READ)F

NotationDATA GROUP: CARE ATTENDANCE - ACTIVITY CHARACTERISTICS
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the details of the Care Attendance or Missed/Cancelled Appointment.
M1..1Data Element ComponentsRules
R0..1ATTENDANCE IDENTIFIERF
R0..1ADMINISTRATIVE CATEGORY CODEV
R0..1ATTENDED OR DID NOT ATTEND CODEV
R0..1FIRST ATTENDANCE CODEV
H4
R0..1MEDICAL STAFF TYPE SEEING PATIENTV
R0..1OPERATION STATUS CODEV
R0..1OUTCOME OF ATTENDANCE CODEV
M1..1APPOINTMENT DATEF
S1
S13
O0..1APPOINTMENT TIMEF
S14
O0..1EXPECTED DURATION OF APPOINTMENTF
M1..1AGE AT CDS ACTIVITY DATEF
H4
S8
O0..1OVERSEAS VISITOR STATUS CLASSIFICATION AT CDS ACTIVITY DATEV
O0..1EARLIEST REASONABLE OFFER DATEF
S13
O0..1EARLIEST CLINICALLY APPROPRIATE DATEF
S13
O0..1CONSULTATION MEDIUM USEDV
O0..1MULTI-PROFESSIONAL OR MULTI-DISCIPLINARY INDICATION CODE (PAYMENT BY RESULTS)V
N3
O0..1REHABILITATION ASSESSMENT TEAM TYPEV
N3

NotationDATA GROUP: CARE ATTENDANCE - SERVICE AGREEMENT DETAILS
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the details of the Service Agreement.
M1..1Data Element ComponentsRules
R0..1COMMISSIONING SERIAL NUMBERF
O0..1NHS SERVICE AGREEMENT LINE NUMBERF
O0..1PROVIDER REFERENCE NUMBERF
R0..1COMMISSIONER REFERENCE NUMBERF
M1..1ORGANISATION CODE (CODE OF PROVIDER)F
M1..1ORGANISATION CODE (CODE OF COMMISSIONER)F

NotationDATA GROUP: ATTENDANCE OCCURRENCE - CLINICAL ACTIVITY GROUP (OPCS)
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the OPCS coded Clinical Activities and Treatments undertaken.
M1..1Data Element ComponentsRules
M1..1PROCEDURE SCHEME IN USEV
M1..1DATA GROUP: PRIMARY PROCEDURERules
M1..1PRIMARY PROCEDURE (OPCS)F
R1..1PROCEDURE DATEF
S13
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F
R0..*DATA GROUP: SECONDARY PROCEDURESRules
M1..1PROCEDURE (OPCS)F
R0..1PROCEDURE DATE
F
S13
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F

NotationDATA GROUP: CARE ATTENDANCE - CLINICAL ACTIVITY GROUP (READ)
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the READ coded Clinical Activities.
M1..1Data Element ComponentsRules
M1..1PROCEDURE SCHEME IN USEV
M1..1DATA GROUP: PRIMARY PROCEDURERules
M1..1PRIMARY PROCEDURE (READ)F
R0..1PROCEDURE DATEF
S13
O0..*DATA GROUP: SECONDARY PROCEDURESRules
M1..1PROCEDURE (READ)F
R0..1PROCEDURE DATEF
S13

NotationDATA GROUP: LOCATION GROUP - ATTENDANCE
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Location and Site Code Of Treatment.
R1..1Data Element ComponentsRules
R0..1LOCATION CLASSV
R0..1SITE CODE (OF TREATMENT)F
O0..1ACTIVITY LOCATION TYPE CODEV
O0..1CLINIC CODEV

NotationDATA GROUP: GP REGISTRATION
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the Patient's General Medical Practitioner and the General Practice details.
R1..1Data Element ComponentsRules
O0..1GENERAL MEDICAL PRACTITIONER (SPECIFIED)F
R0..1GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)F

NotationDATA GROUP: ACTIVITY CHARACTERISTICS - REFERRAL
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Referral.
R1..1Data Element ComponentsRules
R0..1PRIORITY TYPE CODEV
R0..1SERVICE TYPE REQUESTED CODEV
R0..1SOURCE OF REFERRAL FOR OUT-PATIENTSV
R0..1REFERRAL REQUEST RECEIVED DATEF
S13
O0..1DIRECT ACCESS REFERRAL INDICATORV

NotationDATA GROUP: REFERRER
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Referrer.
R1..1Data Element ComponentsRules
R0..1REFERRER CODEF
R0..1REFERRING ORGANISATION CODEF

NotationDATA GROUP: CARE REFERRAL - MISSED APPOINTMENT OCCURRENCE
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of a Missed Appointment.
R1..1Data Element ComponentsRules
R0..1LAST DNA OR PATIENT CANCELLED DATEF
S13

NotationDATA GROUP: CDS V6-2 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer 
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
NotationDATA GROUP: CDS V6-2 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

top


CDS V6-2 TYPE 021 - FUTURE OUTPATIENT CDS

Change to Data Set: Changed Description

CDS V6-2 Type 021- Future Outpatient Commissioning Data Set Overview

Click CDS V6-2 Type 021 - Future Outpatient Commissioning Data Set for a "Full Screen" view.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button.

For guidance on the XML Schema constraints, see the Commissioning Data Set Version 6-2 XML Schema Constraints.

CDS V6-2 TYPE 021 - FUTURE OUTPATIENT COMMISSIONING DATA SET
FUNCTION: To support the details of a Future (or Planned) Outpatient Attendance.

NotationDATA GROUP: CDS V6-2 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.

M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-2 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED
NotationDATA GROUP: CDS V6-2 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL
Group
Status
Group
Repeats
FUNCTION:
To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
OR
NotationDATA GROUP: CDS V6-2 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL
Group
Status
Group
Repeats
FUNCTION:
To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: PATIENT PATHWAY
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the Patient Pathway.
M1..1DATA GROUP: PATIENT PATHWAY IDENTITYRules
M
Or
M
1..1

1..1
UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
Or
PATIENT PATHWAY IDENTIFIER
F

F
I2
M1..1ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)F
I2
M1..1DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICSRules
M1..1REFERRAL TO TREATMENT PERIOD STATUSV
M1..1WAITING TIME MEASUREMENT TYPEV
O0..1REFERRAL TO TREATMENT PERIOD START DATEF
S13
O0..1REFERRAL TO TREATMENT PERIOD END DATEF
S13

NotationDATA GROUP: PATIENT IDENTITY
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the Identity of the Patient.
See Note: S3 in Commissioning Data Set Business Rules.
One of the following DATA GROUPS must be used:
1..1DATA GROUP: WITHHELD IDENTITY STRUCTURE
Must be used where the Commissioning Data Set record has been anonymised
M1..1Data Element ComponentsRules
M1..1NHS NUMBER STATUS INDICATOR CODEV
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1WITHHELD IDENTITY REASONV
OR
1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the NHS NUMBER STATUS INDICATOR CODE
Code Value = 01 (Number present and verified)
 
1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the NHS NUMBER STATUS INDICATOR CODE
National Code = 01 (Number present and verified)
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIERF
S3
M1..1ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
M1..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
M1..1POSTCODE OF USUAL ADDRESSS3
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1PERSON BIRTH DATEF
S3
S12
OR
1..1DATA GROUP: UNVERIFIED IDENTITY STRUCTURE
Must be used for all other values of the NHS NUMBER STATUS INDICATOR CODE NOT included in the above
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIERF
S3
M1..1ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
R0..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
O0..1PATIENT NAME - PERSON NAME STRUCTURED
Or
PATIENT NAME - PERSON NAME UNSTRUCTURED
F
S3
O0..1PATIENT USUAL ADDRESS - ADDRESS STRUCTURED (Label format Postal Address)
Or
PATIENT USUAL ADDRESS - ADDRESS UNSTRUCTURED (Character string)
F
S3
R0..1Data Element ComponentsRules
R0..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1PERSON BIRTH DATEF
S3
S12

NotationDATA GROUP: PATIENT CHARACTERISTICS (CARE ACTIVITY)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the characteristics of the Patient.
R1..1Data Element ComponentsRules
R0..1PERSON GENDER CODE CURRENTV
O0..1CARER SUPPORT INDICATORV
R0..1ETHNIC CATEGORYV

NotationDATA GROUP: CARE EPISODE - PERSON GROUP (CONSULTANT)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Responsible Care Professional.
R1..1Data Element ComponentsRules
R0..1CONSULTANT CODEF
R0..1CARE PROFESSIONAL MAIN SPECIALTY CODEV
R0..1ACTIVITY TREATMENT FUNCTION CODEV
O0..1LOCAL SUB-SPECIALTY CODEF

NotationDATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS GROUP (ICD)
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the ICD coded Clinical Diagnoses.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USEV
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (ICD)F
O0..1PRESENT ON ADMISSION INDICATORV
O0..*DATA GROUP: SECONDARY DIAGNOSESRules
M1..1SECONDARY DIAGNOSIS (ICD)F
O0..1PRESENT ON ADMISSION INDICATORV

NotationDATA GROUP: CARE EPISODE - CLINICAL DIAGNOSIS GROUP (READ)
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the READ coded Clinical Diagnoses.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USEV
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (READ)F
O0..*DATA GROUP: SECONDARY DIAGNOSESRules
M1..1SECONDARY DIAGNOSIS (READ)F

NotationDATA GROUP: CARE ATTENDANCE - ACTIVITY CHARACTERISTICS
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the details of the Care Attendance or Missed/Cancelled Appointment.
M1..1Data Element ComponentsRules
R0..1ATTENDANCE IDENTIFIERF
R0..1ADMINISTRATIVE CATEGORY CODEV
R0..1ATTENDED OR DID NOT ATTEND CODEV
R0..1FIRST ATTENDANCE CODEV
R0..1MEDICAL STAFF TYPE SEEING PATIENTV
R0..1OPERATION STATUS CODEV
R0..1OUTCOME OF ATTENDANCE CODEV
M1..1APPOINTMENT DATEF
S1
S13
O0..1APPOINTMENT TIMEF
S14
O0..1EXPECTED DURATION OF APPOINTMENTF
M1..1AGE AT CDS ACTIVITY DATEF
H4
S8
O0..1OVERSEAS VISITOR STATUS CLASSIFICATION AT CDS ACTIVITY DATEV
O0..1EARLIEST REASONABLE OFFER DATEF
S13
O0..1EARLIEST CLINICALLY APPROPRIATE DATEF
S13
O0..1CONSULTATION MEDIUM USEDV
O0..1MULTI-PROFESSIONAL OR MULTI-DISCIPLINARY INDICATION CODE (PAYMENT BY RESULTS)V
N3
O0..1REHABILITATION ASSESSMENT TEAM TYPEV
N3

NotationDATA GROUP: CARE ATTENDANCE - SERVICE AGREEMENT DETAILS
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the details of the Service Agreement.
M1..1Data Element ComponentsRules
R0..1COMMISSIONING SERIAL NUMBERF
O0..1NHS SERVICE AGREEMENT LINE NUMBERF
O0..1PROVIDER REFERENCE NUMBERF
R0..1COMMISSIONER REFERENCE NUMBERF
M1..1ORGANISATION CODE (CODE OF PROVIDER)F
M1..1ORGANISATION CODE (CODE OF COMMISSIONER)F

NotationDATA GROUP: ATTENDANCE OCCURRENCE - CLINICAL ACTIVITY GROUP (OPCS)
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the OPCS coded Clinical Activities and Treatments undertaken.
M1..1Data Element ComponentsRules
M1..1PROCEDURE SCHEME IN USEV
M1..1DATA GROUP: PRIMARY PROCEDURERules
M1..1PRIMARY PROCEDURE (OPCS)F
R1..1PROCEDURE DATEF
S13
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F
R0..*DATA GROUP: SECONDARY PROCEDURESRules
M1..1PROCEDURE (OPCS)F
R0..1PROCEDURE DATE
F
S13
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F

NotationDATA GROUP: CARE ATTENDANCE - CLINICAL ACTIVITY GROUP (READ)
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the READ coded Clinical Activities.
M1..1Data Element ComponentsRules
M1..1PROCEDURE SCHEME IN USEV
M1..1DATA GROUP: PRIMARY PROCEDURERules
M1..1PRIMARY PROCEDURE (READ)F
R0..1PROCEDURE DATEF
S13
O0..*DATA GROUP: SECONDARY PROCEDURESRules
M1..1PROCEDURE (READ)F
R0..1PROCEDURE DATEF
S13

NotationDATA GROUP: LOCATION GROUP - ATTENDANCE
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Location and Site Code Of Treatment.
R1..1Data Element ComponentsRules
R0..1LOCATION CLASSV
R0..1SITE CODE (OF TREATMENT)F
O0..1ACTIVITY LOCATION TYPE CODEV
O0..1CLINIC CODEF

NotationDATA GROUP: GP REGISTRATION
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the Patient's General Medical Practitioner and the General Practice details.
R1..1Data Element ComponentsRules
O0..1GENERAL MEDICAL PRACTITIONER (SPECIFIED)F
R0..1GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)F

NotationDATA GROUP: ACTIVITY CHARACTERISTICS - REFERRAL
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Referral.
R1..1Data Element ComponentsRules
R0..1PRIORITY TYPE CODEV
R0..1SERVICE TYPE REQUESTED CODEV
R0..1SOURCE OF REFERRAL FOR OUT-PATIENTSV
R0..1REFERRAL REQUEST RECEIVED DATEF
S13
O0..1DIRECT ACCESS REFERRAL INDICATORV

NotationDATA GROUP: REFERRER
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Referrer.
R1..1Data Element ComponentsRules
R0..1REFERRER CODEF
R0..1REFERRING ORGANISATION CODEF

NotationDATA GROUP: CARE REFERRAL - MISSED APPOINTMENT OCCURRENCE
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of a Missed Appointment.
R1..1Data Element ComponentsRules
R0..1LAST DNA OR PATIENT CANCELLED DATEF
S13

NotationDATA GROUP: CDS V6-2 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer 
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-2 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

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CDS V6-2 TYPE 130 - ADMITTED PATIENT CARE - FINISHED GENERAL EPISODE CDS

Change to Data Set: Changed Description

CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set Overview

Click CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set for a "Full Screen" view.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button.

For guidance on the XML Schema constraints, see the Commissioning Data Set Version 6-2 XML Schema Constraints.

CDS V6-2 TYPE 130 - FINISHED GENERAL EPISODE COMMISSIONING DATA SET
FUNCTION: To support the details of a Finished General Episode.

NotationDATA GROUP: CDS V6-2 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-2 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED
NotationDATA GROUP: CDS V6-2 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL
Group
Status
Group
Repeats
FUNCTION:
To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
OR
NotationDATA GROUP: CDS V6-2 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL
Group
Status
Group
Repeats
FUNCTION:
To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: PATIENT PATHWAY
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Patient Pathway.
This Group must be present if the record relates to a Referral To Treatment Period Included In 18 Weeks Target.
M1..1DATA GROUP: PATIENT PATHWAY IDENTITYRules
M
Or
M
1..1

1..1
UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
Or
PATIENT PATHWAY IDENTIFIER
F

F
I2
M1..1ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)F
I2
M1..1DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICSRules
M1..1REFERRAL TO TREATMENT PERIOD STATUSV
M1..1WAITING TIME MEASUREMENT TYPEV
O0..1REFERRAL TO TREATMENT PERIOD START DATEF
S13
O0..1REFERRAL TO TREATMENT PERIOD END DATEF
S13

NotationDATA GROUP: PATIENT IDENTITY
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the Identity of the Patient.
See Note
: S3 in Commissioning Data Set Business Rules.
One of the following DATA GROUPS must be used:
1..1DATA GROUP: WITHHELD IDENTITY STRUCTURE
Must be used where the Commissioning Data Set record has been anonymised
M1..1Data Element ComponentsRules
M1..1NHS NUMBER STATUS INDICATOR CODEV
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1WITHHELD IDENTITY REASONV
OR
1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the NHS NUMBER STATUS INDICATOR CODE
Code Value = 01 (Number present and verified)
 
1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the NHS NUMBER STATUS INDICATOR CODE
National Code = 01 (Number present and verified)
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIERF
S3
M1..1ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
M1..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
M1..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1PERSON BIRTH DATEF
S3
S12
OR
1..1DATA GROUP: UNVERIFIED IDENTITY STRUCTURE
Must be used for all other values of the NHS NUMBER STATUS INDICATOR CODE NOT included in the above
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIERF
S3
M1..1ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
R0..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
O0..1PATIENT NAME - PERSON NAME STRUCTURED
Or
PATIENT NAME - PERSON NAME UNSTRUCTURED
F
S3
O0..1PATIENT USUAL ADDRESS - ADDRESS STRUCTURED (Label format Postal Address)
Or
PATIENT USUAL ADDRESS - ADDRESS UNSTRUCTURED (Character string)
F
S3
R0..1Data Element ComponentsRules
R0..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1PERSON BIRTH DATEF
S3
S12

NotationDATA GROUP: PATIENT CHARACTERISTICS
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the characteristics of the Patient.
R1..1Data Element ComponentsRules
R0..1PERSON GENDER CODE CURRENTV
H4
O0..1CARER SUPPORT INDICATORV
R0..1ETHNIC CATEGORYV
R0..1PERSON MARITAL STATUSV
N1
R0..1MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)V
N1

NotationDATA GROUP: HOSPITAL PROVIDER SPELL - ADMISSION CHARACTERISTICS
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the admission details of the Hospital Provider Spell containing the Episode.
M1..1Data Element ComponentsRules
R0..1HOSPITAL PROVIDER SPELL NUMBERF
H4
R0..1ADMINISTRATIVE CATEGORY CODE (ON ADMISSION)V
R0..1PATIENT CLASSIFICATION CODEV
H4
R0..1ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)V
R0..1SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)V
H4
M1..1START DATE (HOSPITAL PROVIDER SPELL)F
H4
S13
O0..1START TIME (HOSPITAL PROVIDER SPELL)F
S14
M1..1AGE ON ADMISSIONF
H4
O0..1AMBULANCE INCIDENT NUMBERF
O0..1ORGANISATION CODE (CONVEYING AMBULANCE TRUST)F

NotationDATA GROUP: HOSPITAL PROVIDER SPELL - DISCHARGE CHARACTERISTICS
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the discharge details of the Hospital Provider Spell containing the Episode.
R0..1Data Element ComponentsRules
R0..1DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)V
H4
R0..1DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)V
H4
O0..1DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL)F
S13
R0..1DISCHARGE DATE (HOSPITAL PROVIDER SPELL)F
S13
O0..1DISCHARGE TIME (HOSPITAL PROVIDER SPELL)F
S14
O0..1DISCHARGED TO HOSPITAL AT HOME SERVICE INDICATORV

NotationDATA GROUP: CONSULTANT EPISODE - ACTIVITY CHARACTERISTICS
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the details of the Patient's Finished Episode.
M1..1Data Element ComponentsRules
R0..1EPISODE NUMBERF
H4
R0..1LAST EPISODE IN SPELL INDICATOR CODEV
R0..1OPERATION STATUS CODEV
O0..1NEONATAL LEVEL OF CARE CODEV
H4
O0..1FIRST REGULAR DAY OR NIGHT ADMISSION CODEV
R0..1PSYCHIATRIC PATIENT STATUS CODEV
M1..1START DATE (EPISODE)F
S13
O0..1START TIME (EPISODE)F
S14
M1..1END DATE (EPISODE)F
H4
S1
S13
O0..1END TIME (EPISODE)F
S14
M1..1AGE AT CDS ACTIVITY DATEF
H4
S8
O0..1MULTI-PROFESSIONAL OR MULTI-DISCIPLINARY INDICATION CODE (PAYMENT BY RESULTS)V
N3
O0..1REHABILITATION ASSESSMENT TEAM TYPEV
N3

NotationDATA GROUP: CONSULTANT EPISODE - LENGTH OF STAY ADJUSTMENT
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry details of length of stay adjustments to the Consultant Episode .
O0..1Data Element ComponentsRules
O0..1LENGTH OF STAY ADJUSTMENT (REHABILITATION)F
O0..1LENGTH OF STAY ADJUSTMENT (SPECIALIST PALLIATIVE CARE)F

NotationDATA GROUP: CONSULTANT EPISODE- OVERSEAS VISITOR STATUS GROUP
Group
Status
O
Group
Repeats
0..5
FUNCTION:
To carry the details of the Overseas Visitor Status of the Patient during the Episode.
O0..1Data Element ComponentsRules
M1..1OVERSEAS VISITOR STATUS CLASSIFICATIONV
M1..1OVERSEAS VISITOR STATUS START DATEF
S13
R0..1OVERSEAS VISITOR STATUS END DATEF
S13

NotationDATA GROUP: CONSULTANT EPISODE - SERVICE AGREEMENT DETAILS
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the details of the Service Agreement.
M1..1Data Element ComponentsRules
R0..1COMMISSIONING SERIAL NUMBERF
O0..1NHS SERVICE AGREEMENT LINE NUMBERF
O0..1PROVIDER REFERENCE NUMBERF
R0..1COMMISSIONER REFERENCE NUMBERF
M1..1ORGANISATION CODE (CODE OF PROVIDER)F
H4
M1..1ORGANISATION CODE (CODE OF COMMISSIONER)F

NotationDATA GROUP: CONSULTANT EPISODE - PERSON GROUP (CONSULTANT)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Responsible Care Professional.
R1..1Data Element ComponentsRules
R0..1CONSULTANT CODEF
R0..1CARE PROFESSIONAL MAIN SPECIALTY CODEV
H4
R0..1ACTIVITY TREATMENT FUNCTION CODEV
H4
O0..1LOCAL SUB-SPECIALTY CODEF

NotationDATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the ICD coded Clinical Diagnoses.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USEV
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (ICD)F
H4
O0..1PRESENT ON ADMISSION INDICATORV
R0..*DATA GROUP: SECONDARY DIAGNOSESRules
R0..1SECONDARY DIAGNOSIS (ICD)F
H4
O0..1PRESENT ON ADMISSION INDICATORV

NotationDATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (READ)
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the READ coded Clinical Diagnoses.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USEV
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (READ)F
O0..*DATA GROUP: SECONDARY DIAGNOSESRules
R0..1SECONDARY DIAGNOSIS (READ)F

NotationDATA GROUP: CONSULTANT EPISODE - CLINICAL ACTIVITY GROUP (OPCS)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Intended OPCS coded Clinical Activities.
M1..1Data Element ComponentsRules
M1..1PROCEDURE SCHEME IN USEV
M1..1DATA GROUP: PRIMARY PROCEDURERules
M1..1PRIMARY PROCEDURE (OPCS)F
R1..1PROCEDURE DATEF
S13
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F
R0..*DATA GROUP: SECONDARY PROCEDURESRules
M1..1PROCEDURE (OPCS)F
R0..1PROCEDURE DATE
F
S13
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F

NotationDATA GROUP: CONSULTANT EPISODE - CLINICAL ACTIVITY GROUP (READ)
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the READ coded Clinical Activities.
M1..1Data Element ComponentsRules
M1..1PROCEDURE SCHEME IN USEV
M1..1DATA GROUP: PRIMARY PROCEDURERules
M1..1PRIMARY PROCEDURE (READ)F
R0..1PROCEDURE DATEF
S13
O0..*DATA GROUP: SECONDARY PROCEDURESRules
M1..1PROCEDURE (READ)F
R0..1PROCEDURE DATEF
S13

NotationDATA GROUP: LOCATION GROUP (AT START OF EPISODE)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Location at the Start Of Episode.
R1..1Data Element ComponentsRules
R0..1LOCATION CLASSV
R0..1SITE CODE (OF TREATMENT)F
O0..1ACTIVITY LOCATION TYPE CODEV
O0..1INTENDED CLINICAL CARE INTENSITY CODEV
O0..1INTENDED AGE GROUPV
O0..1SEX OF PATIENTS CODEV
O0..1WARD DAY PERIOD AVAILABILITY CODEV
O0..1WARD NIGHT PERIOD AVAILABILITY CODEV
O0..1WARD SECURITY LEVELV
O0..1WARD CODEF

NotationDATA GROUP: LOCATION GROUP (AT WARD STAY)
Group
Status
R
Group
Repeats
0..97
FUNCTION:
To carry the details of one or more Ward Stays.
R1..1Data Element ComponentsRules
R0..1LOCATION CLASSV
R0..1SITE CODE (OF TREATMENT)F
O0..1ACTIVITY LOCATION TYPE CODEV
O0..1INTENDED CLINICAL CARE INTENSITY CODEV
O0..1INTENDED AGE GROUPV
O0..1SEX OF PATIENTS CODEV
O0..1WARD DAY PERIOD AVAILABILITY CODEV
O0..1WARD NIGHT PERIOD AVAILABILITY CODEV
O0..1START DATEF
S13
O0..1START TIME (WARD STAY)F
S14
O0..1END DATEF
S13
O0..1END TIME (WARD STAY)F
S14
O0..1WARD SECURITY LEVELV
O0..1WARD CODEF

NotationDATA GROUP: LOCATION GROUP (AT END OF EPISODE)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Location at the End Of Episode.
R1..1Data Element ComponentsRules
R0..1LOCATION CLASSV
R0..1SITE CODE (OF TREATMENT)F
O0..1ACTIVITY LOCATION TYPE CODEV
O0..1INTENDED CLINICAL CARE INTENSITY CODEV
O0..1INTENDED AGE GROUPV
O0..1SEX OF PATIENTS CODEV
O0..1WARD DAY PERIOD AVAILABILITY CODEV
O0..1WARD NIGHT PERIOD AVAILABILITY CODEV
O0..1WARD SECURITY LEVELV
O0..1WARD CODEF

NotationDATA GROUP: NEONATAL CRITICAL CARE PERIOD
Group
Status
R
Group
Repeats
0..9
FUNCTION: See CRITICAL CARE PERIOD
To carry the details of the first 9 Critical Care Periods for care provided using Neonatal Care facilities.
M1..1DATA GROUP: NEONATAL CARE - ADMISSION CHARACTERISTICSRules
M1..1CRITICAL CARE LOCAL IDENTIFIERF
M1..1CRITICAL CARE START DATEF
H4
S13
M1..1CRITICAL CARE START TIMEF
S14
M1..1CRITICAL CARE UNIT FUNCTIONV
H4
M1..1GESTATION LENGTH (AT DELIVERY)V
M1..999DATA GROUP: NEONATAL DAILY CARE - ACTIVITY CHARACTERISTICSRules
M1..1ACTIVITY DATE (CRITICAL CARE)F
S13
R0..1PERSON WEIGHTF
M1..20CRITICAL CARE ACTIVITY CODEV
N4
R0..20HIGH COST DRUGS (OPCS)F
N4
R0..1DATA GROUP: NEONATAL CARE - DISCHARGE CHARACTERISTICSRules
M1..1CRITICAL CARE DISCHARGE DATEF
H4
S13
M1..1CRITICAL CARE DISCHARGE TIMEF
S14

NotationDATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD
Group
Status
R
Group
Repeats
0..9
FUNCTION: See CRITICAL CARE PERIOD
To carry the details of the first 9 Critical Care Periods for care provided using Paediatric Care facilities.
M1..1DATA GROUP: PAEDIATRIC CRITICAL CARE - ADMISSION CHARACTERISTICSRules
M1..1CRITICAL CARE LOCAL IDENTIFIERF
M1..1CRITICAL CARE START DATEF
H4
S13
M1..1CRITICAL CARE START TIMEF
S14
M1..1CRITICAL CARE UNIT FUNCTIONV
H4
M1..999DATA GROUP: PAEDIATRIC DAILY CARE - ACTIVITY CHARACTERISTICSRules
M1..1ACTIVITY DATE (CRITICAL CARE)F
S13
M1..20CRITICAL CARE ACTIVITY CODEV
N4
R0..20HIGH COST DRUGS (OPCS)F
N4
R0..1DATA GROUP: PAEDIATRIC CRITICAL CARE - DISCHARGE CHARACTERISTICSRules
M1..1CRITICAL CARE DISCHARGE DATEF
H4
S13
M1..1CRITICAL CARE DISCHARGE TIMEF
S14

NotationDATA GROUP: ADULT CRITICAL CARE PERIOD
Group
Status
R
Group
Repeats
0..9
FUNCTION: See CRITICAL CARE PERIOD
To carry the details of the first 9 Critical Care Periods for care provided using Adult Care facilities.
M1..1DATA GROUP: ADULT CRITICAL CARE - ADMISSION CHARACTERISTICSRules
M1..1CRITICAL CARE LOCAL IDENTIFIERF
M1..1CRITICAL CARE START DATEF
H4
S13
O0..1CRITICAL CARE START TIMEF
S14
M1..1CRITICAL CARE UNIT FUNCTIONV
H4
O0..1CRITICAL CARE UNIT BED CONFIGURATIONV
O0..1CRITICAL CARE ADMISSION SOURCEV
O0..1CRITICAL CARE SOURCE LOCATIONV
O0..1CRITICAL CARE ADMISSION TYPEV
M1..1DATA GROUP: ADULT DAILY CARE - ACTIVITY CHARACTERISTICSRules
R0..1ADVANCED RESPIRATORY SUPPORT DAYSF
H4
R0..1BASIC RESPIRATORY SUPPORT DAYSF
H4
R0..1ADVANCED CARDIOVASCULAR SUPPORT DAYSF
H4
R0..1BASIC CARDIOVASCULAR SUPPORT DAYSF
H4
R0..1RENAL SUPPORT DAYSF
H4
R0..1NEUROLOGICAL SUPPORT DAYSF
H4
O0..1GASTRO-INTESTINAL SUPPORT DAYSF
R0..1DERMATOLOGICAL SUPPORT DAYSF
H4
R0..1LIVER SUPPORT DAYSF
H4
O0..1ORGAN SUPPORT MAXIMUMV
R0..1CRITICAL CARE LEVEL 2 DAYSF
H4
R0..1CRITICAL CARE LEVEL 3 DAYSF
H4
R0..1DATA GROUP: ADULT CRITICAL CARE - DISCHARGE CHARACTERISTICSRules
M1..1CRITICAL CARE DISCHARGE DATEF
H4
S13
M1..1CRITICAL CARE DISCHARGE TIMEF
S14
O0..1CRITICAL CARE DISCHARGE READY DATEF
S13
O0..1CRITICAL CARE DISCHARGE READY TIMEF
S14
O0..1CRITICAL CARE DISCHARGE STATUSV
O0..1CRITICAL CARE DISCHARGE DESTINATIONV
O0..1CRITICAL CARE DISCHARGE LOCATIONV

NotationDATA GROUP: GP REGISTRATION
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the Patient's General Medical Practitioner and the General Practice details.
R1..1Data Element ComponentsRules
O0..1GENERAL MEDICAL PRACTITIONER (SPECIFIED)F
R0..1GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)F

NotationDATA GROUP: REFERRER
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Referrer.
R1..1Data Element ComponentsRules
R0..1REFERRER CODEF
R0..1REFERRING ORGANISATION CODEF

NotationDATA GROUP: REFERRAL
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the Referral.
O0..1Data Element ComponentsRules
O0..1DIRECT ACCESS REFERRAL INDICATORV

NotationDATA GROUP: ELECTIVE ADMISSION LIST ENTRY
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Elective Admission List Entry.
R1..1Data Element ComponentsRules
R0..1DURATION OF ELECTIVE WAITF
R0..1INTENDED MANAGEMENT CODEV
R0..1DECIDED TO ADMIT DATEF
S13
O0..1EARLIEST REASONABLE OFFER DATEF
S13

NotationDATA GROUP: CDS V6-2 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer 
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-2 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

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CDS V6-2 TYPE 170 - ADMITTED PATIENT CARE - DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS CDS

Change to Data Set: Changed Description

CDS V6-2 Type 170 - Admitted Patient Care - Detained And Or Long Term Psychiatric Census Commissioning Data Set Overview

Click CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set for a "Full Screen" view.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button.

For guidance on the XML Schema constraints, see the Commissioning Data Set Version 6-2 XML Schema Constraints.

CDS V6-2 TYPE 170 - DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS COMMISSIONING DATA SET
FUNCTION: To support the details of a Psychiatric Patient Episode.

NotationDATA GROUP: CDS V6-2 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-2 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED
NotationDATA GROUP: CDS V6-2 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL
Group
Status
Group
Repeats
FUNCTION:
To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
OR
NotationDATA GROUP: CDS V6-2 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL
Group
Status
Group
Repeats
FUNCTION:
To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: PATIENT PATHWAY
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the Patient Pathway.
M1..1DATA GROUP: PATIENT PATHWAY IDENTITYRules
M
Or
M
1..1

1..1
UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
Or
PATIENT PATHWAY IDENTIFIER
F
 
F
I2
M1..1ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)F
I2
M1..1DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICSRules
M1..1REFERRAL TO TREATMENT PERIOD STATUSV
M1..1WAITING TIME MEASUREMENT TYPEV
O0..1REFERRAL TO TREATMENT PERIOD START DATEF
S13
O0..1REFERRAL TO TREATMENT PERIOD END DATEF
S13

NotationDATA GROUP: PATIENT IDENTITY
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the Identity of the Patient.
See Note S3 in Commissioning Data Set Business Rules.
One of the following DATA GROUPS must be used:
1..1DATA GROUP: WITHHELD IDENTITY STRUCTURE
Must be used where the Commissioning Data Set record has been anonymised
M1..1Data Element ComponentsRules
M1..1NHS NUMBER STATUS INDICATOR CODEV
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1WITHHELD IDENTITY REASONV
OR
1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the NHS NUMBER STATUS INDICATOR CODE
Code Value = 01 (Number present and verified)
 
1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the NHS NUMBER STATUS INDICATOR CODE
National Code = 01 (Number present and verified)
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIERF
S3
M1..1ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
M1..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
M1..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1PERSON BIRTH DATEF
S3
S12
OR
1..1DATA GROUP: UNVERIFIED IDENTITY STRUCTURE
Must be used for all other values of the NHS NUMBER STATUS INDICATOR CODE NOT included in the above
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIERF
S3
M1..1ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
R0..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
O0..1PATIENT NAME - PERSON NAME STRUCTURED
OR
PATIENT NAME - PERSON NAME UNSTRUCTURED
F
S3
O0..1PATIENT USUAL ADDRESS - ADDRESS STRUCTURED (Label format Postal Address)
OR
PATIENT USUAL ADDRESS - ADDRESS UNSTRUCTURED (Character string)
F
S3
R0..1Data Element ComponentsRules
R0..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1PERSON BIRTH DATEF
S3
S12

NotationDATA GROUP: PATIENT CHARACTERISTICS
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the characteristics of the Patient.
R
1..1Data Element ComponentsRules
R0..1PERSON GENDER CODE CURRENTV
O0..1CARER SUPPORT INDICATORV
R0..1ETHNIC CATEGORYV
R0..1PERSON MARITAL STATUSV
N1
R0..1MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)V
N1

NotationDATA GROUP: PATIENT CHARACTERISTICS (PSYCHIATRIC CENSUS)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the psychiatric characteristics of the Patient.
M1..1Data Element ComponentsRules
R0..1MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (AT CENSUS DATE)V
S13
R0..1DATE DETENTION COMMENCEDF
S13
M1..1AGE AT CENSUSF
R0..1DURATION OF CARE TO PSYCHIATRIC CENSUS DATEF
S13
R0..1DURATION OF DETENTIONF
R0..1MENTAL HEALTH ACT 2007 MENTAL CATEGORYV
N6
R0..1STATUS OF PATIENT INCLUDED IN THE PSYCHIATRIC CENSUS CODEV

NotationDATA GROUP: HOSPITAL PROVIDER SPELL - ADMISSION CHARACTERISTICS
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the admission details of the Hospital Provider Spell containing the Episode.
M1..1Data Element ComponentsRules
R0..1HOSPITAL PROVIDER SPELL NUMBERF
R0..1ADMINISTRATIVE CATEGORY CODE (ON ADMISSION)V
R0..1PATIENT CLASSIFICATION CODEV
R0..1ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)V
R0..1SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)V
M1..1START DATE (HOSPITAL PROVIDER SPELL)F
S13
O0..1START TIME (HOSPITAL PROVIDER SPELL)F
S14
M1..1AGE ON ADMISSIONF

NotationDATA GROUP: CONSULTANT EPISODE ACTIVITY CHARACTERISTICS
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the details of the Consultant Episode on the Census Date.
M1..1Data Element ComponentsRules
R0..1EPISODE NUMBERF
R0..1PSYCHIATRIC PATIENT STATUS CODEV
M1..1START DATE (EPISODE)F
S13
O0..1START TIME (EPISODE)F
S14
M1..1DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATEF
S1
S10
S13

NotationDATA GROUP: CONSULTANT EPISODE- OVERSEAS VISITOR STATUS GROUP
Group
Status
O
Group
Repeats
0..5
FUNCTION:
To carry the details of the Overseas Visitor Status of the Patient during the Episode.
O0..1Data Element ComponentsRules
M1..1OVERSEAS VISITOR STATUS CLASSIFICATIONV
M1..1OVERSEAS VISITOR STATUS START DATEF
S13
R0..1OVERSEAS VISITOR STATUS END DATEF
S13

NotationDATA GROUP: SERVICE AGREEMENT DETAILS
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the details of the Service Agreement.
M1..1Data Element ComponentsRules
R0..1COMMISSIONING SERIAL NUMBERF
O0..1NHS SERVICE AGREEMENT LINE NUMBERF
O0..1PROVIDER REFERENCE NUMBERF
R0..1COMMISSIONER REFERENCE NUMBERF
M1..1ORGANISATION CODE (CODE OF PROVIDER)F
M1..1ORGANISATION CODE (CODE OF COMMISSIONER)F

NotationDATA GROUP: CONSULTANT EPISODE - PERSON GROUP (CONSULTANT)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Responsible Care Professional.
R1..1Data Element ComponentsRules
R0..1CONSULTANT CODEF
R0..1CARE PROFESSIONAL MAIN SPECIALTY CODEV
R0..1ACTIVITY TREATMENT FUNCTION CODEV
O0..1LOCAL SUB-SPECIALTY CODEF

NotationDATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the ICD coded Clinical Diagnoses.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USEV
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (ICD)F
O0..1PRESENT ON ADMISSION INDICATORV
R0..*DATA GROUP: SECONDARY DIAGNOSESRules
M1..1SECONDARY DIAGNOSIS (ICD)F
O0..1PRESENT ON ADMISSION INDICATORV

NotationDATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (READ)
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the READ coded Clinical Diagnoses.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USEV
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (READ)F
O0..*DATA GROUP: SECONDARY DIAGNOSESRules
M1..1SECONDARY DIAGNOSIS (READ)F

NotationDATA GROUP: LOCATION GROUP (AT START OF EPISODE)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Location at the Start Of Episode.
R1..1Data Element ComponentsRules
R0..1LOCATION CLASSV
R0..1SITE CODE (OF TREATMENT)F
O0..1ACTIVITY LOCATION TYPE CODEV
O0..1INTENDED CLINICAL CARE INTENSITY CODEV
O0..1INTENDED AGE GROUPV
O0..1SEX OF PATIENTS CODEV
O0..1WARD DAY PERIOD AVAILABILITY CODEV
O0..1WARD NIGHT PERIOD AVAILABILITY CODEV
O0..1WARD SECURITY LEVELV
O0..1WARD CODEF

NotationDATA GROUP: LOCATION GROUP (WARD STAY AT PSYCHIATRIC CENSUS DATE)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Location of the Ward Stay at the Psychiatric Census Date.
R1..1Data Element ComponentsRules
R0..1LOCATION CLASSV
R0..1SITE CODE (OF TREATMENT)F
O0..1ACTIVITY LOCATION TYPE CODEV
R0..1INTENDED CLINICAL CARE INTENSITY CODEV
R0..1INTENDED AGE GROUPV
R0..1SEX OF PATIENTS CODEV
R0..1WARD DAY PERIOD AVAILABILITY CODEV
R0..1WARD NIGHT PERIOD AVAILABILITY CODEV
O0..1DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATEF
N7
S1
S10
S13
O0..1WARD SECURITY LEVELV
O0..1WARD CODEF

NotationDATA GROUP: GP REGISTRATION
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the Patient's General Medical Practitioner and the General Practice details.
R1..1Data Element ComponentsRules
O0..1GENERAL MEDICAL PRACTITIONER (SPECIFIED)F
R0..1GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)F

NotationDATA GROUP: REFERRER
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Referrer.
R1..1Data Element ComponentsRules
R0..1REFERRER CODEF
R0..1REFERRING ORGANISATION CODEF

NotationDATA GROUP: ELECTIVE ADMISSION LIST ENTRY
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Elective Admission List Entry.
R1..1Data Element ComponentsRules
R0..1DURATION OF ELECTIVE WAITF
R0..1INTENDED MANAGEMENT CODEV
R0..1DECIDED TO ADMIT DATEF
S13
O0..1EARLIEST REASONABLE OFFER DATEF
S13

NotationDATA GROUP: CDS V6-2 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer 
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-2 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer 
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

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CDS V6-2 TYPE 190 - ADMITTED PATIENT CARE - UNFINISHED GENERAL EPISODE CDS

Change to Data Set: Changed Description

CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set Overview

Click CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set for a "Full Screen" view.

In the "Full Screen" view, to return to the "Data Set" view, click the browser "back" button.

For guidance on the XML Schema constraints, see the Commissioning Data Set Version 6-2 XML Schema Constraints.

CDS V6-2 TYPE 190 - UNFINISHED GENERAL EPISODE COMMISSIONING DATA SET
FUNCTION: To support the details of an Unfinished General Episode.

NotationDATA GROUP: CDS V6-2 TYPE 001 - COMMISSIONING DATA SET INTERCHANGE HEADER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-2 Type 001 - Commissioning Data Set Interchange Header
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-2 TYPE 003 - COMMISSIONING DATA SET MESSAGE HEADER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..*DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
ONE OF THE FOLLOWING TWO OPTIONS MUST BE USED
NotationDATA GROUP: CDS V6-2 TYPE 005B - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - BULK UPDATE PROTOCOL
Group
Status
Group
Repeats
FUNCTION:
To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of the Bulk Replacement Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.
OR
NotationDATA GROUP: CDS V6-2 TYPE 005N - COMMISSIONING DATA SET TRANSACTION HEADER GROUP - NET CHANGE PROTOCOL
Group
Status
Group
Repeats
FUNCTION:
To carry Commissioning Data Set identification and addressing data and other data indicating the specific use of one of the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol.
M1..1DATA GROUP: CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol
One per Commissioning Data Set record submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: PATIENT PATHWAY
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Patient Pathway.
This Group must be present if the record relates to a Referral To Treatment Period Included In 18 Weeks Target.
M1..1DATA GROUP: PATIENT PATHWAY IDENTITYRules
M
Or
M
1..1

1..1
UNIQUE BOOKING REFERENCE NUMBER (CONVERTED)
Or
PATIENT PATHWAY IDENTIFIER
F

F
I2
M1..1ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)F
I2
M1..1DATA GROUP: REFERRAL TO TREATMENT PERIOD CHARACTERISTICSRules
M1..1REFERRAL TO TREATMENT PERIOD STATUSV
M1..1WAITING TIME MEASUREMENT TYPEV
O0..1REFERRAL TO TREATMENT PERIOD START DATEF
S13
O0..1REFERRAL TO TREATMENT PERIOD END DATEF
S13

NotationDATA GROUP: PATIENT IDENTITY
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the Identity of the Patient.
See Note S3 in Commissioning Data Set Business Rules.
One of the following DATA GROUPS must be used:
1..1DATA GROUP: WITHHELD IDENTITY STRUCTURE
Must be used where the Commissioning Data Set record has been anonymised
M1..1Data Element ComponentsRules
M1..1NHS NUMBER STATUS INDICATOR CODEV
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1WITHHELD IDENTITY REASONV
OR
1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the NHS NUMBER STATUS INDICATOR CODE
Code Value = 01 (Number present and verified)
 
1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the NHS NUMBER STATUS INDICATOR CODE
National Code = 01 (Number present and verified)
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIERF
S3
M1..1ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
M1..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
M1..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1PERSON BIRTH DATEF
S3
S12
OR
1..1DATA GROUP: UNVERIFIED IDENTITY STRUCTURE
Must be used for all other values of the NHS NUMBER STATUS INDICATOR CODE NOT included in the above
 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURERules
M1..1LOCAL PATIENT IDENTIFIERF
S3
M1..1ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)F
M1..1Data Element ComponentsRules
R0..1NHS NUMBERF
S3
M1..1NHS NUMBER STATUS INDICATOR CODEV
O0..1PATIENT NAME - PERSON NAME STRUCTURED
Or
PATIENT NAME - PERSON NAME UNSTRUCTURED
F
S3
O0..1PATIENT USUAL ADDRESS - ADDRESS STRUCTURED (Label format Postal Address)
Or
PATIENT USUAL ADDRESS - ADDRESS UNSTRUCTURED (Character string)
F
S3
R0..1Data Element ComponentsRules
R0..1POSTCODE OF USUAL ADDRESSF
S3
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1PERSON BIRTH DATEF
S3
S12

NotationDATA GROUP: PATIENT CHARACTERISTICS
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the characteristics of the Patient.
R
1..1Data Element ComponentsRules
R0..1PERSON GENDER CODE CURRENTV
H4
O0..1CARER SUPPORT INDICATORV
R0..1ETHNIC CATEGORYV
R0..1PERSON MARITAL STATUSV
N1
R0..1MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE (ON ADMISSION)V
N1

NotationDATA GROUP: HOSPITAL PROVIDER SPELL - ADMISSION CHARACTERISTICS
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the admission details of the Hospital Provider Spell containing the Episode.
M1..1Data Element ComponentsRules
R0..1HOSPITAL PROVIDER SPELL NUMBERF
H4
R0..1ADMINISTRATIVE CATEGORY CODE (ON ADMISSION)V
R0..1PATIENT CLASSIFICATION CODEV
H4
R0..1ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)V
H4
R0..1SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)V
H4
M1..1START DATE (HOSPITAL PROVIDER SPELL)F
H4
S13
O0..1START TIME (HOSPITAL PROVIDER SPELL)F
S14
M1..1AGE ON ADMISSIONF
H4
O0..1AMBULANCE INCIDENT NUMBERF
O0..1ORGANISATION CODE (CONVEYING AMBULANCE TRUST)F

NotationDATA GROUP: HOSPITAL PROVIDER SPELL - DISCHARGE CHARACTERISTICS
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the discharge details of the Hospital Provider Spell containing the Episode.
R0..1Data Element ComponentsRules
R0..1DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)V
H4
R0..1DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)V
H4
O0..1DISCHARGE READY DATE (HOSPITAL PROVIDER SPELL)F
S13
R0..1DISCHARGE DATE (HOSPITAL PROVIDER SPELL)F
S13
O0..1DISCHARGE TIME (HOSPITAL PROVIDER SPELL)F
S14
O0..1DISCHARGED TO HOSPITAL AT HOME SERVICE INDICATORV

NotationDATA GROUP: CONSULTANT EPISODE - ACTIVITY CHARACTERISTICS
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the details of the Patient's Unfinished Episode.
M1..1Data Element ComponentsRules
R0..1EPISODE NUMBERF
H4
R0..1LAST EPISODE IN SPELL INDICATOR CODEV
R0..1OPERATION STATUS CODEV
O0..1NEONATAL LEVEL OF CARE CODEV
H4
O0..1FIRST REGULAR DAY OR NIGHT ADMISSION CODEV
R0..1PSYCHIATRIC PATIENT STATUS CODEV
M1..1START DATE (EPISODE)F
S1
S13
O0..1START TIME (EPISODE)F
S14
R0..1END DATE (EPISODE)F
S13
O0..1END TIME (EPISODE)F
S14
M1..1AGE AT CDS ACTIVITY DATEF
H4
S8
O0..1MULTI-PROFESSIONAL OR MULTI-DISCIPLINARY INDICATION CODE (PAYMENT BY RESULTS)V
N3
O0..1REHABILITATION ASSESSMENT TEAM TYPEV
N3

NotationDATA GROUP: CONSULTANT EPISODE - LENGTH OF STAY ADJUSTMENT
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry details of length of stay adjustments to the Consultant Episode .
O0..1Data Element ComponentsRules
O0..1LENGTH OF STAY ADJUSTMENT (REHABILITATION)F
O0..1LENGTH OF STAY ADJUSTMENT (SPECIALIST PALLIATIVE CARE)F

NotationDATA GROUP: CONSULTANT EPISODE- OVERSEAS VISITOR STATUS GROUP
Group
Status
O
Group
Repeats
0..5
FUNCTION:
To carry the details of the Overseas Visitor Status of the Patient during the Episode.
O0..1Data Element ComponentsRules
M1..1OVERSEAS VISITOR STATUS CLASSIFICATIONV
M1..1OVERSEAS VISITOR STATUS START DATEF
S13
R0..1OVERSEAS VISITOR STATUS END DATEF
S13

NotationDATA GROUP: CONSULTANT EPISODE - SERVICE AGREEMENT DETAILS
Group
Status
M
Group
Repeats
1..1
FUNCTION:
To carry the details of the Service Agreement.
M1..1Data Element ComponentsRules
R0..1COMMISSIONING SERIAL NUMBERF
O0..1NHS SERVICE AGREEMENT LINE NUMBERF
O0..1PROVIDER REFERENCE NUMBERF
R0..1COMMISSIONER REFERENCE NUMBERF
M1..1ORGANISATION CODE (CODE OF PROVIDER)F
H4
M1..1ORGANISATION CODE (CODE OF COMMISSIONER)F

NotationDATA GROUP: CONSULTANT EPISODE - PERSON GROUP (CONSULTANT)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Responsible Care Professional.
R1..1Data Element ComponentsRules
R0..1CONSULTANT CODEF
R0..1CARE PROFESSIONAL MAIN SPECIALTY CODEV
H4
R0..1ACTIVITY TREATMENT FUNCTION CODEV
H4
O0..1LOCAL SUB-SPECIALTY CODEF

NotationDATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the ICD coded Clinical Diagnoses.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USEV
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (ICD)F
H4
O0..1PRESENT ON ADMISSION INDICATORV
R0..*DATA GROUP: SECONDARY DIAGNOSESRules
M1..1SECONDARY DIAGNOSIS (ICD)F
H4
O0..1PRESENT ON ADMISSION INDICATORV

NotationDATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (READ)
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the READ coded Clinical Diagnoses.
M1..1Data Element ComponentsRules
M1..1DIAGNOSIS SCHEME IN USEV
M1..1DATA GROUP: PRIMARY DIAGNOSISRules
M1..1PRIMARY DIAGNOSIS (READ)F
O0..*DATA GROUP: SECONDARY DIAGNOSESRules
R0..1SECONDARY DIAGNOSIS (READ)F

NotationDATA GROUP: CONSULTANT EPISODE - CLINICAL ACTIVITY GROUP (OPCS)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Intended OPCS coded Clinical Activities.
M1..1Data Element ComponentsRules
M1..1PROCEDURE SCHEME IN USEV
M1..1DATA GROUP: PRIMARY PROCEDURERules
M1..1PRIMARY PROCEDURE (OPCS)F
R1..1PROCEDURE DATEF
S13
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F
R0..*DATA GROUP: SECONDARY PROCEDURESRules
M1..1PROCEDURE (OPCS)F
R0..1PROCEDURE DATE
F
S13
O0..1DATA GROUP: MAIN OPERATING HEALTHCARE PROFESSIONALRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MAIN OPERATING CARE PROFESSIONAL)F
O0..1DATA GROUP: RESPONSIBLE ANAESTHETISTRules
M1..1PROFESSIONAL REGISTRATION ISSUER CODEV
M1..1PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE ANAESTHETIST)F

NotationDATA GROUP: CONSULTANT EPISODE - CLINICAL ACTIVITY GROUP (READ)
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the READ coded Clinical Activities.
M1..1Data Element ComponentsRules
M1..1PROCEDURE SCHEME IN USEV
M1..1DATA GROUP: PRIMARY PROCEDURERules
M1..1PRIMARY PROCEDURE (READ)F
R0..1PROCEDURE DATEF
S13
O0..*DATA GROUP: SECONDARY PROCEDURESRules
M1..1PROCEDURE (READ)F
R0..1PROCEDURE DATEF
S13

NotationDATA GROUP: LOCATION GROUP (AT START OF EPISODE)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Location at the Start Of Episode.
R1..1Data Element ComponentsRules
R0..1LOCATION CLASSV
R0..1SITE CODE (OF TREATMENT)F
O0..1ACTIVITY LOCATION TYPE CODEV
O0..1INTENDED CLINICAL CARE INTENSITY CODEV
O0..1INTENDED AGE GROUPV
O0..1SEX OF PATIENTS CODEV
O0..1WARD DAY PERIOD AVAILABILITY CODEV
O0..1WARD NIGHT PERIOD AVAILABILITY CODEV
O0..1WARD SECURITY LEVELV
O0..1WARD CODEF

NotationDATA GROUP: LOCATION GROUP (AT WARD STAY)
Group
Status
R
Group
Repeats
0..97
FUNCTION:
To carry the details of one or more Ward Stays.
R1..1Data Element ComponentsRules
R0..1LOCATION CLASSV
R0..1SITE CODE (OF TREATMENT)F
O0..1ACTIVITY LOCATION TYPE CODEV
O0..1INTENDED CLINICAL CARE INTENSITY CODEV
O0..1INTENDED AGE GROUPV
O0..1SEX OF PATIENTS CODEV
O0..1WARD DAY PERIOD AVAILABILITY CODEV
O0..1WARD NIGHT PERIOD AVAILABILITY CODEV
O0..1START DATEF
S13
O0..1START TIME (WARD STAY)F
S14
O0..1END DATEF
S13
O0..1END TIME (WARD STAY)F
S14
O0..1WARD SECURITY LEVELV
O0..1WARD CODEF

NotationDATA GROUP: LOCATION GROUP (AT END OF EPISODE)
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Location at the End Of Episode.
R1..1Data Element ComponentsRules
R0..1LOCATION CLASSV
R0..1SITE CODE (OF TREATMENT)F
O0..1ACTIVITY LOCATION TYPE CODEV
O0..1INTENDED CLINICAL CARE INTENSITY CODEV
O0..1INTENDED AGE GROUPV
O0..1SEX OF PATIENTS CODEV
O0..1WARD DAY PERIOD AVAILABILITY CODEV
O0..1WARD NIGHT PERIOD AVAILABILITY CODEV
O0..1WARD SECURITY LEVELV
O0..1WARD CODEF

NotationDATA GROUP: NEONATAL CRITICAL CARE PERIOD
Group
Status
R
Group
Repeats
0..9
FUNCTION: See CRITICAL CARE PERIOD
To carry the details of the first 9 Critical Care Periods for care provided using Neonatal Care facilities.
M1..1DATA GROUP: NEONATAL CARE - ADMISSION CHARACTERISTICSRules
M1..1CRITICAL CARE LOCAL IDENTIFIERF
M1..1CRITICAL CARE START DATEF
H4
S13
M1..1CRITICAL CARE START TIMEF
S14
M1..1CRITICAL CARE UNIT FUNCTIONV
H4
M1..1GESTATION LENGTH (AT DELIVERY)V
M1..999DATA GROUP: NEONATAL DAILY CARE - ACTIVITY CHARACTERISTICSRules
M1..1ACTIVITY DATE (CRITICAL CARE)F
S13
R0..1PERSON WEIGHTF
M1..20CRITICAL CARE ACTIVITY CODEV
N4
R0..20HIGH COST DRUGS (OPCS)F
N4
R0..1DATA GROUP: NEONATAL CARE - DISCHARGE CHARACTERISTICSRules
M1..1CRITICAL CARE DISCHARGE DATEF
H4
S13
M1..1CRITICAL CARE DISCHARGE TIMEF
S14

NotationDATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD
Group
Status
R
Group
Repeats
0..9
FUNCTION: See CRITICAL CARE PERIOD
To carry the details of the first 9 Critical Care Periods for care provided using Paediatric Care facilities.
M1..1DATA GROUP: PAEDIATRIC CRITICAL CARE - ADMISSION CHARACTERISTICSRules
M1..1CRITICAL CARE LOCAL IDENTIFIERF
M1..1CRITICAL CARE START DATEF
H4
S13
M1..1CRITICAL CARE START TIMEF
S14
M1..1CRITICAL CARE UNIT FUNCTIONV
H4
M1..999DATA GROUP: PAEDIATRIC DAILY CARE - ACTIVITY CHARACTERISTICSRules
M1..1ACTIVITY DATE (CRITICAL CARE)F
S13
M1..20CRITICAL CARE ACTIVITY CODEV
N4
R0..20HIGH COST DRUGS (OPCS)F
N4
R0..1DATA GROUP: PAEDIATRIC CRITICAL CARE - DISCHARGE CHARACTERISTICSRules
M1..1CRITICAL CARE DISCHARGE DATEF
H4
S13
M1..1CRITICAL CARE DISCHARGE TIMEF
S14

NotationDATA GROUP: ADULT CRITICAL CARE PERIOD
Group
Status
R
Group
Repeats
0..9
FUNCTION: See CRITICAL CARE PERIOD
To carry the details of the first 9 Critical Care Periods for care provided using Adult Care facilities.
M1..1DATA GROUP: ADULT CRITICAL CARE - ADMISSION CHARACTERISTICSRules
M1..1CRITICAL CARE LOCAL IDENTIFIERF
M1..1CRITICAL CARE START DATEF
H4
S13
O0..1CRITICAL CARE START TIMEF
S14
M1..1CRITICAL CARE UNIT FUNCTIONV
H4
O0..1CRITICAL CARE UNIT BED CONFIGURATIONV
O0..1CRITICAL CARE ADMISSION SOURCEV
O0..1CRITICAL CARE SOURCE LOCATIONV
O0..1CRITICAL CARE ADMISSION TYPEV
M1..1DATA GROUP: ADULT DAILY CARE - ACTIVITY CHARACTERISTICSRules
R0..1ADVANCED RESPIRATORY SUPPORT DAYSF
H4
R0..1BASIC RESPIRATORY SUPPORT DAYSF
H4
R0..1ADVANCED CARDIOVASCULAR SUPPORT DAYSF
H4
R0..1BASIC CARDIOVASCULAR SUPPORT DAYSF
H4
R0..1RENAL SUPPORT DAYSF
H4
R0..1NEUROLOGICAL SUPPORT DAYSF
H4
O0..1GASTRO-INTESTINAL SUPPORT DAYSF
R0..1DERMATOLOGICAL SUPPORT DAYSF
H4
R0..1LIVER SUPPORT DAYSF
H4
O0..1ORGAN SUPPORT MAXIMUMV
R0..1CRITICAL CARE LEVEL 2 DAYSF
H4
R0..1CRITICAL CARE LEVEL 3 DAYSF
H4
R0..1DATA GROUP: ADULT CRITICAL CARE - DISCHARGE CHARACTERISTICSRules
M1..1CRITICAL CARE DISCHARGE DATEF
H4
S13
M1..1CRITICAL CARE DISCHARGE TIMEF
S14
O0..1CRITICAL CARE DISCHARGE READY DATEF
S13
O0..1CRITICAL CARE DISCHARGE READY TIMEF
S14
O0..1CRITICAL CARE DISCHARGE STATUSV
O0..1CRITICAL CARE DISCHARGE DESTINATIONV
O0..1CRITICAL CARE DISCHARGE LOCATIONV

NotationDATA GROUP: GP REGISTRATION
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the Patient's General Medical Practitioner and the General Practice details.
R1..1Data Element ComponentsRules
O0..1GENERAL MEDICAL PRACTITIONER (SPECIFIED)F
R0..1GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)F

NotationDATA GROUP: REFERRER
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Referrer.
R1..1Data Element ComponentsRules
R0..1REFERRER CODEF
R0..1REFERRING ORGANISATION CODEF

NotationDATA GROUP: REFERRAL
Group
Status
O
Group
Repeats
0..1
FUNCTION:
To carry the details of the Referral.
O0..1Data Element ComponentsRules
O0..1DIRECT ACCESS REFERRAL INDICATORV

NotationDATA GROUP: ELECTIVE ADMISSION LIST ENTRY
Group
Status
R
Group
Repeats
0..1
FUNCTION:
To carry the details of the Elective Admission List Entry.
R1..1Data Element ComponentsRules
R0..1DURATION OF ELECTIVE WAITF
R0..1INTENDED MANAGEMENT CODEV
R0..1DECIDED TO ADMIT DATEF
S13
O0..1EARLIEST REASONABLE OFFER DATEF
S13

NotationDATA GROUP: CDS V6-2 TYPE 004 - COMMISSIONING DATA SET MESSAGE TRAILER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..*DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer 
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

NotationDATA GROUP: CDS V6-2 TYPE 002 - COMMISSIONING DATA SET INTERCHANGE TRAILER
Group
Status
Group
Repeats
FUNCTION:
To define the mandatory identity and addressing information for a Commissioning Data Set submission.
M1..1DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

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CRITICAL CARE MINIMUM DATA SET

Change to Data Set: Changed Description

Critical Care Minimum Data Set Overview

Critical Care Minimum Data Set excludes neonatal critical care. A subset of this minimum data set is used to derive Adult Critical Care HRGs. The subset is sent in the following Commissioning Data Set messages:

Data Set Data Elements
NHS NUMBER
LOCAL PATIENT IDENTIFIER
CRITICAL CARE LOCAL IDENTIFIER
SITE CODE (OF TREATMENT)
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
TREATMENT FUNCTION CODE (CDS V6-1)
or
ACTIVITY TREATMENT FUNCTION CODE (CDS V6-2)
ACTIVITY TREATMENT FUNCTION CODE
PERSON BIRTH DATE
POSTCODE OF USUAL ADDRESS
CRITICAL CARE START DATE
CRITICAL CARE START TIME
CRITICAL CARE UNIT FUNCTION
CRITICAL CARE UNIT BED CONFIGURATION
CRITICAL CARE ADMISSION SOURCE
CRITICAL CARE SOURCE LOCATION
CRITICAL CARE ADMISSION TYPE
ADVANCED RESPIRATORY SUPPORT DAYS
BASIC RESPIRATORY SUPPORT DAYS
ADVANCED CARDIOVASCULAR SUPPORT DAYS
BASIC CARDIOVASCULAR SUPPORT DAYS
RENAL SUPPORT DAYS
NEUROLOGICAL SUPPORT DAYS
GASTRO-INTESTINAL SUPPORT DAYS
DERMATOLOGICAL SUPPORT DAYS
LIVER SUPPORT DAYS
ORGAN SUPPORT MAXIMUM
CRITICAL CARE LEVEL 2 DAYS
CRITICAL CARE LEVEL 3 DAYS
CRITICAL CARE DISCHARGE STATUS
CRITICAL CARE DISCHARGE DESTINATION
CRITICAL CARE DISCHARGE LOCATION
CRITICAL CARE DISCHARGE READY DATE
CRITICAL CARE DISCHARGE READY TIME
CRITICAL CARE DISCHARGE DATE
CRITICAL CARE DISCHARGE TIME

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INFORMATION SHARING TO TACKLE VIOLENCE MINIMUM DATA SET

Change to Data Set: Changed Description

Information Sharing to Tackle Violence Minimum Data Set Overview

The Information Sharing to Tackle Violence Minimum Data Set has been incorporated early to allow users to see the changes, but please note that the implementation date is  31st July 2015.

The Mandatory or Required (M/R) column indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
  • R = Required: NHS business processes cannot be delivered without this data element

Note: An XML Schema which supports submission of the Information Sharing to Tackle Violence has been produced but does not form part of the requirements of the approved Information Standard. For guidance on submission of the data set in XML format, see the Information Sharing to Tackle Violence Data Set Submission Requirements. For guidance on the XML Schema constraints, see the Information Sharing to Tackle Violence Data Set XML Schema Constraints.  Contact the Community Safety Partnership before submitting using the XML Schema.

Assault

To carry details of the assault.
One occurence of this group is required (multiple occurences may be submitted).
To carry details of the assault.
One occurrence of this group is required (multiple occurrences may be submitted).
M/RData Set Data Elements
RARRIVAL DATE AND TIME AT ACCIDENT AND EMERGENCY DEPARTMENT
MASSAULT DATE AND TIME
MASSAULT METHOD
RASSAULT METHOD OTHER DESCRIPTION
MASSAULT LOCATION TYPE
RASSAULT LOCATION DESCRIPTION

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NEONATAL CRITICAL CARE MINIMUM DATA SET

Change to Data Set: Changed Description

Neonatal Critical Care Minimum Data Set Overview

The Neonatal Critical Care Minimum Data Set is sent as a subset in the following Commissioning Data Set messages:

 

Data Set Data Elements
Person Group (Patient):
To carry the personal details of the Patient (the baby).
One occurrence of this Group is permitted.
PERSON BIRTH DATE
DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)
Neonatal Critical Care Group:
To carry the details of the Neonatal Critical Care Period.
One occurrence of this Group is permitted.
CRITICAL CARE LOCAL IDENTIFIER
CRITICAL CARE START DATE
CRITICAL CARE START TIME
CRITICAL CARE DISCHARGE DATE
CRITICAL CARE DISCHARGE TIME
CRITICAL CARE UNIT FUNCTION
GESTATION LENGTH (AT DELIVERY)
Neonatal Critical Care Daily Activity Group:
To carry the daily activity data for each day of the Neonatal Critical Care Period.
999 occurrences of this Group are permitted.
ACTIVITY DATE (CRITICAL CARE)
PERSON WEIGHT
20 occurrences of Critical Care Activity Codes are permitted within the Neonatal Critical Care Daily Activity Group. All codes relate to care provided on the ACTIVITY DATE (CRITICAL CARE).
CRITICAL CARE ACTIVITY CODE
20 occurrences of High Cost Drugs OPCS codes are permitted within the Neonatal Critical Care Daily Activity Group. All codes relate to drugs provided on the ACTIVITY DATE (CRITICAL CARE).
HIGH COST DRUGS (OPCS)

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PAEDIATRIC CRITICAL CARE MINIMUM DATA SET

Change to Data Set: Changed Description

Paediatric Critical Care Minimum Data Set Overview

The Paediatric Critical Care Minimum Data Set is sent as a subset in the following Commissioning Data Set messages:

Data Set Data Elements
Person Group (Patient):
To carry the personal details of the Patient.
One occurrence of this Group is permitted.
PERSON BIRTH DATE
DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
DISCHARGE METHOD (HOSPITAL PROVIDER SPELL)
Paediatric Critical Care Group:
To carry the details of the Paediatric Critical Care Period.
CRITICAL CARE LOCAL IDENTIFIER
CRITICAL CARE START DATE
CRITICAL CARE START TIME
CRITICAL CARE DISCHARGE DATE
CRITICAL CARE DISCHARGE TIME
CRITICAL CARE UNIT FUNCTION
Paediatric Critical Care Daily Activity Group:
To carry the daily activity data for each day of the Paediatric Critical Care Period. 999 occurrences of this Group are permitted.
ACTIVITY DATE (CRITICAL CARE)
20 occurrences of Critical Care Activity Codes are permitted within the Paediatric Critical Care Daily Activity Group. All codes relate to care provided on the CRITICAL CARE START DATE.
CRITICAL CARE ACTIVITY CODE
2 HIGH COST DRUGS (OPCS) codes are permitted but there is the capacity for 20 codes within the Paediatric Critical Care Daily Activity Group, to allow future refinement. All codes relate to drugs provided on the CRITICAL CARE LOCAL IDENTIFIER.
HIGH COST DRUGS (OPCS)

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CDS VERSION 6-1 DETAILS LIST NAVIGATION MENU (RETIRED)  renamed from CDS VERSION 6-1 DETAILS LIST NAVIGATION MENU

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


Commissioning Data Set Business Rules
Commissioning Data Set Notation

CDS DATA FLOW CONTROLS - (Mandatory for every CDS Interchange):
CDS V6-1 Type 001 - CDS Interchange Header: Details
CDS V6-1 Type 002 - CDS Interchange Trailer: Details
CDS V6-1 Type 003 - CDS Message Header: Details
CDS V6-1 Type 004 - CDS Message Trailer: Details

CDS Transaction Header Group -(Mandatory for every CDS TYPE):
CDS V6-1 Type 005B - CDS Transaction Header Group - Bulk Update Protocol: Details or
CDS V6-1 Type 005N - CDS Transaction Header Group - Net Change Protocol: Details

CDS TYPES:
Accident and Emergency CDS Type:
CDS V6-1 Type 010 - Accident and Emergency CDS: DetailsThis item has been retired from the NHS Data Model and Dictionary.

Care Activity CDS Types:
CDS V6-1 Type 020 - Outpatient CDS: Details
CDS V6-1 Type 021 - Future Outpatient CDS: DetailsThe last live version of this item is available in the June 2015 release of the NHS Data Model and Dictionary.

Admitted Patient Care CDS Types:
CDS V6-1 Type 120 - Admitted Patient Care - Finished Birth Episode CDS: Details
CDS V6-1 Type 130 - Admitted Patient Care - Finished General Episode CDS: Details
CDS V6-1 Type 140 - Admitted Patient Care - Finished Delivery Episode CDS: Details
CDS V6-1 Type 150 - Admitted Patient Care - Other Birth Event CDS: Details
CDS V6-1 Type 160 - Admitted Patient Care - Other Delivery Event CDS: Details
CDS V6-1 Type 170 - Admitted Patient Care - Detained and/or Long Term Psychiatric Census CDS: Details
CDS V6-1 Type 180 - Admitted Patient Care - Unfinished Birth Episode CDS: Details
CDS V6-1 Type 190 - Admitted Patient Care - Unfinished General Episode CDS: Details
CDS V6-1 Type 200 - Admitted Patient Care - Unfinished Delivery Episode CDS: Details

Elective Admission List CDS Types - End Of Period Census Types:
CDS V6-1 Type 030 - Elective Admission List - End of Period Census (Standard) CDS: Details
CDS V6-1 Type 040 - Elective Admission List - End Of Period Census (Old) CDS: Details
CDS V6-1 Type 050 - Elective Admission List - End Of Period Census (New) CDS: Details

Elective Admission List CDS Types - Event During Period Types:
CDS V6-1 Type 060 - Elective Admission List - Event During Period (Add) CDS: Details
CDS V6-1 Type 070 - Elective Admission List - Event During Period (Remove) CDS: Details
CDS V6-1 Type 080 - Elective Admission List - Event During Period (Offer) CDS: Details
CDS V6-1 Type 090 - Elective Admission List - Event During Period (Available / Unavailable) CDS: Details
CDS V6-1 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) CDS: Details
CDS V6-1 Type 110 - Elective Admission List - Event During Period (New Service Agreement) CDS: DetailsAccess 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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CDS VERSION 6-1 DETAILS LIST NAVIGATION MENU (RETIRED)  renamed from CDS VERSION 6-1 DETAILS LIST NAVIGATION MENU

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

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CLINICAL DATA SETS MESSAGE DOCUMENTATION MENU

Change to Supporting Information: Changed Description

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COMMISSIONING DATA SET NOTATION

Change to Supporting Information: Changed Description

The Commissioning Data Set is the basic structure used for the submission of commissioning data to the Secondary Uses Service and is designed to be capable of individually conveying many different Commissioning Data Set structures, encompassing Accident and Emergency Attendances, Out-Patient Attendances, Admitted Patient Care and Elective Admission List.

Commissioning Data Set Messages have been defined in specific components known as a CDS Type.

Specific notation is used to indicate the requirements of the Commissioning Data Set XML Message Schema Design conditions for submission of data in the Commissioning Data Sets.

The structure of the Commissioning Data Set message is shown by the use of Data Groups and Sub Groups within those Data Groups.  For each Data Group, Sub Group and individual Data Element, the allowed cardinality at each level is also shown in the "Status" and "Repeats" columns.

The CDS Type specifications must therefore be read in this hierarchy, using the Status and Repeat conditions within the Data Groups and Sub Groups, to determine the requirements for the individual Data Elements.


Status Column Notation

The Notation used for the "STATUS" column is as follows:

STATUS MEANING DESCRIPTION 
M MANDATORY This signifies that the collection and submission of this Commissioning Data Set data is deemed MANDATORY and its presence is necessary for the CDS Type to be correctly validated and accepted for processing by the Secondary Uses Service.

If a data item is shown as MANDATORY, this should also be regarded as REQUIRED by the Department of Health.

In most instances, data marked as MANDATORY in a Sub Group will result in its parent Data Group also being marked as mandatory, but this is not always the case.

For instance, although the Consultant Episode - Clinical Diagnosis Group (ICD) is marked as R=REQUIRED (and therefore need not actually be populated), if it is used then both the DIAGNOSIS SCHEME IN USE and the PRIMARY DIAGNOSIS (ICD) are marked as M=MANDATORY and must both be present. 

R REQUIRED This signifies that the collection and submission of this Commissioning Data Set data is deemed REQUIRED by the Department of Health to comply with authorised NHS Standards, Policies and Directives. Therefore whenever a Commissioning Data Set is collected and subsequently submitted to the Secondary Uses Service, this data must be supported and populated into the relevant data sets if the data is available.

Note that "temporal" conditions may mean that there are instances where this directive cannot be fulfilled.

For instance in a CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set, ICD and OPCS data elements are marked as "Required" indicating that this data should be included.  However, if at the time of submission to the Secondary Uses Service this data remains incomplete (perhaps awaiting coding in the ORGANISATION), the remaining data in the CDS record should still be submitted. Once the ORGANISATION has updated its systems with the data, the CDS Type relating to that ACTIVITY should then be resubmitted to the Secondary Uses Service

O OPTIONAL This signifies that the collection and submission of this Commissioning Data Set data is OPTIONAL. Its inclusion in the Commissioning Data Set is therefore determined by "local agreement" between the ORGANISATIONS exchanging the data.

Note that even if marked O=OPTIONAL, any data included in a Commissioning Data Set submission to the Secondary Uses Service must comply with its specification published in the NHS Data Model and Dictionary otherwise the data may be deemed invalid and rejected. 

X X This is used where the Data Element name has been included in the Commissioning Data Set design, usually for pilot use, but is not yet authorised for transmission by the wider NHS. The Data Element will be in italics and not linked to the Data Element where one exists.

Repeats Column Notation

The Notation used for the "REPEATS" column is as follows:

REPEATS DESCRIPTION 
0..1 This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 0 to a maximum of 1.
0..9 This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 0 to a maximum of 9.
0..* This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 0 to an unlimited maximum.
1..1 This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 1 to a maximum of 1.
1..97 This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 1 to a maximum of 97.
1..* This signifies that the permitted occurrences of the Data Group, Sub Group or individual Data Element are from a minimum of 1 to an unlimited maximum.

Rules Column Notation

An entry in the "Rules" column shows that a specific Rule applies to submission of an individual Data Element.

The meaning of these Rules can be found in Commissioning Data Set Business Rules.


Notation Examples

The following are examples of some common scenarios.

EXAMPLE 1:
A MANDATORY Data Group with differing Sub-Groups and component data status conditions.
 

The following example shows a MANDATORY Data Group - therefore the Data Group must be present for the CDS Type to be validated and accepted for processing by the Secondary Uses Service.

When a Data Group is used:

  1. All MANDATORY Sub Groups and/or Data Elements must be present
  2. Any REQUIRED Sub Groups and/or Data Elements must be present if the data is available
  3. Any OPTIONAL Sub Groups and/or Data Elements may be omitted

The following data structure is one of three options when completing the Patient Identity Data Group:

1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the
NHS NUMBER STATUS INDICATOR CODE Code Value = 01 = Verified 
Rules 
1..1DATA GROUP: VERIFIED IDENTITY STRUCTURE
Must be used where the
NHS NUMBER STATUS INDICATOR CODE National Code Value = 01 = Verified 
Rules 
R0..1DATA GROUP: LOCAL IDENTIFIER STRUCTURE  
M 1..1 LOCAL PATIENT IDENTIFIER F
M 1..1 ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) F
M 1..1 Data Element Components Rules 
M 1..1 NHS NUMBER F
M 1..1 NHS NUMBER STATUS INDICATOR CODE V
M 1..1 POSTCODE OF USUAL ADDRESS S3
R0..1ORGANISATION CODE (RESIDENCE RESPONSIBILITY) F
R0..1PERSON BIRTH DATE F
S3
S12

EXPLANATION:

The parent Data Group has a "Status" of M=MANDATORY which indicates that this Data Group must be present in the Commissioning Data Set to ensure correct validation and acceptance when submitted to the Secondary Uses Service.  The parent Data Group "Repeats" = 1..1 indicates that only one occurrence of this Data Group must flow in this particular Commissioning Data Set record.

The Sub Group of "Local Identifier Structure" is marked as R=REQUIRED and therefore must be populated if the data is available. The "Repeats" notation of 0..1 indicates that population of this Sub Group is not necessary to enable the Commissioning Data Set record to be sent to the Secondary Uses Service. If it is sent, then only one occurrence of this Sub Group may flow in this particular Commissioning Data Set record.
Both Data Elements in the Sub Group are marked M=MANDATORY and must both be correctly populated.

The Sub Group of "Data Element Components" is a "generic" structure and is marked as M=MANDATORY and therefore must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Group may flow in this particular Commissioning Data Set record.  All the Data Elements marked with M=MANDATORY must be populated.  PERSON BIRTH DATE however is marked with R=REQUIRED, so must also be completed if the data is available. 


EXAMPLE 2:
A REQUIRED Data Group with differing component data status conditions.
 

The following example shows a REQUIRED Data Group. This data must be present in the relevant Commissioning Data Set if available.  However, if submitted to the Secondary Uses Service, omission of this REQUIRED Data Group will not cause rejection.

When the Data Group is used:

  1. All MANDATORY Sub Groups and/or Data Elements must be utilised
  2. Any REQUIRED Sub Groups and/or Data Elements must be present if the data is available
  3. Any OPTIONAL Sub Groups and/or Data Elements may be omitted
Notation DATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD) 
Group
Status
R
 
Group
Repeats
0..1
 
FUNCTION:
To carry the details of the ICD coded Clinical Diagnoses.
 
M 1..1 Data Element Components Rules 
M 1..1 PROCEDURE SCHEME IN USE V
M 1..1 DATA GROUP: PRIMARY DIAGNOSIS Rules 
M 1..1 PRIMARY DIAGNOSIS (ICD) F
H4
O0..1PRESENT ON ADMISSION INDICATOR F
O0..*DATA GROUP: SECONDARY DIAGNOSIS Rules 
M 1..1 SECONDARY DIAGNOSIS (ICD) F
H4
O0..1PRESENT ON ADMISSION INDICATOR F

EXPLANATION:

The Data Group "Status" = R = Required indicates that this Data Group must be populated in the relevant Commissioning Data Set if the data is available.  The Data Group "Repeats" = 0..1 indicates that population of this Data Group is not necessary to enable the Commissioning Data Set to be sent to the Secondary Uses Service. If it is sent, then only one occurrence of this Data Group may flow in this particular Commissioning Data Set record.

If the Data Group is completed then the Data Element PROCEDURE SCHEME IN USE, marked as M=MANDATORY, must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Element is valid.

If the Data Group is completed then the Data Element PRIMARY DIAGNOSIS (ICD), marked as M=MANDATORY, must be populated. The "Repeats" notation of 1..1 indicates that only one occurrence of this Data Element is valid.

If the Data Group is completed then the Sub Group "Secondary Diagnoses", marked as O=OPTIONAL, may be omitted, but if populated it must be in the correct format. The "Repeats" notation of 0..* indicates that unlimited occurrences of this Data Element are valid. Each occurrence must contain a valid SECONDARY DIAGNOSIS (ICD). 

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MULTI-PROFESSIONAL CONSULTATION (NATIONAL TARIFF PAYMENT SYSTEM)

Change to Supporting Information: Changed Description

A Multi-Professional Consultation (National Tariff Payment System) is a CARE CONTACT.

A Multi-Professional Consultation (National Tariff Payment System) is an attendance where multiple CARE PROFESSIONALS are seeing a PATIENT together, in the same attendance, at the same time. This may include CONSULTANTS with the same MAIN SPECIALTY. Where a PATIENT is seen by two or more CONSULTANTS with different MAIN SPECIALTIES, this should be recorded as a Multi-Disciplinary Consultation (National Tariff Payment System).

It does not apply where a PATIENT sees single CARE PROFESSIONALS sequentially as part of the same Out-Patient Clinic, or CLINIC OR FACILITY.

A Multi-Professional Consultation (National Tariff Payment System) should be recorded when a PATIENT benefits in terms of care and convenience from accessing the expertise of two or more CARE PROFESSIONALS at the same time. It does not apply if one CARE PROFESSIONAL is supporting another, either clinically or otherwise, for example in the taking of notes, acting as a chaperone, training, professional update purposes, operating equipment and passing instruments, etc.

The clinical input of Multi-Professional Consultations (National Tariff Payment System) must be evidenced in the relevant clinical notes and/or other relevant documentation.

For the purposes of the National Tariff Payment System, a Multi-Professional Consultation (National Tariff Payment System) is reported in the Out-Patient Commissioning Data Set:

 

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WHAT'S NEW: JULY 2015  renamed from WHAT'S NEW: JUNE 2015

Change to Supporting Information: Changed Name, Description

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

Release: July 2015

  • CR1475 (Immediate) - SCCI1605 Accessible Information

Release: June 2015

  • CR1518 (Immediate) - ISB 092 CDS 6-1 Retirement
  • CR1525 (Immediate) - DDCN 1525/2015 Burden Advice and Assessment Service (BAAS)
  • CR1524 (Immediate) - DDCN 1524/2015 Updating of Activity Location Type and Source of Admission Attributes
  • CR1505 (Immediate) - DDCN 1505/2015 Death Cause Information

Release: May 2015

  • CR1507 (Immediate) - DDCN 1507/2015 To add SUS CDS business rule H4 text

Release: April 2015

  • CR 1494 and CR 1506 (1 April 2015) - SCCI2026 Amd 12/2014 Female Genital Mutilation Data Set and Retirement of Female Genital Mutilation Prevalence Data Set
  • CR1513 (27 April 2015) - DDCN 1513/2015 Introduction of NHS England Region (Geography)
  • CR1509 (1 April 2015) - ISB 1513 Maternity Services Data Set

  • CR1509 is a corrigendum to CR1355 (1 November 2014) - ISB 1513 Amd 45/2012 Maternity Services Data Set Update and XML Schema published in the October 2014 release

Release: March 2015

  • CR1492 (1 April 2015) - SCCI1521 Amd 17/2014 Updates to the Cancer Outcomes and Services Data Set and XML Schema

Release: February 2015

  • CR1486 (27 February 2015) - ISB 0090 Amd 9/2014 Organisation Data Service – Health and Justice Organisation Identifiers

Due to a delay in the Organisation Data Service (ODS) February release, the implementation date is now 6 March 2015.

Release: January 2015

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

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

Release: April 2014

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:

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

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

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

Release: January 2012

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:

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:

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:

Release: March 2011

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

Release: November 2010

  • 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

  • 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

Release: May 2010

Release: March 2010

  • 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

  • CR1115 (Immediate) - DSCN 10/2010 Data Standards: Updating of e-Government Interoperability Framework and Government Data Standards Catalogue References

Release: December 2009

  • 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

  • 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

  • CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service, Local Health Boards

Release: June 2009

  • 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

  • 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

  • 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

  • CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

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CRITICAL CARE DISCHARGE STATUS

Change to Attribute: Changed Description

The discharge status of a PATIENT who is discharged from a Ward Stay where they were receiving care as part of a CRITICAL CARE PERIOD and the discharge ends the CRITICAL CARE PERIOD.

National Codes:

01Fully ready for discharge
02Discharge for Palliative Care 
03Early discharge due to shortage of critical care beds
04Delayed discharge due to shortage of other WARD beds
05Current level of care continuing in another location
06More specialised care in another location
07Self discharge against medical advice
08PATIENT died (no organs donated)
09PATIENT died (heart beating solid organ donor)
10PATIENT died (cadaveric TISSUE donor)
11 PATIENT died (non heart beating solid organ donor)

National Code 'PATIENT died (non heart beating solid organ donor)' can be recorded locally but cannot be reported in Commissioning Data Set schema version 6-1-1.  National Code 11 can be reported using Commissioning Data Set schema version 6-2.

 

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ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes: 
ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

ACCESSIBLE INFORMATION COMMUNICATION SUPPORT CODE (SNOMED CT) is the SNOMED CT concept ID which is used to identify that the PATIENT requires support (aids/equipment/adjustments) to enable communication.

The SNOMED CT Subset:

  • original ID is 58921000000137
  • name is 'Accessible Information - communication support'.
 

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ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes: 
ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

ACCESSIBLE INFORMATION CONTACT METHOD CODE (SNOMED CT) is the SNOMED CT concept ID which is used to identify that the PATIENT requires a different or specific contact method.

The SNOMED CT Subset:

  • original ID is 58931000000135
  • name is 'Accessible Information - requires specific contact method'.
 

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ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes: 
ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

ACCESSIBLE INFORMATION PROFESSIONAL REQUIRED CODE (SNOMED CT) is the SNOMED CT concept ID which is used to identify that the PATIENT requires support from a communication professional.

The SNOMED CT Subset:

  • original ID is 58951000000133
  • name is 'Accessible Information - requires communication professional'.
 

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ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes: 
ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

ACCESSIBLE INFORMATION SPECIFIC INFORMATION FORMAT CODE (SNOMED CT) is the SNOMED CT concept ID which is used to identify that the PATIENT requires information in a specific format.

The SNOMED CT Subset:

  • original ID is 58941000000130
  • name is 'Accessible Information - requires specific information format'.
 

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ACCIDENT AND EMERGENCY ADMISSIONS NUMBER OF HOURS WAIT BAND

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
ACCIDENT AND EMERGENCY ADMISSIONS NUMBER OF HOURS WAIT BAND is the time band for the number of hours wait for PATIENTS where the ACCIDENT AND EMERGENCY ATTENDANCE DISPOSAL is National Code 'Admitted to Hospital bed/became a LODGED PATIENT of the same Health Care Provider'.

ACCIDENT AND EMERGENCY ADMISSIONS NUMBER OF HOURS WAIT BAND is the number of hours between the A and E ATTENDANCE CONCLUSION TIME and A and E DEPARTURE TIME.

Permitted National Codes:

014 to 12 hours
02Over 12 hours
 

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ACCIDENT AND EMERGENCY ADMISSIONS TOTAL PER WAIT BAND

Change to Data Element: Changed Description

Format/Length:max n6
National Codes: 
Default Codes: 

Notes: 
ACCIDENT AND EMERGENCY ADMISSIONS TOTAL PER WAIT BAND is the number of Accident and Emergency Attendances where the ACCIDENT AND EMERGENCY ATTENDANCE DISPOSAL is National Code 'Admitted to Hospital bed/became a LODGED PATIENT of the same Health Care Provider' by ACCIDENT AND EMERGENCY ADMISSIONS NUMBER OF HOURS WAIT BAND

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ADVISED OF HEALTH IMPLICATIONS INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See INFORMATION AND ADVICE PROVIDED INDICATOR
Default Codes:9 - Unknown

Notes: 
ADVISED OF HEALTH IMPLICATIONS INDICATOR is the same as attribute INFORMATION AND ADVICE PROVIDED INDICATOR.

For the Female Genital Mutilation Data SetADVISED OF HEALTH IMPLICATIONS INDICATOR is an indication of whether the PATIENT has been provided with information and advice where the INFORMATION AND ADVICE TYPE PROVIDED FOR FEMALE GENITAL MUTILATION is National Code 'Advised of the health implications of female genital mutilation', during a CARE CONTACT for female genital mutilation.

 

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ADVISED OF LEGAL IMPLICATIONS INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See INFORMATION AND ADVICE PROVIDED INDICATOR
Default Codes:9 - Unknown

Notes: 
ADVISED OF LEGAL IMPLICATIONS INDICATOR is the same as attribute INFORMATION AND ADVICE PROVIDED INDICATOR.

For the Female Genital Mutilation Data SetADVISED OF LEGAL IMPLICATIONS INDICATOR is an indication of whether the PATIENT has been provided with information and advice where the INFORMATION AND ADVICE TYPE PROVIDED FOR FEMALE GENITAL MUTILATION is National Code 'Advised of the legal implications of female genital mutilation', during a CARE CONTACT for female genital mutilation.

 

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AGE AT CDS ACTIVITY DATE

Change to Data Element: Changed Description

Format/Length:n3
National Codes: 
Default Codes:999 - Not known i.e. date of birth not known and age cannot be estimated

Notes: 
AGE AT CDS ACTIVITY DATE is derived as the number of completed years between the PERSON BIRTH DATE of the PATIENT and the CDS ACTIVITY DATE.

AGE AT CDS ACTIVITY DATE is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the Secondary Uses Service Guidance page.

 

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AGE OR PROTOCOL AGE

Change to Data Element: Changed Description

Format/Length:n3
National Codes: 
Default Codes: 

Notes: 
AGE OR PROTOCOL AGE is derived as the number of completed years between the PERSON BIRTH DATE of the PATIENT to either:
  1. The date the High Risk Breast Screening Episode was started, or
  2. The date the woman's Mammography test was due in the REPORTING PERIOD.
 

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ANAESTHETIC METHOD TYPE (DIALYSIS ACCESS CONSTRUCTION)

Change to Data Element: Changed Description

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ANAPLASTIC NEPHROBLASTOMA TYPE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See ANAPLASTIC NEPHROBLASTOMA TYPE
Default Codes: 

Notes: 
ANAPLASTIC NEPHROBLASTOMA TYPE is the same as attribute ANAPLASTIC NEPHROBLASTOMA TYPE

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ANATOMICAL SIDE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See ANATOMICAL SIDE
Default Codes: 

Notes: 
ANATOMICAL SIDE is the same as attribute ANATOMICAL SIDE

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ANKLE DORSIFLEXION CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See ANKLE DORSIFLEXION CODE
Default Codes:4 - Not Available

Notes: 
ANKLE DORSIFLEXION CODE is the same as attribute ANKLE DORSIFLEXION CODE

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ANKLE PLANTARFLEXION CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See ANKLE PLANTARFLEXION CODE
Default Codes:3 - Not Available

Notes: 
ANKLE PLANTARFLEXION CODE is the same as attribute ANKLE PLANTARFLEXION CODE

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ANN ARBOR STAGE DATE

Change to Data Element: Changed Description

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

Notes: 
ANN ARBOR STAGE DATE is the same as attribute ACTIVITY DATE, where the ACTIVITY DATE TYPE is National Code 'Ann Arbor Stage Date'. 

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ANTIRETROVIRAL THERAPY GROUP CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See ANTIRETROVIRAL THERAPY GROUP CODE
Default Codes:X - Not on Antiretroviral Therapy

Notes: 
ANTIRETROVIRAL THERAPY GROUP CODE is the same as attribute ANTIRETROVIRAL THERAPY GROUP CODE

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ANTIRETROVIRAL THERAPY HOME DELIVERY INDICATOR

Change to Data Element: Changed Description

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APGAR SCORE (10 MINUTES)

Change to Data Element: Changed Description

Format/Length:max n2
National Codes: 
Default Codes:99 - Apgar Score at 10 minutes not known

Notes: 
APGAR SCORE (10 MINUTES) is the same as attribute APGAR SCORE 10 MINUTES

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APGAR SCORE (1 MINUTE)

Change to Data Element: Changed Description

Format/Length:max n2
National Codes: 
Default Codes:99 - Apgar Score at 1 minute unknown

Notes: 
APGAR SCORE (1 MINUTE) is the same as attribute APGAR SCORE 1 MINUTE

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APGAR SCORE (5 MINUTES)

Change to Data Element: Changed Description

Format/Length:max n2
National Codes: 
Default Codes:99 - Apgar Score at 5 minutes not known

Notes: 
APGAR SCORE (5 MINUTES) is the same as attribute APGAR SCORE 5 MINUTES.

The value is presented in the range 0-10.

 

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APPOINTMENT TYPE (IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES)

Change to Data Element: Changed Description

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AREA OF WORK NAME

Change to Data Element: Changed Description

Format/Length:max an75
NWDS ID:GRWA
ESR Field Name:Area of Work
National Codes:See AREA OF WORK NAME 
Default Codes: 

Notes: 
AREA OF WORK NAME is the same as attribute AREA OF WORK NAME

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ARRIVAL DATE AND TIME AT ACCIDENT AND EMERGENCY DEPARTMENT

Change to Data Element: Changed Description

Format/Length:See DATE AND TIME
National Codes: 
Default Codes: 

Notes: 
ARRIVAL DATE AND TIME AT ACCIDENT AND EMERGENCY DEPARTMENT is the same as attribute ACTIVITY DATE and ACTIVITY TIME where the ACTIVITY DATE AND TIME TYPE is National Code 'Arrival Date and Time at Accident and Emergency Department'

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ASSAULT DATE AND TIME

Change to Data Element: Changed Description

Format/Length:See DATE AND TIME
National Codes: 
Default Codes: 

Notes: 
ASSAULT DATE AND TIME is the same as attribute ACTIVITY DATE and ACTIVITY TIME where the ACTIVITY DATE AND TIME TYPE is National Code 'Assault Date and Time'. 

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ASSAULT LOCATION DESCRIPTION

Change to Data Element: Changed Description

Format/Length:max an255
National Codes: 
Default Codes: 

Notes: 
ASSAULT LOCATION DESCRIPTION is the same as attribute PERSON OBSERVATION TEXT STRING.

ASSAULT LOCATION DESCRIPTION provides further comment and/or details of the LOCATION where an assault took place.  This data element may only be completed when the ASSAULT LOCATION TYPE is 'Other location (specify)'.

 

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ASSAULT LOCATION TYPE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:see ASSAULT LOCATION TYPE
Default Codes: 

Notes: 
ASSAULT LOCATION TYPE is the same as attribute ASSAULT LOCATION TYPE

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ASSAULT METHOD

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See ASSAULT METHOD
Default Codes: 

Notes: 
ASSAULT METHOD is the same as attribute ASSAULT METHOD

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ASSAULT METHOD OTHER DESCRIPTION

Change to Data Element: Changed Description

Format/Length:max an255
National Codes: 
Default Codes: 

Notes: 
ASSAULT METHOD OTHER DESCRIPTION is the same as attribute PERSON OBSERVATION TEXT STRING.

ASSAULT METHOD OTHER DESCRIPTION provides further comment and/or details where ASSAULT METHOD National Codes are 'Other (specify)''Other bladed or sharp object (specify)', 'Any blunt object (specify)', or 'Other weapon (specify)'.

 

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ASSOCIATED PROCEDURE TYPE (ANKLE REPLACEMENT)

Change to Data Element: Changed Description

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BARCELONA CLINIC LIVER CANCER STAGE DATE

Change to Data Element: Changed Description

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

Notes: 
BARCELONA CLINIC LIVER CANCER STAGE DATE is the same as attribute ACTIVITY DATE, where the ACTIVITY DATE TYPE is National Code 'Barcelona Clinic Liver Cancer Stage Date'. 

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BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNICATION) SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNICATION) SCALE SCORE is the scale score PERSON SCORE for the Adaptive Behaviour (Communication) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNICATION) TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNICATION) TOTAL RAW SCORE is the total raw score PERSON SCORE for the Adaptive Behaviour (Communication) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNITY USE) SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNITY USE) SCALE SCORE is the scale score PERSON SCORE for the Adaptive Behaviour (Community Use) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNITY USE) TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNITY USE) TOTAL RAW SCORE is the total raw score PERSON SCORE for the Adaptive Behaviour (Community Use) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (FUNCTIONAL PRE-ACADEMICS) SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (FUNCTIONAL PRE-ACADEMICS) SCALE SCORE is the scale score PERSON SCORE for the Adaptive Behaviour (Functional Pre-Academics) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (FUNCTIONAL PRE-ACADEMICS) TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (FUNCTIONAL PRE-ACADEMICS) TOTAL RAW SCORE is the total raw score PERSON SCORE for the Adaptive Behaviour (Functional Pre-Academics) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (HEALTH AND SAFETY) SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (HEALTH AND SAFETY) SCALE SCORE is the scale score PERSON SCORE for the Adaptive Behaviour (Health and Safety) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (HEALTH AND SAFETY) TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (HEALTH AND SAFETY) TOTAL RAW SCORE is the total raw score PERSON SCORE for the Adaptive Behaviour (Health and Safety) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (HOME LIVING) SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (HOME LIVING) SCALE SCORE is the scale score PERSON SCORE for the Adaptive Behaviour (Home Living) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (HOME LIVING) TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (HOME LIVING) TOTAL RAW SCORE is the total raw score PERSON SCORE for the Adaptive Behaviour (Home Living) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (LEISURE) SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (LEISURE) SCALE SCORE is the scale score PERSON SCORE for the Adaptive Behaviour (Leisure) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (LEISURE) TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (LEISURE) TOTAL RAW SCORE is the total raw score PERSON SCORE for the Adaptive Behaviour (Leisure) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (MOTOR) SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (MOTOR) SCALE SCORE is the scale score PERSON SCORE for the Adaptive Behaviour (Motor) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (MOTOR) TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (MOTOR) TOTAL RAW SCORE is the total raw score PERSON SCORE for the Adaptive Behaviour (Motor) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (SELF-CARE) SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (SELF-CARE) SCALE SCORE is the scale score PERSON SCORE for the Adaptive Behaviour (Self-Care) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (SELF-CARE) TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (SELF-CARE) TOTAL RAW SCORE is the total raw score PERSON SCORE for the Adaptive Behaviour (Self-Care) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (SELF-DIRECTION) SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (SELF-DIRECTION) SCALE SCORE is the scale score PERSON SCORE for the Adaptive Behaviour (Self-Direction) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (SELF-DIRECTION) TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (SELF-DIRECTION) TOTAL RAW SCORE is the total raw score PERSON SCORE for the Adaptive Behaviour (Self-Direction) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (SOCIAL) SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (SOCIAL) SCALE SCORE is the scale score PERSON SCORE for the Adaptive Behaviour (Social) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR (SOCIAL) TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR (SOCIAL) TOTAL RAW SCORE is the total raw score PERSON SCORE for the Adaptive Behaviour (Social) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL COMPOSITE SCORE

Change to Data Element: Changed Description

Format/Length:max n5
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL COMPOSITE SCORE is the sum total of the composite score PERSON SCORES for the following sub-scales of the Bayley Scales of Infant and Toddler Development (Third Edition):
  • Adaptive Behaviour (Communication)
  • Adaptive Behaviour (Community Use)
  • Adaptive Behaviour (Functional Pre-Academics)
  • Adaptive Behaviour (Health and Safety)
  • Adaptive Behaviour (Home Living)
  • Adaptive Behaviour (Leisure)
  • Adaptive Behaviour (Motor)
  • Adaptive Behaviour (Self-Care)
  • Adaptive Behaviour (Self-Direction)
  • Adaptive Behaviour (Social)

The score is in the range of 0-10000.

 

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BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE

Change to Data Element: Changed Description

Format/Length:max n5
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE is the sum total of the developmental age equivalent score PERSON SCORES for the following sub-scales of the Bayley Scales of Infant and Toddler Development (Third Edition):
  • Adaptive Behaviour (Communication)
  • Adaptive Behaviour (Community Use)
  • Adaptive Behaviour (Functional Pre-Academics)
  • Adaptive Behaviour (Health and Safety)
  • Adaptive Behaviour (Home Living)
  • Adaptive Behaviour (Leisure)
  • Adaptive Behaviour (Motor)
  • Adaptive Behaviour (Self-Care)
  • Adaptive Behaviour (Self-Direction)
  • Adaptive Behaviour (Social)

The score is in the range of 0-10000.

 

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BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n5
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL RAW SCORE is the sum total of the raw score PERSON SCORES for the following sub-scales of the Bayley Scales of Infant and Toddler Development (Third Edition):
  • Adaptive Behaviour (Communication)
  • Adaptive Behaviour (Community Use)
  • Adaptive Behaviour (Functional Pre-Academics)
  • Adaptive Behaviour (Health and Safety)
  • Adaptive Behaviour (Home Living)
  • Adaptive Behaviour (Leisure)
  • Adaptive Behaviour (Motor)
  • Adaptive Behaviour (Self-Care)
  • Adaptive Behaviour (Self-Direction)
  • Adaptive Behaviour (Social)

The score is in the range of 0-10000.

 

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BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n5
National Codes: 
Default Codes: 

Notes: 
BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL SCALE SCORE is the sum total of the scale score PERSON SCORES for the following sub-scales of the Bayley Scales of Infant and Toddler Development (Third Edition):
  • Adaptive Behaviour (Communication)
  • Adaptive Behaviour (Community Use)
  • Adaptive Behaviour (Functional Pre-Academics)
  • Adaptive Behaviour (Health and Safety)
  • Adaptive Behaviour (Home Living)
  • Adaptive Behaviour (Leisure)
  • Adaptive Behaviour (Motor)
  • Adaptive Behaviour (Self-Care)
  • Adaptive Behaviour (Self-Direction)
  • Adaptive Behaviour (Social)

The score is in the range of 0-10000.

 

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BAYLEY III COGNITIVE COMPOSITE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COGNITIVE COMPOSITE SCORE is the composite score PERSON SCORE for the Cognitive sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III COGNITIVE DEVELOPMENTAL AGE EQUIVALENT SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COGNITIVE DEVELOPMENTAL AGE EQUIVALENT SCORE is the developmental age equivalent score PERSON SCORE for the Cognitive sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III COGNITIVE SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COGNITIVE SCALE SCORE is the scale score PERSON SCORE for the Cognitive sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III COGNITIVE TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COGNITIVE TOTAL RAW SCORE is the total raw score PERSON SCORE for the Cognitive sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) COMPOSITE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) COMPOSITE SCORE is the composite score PERSON SCORE for the Communication (Expressive Communication) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) DEVELOPMENTAL AGE EQUIVALENT SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) DEVELOPMENTAL AGE EQUIVALENT SCORE is the developmental age equivalent score PERSON SCORE for the Communication (Expressive Communication) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) SCALE SCORE is the scale score PERSON SCORE for the Communication (Expressive Communication) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) TOTAL RAW SCORE is the total raw score PERSON SCORE for the Communication (Expressive Communication) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) COMPOSITE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) COMPOSITE SCORE is the composite score PERSON SCORE for the Communication (Receptive Communication) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) DEVELOPMENTAL AGE EQUIVALENT SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) DEVELOPMENTAL AGE EQUIVALENT SCORE is the developmental age equivalent score PERSON SCORE for the Communication (Receptive Communication) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) SCALE SCORE is the scale score PERSON SCORE for the Communication (Receptive Communication) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) TOTAL RAW SCORE is the total raw score PERSON SCORE for the Communication (Receptive Communication) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III COMMUNICATION SUM TOTAL COMPOSITE SCORE

Change to Data Element: Changed Description

Format/Length:max n5
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COMMUNICATION SUM TOTAL COMPOSITE SCORE is the sum total of the composite score PERSON SCORES for the Communication (Expressive Communication) and Communication (Receptive Communication) sub-scales of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-10000.

 

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BAYLEY III COMMUNICATION SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE

Change to Data Element: Changed Description

Format/Length:max n5
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COMMUNICATION SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE is the sum total of the developmental age equivalent score PERSON SCORES for the Communication (Expressive Communication) and Communication (Receptive Communication) sub-scales of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-10000.

 

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BAYLEY III COMMUNICATION SUM TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n5
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COMMUNICATION SUM TOTAL RAW SCORE is the sum total of the raw score PERSON SCORES for the Communication (Expressive Communication) and Communication (Receptive Communication) sub-scales of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-10000.

 

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BAYLEY III COMMUNICATION SUM TOTAL SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n5
National Codes: 
Default Codes: 

Notes: 
BAYLEY III COMMUNICATION SUM TOTAL SCALE SCORE is the sum total of the scale score PERSON SCORES for the Communication (Expressive Communication) and Communication (Receptive Communication) sub-scales of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-10000.

 

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BAYLEY III NEUROMOTOR (FINE MOTOR) COMPOSITE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III NEUROMOTOR (FINE MOTOR) COMPOSITE SCORE is the composite score PERSON SCORE for the Motor (Fine Motor) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III NEUROMOTOR (FINE MOTOR) DEVELOPMENTAL AGE EQUIVALENT SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III NEUROMOTOR (FINE MOTOR) DEVELOPMENTAL AGE EQUIVALENT SCORE is the developmental age equivalent score PERSON SCORE for the Motor (Fine Motor) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III NEUROMOTOR (FINE MOTOR) SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III NEUROMOTOR (FINE MOTOR) SCALE SCORE is the scale score PERSON SCORE for the Motor (Fine Motor) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III NEUROMOTOR (FINE MOTOR) TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III NEUROMOTOR (FINE MOTOR) TOTAL RAW SCORE is the total raw score PERSON SCORE for the Motor (Fine Motor) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III NEUROMOTOR (GROSS MOTOR) COMPOSITE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III NEUROMOTOR (GROSS MOTOR) COMPOSITE SCORE is the composite score PERSON SCORE for the Neuromotor (Gross Motor) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III NEUROMOTOR (GROSS MOTOR) DEVELOPMENTAL AGE EQUIVALENT SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III NEUROMOTOR (GROSS MOTOR) DEVELOPMENTAL AGE EQUIVALENT SCORE is the developmental age equivalent score PERSON SCORE for the Neuromotor (Gross Motor) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III NEUROMOTOR (GROSS MOTOR) SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III NEUROMOTOR (GROSS MOTOR) SCALE SCORE is the scale score PERSON SCORE for the Neuromotor (Gross Motor) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III NEUROMOTOR (GROSS MOTOR) TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III NEUROMOTOR (GROSS MOTOR) TOTAL RAW SCORE is the total raw score PERSON SCORE for the Neuromotor (Gross Motor) sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III NEUROMOTOR SUM TOTAL COMPOSITE SCORE

Change to Data Element: Changed Description

Format/Length:max n5
National Codes: 
Default Codes: 

Notes: 
BAYLEY III NEUROMOTOR SUM TOTAL COMPOSITE SCORE is the sum total of the composite score PERSON SCORES for the Neuromotor (Fine Motor) and Neuromotor (Gross Motor) sub-scales of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-10000.

 

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BAYLEY III NEUROMOTOR SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE

Change to Data Element: Changed Description

Format/Length:max n5
National Codes: 
Default Codes: 

Notes: 
BAYLEY III NEUROMOTOR SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE is the sum total of the developmental age equivalent score PERSON SCORES for the Neuromotor (Fine Motor) and Neuromotor (Gross Motor) sub-scales of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-10000.

 

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BAYLEY III NEUROMOTOR SUM TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n5
National Codes: 
Default Codes: 

Notes: 
BAYLEY III NEUROMOTOR SUM TOTAL RAW SCORE is the sum total of the raw score PERSON SCORES for the Neuromotor (Fine Motor) and Neuromotor (Gross Motor) sub-scales of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-10000.

 

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BAYLEY III NEUROMOTOR SUM TOTAL SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n5
National Codes: 
Default Codes: 

Notes: 
BAYLEY III NEUROMOTOR SUM TOTAL SCALE SCORE is the sum total of the scale score PERSON SCORES for the Neuromotor (Fine Motor) and Neuromotor (Gross Motor) sub-scales of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-10000.

 

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BAYLEY III SOCIAL-EMOTIONAL COMPOSITE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III SOCIAL-EMOTIONAL COMPOSITE SCORE is the composite score PERSON SCORE for the Social-Emotional sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III SOCIAL-EMOTIONAL DEVELOPMENTAL AGE EQUIVALENT SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III SOCIAL-EMOTIONAL DEVELOPMENTAL AGE EQUIVALENT SCORE is the developmental age equivalent score PERSON SCORE for the Social-Emotional sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III SOCIAL-EMOTIONAL SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III SOCIAL-EMOTIONAL SCALE SCORE is the PERSON SCORE for the Social-Emotional sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BAYLEY III SOCIAL-EMOTIONAL TOTAL RAW SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
BAYLEY III SOCIAL-EMOTIONAL TOTAL RAW SCORE is the total raw score PERSON SCORE for the Social-Emotional sub-scale of the Bayley Scales of Infant and Toddler Development (Third Edition).

The score is in the range of 0-200.

 

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BENIGN BIOPSY RATE (PER 1,000 SCREENED)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes: 
BENIGN BIOPSY RATE (PER 1,000 SCREENED) is the rate of women who had Breast Screening who have an open biopsy with a result of benign or normal, per 1,000 screened. 

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BENIGN THERAPEUTIC OPERATION NUMBER

Change to Data Element: Changed Description

Format/Length:max n4
National Codes: 
Default Codes: 

Notes: 
BENIGN THERAPEUTIC OPERATION NUMBER is the number of women who had a Mammogram, who have a REFERRAL REQUEST for Breast Assessment and who have a BENIGN THERAPEUTIC OPERATION INDICATOR recorded as National Code 'Yes'

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BENIGN THERAPEUTIC OPERATION RATE (PER 1,000 SCREENED)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes: 
BENIGN THERAPEUTIC OPERATION RATE (PER 1,000 SCREENED) is the rate of women who had a Mammogram, who have a REFERRAL REQUEST for Breast Assessment and who have a BENIGN THERAPEUTIC OPERATION INDICATOR recorded as National Code 'Yes', per 1,000 screened. 

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BLOOD GLUCOSE CONCENTRATION (ON ADMISSION TO NEONATAL CRITICAL CARE)

Change to Data Element: Changed Description

Format/Length:max n2.max n1
National Codes: 
Default Codes:99.9 - Blood Glucose Concentration unknown

Notes: 
BLOOD GLUCOSE CONCENTRATION (ON ADMISSION TO NEONATAL CRITICAL CARE) is the result of the Clinical Investigation which measures the baby's Blood Glucose Concentration, where the UNIT OF MEASUREMENT is 'Millimoles per litre (mmol/L)', on admission to neonatal critical care.

The value is presented in the range 0.0 - 50.0.

 

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BLOOD GROUP ABO CLASSIFICATION

Change to Data Element: Changed Description

Format/Length:max an2
National codesSee PERSON BLOOD GROUP
Default codes 

Notes: 
BLOOD GROUP ABO CLASSIFICATION is the same as attribute PERSON BLOOD GROUP

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BLOOD PRESSURE SITTING

Change to Data Element: Changed Description

Format/Length:n3/n3
National Codes: 
Default Codes: 

Notes: 
BLOOD PRESSURE SITTING is the result of the Clinical Investigation which measures the Blood Pressure of the PATIENT whilst sitting, where the UNIT OF MEASUREMENT is 'Millimetres of mercury (mmHg)'. 

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BLOOD RHESUS CLASSIFICATION

Change to Data Element: Changed Description

Format/Length:an3
National codesSee PERSON RHESUS FACTOR
Default codes 

Notes: 
BLOOD RHESUS CLASSIFICATION is the same as attribute PERSON RHESUS FACTOR

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BLOOD TRANSFUSION PRODUCT TYPE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See BLOOD TRANSFUSION PRODUCT TYPE
Default Codes: 

Notes: 
BLOOD TRANSFUSION PRODUCT TYPE is the same as attribute BLOOD TRANSFUSION PRODUCT TYPE.

For the National Neonatal Data Set - Episodic and Daily Care, BLOOD TRANSFUSION PRODUCT TYPE indicates the product type used in a Blood Transfusion the baby had on the NEONATAL CRITICAL CARE DAILY CARE DATE.

 

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BLOOD TRANSFUSION TYPE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See BLOOD TRANSFUSION TYPE
Default Codes: 

Notes: 
BLOOD TRANSFUSION TYPE is the same as attribute BLOOD TRANSFUSION TYPE.

For the National Neonatal Data Set - Episodic and Daily Care, BLOOD TRANSFUSION TYPE indicates the type of Blood Transfusion the baby had on the NEONATAL CRITICAL CARE DAILY CARE DATE.

 

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BLOOD TRANSFUSION UNITS TRANSFUSED (DURING LAST 3 MONTHS)

Change to Data Element: Changed Description

Format/Length:max n2
National Codes: 
Default Codes: 

Notes: 
BLOOD TRANSFUSION UNITS TRANSFUSED (DURING LAST 3 MONTHS) is the number of BLOOD TRANSFUSION UNITS TRANSFUSED for an ORGAN OR TISSUE DONOR in the last 3 months. 

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BLOOD TRANSFUSION UNITS TRANSFUSED (DURING LAST MONTH)

Change to Data Element: Changed Description

Format/Length:max n2
National Codes: 
Default Codes: 

Notes: 
BLOOD TRANSFUSION UNITS TRANSFUSED (DURING LAST MONTH) is the number of BLOOD TRANSFUSION UNITS TRANSFUSED for an ORGAN OR TISSUE DONOR in the last month. 

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BLOOD TRANSFUSION UNITS TRANSFUSED (DURING LAST WEEK)

Change to Data Element: Changed Description

Format/Length:max n2
National Codes: 
Default Codes: 

Notes: 
BLOOD TRANSFUSION UNITS TRANSFUSED (DURING LAST WEEK) is the number of BLOOD TRANSFUSION UNITS TRANSFUSED  for an ORGAN OR TISSUE DONOR in the last week. 

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BRAIN ACTIVITY SCAN PERFORMED INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PATIENT PROCEDURE PERFORMED INDICATOR
Default Codes: 

Notes: 
BRAIN ACTIVITY SCAN PERFORMED INDICATOR is the same as attribute PATIENT PROCEDURE PERFORMED INDICATOR, to indicate whether a brain activity scan (such as an Electroencephalogram or Cerebral Function Analysing Monitor) was performed on a PATIENT.

For the National Neonatal Data Set - Episodic and Daily Care, BRAIN ACTIVITY SCAN PERFORMED INDICATOR indicates whether the baby had a brain activity scan on the NEONATAL CRITICAL CARE DAILY CARE DATE.

 

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BREAST CANCER GRADE NOT KNOWN (PERCENTAGE OF DUCTAL CARCINOMA IN-SITU)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes: 
BREAST CANCER GRADE NOT KNOWN (PERCENTAGE OF DUCTAL CARCINOMA IN-SITU) is the percentage of women diagnosed with breast cancer, where the BIOPSY REFERRAL OUTCOME is recorded as National Code 'Positive; i.e. cancer detected - non-invasive or possibly micro-invasive - grade not known (DCIS only detected)' or 'Positive; i.e. cancer detected - definitely micro-invasive - grade not known (DCIS only detected)'

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BREAST CANCER INVASIVE SIZE NOT KNOWN TOTAL

Change to Data Element: Changed Description

Format/Length:max n4
National Codes: 
Default Codes: 

Notes: 
BREAST CANCER INVASIVE SIZE NOT KNOWN TOTAL is the number of invasive breast cancers detected where the BREAST BIOPSY REFERRAL OUTCOME is recorded as National Code 'Positive; i.e. cancer detected - invasive size not known'

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BREAST CANCER INVASIVE STATUS NOT KNOWN (PERCENTAGE OF ALL CANCERS DIAGNOSED)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes: 
BREAST CANCER INVASIVE STATUS NOT KNOWN (PERCENTAGE OF ALL CANCERS DIAGNOSED) is the percentage of cancers diagnosed by cytology or histology where the BREAST CANCER INVASIVE STATUS is not recorded. 

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BREAST INVASIVE GRADE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See BREAST INVASIVE GRADE
Default Codes: 

Notes: 
BREAST INVASIVE GRADE is the same as attribute BREAST INVASIVE GRADE

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BREAST SCREENING AGE GROUP CODE (KC62) PARTS 1 TO 3

Change to Data Element: Changed Description

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BREAST SCREENING AGE GROUP CODE (KC62) PARTS 4 TO 5

Change to Data Element: Changed Description

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BREAST SCREENING AGE GROUP CODE (KC63)

Change to Data Element: Changed Description

Format/Length:an3
National Codes:See BREAST SCREENING AGE GROUP FOR KC63
Default Codes: 

Notes: 
BREAST SCREENING AGE GROUP CODE (KC63) is the same as attribute BREAST SCREENING AGE GROUP FOR KC63.

 

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CARER RESIDENT INDICATION CODE (NATIONAL NEONATAL DATA SET)

Change to Data Element: Changed Description

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CDS COPY RECIPIENT IDENTITY

Change to Data Element: Changed Description

Format/Length:an3 or an5
National Codes: 
ODS Default Codes:VPP00 - Private PATIENTS / Overseas Visitor liable for charges
 YDD82 - Episodes funded directly by the National Commissioning Group for England

Notes: 
CDS COPY RECIPIENT IDENTITY is the same as attribute ORGANISATION CODE.

CDS COPY RECIPIENT IDENTITY is the NHS ORGANISATION CODE (or valid Organisation Data Service Default Code) for an ORGANISATION indicated as a CDS COPY RECIPIENT IDENTITY of the Commissioning data.

Usage:
A Recipient may be an agency or service provider that carries out the receiving (and perhaps other) processes on behalf of the NHS ORGANISATION that ultimately uses the data. There may be multiple recipients for Commissioning data.

Organisation Data Service Default Codes for CDS COPY RECIPIENT IDENTITIES are detailed in the Commissioning Data Set Addressing Grid.

 

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CDS RECORD IDENTIFIER

Change to Data Element: Changed Description

Format/Length:an35
National Codes: 
Default Codes: 

Notes: 
CDS RECORD IDENTIFIER may also be referred to as the CDS-RID.

When exchanging Commissioning Data Set data, this is an optional data element and when used is a unique number generated by the sender and inserted into the Commissioning Data Set data to enable senders and recipients to be able to cross-match and uniquely identify each and every Commissioning Data Set record.

The CDS RECORD IDENTIFIER consists of the following components:

REFRID COMPONENTFORMATCODES / VALUES
1CDS SENDER IDENTITY an5As generated in the CDS V6-2 Type 005B - CDS Transaction Header Group - Bulk Update Protocol or the CDS V6-2 Type 005N - CDS Transaction Header Group - Net Change Protocol 
2Not Usedan2Set = Blank
3CDS INTERCHANGE CONTROL REFERENCE an14
(n7) *
As generated in the CDS V6-2 Type 001 - CDS Interchange Header 
4CDS MESSAGE REFERENCE an14
(n7) *
As generated in the CDS V6-2 Type 003 - CDS Message Header 

* This data item is configured as an14 format element, but a maximum value of 9999999 is permitted in the format of n7.

Usage:

The CDS-RID is an optional reference assigned to each record by the Commissioning Data Set sender to aid the identification and cross-referencing of data between the sender and the receiver(s) of the Commissioning Data Set data.

CDS-XML Interchanges:

The CDS-RID data element is carried in the CDS Message Header (CDS V6-1 Type 003 - CDS Message Header/CDS V6-2 Type 003 - CDS Message Header).The CDS-RID data element is carried in the CDS Message Header (CDS V6-2 Type 003 - CDS Message Header). 

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CHANG STAGING SYSTEM STAGE DATE

Change to Data Element: Changed Description

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

Notes: 
CHANG STAGING SYSTEM STAGE DATE is the same as attribute ACTIVITY DATE, where the ACTIVITY DATE TYPE is National Code 'Chang Staging System Stage Date'. 

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CHLAMYDIA TEST RESULT (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:min n6 max n18
National Codes: 
Default Codes: 

Notes: 
CHLAMYDIA TEST RESULT (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

CHLAMYDIA TEST RESULT (SNOMED CT) is the SNOMED CT concept ID which is used to identify the result of the Chlamydia test.

The SNOMED CT Subset:

  • original ID is 58851000000137
  • name is 'Chlamydia test result findings'.
 

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CLARKS LEVEL IV INDICATION CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See CLARKS LEVEL IV INDICATION CODE
Default Codes:X - Cannot be assessed (Sample is not suitable to assess)

Notes: 
CLARKS LEVEL IV INDICATION CODE is the same as attribute CLARKS LEVEL IV INDICATION CODE

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CLINICAL STAGE DATE (PANCREATIC CANCER)

Change to Data Element: Changed Description

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

Notes: 
CLINICAL STAGE DATE (PANCREATIC CANCER) is the same as attribute ACTIVITY DATE, where the ACTIVITY DATE TYPE is National Code 'Clinical Stage Date (Pancreatic Cancer)'. 

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COMPLEX SOCIAL FACTORS INDICATOR (MOTHER AT BOOKING)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See COMPLEX SOCIAL FACTORS INDICATOR
Default Codes: 

Notes: 
COMPLEX SOCIAL FACTORS INDICATOR (MOTHER AT BOOKING) is the same as attribute COMPLEX SOCIAL FACTORS INDICATOR

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COMPONENT REMOVAL INDICATOR (ACETABULAR)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See COMPONENT REMOVAL INDICATOR
Default Codes: 

Notes: 
COMPONENT REMOVAL INDICATOR (ACETABULAR) is the same as attribute COMPONENT REMOVAL INDICATOR for an acetabular component. 

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COMPONENT REMOVAL INDICATOR (FEMORAL)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See COMPONENT REMOVAL INDICATOR
Default Codes: 

Notes: 
COMPONENT REMOVAL INDICATOR (FEMORAL) is the same as attribute COMPONENT REMOVAL INDICATOR for a femoral component. 

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COMPONENT REMOVAL INDICATOR (GLENOID)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See COMPONENT REMOVAL INDICATOR
Default Codes:X - Not Available (Revision of Hemi)

Notes: 
COMPONENT REMOVAL INDICATOR (GLENOID) is the same as attribute COMPONENT REMOVAL INDICATOR for a glenoid component. 

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COMPONENT REMOVAL INDICATOR (HUMERAL)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See COMPONENT REMOVAL INDICATOR
Default Codes:X - Not Available

Notes: 
COMPONENT REMOVAL INDICATOR (HUMERAL) is the same as attribute COMPONENT REMOVAL INDICATOR for a humeral component. 

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COMPONENT REMOVAL INDICATOR (MENISCAL)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See COMPONENT REMOVAL INDICATOR
Default Codes: 

Notes: 
COMPONENT REMOVAL INDICATOR (MENISCAL) is the same as attribute COMPONENT REMOVAL INDICATOR for a meniscal component. 

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COMPONENT REMOVAL INDICATOR (RADIAL)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See COMPONENT REMOVAL INDICATOR
Default Codes:X - Not Available

Notes: 
COMPONENT REMOVAL INDICATOR (HUMERAL) is the same as attribute COMPONENT REMOVAL INDICATOR for a radial component. 

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COMPONENT REMOVAL INDICATOR (TALAR)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See COMPONENT REMOVAL INDICATOR
Default Codes: 

Notes: 
COMPONENT REMOVAL INDICATOR (TALAR) is the same as attribute COMPONENT REMOVAL INDICATOR for a talar component. 

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COMPONENT REMOVAL INDICATOR (TIBIAL)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See COMPONENT REMOVAL INDICATOR
Default Codes: 

Notes: 
COMPONENT REMOVAL INDICATOR (TIBIAL) is the same as attribute COMPONENT REMOVAL INDICATOR for a tibial component. 

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COMPONENT REMOVAL INDICATOR (ULNAR)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See COMPONENT REMOVAL INDICATOR
Default Codes:X - Not Available

Notes: 
COMPONENT REMOVAL INDICATOR (ULNAR) is the same as attribute COMPONENT REMOVAL INDICATOR for an ulnar component. 

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COUNTRY CODE (FATHER ORIGIN)

Change to Data Element: Changed Description

Format/Length:a3
National Codes: 
Default Codes:XXX - Unknown
ZZZ - Not stated (PERSON asked but declined to provide a response)

Notes: 
COUNTRY CODE (FATHER ORIGIN) is the same as attribute COUNTRY CODE.

COUNTRY CODE (FATHER ORIGIN) is the country code of origin of the father of a REGISTRABLE BIRTH.

Refer to the ISO 3166-1 standard for actual list of alphabetic codes and countries. The alphabetic code to be used is the 3-char alphabetic code available on the International Organisation for Standardisation website http://www.iso.org/iso/home.htm. The 2-char alphabetic code must not be used.

For the Female Genital Mutilation Data Set, this is the country which the PERSON believes reflects their cultural heritage.

 

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COVERAGE (PERCENTAGE OF ELIGIBLE WOMEN SCREENED IN LAST THREE YEARS)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes: 
COVERAGE (PERCENTAGE OF ELIGIBLE WOMEN SCREENED IN LAST THREE YEARS) is the percentage of women who have been screened in the last three years from the eligible population of PATIENTS registered. 

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CRANIAL ULTRASOUND SCAN PERFORMED INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PATIENT PROCEDURE PERFORMED INDICATOR
Default Codes:9 - Not known if cranial ultrasound scan performed 

Notes: 
CRANIAL ULTRASOUND SCAN PERFORMED INDICATOR is the same as attribute PATIENT PROCEDURE PERFORMED INDICATOR, to indicate whether a cranial Ultrasound Scan was performed.

For the National Neonatal Data Set - Episodic and Daily Care, CRANIAL ULTRASOUND SCAN PERFORMED INDICATOR indicates whether at least one cranial Ultrasound Scan was performed during the neonatal CRITICAL CARE PERIOD.

 

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CRITICAL CARE DISCHARGE STATUS

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See CRITICAL CARE DISCHARGE STATUS
Default Codes: 

Notes: 
CRITICAL CARE DISCHARGE STATUS is the same as attribute CRITICAL CARE DISCHARGE STATUS.

National Code 11 'PATIENT died (non heart beating solid organ donor)' may be recorded locally but cannot be reported nationally using the Commissioning Data Set schema 6-1-1.  National Code 11 can be reported using the Commissioning Data Set schema version 6-2.

 

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CRITICAL CARE DISCHARGE YEAR AND MONTH

Change to Data Element: Changed Description

Format/Length:See YEAR AND MONTH
National Codes: 
Default Codes: 

Notes: 
CRITICAL CARE DISCHARGE YEAR AND MONTH is the YEAR AND MONTH that  a CRITICAL CARE PERIOD ended.

For the National Neonatal Data Set - Episodic and Daily Care, this item is submitted instead of CRITICAL CARE DISCHARGE DATE AND TIME, where the data set record is anonymised.

 

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CYSTIC PERIVENTRICULAR LEUKOMALACIA OBSERVED DURING CRANIAL ULTRASOUND SCAN INDICATOR

Change to Data Element: Changed Description

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CYTOLOGY AND/OR CORE BIOPSY RESULT NOT KNOWN (PERCENTAGE OF REFERRED)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes: 
CYTOLOGY AND/OR CORE BIOPSY RESULT NOT KNOWN (PERCENTAGE OF REFERRED) is the percentage of women referred for one or more cytology and/or core Biopsy procedures, for whom a definite result is not recorded and an open Biopsy is not indicated. 

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DAUGHTER BORN AT THIS ENCOUNTER INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See DAUGHTER BORN AT THIS ENCOUNTER INDICATOR
Default Codes: 

Notes: 
DAUGHTER BORN AT THIS ENCOUNTER INDICATOR is the same as attribute DAUGHTER BORN AT THIS ENCOUNTER INDICATOR

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DEATH CAUSE IDENTIFICATION METHOD

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See DEATH CAUSE IDENTIFICATION METHOD
Default Codes: 

Notes: 
DEATH CAUSE IDENTIFICATION METHOD is the same as attribute DEATH CAUSE IDENTIFICATION METHOD

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DEATH CAUSE RECORDED TEXT

Change to Data Element: Changed Description

Format/Length:max an75
National Codes: 
Default Codes: 

Notes: 
DEATH CAUSE RECORDED TEXT is the same as attribute PERSON OBSERVATION TEXT STRING.

DEATH CAUSE RECORDED TEXT is the cause of death as recorded on the death certificate.

The information for the following DEATH CAUSE RECORDED TEXT Data Elements is taken from the Medical Certificate of Cause of Death:

For further information regarding the Medical Certificate of Cause of Death, see:

 

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DEATH CAUSE RECORDED TEXT (CONTRIBUTING CONDITION)

Change to Data Element: Changed Description

Format/Length:See DEATH CAUSE RECORDED TEXT
National Codes: 
Default Codes: 

Notes: 
DEATH CAUSE RECORDED TEXT (CONTRIBUTING CONDITION) is the same as attribute PERSON OBSERVATION TEXT STRING.

DEATH CAUSE RECORDED TEXT (CONTRIBUTING CONDITION) is the 'other significant conditions contributing to the death but not related to the disease or condition causing it' as recorded on the death certificate.

 

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DEATH CAUSE RECORDED TEXT (DUE TO CONDITION)

Change to Data Element: Changed Description

Format/Length:See DEATH CAUSE RECORDED TEXT
National Codes: 
Default Codes: 

Notes: 
DEATH CAUSE RECORDED TEXT (DUE TO CONDITION) is the same as attribute PERSON OBSERVATION TEXT STRING.

DEATH CAUSE RECORDED TEXT (DUE TO CONDITION) is the 'other disease or condition, if any, leading to the DEATH CAUSE ICD CODE (IMMEDIATE CONDITION)' as recorded on the death certificate.

 

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DEATH CAUSE RECORDED TEXT (IMMEDIATE CONDITION)

Change to Data Element: Changed Description

Format/Length:See DEATH CAUSE RECORDED TEXT
National Codes: 
Default Codes: 

Notes: 
DEATH CAUSE RECORDED TEXT (IMMEDIATE CONDITION) is the same as attribute PERSON OBSERVATION TEXT STRING.

DEATH CAUSE RECORDED TEXT (IMMEDIATE CONDITION) is the 'disease or condition directly leading to death' as recorded on the death certificate.

 

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DEATH CAUSE RECORDED TEXT (OTHER CONDITION)

Change to Data Element: Changed Description

Format/Length:See DEATH CAUSE RECORDED TEXT
National Codes: 
Default Codes: 

Notes: 
DEATH CAUSE RECORDED TEXT (OTHER CONDITION) is the same as attribute PERSON OBSERVATION TEXT STRING.

DEATH CAUSE RECORDED TEXT (OTHER CONDITION) is the 'other disease or condition, if any, leading to the DEATH CAUSE ICD CODE (DUE TO CONDITION)' as recorded on the death certificate.

 

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DELIVERED IN WATER INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See DELIVERED IN WATER INDICATOR
Default Codes: 

Notes: 
DELIVERED IN WATER INDICATOR is the same as attribute DELIVERED IN WATER INDICATOR

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DELIVERY INSTRUMENT TYPE

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes: 

Notes: 
DELIVERY INSTRUMENT TYPE is the same as attribute DELIVERY INSTRUMENT TYPE

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DELIVERY PLACE TYPE (INTENDED MIDWIFERY UNIT TYPE)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See MIDWIFERY UNIT TYPE
Default Codes: 

Notes: 
DELIVERY PLACE TYPE (INTENDED MIDWIFERY UNIT TYPE) is the MIDWIFERY UNIT TYPE that is intended as the place of delivery for the current Midwife Episode.

This is only required to be recorded if the INTENDED DELIVERY PLACE is National Code 0 'In NHS hospital - delivery facilities associated with MIDWIFE WARD'. 

 

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DIABETES TYPE (RENAL CARE)

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See DIABETES TYPE FOR RENAL CARE
Default Codes: 

Notes: 
DIABETES TYPE (RENAL CARE) is the same as attribute DIABETES TYPE FOR RENAL CARE

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DIAGNOSIS CARDIOVASCULAR COMPLICATIONS (RENAL RECIPIENT)

Change to Data Element: Changed Description

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DIAGNOSIS DATE (ACUTE REJECTION INDICATOR)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (ACUTE REJECTION INDICATOR) is the same as data element DIAGNOSIS DATE where the episode of acute rejection of transplant was proven by biopsy. 

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DIAGNOSIS DATE (ASPIRATION INFECTION)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (ASPIRATION INFECTION) is the same as data element DIAGNOSIS DATE for the RENAL DONOR DIAGNOSIS TYPE of 'Aspiration infection'

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DIAGNOSIS DATE (CARDIAC ARREST DONOR)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (CARDIAC ARREST DONOR) is the same as data element DIAGNOSIS DATE for the RENAL DONOR DIAGNOSIS TYPE of 'Cardiac Arrest'. 

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DIAGNOSIS DATE (CARDIOVASCULAR DISEASE)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (CARDIOVASCULAR DISEASE) is the same as data element DIAGNOSIS DATE for the RENAL DONOR DIAGNOSIS TYPE of 'Cardiovascular disease'

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DIAGNOSIS DATE (CHEST INFECTION)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (CHEST INFECTION) is the same as data element DIAGNOSIS DATE for the RENAL DONOR DIAGNOSIS TYPE of 'Chest infection'

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DIAGNOSIS DATE (DEEP VEIN THROMBOSIS PERI OR POST OPERATIVE)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (DEEP VEIN THROMBOSIS PERI OR POST OPERATIVE) is the same as data element DIAGNOSIS DATE for the RENAL LIVING DONOR DIAGNOSIS TYPE of 'Deep vein thrombosis peri or post operative'

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DIAGNOSIS DATE (HYPERTENSION)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (HYPERTENSION) is the same as data element DIAGNOSIS DATE for the RENAL DONOR DIAGNOSIS TYPE of 'Hypertension'

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DIAGNOSIS DATE (HYPOTENSION)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (HYPOTENSION) is the same as data element DIAGNOSIS DATE for the RENAL DONOR DIAGNOSIS TYPE of 'Hypotension'

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DIAGNOSIS DATE (LIVER DISEASE)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (LIVER DISEASE) is the same as data element DIAGNOSIS DATE for the RENAL DONOR DIAGNOSIS TYPE of 'Liver disease'

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DIAGNOSIS DATE (NORMOTENSIVE)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (NORMOTENSIVE) is the same as data element DIAGNOSIS DATE for the RENAL DONOR DIAGNOSIS TYPE of 'Normotensive'

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DIAGNOSIS DATE (PNEUMONIA PERI OR POST OPERATIVE)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (PNEUMONIA PERI OR POST OPERATIVE) is the same as data element DIAGNOSIS DATE for the RENAL LIVING DONOR DIAGNOSIS TYPE of 'Pneumonia peri or post operative'

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DIAGNOSIS DATE (PNEUMOTHORAX PERI OR POST OPERATIVE)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (PNEUMOTHORAX PERI OR POST OPERATIVE)  is the same as data element DIAGNOSIS DATE for the RENAL LIVING DONOR DIAGNOSIS TYPE of 'Pneumothorax peri or post operative'

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DIAGNOSIS DATE (PRIMARY OR RECURRENT RENAL DISEASE)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (PRIMARY OR RECURRENT RENAL DISEASE) is the same as data element DIAGNOSIS DATE for the RENAL RECIPIENT DIAGNOSIS TYPE of 'Primary or recurrent renal disease in the graft post transplant'

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DIAGNOSIS DATE (PULMONARY THROMBO EMBOLISM PERI OR POST OPERATIVE)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (PULMONARY THROMBO EMBOLISM PERI OR POST OPERATIVE) is the same as data element DIAGNOSIS DATE for the RENAL LIVING DONOR DIAGNOSIS TYPE of 'Pulmonary thrombo embolism peri or post operative'

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DIAGNOSIS DATE (RESPIRATORY ARREST DONOR)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (RESPIRATORY ARREST DONOR) is the same as data element DIAGNOSIS DATE for the RENAL DONOR DIAGNOSIS TYPE of 'Respiratory Arrest'. 

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DIAGNOSIS DATE (TUMOUR)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (TUMOUR) is the same as data element DIAGNOSIS DATE for the RENAL DONOR DIAGNOSIS TYPE of 'Tumour'

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DIAGNOSIS DATE (URINARY TRACT INFECTION)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (URINARY TRACT INFECTION) is the same as data element DIAGNOSIS DATE for the RENAL DONOR DIAGNOSIS TYPE of 'Urinary tract infection'

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DIAGNOSIS DATE (URINE INFECTION)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (URINE INFECTION) is the same as data element DIAGNOSIS DATE for the RENAL DONOR DIAGNOSIS TYPE of 'Urine infection'

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DIAGNOSIS DATE (WOUND INFECTION PERI OR POST OPERATIVE)

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSIS DATE (WOUND INFECTION PERI OR POST OPERATIVE) is the same as data element DIAGNOSIS DATE for the RENAL LIVING DONOR DIAGNOSIS TYPE of 'Wound infection peri or post operative'

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DIAGNOSIS DATE AND TIME (CIRCULATORY ARREST)

Change to Data Element: Changed Description

Format/Length:See DATE AND TIME
National Codes: 
Default Codes: 

Notes: 
DIAGNOSIS DATE AND TIME (CIRCULATORY ARREST) is the same as data element DATE AND TIME for the PATIENT DIAGNOSIS of an organ donor, where the diagnosis was for circulatory arrest. 

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DIAGNOSTIC TEST (ENDOSCOPY)

Change to Data Element: Changed Description

Format/Length:an5
National Codes: 
Default Codes: 

Notes: 
DIAGNOSTIC TEST (ENDOSCOPY) is the intended or actual endoscopy diagnostic test or procedure split by Colonoscopy, Flexi sigmoidoscopy, Cystoscopy and Gastroscopy for a SERVICE REQUEST derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity

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DIAGNOSTIC TEST (ENDOSCOPY CENSUS)

Change to Data Element: Changed Description

Format/Length:an5
National Codes: 
Default Codes: 

Notes: 
DIAGNOSTIC TEST (ENDOSCOPY CENSUS) is the intended endoscopy diagnostic test or procedure (CLINICAL INTERVENTION) split by test grouping of SERVICE REQUESTS derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity

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DIAGNOSTIC TEST (IMAGING)

Change to Data Element: Changed Description

Format/Length:an5
National Codes: 
Default Codes: 

Notes: 
DIAGNOSTIC TEST (IMAGING) is the intended or actual Imaging Test or Procedure, for a SERVICE REQUEST, split by:

DIAGNOSTIC TEST (IMAGING) is derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity.

 

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DIAGNOSTIC TEST (IMAGING CENSUS)

Change to Data Element: Changed Description

Format/Length:an5
National Codes: 
Default Codes: 

Notes: 
DIAGNOSTIC TEST (IMAGING CENSUS) is the intended imaging diagnostic test or procedure (CLINICAL INTERVENTION) split by test grouping of SERVICE REQUESTS derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity

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DIAGNOSTIC TEST (PATHOLOGY CENSUS)

Change to Data Element: Changed Description

Format/Length:an5
National Codes: 
Default Codes: 

Notes: 
DIAGNOSTIC TEST (PATHOLOGY CENSUS) is the intended pathology diagnostic test or procedure (CLINICAL INTERVENTION) split by test grouping of SERVICE REQUESTS derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity

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DIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT)

Change to Data Element: Changed Description

Format/Length:an5
National Codes: 
Default Codes: 

Notes: 
DIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT) is the intended or actual physiological measurement diagnostic test or procedure split by Audiology - audiological assessments, Cardiology - echocardiography and electrophysiology, Neurophysiology - peripheral neurophysiology, Respiratory physiology - sleep studies, Urodynamics - pressures and flows for a SERVICE REQUEST derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity

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DIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT CENSUS)

Change to Data Element: Changed Description

Format/Length:an5
National Codes: 
Default Codes: 

Notes: 
DIAGNOSTIC TEST (PHYSIOLOGICAL MEASUREMENT CENSUS) is the intended physiological measurement diagnostic test or procedure (CLINICAL INTERVENTION) split by test grouping of SERVICE REQUESTS derived from the OPCS-4 codes listed in the NHS England guidance at: Diagnostics Waiting Times and Activity

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DIAGNOSTIC TEST DATE

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSTIC TEST DATE is the same as data element PROCEDURE DATE.

DIAGNOSTIC TEST DATE is the date the Diagnostic Imaging was performed.

 

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DIAGNOSTIC TEST REQUEST DATE

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSTIC TEST REQUEST DATE is the same as attribute DIAGNOSTIC TEST REQUEST DATE

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DIAGNOSTIC TEST REQUEST RECEIVED DATE

Change to Data Element: Changed Description

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

Notes: 
DIAGNOSTIC TEST REQUEST RECEIVED DATE is the same as attribute DIAGNOSTIC TEST REQUEST RECEIVED DATE.

For the Diagnostic Imaging Data Set, DIAGNOSTIC TEST REQUEST RECEIVED DATE is the date the DIAGNOSTIC TEST REQUEST was received by the Imaging Department.

 

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DIAGNOSTIC TESTS COMMISSIONED FROM INDEPENDENT SECTOR

Change to Data Element: Changed Description

Format/Length:n6
National Codes: 
Default Codes: 

Notes: 
DIAGNOSTIC TESTS COMMISSIONED FROM INDEPENDENT SECTOR is the number of CLINICAL INTERVENTIONS of a particular diagnostic test done during the reporting period where the ORGANISATION commissioning the SERVICE REQUEST is from the Independent Sector. 

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DIAGNOSTIC TESTS DONE TOTAL

Change to Data Element: Changed Description

Format/Length:n6
National Codes: 
Default Codes: 

Notes: 
DIAGNOSTIC TESTS DONE TOTAL is the total number of CLINICAL INTERVENTIONS of a particular diagnostic test done during the reporting period. 

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DISCHARGE LETTER ISSUED DATE (COMMUNITY CARE)

Change to Data Element: Changed Description

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

Notes: 
DISCHARGE LETTER ISSUED DATE (COMMUNITY CARE) is the date the when the Discharge Letter was issued by the provider of Community Health Services to the referrer, in accordance with National Guidelines.

This data item supports the NHS Standard Contract for Community Services 2010-11, specifically the requirement to provide a Discharge Letter to the referrer within 24 hours of the DISCHARGE DATE (COMMUNITY HEALTH SERVICE).

DISCHARGE LETTER ISSUED DATE (COMMUNITY CARE) is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Discharge Letter Issued Date (Community Care)'. 

 

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DOMINANT ARM CODE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See DOMINANT ARM CODE
Default Codes: 

Notes: 
DOMINANT ARM CODE is the same as attribute DOMINANT ARM CODE

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ELIGIBLE POPULATION IMMUNISED PERCENTAGE

Change to Data Element: Changed Description

Format/Length:max n2.max n1
National Codes: 
Default Codes: 

Notes: 
ELIGIBLE POPULATION IMMUNISED PERCENTAGE is the percentage of the result of the ELIGIBLE POPULATION TOTAL (COVER) immunised as part of an Immunisation Programme, where the UNIT OF MEASUREMENT is 'Percentage (%)'

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EMERGENCY CARE FACILITY TYPE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See EMERGENCY CARE FACILTY TYPE
Default Codes: 

Notes: 
EMERGENCY CARE FACILITY TYPE is the same as attribute EMERGENCY CARE FACILTY TYPE

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EMERGENCY CARE PATIENTS WAITING OVER 4 HOURS TOTAL

Change to Data Element: Changed Description

Format/Length:max n6
National Codes: 
Default Codes: 

Notes: 
EMERGENCY CARE PATIENTS WAITING OVER 4 HOURS TOTAL is the total number of PATIENTS who have a total time in an Emergency Care Department over 4 hours.

EMERGENCY CARE PATIENTS WAITING OVER 4 HOURS TOTAL is the period of time derived from the ARRIVAL TIME AT ACCIDENT AND EMERGENCY DEPARTMENT and the A and E DEPARTURE TIME.

 

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END DATE AND TIME (RENAL DIALYSIS)

Change to Data Element: Changed Description

Format/Length:See DATE AND TIME
National Codes: 
Default Codes: 

Notes: 
END DATE AND TIME (RENAL DIALYSIS) is the END DATE and the END TIME of the Renal Dialysis episode. 

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ENTERAL FEEDING METHOD

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See ENTERAL FEEDING METHOD
Default Codes: 

Notes: 
ENTERAL FEEDING METHOD is the same as attribute ENTERAL FEEDING METHOD.

For the National Neonatal Data Set - Episodic and Daily Care, ENTERAL FEEDING METHOD indicates the method used to give Enteral Feeding to the baby on the NEONATAL CRITICAL CARE DAILY CARE DATE.

 

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ENTERAL FEED TYPE GIVEN

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See ENTERAL FEED TYPE GIVEN
Default Codes:9 - Not applicable (nil by mouth)

Notes: 
ENTERAL FEED TYPE GIVEN is the same as attribute ENTERAL FEED TYPE GIVEN.

For the National Neonatal Data Set - Episodic and Daily Care, ENTERAL FEED TYPE GIVEN indicates the type of Enteral Feeding the baby received on the NEONATAL CRITICAL CARE DAILY CARE DATE.

 

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EPIDERMAL GROWTH FACTOR RECEPTOR MUTATIONAL STATUS

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See EPIDERMAL GROWTH FACTOR RECEPTOR MUTATIONAL STATUS
Default Codes:4 - Not Assessed

Notes: 
EPIDERMAL GROWTH FACTOR RECEPTOR MUTATIONAL STATUS is the same as attribute EPIDERMAL GROWTH FACTOR RECEPTOR MUTATIONAL STATUS

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EPISIOTOMY PERFORMED REASON

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See EPISIOTOMY PERFORMED REASON CODE
Default Codes: 

Notes: 
EPISIOTOMY PERFORMED REASON is the same as attribute EPISIOTOMY PERFORMED REASON CODE

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ESTIMATED DATE OF DELIVERY (AGREED)

Change to Data Element: Changed Description

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

Notes: 
ESTIMATED DATE OF DELIVERY (AGREED) is the clinically agreed ESTIMATED DATE OF DELIVERY.

The method of calculation for the agreed ESTIMATED DATE OF DELIVERY is as identified by the ESTIMATED DATE OF DELIVERY METHOD (AGREED).

 

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ESTIMATED DATE OF DELIVERY (AGREED) YEAR AND MONTH

Change to Data Element: Changed Description

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ESTIMATED DATE OF DELIVERY METHOD (AGREED)

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See ESTIMATED DATE OF DELIVERY METHOD
Default Codes: 

Notes: 
ESTIMATED DATE OF DELIVERY METHOD (AGREED) is the ESTIMATED DATE OF DELIVERY METHOD used to calculate the ESTIMATED DATE OF DELIVERY (AGREED)

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EXTRANODAL SPREAD INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See EXTRANODAL SPREAD INDICATOR
Default Codes:X - Not Assessable (Sample is not suitable to assess)

Notes: 
EXTRANODAL SPREAD INDICATOR is the same as attribute EXTRANODAL SPREAD INDICATOR

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FEMALE GENITAL MUTILATION AGE CATEGORY

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See FEMALE GENITAL MUTILATION AGE CATEGORY
Default Codes: 

Notes: 
FEMALE GENITAL MUTILATION AGE CATEGORY is the same as attribute FEMALE GENITAL MUTILATION AGE CATEGORY

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FEMALE GENITAL MUTILATION FAMILY HISTORY INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See HISTORY OF FEMALE GENITAL MUTILATION INDICATOR
Default Codes:9 - Unknown

Notes: 
FEMALE GENITAL MUTILATION FAMILY HISTORY INDICATOR is the same as attribute HISTORY OF FEMALE GENITAL MUTILATION INDICATOR, where there is confirmation that female genital mutilation has occurred in associated family members or wider social groupings. 

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FEMALE GENITAL MUTILATION IDENTIFICATION METHOD CODE

Change to Data Element: Changed Description

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FEMALE GENITAL MUTILATION TYPE 4 CODE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See FEMALE GENITAL MUTILATION TYPE 4 CODE
Default Codes: 

Notes: 
FEMALE GENITAL MUTILATION TYPE 4 CODE is the same as attribute FEMALE GENITAL MUTILATION TYPE 4 CODE

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FINAL FIGO STAGE DATE

Change to Data Element: Changed Description

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

Notes: 
FINAL FIGO STAGE DATE is the same as attribute ACTIVITY DATE, where the ACTIVITY DATE TYPE is National Code 'Final Figo Stage Date'. 

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FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE)

Change to Data Element: Changed Description

Format/Length:n10
National Codes: 
Default Codes: 

Notes: 
FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE) is the total number of female PATIENTS detained under the Mental Health Act and admitted to a Hospital Provider Spell during the REPORTING PERIOD for a FORMAL ADMISSIONS SECTION TYPE, where learning disability was the primary reason for using the Mental Health Act.

It excludes transfers between Health Care Providers and between Hospital Sites of the same Health Care Provider which initiate a new Hospital Provider Spell where the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE is unchanged but includes such transfers where the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE does change.

It excludes admissions where the PATIENT is being treated under an active Supervised Community Treatment and/or subject of a Supervised Community Treatment Recall.

During the period 1st April 2008 and 31st March 2009 both MENTAL CATEGORY and MENTAL HEALTH ACT 2007 MENTAL CATEGORY will be in use to categorise mental disorder. But for the purposes of the KP90 collection only it has been agreed with stakeholders that the MENTAL CATEGORY of PATIENTS detained in the period up to 3rd November 2008 will be mapped to the categories of MENTAL HEALTH ACT 2007 MENTAL CATEGORY.

The mapping for use with this data element is:

 MENTAL CATEGORY MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
   
 1 Mental illnessA Mental disorder (Learning Disability not present or not primary reason for using Act)
 2 Mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 3 Severe mental impairmentB Mental disorder (Learning Disability primary reason for using Act)
 4 Psychopathic disorderA Mental disorder (Learning Disability not present or not primary reason for using Act)
 5 Not specifiedA Mental disorder (Learning Disability not present or not primary reason for using Act)
1. It is a count of the total number of admission for all PATIENTS within the Health Care Provider for a given FORMAL ADMISSIONS SECTION TYPE where:
  a.the Hospital Provider Spell has a Start Date on or after the REPORTING PERIOD START DATE and the Start Date is before or on the REPORTING PERIOD END DATE 
  and 
   where the Hospital Provider Spell contains at least one Consultant Episode (Hospital Provider) where the main TREATMENT FUNCTION of the CONSULTANT is for a mental illness MAIN SPECIALTY. The mental illness MAIN SPECIALTY CODES being 700, 710, 711, 712, 713 and 715.
  and 
  b.the PERSON PROPERTY EFFECTIVE DATE for the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE of MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION is the same as the Start Date of the Hospital Provider Spell i.e. the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION should be recorded when the PATIENT was admitted.
  and 
  c.the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE corresponds to the FORMAL ADMISSIONS SECTION TYPE 
  and 
  d.the PERSON GENDER CODE of the latest recorded PERSON GENDER (whether recorded before or within) the REPORTING PERIOD is National Code 'Female' 
  and 
   the PERSON GENDER TYPE for the PERSON GENDER is National Code 'Person Gender Current' 
  and 
  e.the MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is National Code B 'Mental Disorder (Learning Disability primary reason for using Act)' 
   See above for mapping MENTAL CATEGORY of PATIENTS detained and admitted in the period up to 3rd November 2008 to provide the appropriate category for MENTAL HEALTH ACT 2007 MENTAL CATEGORY 
  and 
   the PERSON PROPERTY EFFECTIVE DATE for the MENTAL HEALTH ACT 2007 MENTAL CATEGORY of CATEGORY VALUED PERSON OBSERVATION is the same as the Start Date of the Hospital Provider Spell i.e. the MENTAL HEALTH ACT 2007 MENTAL CATEGORY should be recorded when the PATIENT was admitted.
2. Where no admissions match these criteria then FORMAL ADMISSIONS (LEARNING DISABILITY PRIMARY REASON FOR USING ACT - FEMALE) should be set to zero.
 

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FURTHER ASSESSMENT REQUIRED INDICATOR (DIABETES ASSESSMENT)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See DECISION TO UNDERTAKE FURTHER ASSESSMENT INDICATOR
Default Codes: 

Notes: 
FURTHER ASSESSMENT REQUIRED INDICATOR (DIABETES ASSESSMENT) is the same as attribute DECISION TO UNDERTAKE FURTHER ASSESSMENT INDICATOR.

For the NHS Health Checks Data Set, this is an indication of whether a decision was taken that further assessment of the PATIENT's condition is required, where the FURTHER ASSESSMENT TYPE FOR NHS HEALTH CHECK recorded is National Code 'Diabetes Assessment'. 

 

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FURTHER ASSESSMENT REQUIRED INDICATOR (FASTING CHOLESTEROL ASSESSMENT)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See DECISION TO UNDERTAKE FURTHER ASSESSMENT INDICATOR
Default Codes: 

Notes: 
FURTHER ASSESSMENT REQUIRED INDICATOR (FASTING CHOLESTEROL ASSESSMENT) is the same as attribute DECISION TO UNDERTAKE FURTHER ASSESSMENT INDICATOR.

For the NHS Health Checks Data Set, this is an indication of whether a decision was taken that further assessment of the PATIENT's condition is required, where the FURTHER ASSESSMENT TYPE FOR NHS HEALTH CHECK recorded is National Code 'Fasting Cholesterol Assessment'. 

 

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FURTHER ASSESSMENT REQUIRED INDICATOR (HYPERTENSION ASSESSMENT)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See DECISION TO UNDERTAKE FURTHER ASSESSMENT INDICATOR
Default Codes: 

Notes: 
FURTHER ASSESSMENT REQUIRED INDICATOR (HYPERTENSION ASSESSMENT) is the same as attribute DECISION TO UNDERTAKE FURTHER ASSESSMENT INDICATOR.

For the NHS Health Checks Data Set, this is an indication of whether a decision was taken that further assessment of the PATIENT's condition is required, where the FURTHER ASSESSMENT TYPE FOR NHS HEALTH CHECK recorded is National Code 'Hypertension Assessment'. 

 

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FURTHER ASSESSMENT REQUIRED INDICATOR (IMPAIRED FASTING GLYCAEMIA IMPAIRED GLUCOSE TOLERANCE LIFESTYLE MANAGEMENT)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See DECISION TO UNDERTAKE FURTHER ASSESSMENT INDICATOR
Default Codes: 

Notes: 
FURTHER ASSESSMENT REQUIRED INDICATOR (IMPAIRED FASTING GLYCAEMIA IMPAIRED GLUCOSE TOLERANCE LIFESTYLE MANAGEMENT) is the same as attribute DECISION TO UNDERTAKE FURTHER ASSESSMENT INDICATOR.

For the NHS Health Checks Data Set, this is an indication of whether a decision was taken that further assessment of the PATIENT's condition is required, where the FURTHER ASSESSMENT TYPE FOR NHS HEALTH CHECK recorded is National Code 'Impaired Fasting Glycaemia Impaired Glucose Tolerance Lifestyle Management'. 

 

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FURTHER ASSESSMENT REQUIRED INDICATOR (SERUM CREATININE ASSESSMENT)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See DECISION TO UNDERTAKE FURTHER ASSESSMENT INDICATOR
Default Codes: 

Notes: 
FURTHER ASSESSMENT REQUIRED INDICATOR (SERUM CREATININE ASSESSMENT) is the same as attribute DECISION TO UNDERTAKE FURTHER ASSESSMENT INDICATOR.

For the NHS Health Checks Data Set, this is an indication of whether a decision was taken that further assessment of the PATIENT's condition is required, where the FURTHER ASSESSMENT TYPE FOR NHS HEALTH CHECK recorded is National Code 'Serum Creatinine Assessment'. 

 

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GRADE OF DIFFERENTIATION

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See GRADE OF DIFFERENTIATION
Default Codes: 

Notes: 
GRADE OF DIFFERENTIATION is the same as attribute GRADE OF DIFFERENTIATION

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GRIFFITHS EYE AND HAND CO-ORDINATION SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
GRIFFITHS EYE AND HAND CO-ORDINATION SCALE SCORE is the PERSON SCORE for the Griffiths Eye and Hand Co-ordination Scale Score.

The score is in the range of 0-999.

 

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GRIFFITHS LANGUAGE SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
GRIFFITHS LANGUAGE SCALE SCORE is the PERSON SCORE for the Griffiths Language Scale Score.

The score is in the range of 0-999.

 

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GRIFFITHS LOCOMOTOR SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
GRIFFITHS LOCOMOTOR SCALE SCORE is the PERSON SCORE for the Griffiths Locomotor Scale Score.

The score is in the range of 0-999.

 

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GRIFFITHS PERFORMANCE SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
GRIFFITHS PERFORMANCE SCALE SCORE is the PERSON SCORE for the Griffiths Performance Scale Score.

The score is in the range of 0-999.

 

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GRIFFITHS PERSONAL-SOCIAL SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
GRIFFITHS PERSONAL-SOCIAL SCALE SCORE is the PERSON SCORE for the Griffiths Personal-Social Scale Score.

The score is in the range of 0-999.

 

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GRIFFITHS PRACTICAL REASONING SCALE SCORE

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
GRIFFITHS PRACTICAL REASONING SCALE SCORE is the PERSON SCORE for the Griffiths Practical Reasoning Scale Score.

The score is in the range of 0-999.

 

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HEAD CIRCUMFERENCE IN CENTIMETRES

Change to Data Element: Changed Description

Format/Length:max n2.n1
National Codes: 
Default Codes:99.9 - Head Circumference not known

Notes: 
HEAD CIRCUMFERENCE IN CENTIMETRES records the Head Circumference of a PERSON, where the UNIT OF MEASUREMENT is 'Centimetres'. 

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HEAD CIRCUMFERENCE IN CENTIMETRES (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT)

Change to Data Element: Changed Description

Format/Length:max n2.n1
National Codes: 
Default Codes: 

Notes: 
HEAD CIRCUMFERENCE IN CENTIMETRES records the Head Circumference of the PATIENT (child) as recorded at a Two Year Neonatal Outcomes Assessment, where the UNIT OF MEASUREMENT is 'Centimetres'. 

For the National Neonatal Data Set - Two Year Neonatal Outcomes Assessment, where the Head Circumference measurement was not taken on the Two Year Neonatal Outcomes Assessment Date, the actual OBSERVATION DATE (HEAD CIRCUMFERENCE) should be recorded.

 

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HEIGHT IN CENTIMETRES FIRST VISIT

Change to Data Element: Changed Description

Format/Length:max n3.max n1
National Codes: 
Default Codes: 

Notes: 
HEIGHT IN CENTIMETRES FIRST VISIT is the same as data element PERSON HEIGHT IN CENTIMETRES at the first visit if the PERSON is less than 18 years old. 

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HEPATITIS B ANTIGEN STATUS (RENAL CARE)

Change to Data Element: Changed Description

Format/Length:an3
National Codes:See CLINICAL INVESTIGATION RESULT CODE FOR RENAL CARE
Default Codes:UNK - Unknown

Notes: 
HEPATITIS B ANTIGEN STATUS (RENAL CARE) is the same as attribute CLINICAL INVESTIGATION RESULT CODE FOR RENAL CARE for the blood test for the PATIENT's Hepatitis B (HBV) surface antigen status. 

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HEPATITIS B INFECTION INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes: 

Notes: 
HEPATITIS B INFECTION INDICATOR is the result of the Clinical Investigation to indicate whether the PATIENT has a hepatitis B infection.

For the HIV and AIDS Reporting Data Set, HEPATITIS B INFECTION INDICATOR indicates if there is LABORATORY evidence of an acute or chronic hepatitis B infection.

Permitted National Codes:

YYes
NNo
 

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HIGH COST DRUGS (OPCS)

Change to Data Element: Changed Description

Format/Length:See OPCS-4 CODE
National Codes: 
Default Codes: 

Notes: 
HIGH COST DRUGS (OPCS) is the same as attribute CLINICAL CLASSIFICATION CODE.

HIGH COST DRUGS (OPCS) is the use of high cost drugs as per the OPCS-4 definitions provided as a CARE ACTIVITY.

Note that in the Commissioning Data Set version 6-1-1 schema, only OPCS-4 codes X81.0 - X97.9 are accepted.  This constraint has been removed at Commissioning Data Set schema version 6-2.

 

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HIGH RISK WOMEN INVITED FOR SCREENING IN PERIOD TOTAL

Change to Data Element: Changed Description

Format/Length:max n4
National Codes: 
Default Codes: 

Notes: 
HIGH RISK WOMEN INVITED FOR SCREENING IN PERIOD TOTAL is the total number of women in a BREAST SCREENING HIGH RISK CATEGORY sent a Breast Screening invitation, where the first Mammography invitation has a first offered test date (APPOINTMENT DATE OFFERED) during the REPORTING PERIOD

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HIGH RISK WOMEN SCREENED TOTAL (TECHNICALLY ADEQUATE)

Change to Data Element: Changed Description

Format/Length:max n4
National Codes: 
Default Codes: 

Notes: 
HIGH RISK WOMEN SCREENED TOTAL (TECHNICALLY ADEQUATE) is the total number of women in a BREAST SCREENING HIGH RISK CATEGORY whose BREAST SCREENING MAMMOGRAPHY OUTCOME CODE is not recorded as National Code 'Inadequate test'

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HONOS RATING 3 SCORE

Change to Data Element: Changed Description

Format/Length:n1
National Codes: 
Default Codes: 

Notes: 
HONOS RATING 3 SCORE is the PERSON SCORE for rating 3 of the Health of the Nation Outcome Scale (Working Age Adults).

The rating relates to problem drinking or drug taking.

 

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IMAGING CODE (SNOMED CT)

Change to Data Element: Changed linked Attribute, Description

Format/Length:min n6 max n18
National Codes: 
Default Codes: 

Notes: 
IMAGING CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.IMAGING CODE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

IMAGING CODE (SNOMED CT) is the SNOMED CT concept ID which is used to identify the Diagnostic Imaging test.

The SNOMED CT Subset:

  • original ID is 611000000135
  • name is 'UK Diagnostic Imaging Procedure Concepts'.

IMAGING CODE (SNOMED CT) replaces IMAGING CODE (SNOMED-CT) and should be used for all new and developing data sets and for XML messages.

 

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IMAGING CODE (SNOMED CT)

Change to Data Element: Changed linked Attribute, Description

IMAGING CODE (SNOMED CT)
 
Attribute:
CLINICAL TERMINOLOGY CODE

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IMMUNISATION DOSES GIVEN TOTAL (COVER)

Change to Data Element: Changed Description

Format/Length:max n5
National Codes: 
Default Codes: 

Notes: 
IMMUNISATION DOSES GIVEN TOTAL (COVER) reports the total number of Immunisation Doses Given of the CHILDHOOD IMMUNISATION TYPE CODE within a REPORTING PERIOD

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IMPLANT BATCH OR LOT NUMBER

Change to Data Element: Changed Description

Format/Length:max an50
National Codes: 
Default Codes: 

Notes: 
IMPLANT BATCH OR LOT NUMBER is the same as attribute IMPLANT BATCH OR LOT NUMBER

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INFECTION CULTURE TEST INDICATOR (CEREBROSPINAL FLUID)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See INFECTION CULTURE TEST INDICATOR
Default Codes:9 - Not known if infection culture test undertaken

Notes: 
INFECTION CULTURE TEST INDICATOR (CEREBROSPINAL FLUID) is the same as attribute INFECTION CULTURE TEST INDICATOR.

INFECTION CULTURE TEST INDICATOR (CEREBROSPINAL FLUID) indicates whether an Infection Culture test was undertaken on a cerebrospinal fluid SAMPLE.

For the National Neonatal Data Set - Episodic and Daily Care, INFECTION CULTURE TEST INDICATOR (CEREBROSPINAL FLUID) indicates whether at least one cerebrospinal fluid Infection Culture test was undertaken during the neonatal CRITICAL CARE PERIOD.

 

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INFECTION CULTURE TEST INDICATOR (URINE)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See INFECTION CULTURE TEST INDICATOR
Default Codes:9 - Not known if infection culture test undertaken

Notes: 
INFECTION CULTURE TEST INDICATOR (URINE) is the same as attribute INFECTION CULTURE TEST INDICATOR.

INFECTION CULTURE TEST INDICATOR (URINE) indicates whether an Infection Culture test was undertaken on a urine SAMPLE.

For the National Neonatal Data Set - Episodic and Daily Care, INFECTION CULTURE TEST INDICATOR (URINE) indicates whether at least one urine (suprapubic, catheterisation or clean catch) Infection Culture test was undertaken during the neonatal CRITICAL CARE PERIOD

 

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IN LABOUR BEFORE CAESARIAN SECTION INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See IN LABOUR BEFORE CAESARIAN SECTION INDICATOR
Default Codes:9 - not known whether mother in labour before caesarian section

Notes: 
IN LABOUR BEFORE CAESARIAN SECTION INDICATOR is the same as attribute IN LABOUR BEFORE CAESARIAN SECTION INDICATOR

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INOTROPE INFUSION RECEIVED INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PATIENT PROCEDURE PERFORMED INDICATOR
Default Codes: 

Notes: 
INOTROPE INFUSION RECEIVED INDICATOR is the same as attribute PATIENT PROCEDURE PERFORMED INDICATOR, to indicate whether an inotrope infusion was performed.

For the National Neonatal Data Set - Episodic and Daily Care, INOTROPE INFUSION RECEIVED INDICATOR indicates whether the baby received an inotrope infusion on the NEONATAL CRITICAL CARE DAILY CARE DATE.

 

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INTENDED AGE GROUP

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes: 

Notes: 
INTENDED AGE GROUP is the same as attribute AGE GROUP INTENDED.

INTENDED AGE GROUP is based on the AGE GROUP INTENDED National Codes, with the addition of Home Leave:   

Permitted National Codes:

1Neonates
2Children and /or adolescents
3Elderly
8Any age
9Home Leave*

* Note - National Code 9 is not valid for the Mental Health and Learning Disabilities Data Set.

 

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INTERGROUP RHABDOMYOSARCOMA STUDY POST SURGICAL GROUP DATE

Change to Data Element: Changed Description

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

Notes: 
INTERGROUP RHABDOMYOSARCOMA STUDY POST SURGICAL GROUP DATE is the same as attribute ACTIVITY DATE, where the ACTIVITY DATE TYPE is National Code 'Intergroup Rhabdomyosarcoma Study Post Surgical Group Date'. 

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INTERNATIONAL NEUROBLASTOMA STAGING SYSTEM DATE

Change to Data Element: Changed Description

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

Notes: 
INTERNATIONAL NEUROBLASTOMA STAGING SYSTEM DATE is the same as attribute ACTIVITY DATE, where the ACTIVITY DATE TYPE is National Code 'International Neuroblastoma Staging System Date'. 

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INTRAPARTUM ANTIBIOTICS GIVEN INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See INTRAPARTUM ANTIBIOTICS GIVEN INDICATOR
Default Codes:9 - Not known if intrapartum antibiotics given

Notes: 
INTRAPARTUM ANTIBIOTICS GIVEN INDICATOR  is the same as attribute INTRAPARTUM ANTIBIOTICS GIVEN INDICATOR

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INTRAVENOUS INFUSION OF GLUCOSE AND ELECTROLYTE SOLUTION RECEIVED INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PATIENT PROCEDURE PERFORMED INDICATOR
Default Codes: 

Notes: 
INTRAVENOUS INFUSION OF GLUCOSE AND ELECTROLYTE SOLUTION RECEIVED INDICATOR is the same as attribute PATIENT PROCEDURE PERFORMED INDICATOR, to indicate whether an intravenous infusion of glucose and electroytes was given.

For the National Neonatal Data Set - Episodic and Daily Care, INTRAVENOUS INFUSION OF GLUCOSE AND ELECTROLYTE SOLUTION RECEIVED INDICATOR indicates whether the baby received an intravenous infusion of glucose and electrolyte solution on the NEONATAL CRITICAL CARE DAILY CARE DATE.

 

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INTRAVENTRICULAR HAEMORRHAGE GRADE (LEFT SIDE)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See INTRAVENTRICULAR HAEMORRHAGE GRADE
Default Codes: 

Notes: 
INTRAVENTRICULAR HAEMORRHAGE GRADE (LEFT SIDE) is the same as attribute INTRAVENTRICULAR HAEMORRHAGE GRADE in the left side of the cranium.

For the National Neonatal Data Set - Episodic and Daily Care, INTRAVENTRICULAR HAEMORRHAGE GRADE (LEFT SIDE) is the most severe INTRAVENTRICULAR HAEMORRHAGE GRADE seen on the left side of the cranium during a cranial Ultrasound Scan.

 

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INTRAVENTRICULAR HAEMORRHAGE GRADE (RIGHT SIDE)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See INTRAVENTRICULAR HAEMORRHAGE GRADE
Default Codes: 

Notes: 
INTRAVENTRICULAR HAEMORRHAGE GRADE (RIGHT SIDE) is the same as attribute INTRAVENTRICULAR HAEMORRHAGE GRADE in the right side of the cranium.

For the National Neonatal Data Set - Episodic and Daily Care, INTRAVENTRICULAR HAEMORRHAGE GRADE (RIGHT SIDE) is the most severe INTRAVENTRICULAR HAEMORRHAGE GRADE seen on the right side of the cranium during a cranial Ultrasound Scan.

 

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LESION DIAMETER GREATER THAN 20MM INDICATION CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See LESION DIAMETER GREATER THAN 20MM INDICATION CODE
Default Codes:X - Cannot be assessed (Sample is not suitable to assess)
 9 - Not Known (Not Recorded)

Notes: 
LESION DIAMETER GREATER THAN 20MM INDICATION CODE is the same as attribute LESION DIAMETER GREATER THAN 20MM INDICATION CODE

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LESION VERTICAL THICKNESS GREATER THAN 2MM INDICATION CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See LESION VERTICAL THICKNESS GREATER THAN 2MM INDICATION CODE
Default Codes:X - Cannot be assessed (Sample is not suitable to assess)
 9 - Not Known (Not Recorded)

Notes: 
LESION VERTICAL THICKNESS GREATER THAN 2MM INDICATION CODE is the same as attribute LESION VERTICAL THICKNESS GREATER THAN 2MM INDICATION CODE

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LIVER TRANSPLANT PERFORMED INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PATIENT PROCEDURE PERFORMED INDICATOR
Default Codes: 

Notes: 
LIVER TRANSPLANT PERFORMED INDICATOR is the same as attribute PATIENT PROCEDURE PERFORMED INDICATOR, to indicate if a liver transplant was performed on a PATIENT

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LONG HEAD BICEPS TENOTOMY INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See LONG HEAD BICEPS TENOTOMY INDICATOR
Default Codes: 

Notes: 
LONG HEAD BICEPS TENOTOMY INDICATOR is the same as attribute LONG HEAD BICEPS TENOTOMY INDICATOR

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MATERNITY CARE PLAN DATE

Change to Data Element: Changed Description

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

Notes: 
MATERNITY CARE PLAN DATE is the same as attribute CARE PLAN AGREED DATE for a Maternity Episode

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MATERNITY COMPLICATING SEXUALLY TRANSMITTED INFECTION DIAGNOSIS (MOTHER AT BOOKING)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
MATERNITY COMPLICATING SEXUALLY TRANSMITTED INFECTION DIAGNOSIS (MOTHER AT BOOKING) is the same as attribute MATERNITY COMPLICATING MEDICAL DIAGNOSIS reported at the APPOINTMENT DATE (FORMAL ANTENATAL BOOKING), where the following Permitted National Codes apply.

Permitted National Codes:

11Human Immunodeficiency Virus (HIV)
15Genital Herpes
 

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MATERNITY FAMILY HISTORY DIAGNOSIS TYPE (AT BOOKING)

Change to Data Element: Changed Description

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MATERNITY OBSTETRIC DIAGNOSIS TYPE (CURRENT PREGNANCY)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
MATERNITY OBSTETRIC DIAGNOSIS TYPE (CURRENT PREGNANCY) is the same as attribute OBSTETRIC DIAGNOSIS for the current Pregnancy Episode, where the following Permitted National Codes apply.

Permitted National Codes:

01Severe pre-eclampsia requiring pre-term birth
02Haemolytic anaemia, elevated liver enzymes and Low platelet count (HELLP)
03Eclampsia
05Liver cholestasis of pregnancy
06Gestational diabetes mellitus
07Gestational hypertension
08Gestational proteinuria
09Antepartum haemorrhage
11Feto-maternal haemorrhage
18Symphysis pubic dysfunction
19Placenta praevia
20Severe pre-eclampsia
 

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MATERNITY PREVIOUS COMPLICATING OBSTETRIC DIAGNOSIS TYPE (MOTHER AT BOOKING)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
MATERNITY PREVIOUS COMPLICATING OBSTETRIC DIAGNOSIS TYPE (MOTHER AT BOOKING) is a diagnosis or type of OBSTETRIC DIAGNOSIS from previous pregnancies that may present a risk or complicating factor for the current Maternity Episode as identified at the APPOINTMENT DATE (FORMAL ANTENATAL BOOKING), where the following Permitted National Codes apply.

Permitted National Codes:

01Severe pre-eclampsia requiring pre-term birth
02Haemolytic anaemia, elevated liver enzymes and Low platelet count (HELLP)
03Eclampsia
04Puerperal psychosis
05Liver cholestasis of pregnancy
06Gestational diabetes mellitus
07Gestational hypertension
08Gestational proteinuria
09Antepartum haemorrhage
10Postpartum haemorrhage - requiring additional treatment or transfusion
11Feto-maternal haemorrhage
12Antenatal/Postpartum thromboembolic disorder
13Placental abruption
14Uterine rupture
15Retained placenta requiring manual removal in theatre
16Caesarean section
17Extensive vaginal, cervical, or third or fourth degree perineal trauma
18Amniotic Fluid Embolism
 

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MEAN ARTERIAL BLOOD PRESSURE (ON ADMISSION TO NEONATAL CRITICAL CARE)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes:999 - Mean arterial Blood Pressure unknown

Notes: 
MEAN ARTERIAL BLOOD PRESSURE (ON ADMISSION TO NEONATAL CRITICAL CARE) is the calculation of the arithmetic mean Blood Pressure of the baby from the Systolic Blood Pressure and Diastolic Blood Pressure, on admission to neonatal critical care.

The value is in the range of 10-150.

 

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MEASURED 24HR CREATININE CLEARANCE

Change to Data Element: Changed Description

Format/Length:max n3.max n2
National Codes: 
Default Codes: 

Notes: 
MEASURED 24HR CREATININE CLEARANCE is the result of the Clinical Investigation which measures the PATIENT's measured creatinine clearance in a 24 hour period, where the UNIT OF MEASUREMENT is 'Millilitres per Minute (ml/min)'. 

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MEASURED CREATININE CLEARANCE

Change to Data Element: Changed Description

Format/Length:max n3.max n2
National Codes: 
Default Codes: 

Notes: 
MEASURED CREATININE CLEARANCE is the result of the Clinical Investigation which measures the PATIENT's measured creatinine clearance, where the UNIT OF MEASUREMENT is 'Millilitres per Minute (ml/min)'

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MEASURED GLOMERULAR FILTRATION RATE TYPE CODE

Change to Data Element: Changed Description

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MEDICATION GIVEN DURING LABOUR (SNOMED CT DM+D)

Change to Data Element: Changed Description

Format/Length:See DM+D CODE
National Codes: 
Default Codes: 

Notes: 
MEDICATION GIVEN DURING LABOUR (SNOMED CT DM+D) is the same as attribute CLINICAL TERMINOLOGY CODE.

MEDICATION GIVEN DURING LABOUR (SNOMED CT DM+D) is the SNOMED CT concept ID from the NHS Dictionary of Medicines and Devices which is used to identify the type of medication given to the mother during Labour and Delivery.

Further details of the permitted SNOMED CT codes from the NHS Dictionary of Medicines and Devices can be found on the Neonatal Data Analysis Unit website.

 

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MEDICATION GIVEN DURING NEONATAL CRITICAL CARE DAILY CARE DATE (SNOMED CT DM+D)

Change to Data Element: Changed Description

Format/Length:See DM+D CODE
National Codes: 
Default Codes: 

Notes: 
MEDICATION GIVEN DURING NEONATAL CRITICAL CARE DAILY CARE DATE (SNOMED CT DM+D) is the same as attribute CLINICAL TERMINOLOGY CODE.

MEDICATION GIVEN DURING NEONATAL CRITICAL CARE DAILY CARE DATE (SNOMED CT DM+D) is the SNOMED CT concept ID from the NHS Dictionary of Medicines and Devices which is used to identify the type of medication given to the baby on a NEONATAL CRITICAL CARE DAILY CARE DATE.

Further details of the permitted SNOMED CT codes from the NHS Dictionary of Medicines and Devices can be found on the Neonatal Data Analysis Unit website.

 

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION PERIOD END REASON

Change to Data Element: Changed Description

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION PERIOD START REASON

Change to Data Element: Changed Description

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MENTAL HEALTH CARE CONTACT IDENTIFIER

Change to Data Element: Changed Description

Format/Length:max an20
National Codes: 
Default Codes: 

Notes: 
MENTAL HEALTH CARE CONTACT IDENTIFIER is the ACTIVITY IDENTIFIER for a CARE CONTACT within a Mental Health Care Spell.

The MENTAL HEALTH CARE CONTACT IDENTIFIER is used to uniquely identify the CARE CONTACT within the Health Care Provider.

 

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MENTAL HEALTH DELAYED DISCHARGE ATTRIBUTABLE TO INDICATION CODE

Change to Data Element: Changed Description

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MENTAL HEALTH DELAYED DISCHARGE REASON

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See MENTAL HEALTH DELAYED DISCHARGE REASON
Default Codes: 

Notes: 
MENTAL HEALTH DELAYED DISCHARGE REASON is the same as attribute MENTAL HEALTH DELAYED DISCHARGE REASON.

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MENTAL HEALTH PREDICTION AND DETECTION INDICATOR (MOTHER AT BOOKING)

Change to Data Element: Changed Description

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MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION

Change to Data Element: Changed Description

Format/Length:n2
National Codes:See MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION 
Default Codes:98 - Not applicable

Notes: 
MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION is the same as attribute MENTAL HEALTH RESPONSIBLE CLINICIAN PROFESSION

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MICROSATELLITE OR IN-TRANSIT METASTASIS INDICATION CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See MICROSATELLITE OR IN-TRANSIT METASTASIS INDICATION CODE
Default Codes:X - Cannot be assessed (Sample is not suitable to assess)
 9 - Not Known (Not Recorded)

Notes: 
MICROSATELLITE OR IN-TRANSIT METASTASIS INDICATION CODE is the same as MICROSATELLITE OR IN-TRANSIT METASTASIS INDICATION CODE

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MICROSCOPIC INVOLVEMENT INDICATOR (CERVICAL STROMA)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See MICROSCOPIC INVOLVEMENT INDICATOR
Default Codes: 

Notes: 
MICROSCOPIC INVOLVEMENT INDICATOR (CERVICAL STROMA) is the same as attribute MICROSCOPIC INVOLVEMENT INDICATOR, to indicate if there is microscopic involvement of the cervical stroma. 

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MICROSCOPIC INVOLVEMENT INDICATOR (CERVICAL SURFACE OR GLANDS)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See MICROSCOPIC INVOLVEMENT INDICATOR
Default Codes: 

Notes: 
MICROSCOPIC INVOLVEMENT INDICATOR (CERVICAL SURFACE OR GLANDS) is the same as attribute MICROSCOPIC INVOLVEMENT INDICATOR, to indicate if there is microscopic involvement of the endocervical surface or crypt epithelium. 

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MICROSCOPIC INVOLVEMENT INDICATOR (PARAMETRIUM)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See MICROSCOPIC INVOLVEMENT INDICATOR
Default Codes: 

Notes: 
MICROSCOPIC INVOLVEMENT INDICATOR (PARAMETRIUM) is the same as attribute MICROSCOPIC INVOLVEMENT INDICATOR to indicate if there is microscopic involvement of the parametrium (the connective TISSUE and fat adjacent to the uterus). 

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MICROSCOPIC INVOLVEMENT INDICATOR (SEROSA)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See MICROSCOPIC INVOLVEMENT INDICATOR
Default Codes: 

Notes: 
MICROSCOPIC INVOLVEMENT INDICATOR (SEROSA) is the same as attribute MICROSCOPIC INVOLVEMENT INDICATOR to indicate if there is microscopic involvement of the uterine serosa, for endometrial and epithelial/ovarian and fallopian cancers. 

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MICROSCOPIC INVOLVEMENT INDICATOR (VAGINAL)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See MICROSCOPIC INVOLVEMENT INDICATOR
Default Codes: 

Notes: 
MICROSCOPIC INVOLVEMENT INDICATOR (VAGINAL) is the same as attribute MICROSCOPIC INVOLVEMENT INDICATOR to indicate if there is microscopic vaginal involvement. 

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MODE OF DELIVERY

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:9 - Mode of delivery not known

Notes: 
MODE OF DELIVERY is the same as attribute MODE OF DELIVERY

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MOLECULAR DIAGNOSTIC CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See MOLECULAR DIAGNOSTIC CODE
Default Codes: 

Notes: 
MOLECULAR DIAGNOSTIC CODE is the same as attribute MOLECULAR DIAGNOSTIC CODE

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MONITORING INTENT

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See MONITORING INTENT
Default Codes: 

Notes: 
MONITORING INTENT is the same as attribute MONITORING INTENT

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MORE THAN THREE RECTAL WASHOUTS RECEIVED INDICATOR

Change to Data Element: Changed Description

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MURPHY ST JUDE STAGE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See MURPHY ST JUDE STAGE
Default Codes: 

Notes: 
MURPHY ST JUDE STAGE is the same as attribute MURPHY ST JUDE STAGE

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MYELOMA INTERNATIONAL STAGING SYSTEM STAGE DATE

Change to Data Element: Changed Description

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

Notes: 
MYELOMA INTERNATIONAL STAGING SYSTEM STAGE DATE is the same as attribute ACTIVITY DATE, where the ACTIVITY DATE TYPE is National Code 'Myeloma International Staging System Stage Date'. 

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MYOMETRIAL INVASION IDENTIFICATION CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See MYOMETRIAL INVASION IDENTIFICATION CODE
Default Codes: 

Notes: 
MYOMETRIAL INVASION IDENTIFICATION CODE is the same as attribute MYOMETRIAL INVASION IDENTIFICATION CODE

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NEONATAL ABSTINENCE SYNDROME OBSERVED INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See NEONATAL ABSTINENCE SYNDROME OBSERVED INDICATOR
Default Codes: 

Notes: 
NEONATAL ABSTINENCE SYNDROME OBSERVED INDICATOR is the same as attribute NEONATAL ABSTINENCE SYNDROME OBSERVED INDICATOR.

For the National Neonatal Data Set - Episodic and Daily Care, NEONATAL ABSTINENCE SYNDROME OBSERVED INDICATOR indicates whether the baby was observed to have signs of Neonatal Abstinence Syndrome on the NEONATAL CRITICAL CARE DAILY CARE DATE.

 

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NEONATAL CRITICAL CARE DAILY CARE DATE

Change to Data Element: Changed Description

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

Notes: 
NEONATAL CRITICAL CARE DAILY CARE DATE is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TYPE is National Code 'Neonatal Critical Care Daily Care Date'. 

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NEONATAL CRITICAL CARE DAILY CARE YEAR AND MONTH

Change to Data Element: Changed Description

Format/Length:See YEAR AND MONTH
National Codes: 
Default Codes: 

NotesNotes: 
NEONATAL CRITICAL CARE DAILY CARE YEAR AND MONTH is the YEAR AND MONTH of the recorded NEONATAL CRITICAL CARE DAILY CARE DATE within a Neonatal CRITICAL CARE PERIOD.

For the National Neonatal Data Set - Episodic and Daily Care, NEONATAL CRITICAL CARE DAILY CARE YEAR AND MONTH is submitted instead of NEONATAL CRITICAL CARE DAILY CARE DATE, where the data set record is anonymised.

 

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NEONATAL CRITICAL INCIDENT TYPE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See NEONATAL CRITICAL INCIDENT TYPE
Default Codes: 

Notes: 
NEONATAL CRITICAL INCIDENT TYPE is the same as attribute NEONATAL CRITICAL INCIDENT TYPE

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NEONATAL LEVEL OF CARE CODE

Change to Data Element: Changed Description

Format/Length:an1
HES Item:NEOCARE
National Codes:See NEONATAL LEVEL OF CARE
Default Codes:8 - Not applicable: a still birth or the episode of care does not involve a neonate during all, or part, of the duration of the episode
 9 - Not known: the episode of care involves a neonate and is finished but no data has been entered, or the episode involves a neonate and is unfinished therefore no data needs to be present. This would constitute a validation error only for a finished episode


Notes: 
NEONATAL LEVEL OF CARE CODE is the same as attribute NEONATAL LEVEL OF CARE.

The value recorded must be the highest level of care given during a Hospital Provider Spell with Neonatal Level Of Care Periods.

NEONATAL LEVEL OF CARE CODE is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the Secondary Uses Service Guidance page.

 

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NEONATAL RESUSCITATION DRUG (SNOMED CT DM+D)

Change to Data Element: Changed Description

Format/Length:See DM+D CODE
National Codes: 
Default Codes: 

Notes: 
NEONATAL RESUSCITATION DRUG (SNOMED CT DM+D)  is the same as attribute CLINICAL TERMINOLOGY CODE.

NEONATAL RESUSCITATION DRUG (SNOMED CT DM+D) is the SNOMED CT concept ID from the NHS Dictionary of Medicines and Devices which is used to identify the drug given to resuscitate a Neonate.

Further details of the permitted SNOMED CT codes from the NHS Dictionary of Medicines and Devices can be found at the Neonatal Data Analysis Unit website.

 

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NEONATAL RESUSCITATION DRUG OR FLUID

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See NEONATAL RESUSCITATION AGENT
Default Codes: 


Notes: 
NEONATAL RESUSCITATION DRUG OR FLUID is the same as attribute NEONATAL RESUSCITATION AGENT.

 

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NEONATAL RESUSCITATION METHOD

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See NEONATAL RESUSCITATION METHOD
Default Codes: 


Notes: 
NEONATAL RESUSCITATION METHOD is the same as attribute NEONATAL RESUSCITATION METHOD.

 

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NEUROLOGICAL SUPPORT DAYS

Change to Data Element: Changed Description

Format/length:n3
Format/Length:n3
National Codes: 
Default Codes:998 - 998 or more days of neurological support
 999 - occurred but day count not known

Notes: 
The total number of days that the PATIENT received neurological system support during a CRITICAL CARE PERIOD, ranging from 000 to 999 days.NEUROLOGICAL SUPPORT DAYS is the total number of days that the PATIENT received neurological system support during a CRITICAL CARE PERIOD, ranging from 000 to 999 days.

This is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the ORGAN SYSTEM SUPPORTED is National Code 06 'Neurological Support' within the CRITICAL CARE PERIOD.NEUROLOGICAL SUPPORT DAYS is derived from the difference between the ACTIVITY PROPERTY EFFECTIVE DATE and the ACTIVITY PROPERTY END DATE for all ACTIVITY PROPERTIES where the ORGAN SYSTEM SUPPORTED is National Code 'Neurological Support' within the CRITICAL CARE PERIOD.

NEUROLOGICAL SUPPORT DAYS is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the Secondary Uses Service Guidance page.

 

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NEWBORN HEARING SCREENING OUTCOME LEFT EAR (NATIONAL NEONATAL DATA SET)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:9 - Newborn Hearing Screening not carried out 

Notes: 
NEWBORN HEARING SCREENING OUTCOME LEFT EAR (NATIONAL NEONATAL DATA SET) is derived from attribute NEWBORN HEARING SCREENING OUTCOME for the National Neonatal Data Set - Episodic and Daily Care, for the left ear.

Permitted National Codes:

1Passed (where the NEWBORN HEARING SCREENING OUTCOME is 'Clear response, no follow up required')
2Failed (where the NEWBORN HEARING SCREENING OUTCOME is 'Clear Response, targeted follow up required', 'No clear response, bilateral referral', 'No clear response, unilateral referral', or 'Incomplete')
 

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NEWBORN HEARING SCREENING OUTCOME RIGHT EAR (NATIONAL NEONATAL DATA SET)

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes:9 - Newborn Hearing Screening not carried out 

Notes: 
NEWBORN HEARING SCREENING OUTCOME RIGHT EAR (NATIONAL NEONATAL DATA SET) is derived from attribute NEWBORN HEARING SCREENING OUTCOME for the National Neonatal Data Set - Episodic and Daily Care, for the right ear.

Permitted National Codes:

1Passed (where the NEWBORN HEARING SCREENING OUTCOME is 'Clear response, no follow up required')
2Failed (where the NEWBORN HEARING SCREENING OUTCOME is 'Clear Response, targeted follow up required', 'No clear response, bilateral referral', 'No clear response, unilateral referral', or 'Incomplete')
 

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NEWBORN HEARING SCREENING TEST TYPE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See NEWBORN HEARING SCREENING TEST TYPE
Default Codes: 

Notes: 
NEWBORN HEARING SCREENING TEST TYPE is the same as attribute NEWBORN HEARING SCREENING TEST TYPE

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NEW HIV DIAGNOSIS IN UNITED KINGDOM INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See NEW HIV DIAGNOSIS IN UNITED KINGDOM INDICATOR
Default Codes: 

Notes: 
NEW HIV DIAGNOSIS IN UNITED KINGDOM INDICATOR is the same as attribute NEW HIV DIAGNOSIS IN UNITED KINGDOM INDICATOR

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NICIP CODE

Change to Data Element: Changed Description

Format/Length:max an6
National Codes: 
Default Codes: 

Notes: 
NICIP CODE is the same as attribute CLINICAL TERMINOLOGY CODE.

NICIP CODE is the National Interim Clinical Imaging Procedure Code Set which is used to identify the CODED CLINICAL ENTRY.

 

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NON-INVASIVE OR MICRO-INVASIVE BREAST CANCERS DETECTED (PER 1,000 SCREENED)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes: 
NON-INVASIVE OR MICRO-INVASIVE BREAST CANCERS DETECTED (PER 1,000 SCREENED) is the number of breast cancers detected which are non-invasive, possibly micro-invasive, or definitely micro-invasive, per 1,000 screened. 

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NON-OPERATIVE DIAGNOSIS RATE (PERCENTAGE INVASIVE)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes: 
NON-OPERATIVE DIAGNOSIS RATE (PERCENTAGE INVASIVE) is the percentage of invasive breast cancers diagnosed with a PATHOLOGY INVESTIGATION TYPE FOR BREAST SCREENING recorded as National Code 'Needle Biopsy for Cytology (Fine Needle Aspiration or Cytology)' or 'Needle Biopsy for Histology (Wide Bore Needle or Core Biopsy)'

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NON-OPERATIVE DIAGNOSIS RATE (PERCENTAGE NON-INVASIVE)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes: 
NON-OPERATIVE DIAGNOSIS RATE (PERCENTAGE NON-INVASIVE) is the percentage of non-invasive breast cancers (including definitely micro-invasive and possibly micro-invasive) diagnosed with a PATHOLOGY INVESTIGATION TYPE FOR BREAST SCREENING recorded as National Code 'Needle Biopsy for Cytology (Fine Needle Aspiration or Cytology)' or 'Needle Biopsy for Histology (Wide Bore Needle or Core Biopsy)'

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NON-OPERATIVE DIAGNOSIS RATE (PERCENTAGE OVERALL)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes: 
NON-OPERATIVE DIAGNOSIS RATE (PERCENTAGE OVERALL) is the percentage of breast cancers diagnosed with a PATHOLOGY INVESTIGATION TYPE FOR BREAST SCREENING recorded as National Code 'Needle Biopsy for Cytology (Fine Needle Aspiration or Cytology)' or 'Needle Biopsy for Histology (Wide Bore Needle or Core Biopsy)'.

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NUMBER OF ARTERIES LEFT KIDNEY (DONOR)

Change to Data Element: Changed Description

Format/Length:max n2
National Codes: 
Default Codes:88 - Not inquired
99 - Unknown

Notes: 
NUMBER OF ARTERIES LEFT KIDNEY (DONOR) is the ORGAN OR TISSUE DONOR's total number of arteries of the left kidney. 

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NUMBER OF BABIES IDENTIFIER (PATIENT IDENTIFICATION)

Change to Data Element: Changed Description

Format/Length:n1/n1
National Codes:See NUMBER OF BABIES IDENTIFIER
Default Codes: 

Notes: 
NUMBER OF BABIES IDENTIFIER (PATIENT IDENTIFICATION) is the same as attribute NUMBER OF BABIES IDENTIFIER.

For human readable forms, for example PATIENT identity bands, the label "Rank" must be displayed to the left of the NUMBER OF BABIES IDENTIFIER (PATIENT IDENTIFICATION).

 

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NUMBER OF DAUGHTERS UNDER 18

Change to Data Element: Changed Description

Format/Length:max an2
National Codes: 
Default Codes:99 - Unknown
ZZ - Not stated (PERSON asked but declined to respond)

Notes: 
NUMBER OF DAUGHTERS UNDER 18 is the number of daughters under the age of 18 which the PATIENT states that they have.

The response is in the range 0 to 20. 

 

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NUMBER OF MINUTES (BIRTH TO EVENT)

Change to Data Element: Changed Description

Format/Length:max n10
National Codes: 
Default Codes: 

Notes: 
NUMBER OF MINUTES (BIRTH TO EVENT) is the number of minutes between the DATE TIME OF BIRTH (BABY) and a specific event, for the purposes of the National Neonatal Data Set, where the record is anonymised.

NUMBER OF MINUTES (BIRTH TO EVENT) must be accompanied by the relevant YEAR AND MONTH data element.  For example, in the Admission Details data group, data items CRITICAL CARE START YEAR AND MONTH and NUMBER OF MINUTES (BIRTH TO EVENT), flow instead of CRITICAL CARE START DATE AND TIME, where the record is anonymised.

Note that the number of minutes between birth and the event may be shown as a 'minus' value, if the event occurred before birth - for example the number of minutes between the DATE TIME OF BIRTH (BABY) and the LAST MENSTRUAL PERIOD DATE.

 

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NUMBER OF YEARS SMOKED

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
NUMBER OF YEARS SMOKED is the same as attribute NUMBER OF YEARS SMOKED

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OMENTUM INVOLVEMENT INDICATION CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See OMENTUM INVOLVEMENT INDICATION CODE
Default Codes: 

Notes: 
OMENTUM INVOLVEMENT INDICATION CODE is the same as attribute OMENTUM INVOLVEMENT INDICATION CODE

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OPEN BIOPSY RESULT NOT KNOWN (PERCENTAGE OF REFERRED)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes: 
OPEN BIOPSY RESULT NOT KNOWN (PERCENTAGE OF REFERRED) is the percentage of women referred for an open biopsy, for whom a definite result is not recorded. 

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ORGANISATION CODE (ADMITTED FROM TO NEONATAL UNIT)

Change to Data Element: Changed Description

Format/Length:an3 or an5
National Codes: 
Default Codes:ZZ201 - Not applicable (admitted from home)
 ZZ888 - Not applicable (admitted from non-NHS ORGANISATION)
 ZZ203 - Not known (not known where admitted from)

Notes: 
ORGANISATION CODE (ADMITTED FROM TO NEONATAL UNIT) is the same as attribute ORGANISATION CODE.

ORGANISATION CODE (ADMITTED FROM TO NEONATAL UNIT) is the ORGANISATION CODE of the ORGANISATION from where the Neonate was transferred as part of a Neonatal Critical Care Spell.

 

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ORGANISATION CODE (OF ADMITTING NEONATAL UNIT)

Change to Data Element: Changed Description

Format/Length:an3 or an5
National Codes: 
Default Codes: 

Notes: 
ORGANISATION CODE (OF ADMITTING NEONATAL UNIT) is the same as attribute ORGANISATION CODE.

ORGANISATION CODE (OF ADMITTING NEONATAL UNIT) is the ORGANISATION CODE of the ORGANISATION where the Neonate was transferred to as part of a Neonatal Critical Care Spell.

 

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ORGANISATION CODE (OF RETINOPATHY OF PREMATURITY SCREENING)

Change to Data Element: Changed Description

Format/Length:an3 or an5
National Codes: 
Default Codes: 

Notes: 
ORGANISATION CODE (OF RETINOPATHY OF PREMATURITY SCREENING) is the same as attribute ORGANISATION CODE.

ORGANISATION CODE (OF RETINOPATHY OF PREMATURITY SCREENING) is the ORGANISATION CODE of the Hospital Site where Retinopathy of Prematurity Screening was performed.

 

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ORGANISATION CODE (PCT OF RESIDENCE)

Change to Data Element: Changed Description

Format/Length:an3
HES Item:PCTR
National Codes: 
ODS Default Codes:Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.
 X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors)
Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.

Notes: 
ORGANISATION CODE (PCT OF RESIDENCE) is the same as attribute ORGANISATION CODE.

ORGANISATION CODE (PCT OF RESIDENCE) is the ORGANISATION CODE derived from the PATIENT's POSTCODE OF USUAL ADDRESS, where they reside within the boundary of a:

ORGANISATION CODES can be downloaded from the Organisation Data Service website or through the online Technology Reference Data Update Distribution Service (TRUD). For further information, see Organisation Data Service.

For PATIENTS who are Overseas Visitors: Organisation Data Service Default Code X98 'Primary Care Organisation Not Applicable (Overseas Visitors) should be reported.
Note: A review of Organisation Data Service Default Codes is planned to be carried out and this default code will be updated as part of that. 

For the purposes of sending Commissioning Data Set messages to the Secondary Uses Service (regardless of how local systems hold the data), it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION CODE (PCT OF RESIDENCE) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary, primarily to preserve the integrity of the current Commissioning Data Set message and the CDS PRIME RECIPIENT IDENTITY which is derived from the ORGANISATION CODE (PCT OF RESIDENCE).

The Organisation Data Service provides postcode files which link postcodes to the Primary Care Trust. See NHS Postcode Directory.

 

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ORGANISATION CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY)

Change to Data Element: Changed Description

Format/Length:an3 or an5
National Codes: 
Default Codes: 

Notes: 
ORGANISATION CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY) is the same as the attribute ORGANISATION CODE.

ORGANISATION CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY) is the ORGANISATION CODE of the ORGANISATION that is responsible for undertaking the Two Year Neonatal Outcomes Assessment.

 

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ORGANISATION IDENTIFIER (BREAST SCREENING UNIT)

Change to Data Element: Changed Description

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ORGAN OR TISSUE UNSUITABLE FOR TRANSPLANTATION REASON CODE

Change to Data Element: Changed Description

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OXYGEN SATURATION (ON ADMISSION TO NEONATAL CRITICAL CARE)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes:999 - Oxygen Saturation unknown

Notes: 
OXYGEN SATURATION (ON ADMISSION TO NEONATAL CRITICAL CARE) is the result of the Clinical Investigation which measures the baby's Oxygen Saturation, on admission to neonatal critical care.

The value is in the range of 10-100.

 

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PARENTERAL NUTRITION RECEIVED INDICATOR

Change to Data Element: Changed Description

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PARENTS SEEN BY SENIOR STAFF MEMBER DATE AND TIME

Change to Data Element: Changed Description

Format/Length:See DATE AND TIME
National Codes: 
Default Codes: 

Notes: 
PARENTS SEEN BY SENIOR STAFF MEMBER DATE AND TIME is the same as attribute ACTIVITY DATE and ACTIVITY TIME where the ACTIVITY DATE AND TIME TYPE is National Code 'Parents Seen By Senior Staff Member Date and Time'

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PARENTS SEEN BY SENIOR STAFF MEMBER WITHIN 24 HOURS OF ADMISSION INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PARENTS SEEN BY SENIOR STAFF MEMBER WITHIN 24 HOURS OF ADMISSION INDICATOR
Default Codes:9 - Not known if parents seen by senior staff member within 24 hours of admission

Notes: 
PARENTS SEEN BY SENIOR STAFF MEMBER WITHIN 24 HOURS OF ADMISSION INDICATOR is the same as attribute PARENTS SEEN BY SENIOR STAFF MEMBER WITHIN 24 HOURS OF ADMISSION INDICATOR

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PARENTS SEEN BY SENIOR STAFF MEMBER YEAR AND MONTH

Change to Data Element: Changed Description

Format/Length:See YEAR AND MONTH
National Codes: 
Default Codes: 

Notes: 
PARENTS SEEN BY SENIOR STAFF MEMBER YEAR AND MONTH is the YEAR AND MONTH that the parents of a baby admitted to a Neonatal Intensive Care Unit, were seen by a senior staff member.

For the National Neonatal Data Set - Episodic and Daily Care, PARENTS SEEN BY SENIOR STAFF MEMBER YEAR AND MONTH is submitted instead of PARENTS SEEN BY SENIOR STAFF MEMBER DATE AND TIME, where the data set record is anonymised.

 

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PATHOLOGICAL RISK CLASSIFICATION CODE (AFTER NEPHRECTOMY)

Change to Data Element: Changed Description

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PATHOLOGICAL RISK CLASSIFICATION CODE (AFTER PREOPERATIVE CHEMOTHERAPY)

Change to Data Element: Changed Description

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PATHOLOGY REPORT TEXT

Change to Data Element: Changed Description

Format/Length:max an270000
National Codes: 
Default Codes: 

Notes: 
PATHOLOGY REPORT TEXT is the same as attribute PERSON OBSERVATION TEXT STRING.

PATHOLOGY REPORT TEXT is the full text from the Pathology Laboratory Service Report which may be required by Cancer Registries to calculate diagnosis and staging details.

 

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PATIENT SOURCE SETTING TYPE (DIAGNOSTIC IMAGING)

Change to Data Element: Changed Description

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PATIENT TRANSPORT JOURNEY PROVIDER TYPE (RENAL DIALYSIS)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PATIENT TRANSPORT JOURNEY PROVIDER TYPE 
Default Codes: 

Notes: 
PATIENT TRANSPORT JOURNEY PROVIDER TYPE (RENAL DIALYSIS) is the same as attribute PATIENT TRANSPORT JOURNEY PROVIDER TYPE where the purpose is for transporting a PATIENT for a Renal Dialysis episode. 

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PATIENT TREATMENT OR INTERVENTION (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/Length:an3
National Codes:See MENTAL HEALTH INTERVENTION CODE
Default Codes: 

Notes: 
PATIENT TREATMENT OR INTERVENTION (MENTAL HEALTH) is the same as attribute MENTAL HEALTH INTERVENTION CODE

 

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PATIENT USUAL ADDRESS (MOTHER)

Change to Data Element: Changed Description

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PCP-D QUESTION 10 SCORE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
PCP-D QUESTION 10 SCORE is the PERSON SCORE for question 10 of the Protected Characteristic Protocol (Disability).

The question relates to having difficulty with progressive conditions and physical health.

 

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PCP-D QUESTION 11 SCORE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
PCP-D QUESTION 11 SCORE is the PERSON SCORE for question 11 of the Protected Characteristic Protocol (Disability).

The question relates to having difficulty with sight.

 

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PCP-D QUESTION 12 SCORE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
PCP-D QUESTION 12 SCORE is the PERSON SCORE for question 12 of the Protected Characteristic Protocol (Disability).

The question relates to having difficulty with speech.

 

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PCP-D QUESTION 13 SCORE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
PCP-D QUESTION 13 SCORE is the PERSON SCORE for question 13 of the Protected Characteristic Protocol (Disability).

The question relates to having difficulty with Autism Spectrum Conditions, including Asperger's Syndrome.

 

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PCP-D QUESTION 14 SCORE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
PCP-D QUESTION 14 SCORE is the PERSON SCORE for question 14 of the Protected Characteristic Protocol (Disability).

The question relates to having other issues which may affect day-to-day activities.

 

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PCP-D QUESTION 1 SCORE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
PCP-D QUESTION 1 SCORE is the PERSON SCORE for question 1 of the Protected Characteristic Protocol (Disability).

The question relates to whether the PATIENT's day-to-day activities are limited because of a health problem or DISABILITY which has lasted, or is expected to last, at least twelve months (include any issues or problems related to old age). If the PATIENT response is 'Yes, limited a lot' or 'yes, limited a little', the remaining questions are asked.

 

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PCP-D QUESTION 2 SCORE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
PCP-D QUESTION 2 SCORE is the PERSON SCORE for question 2 of the Protected Characteristic Protocol (Disability).

The question relates to behaviour or emotional issues.

 

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PCP-D QUESTION 3 SCORE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
PCP-D QUESTION 3 SCORE is the PERSON SCORE for question 3 of the Protected Characteristic Protocol (Disability).

The question relates to having difficulty with hearing.

 

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PCP-D QUESTION 4 SCORE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
PCP-D QUESTION 4 SCORE is the PERSON SCORE for question 4 of the Protected Characteristic Protocol (Disability).

The question relates to having difficulty with manual dexterity.

 

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PCP-D QUESTION 5 SCORE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
PCP-D QUESTION 5 SCORE is the PERSON SCORE for question 5 of the Protected Characteristic Protocol (Disability).

The question relates to having difficulty with memory or ability to concentrate, learn or understand (Learning Disability) for PATIENTS who were under the age of 18 when the difficulty first occurred.

 

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PCP-D QUESTION 6 SCORE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
PCP-D QUESTION 6 SCORE is the PERSON SCORE for question 6 of the Protected Characteristic Protocol (Disability).

The question relates to having difficulty with memory or ability to concentrate, learn or understand (Learning Disability) for PATIENTS who were aged 18 or over when the difficulty first occurred.

 

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PCP-D QUESTION 7 SCORE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
PCP-D QUESTION 7 SCORE is the PERSON SCORE for question 7 of the Protected Characteristic Protocol (Disability).

The question relates to having difficulty with mobility or gross motor.

 

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PCP-D QUESTION 8 SCORE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
PCP-D QUESTION 8 SCORE is the PERSON SCORE for question 8 of the Protected Characteristic Protocol (Disability).

The question relates to having difficulty with perception of physical danger.

 

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PCP-D QUESTION 9 SCORE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
PCP-D QUESTION 9 SCORE is the PERSON SCORE for question 9 of the Protected Characteristic Protocol (Disability).

The question relates to having difficulty with personal, self care and continence.

 

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PDS ADDRESS DESCRIPTION (PATIENT TEMPORARY ADDRESS)

Change to Data Element: Changed Description

Format/Length:max an100
National Codes: 
Default Codes: 

Notes: 
For the Personal Demographics Service Birth Notification Data Sets PDS ADDRESS DESCRIPTION (PATIENT TEMPORARY ADDRESS) is the text recorded to describe the usage of a temporary ADDRESS for the PATIENT, where the PDS ADDRESS TYPE (PATIENT ADDRESS) is National Code 'Temporary address'. 

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PDS ADDRESS TYPE (PATIENT ADDRESS)

Change to Data Element: Changed Description

Format/Length:max an3
National Codes: 
Default Codes: 

Notes: 
PDS ADDRESS TYPE (PATIENT ADDRESS) is the same as attribute ADDRESS ASSOCIATION TYPE

For the Personal Demographics Service Birth Notification Data Sets PDS ADDRESS TYPE (PATIENT ADDRESS) is the type of ADDRESS recorded for the PATIENT.

Permitted National Codes:

HUsual (home) address
TMPTemporary address
 

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PDS COMMUNICATION CONTACT METHOD (MOTHER OF BABY)

Change to Data Element: Changed Description

Format/Length:max an9
National Codes: 
Default Codes: 

Notes: 
PDS COMMUNICATION CONTACT METHOD (MOTHER OF BABY) is the same as attribute COMMUNICATION CONTACT METHOD

For the Personal Demographics Service Birth Notification Data Sets PDS COMMUNICATION CONTACT METHOD (MOTHER OF BABY) is the same as attribute COMMUNICATION CONTACT METHOD, for a PDS COMMUNICATION CONTACT STRING (MOTHER OF BABY) nominated by the mother of the PATIENT.

PDS COMMUNICATION CONTACT METHOD (MOTHER OF BABY) is reported using the National Codes listed below.

Permitted National Codes:

faxBy fax
mailtoBy e-mail
telBy telephone
textphoneBy textphone
 

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PDS COUNTRY OF BIRTH

Change to Data Element: Changed Description

Format/Length:max an3
National Codes: 
Default Codes: 

Notes: 
For the Personal Demographics Service Birth Notification Data Sets PDS COUNTRY OF BIRTH is the COUNTRY where the PATIENT was born.

Where the PDS COUNTRY OF BIRTH is the Isle of Man, PDS COUNTRY OF BIRTH is recorded using the ISO 3166-1 standard COUNTRY CODE (see the Using the International Organisation for Standardisation website http://www.iso.org/iso/home.htm) for the Isle of Man.

Where the PDS COUNTRY OF BIRTH is England or Wales, PDS COUNTRY OF BIRTH is recorded using the National Codes listed below.

Permitted National Codes:

1England
3Wales

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PDS COUNTY OR DISTRICT OF BIRTH

Change to Data Element: Changed Description

Format/Length:max an35
National Codes: 
Default Codes: 

Notes: 
For the Personal Demographics Service Birth Notification Data Sets PDS COUNTY OR DISTRICT OF BIRTH is text recorded to describe the County or District where the PATIENT was born. 

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PDS DEATH NOTIFICATION STATUS CODE

Change to Data Element: Changed Description

Format/Length:n1
National Codes: 
Default Codes: 

Notes: 
For the Personal Demographics Service Birth Notification Data Sets PDS DEATH NOTIFICATION STATUS CODE is the status of a death notification.

Permitted National Codes:

1Informal - death notice received via an update from a local NHS ORGANISATION such as GP or Trust
2Formal - death notice received from Registrar of Deaths
 

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PDS DELIVERY TIME

Change to Data Element: Changed Description

Format/Length: 
National Codes: 
Default Codes: 

Notes: 
PDS DELIVERY TIME is the same as attribute DELIVERY TIME

For the Personal Demographics Service Birth Notification Data Sets PDS DELIVERY TIME records the time of delivery for each REGISTRABLE BIRTH.

PDS DELIVERY TIME is presented as 'n4 hhmm' to comply with the Personal Demographics Service Birth Notification Data Sets reporting requirements.

 

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PDS ETHNIC CATEGORY CODE

Change to Data Element: Changed Description

Format/Length:max an2
National Codes: 
Default Codes: 

Notes: 
PDS ETHNIC CATEGORY CODE is the same as attribute ETHNIC CATEGORY CODE

For the Personal Demographics Service Birth Notification Data Sets PDS ETHNIC CATEGORY CODE is the coded value for the ethnicity of a PERSON. It is not the same as data element ETHNIC CATEGORY.

PDS ETHNIC CATEGORY CODE must be recorded using the National Codes listed below.

Permitted National Codes:

ABritish, Mixed British
BIrish
CAny other White background
C2Northern Irish
C3Other white, white unspecified
CAEnglish
CBScottish
CCWelsh
CDCornish
CECypriot (part not stated)
CFGreek
CGGreek Cypriot
CHTurkish
CJTurkish Cypriot
CKItalian
CLIrish Traveller
CMTraveller
CNGypsy/Romany
CPPolish
CQAll republics which made up the former USSR
CRKosovan
CSAlbanian
CTBosnian
CUCroatian
CVSerbian
CWOther republics which made up the former Yugoslavia
CXMixed white
CYOther white European, European unspecified, European mixed
DWhite and Black Caribbean
EWhite and Black African
FWhite and Asian
GAny other mixed background
GABlack and Asian
GBBlack and Chinese
GCBlack and White
GDChinese and White
GEAsian and Chinese
GFOther Mixed, Mixed Unspecified
HIndian or British Indian
JPakistani or British Pakistani
KBangladeshi or British Bangladeshi
LAny other Asian background
LAMixed Asian
LBPunjabi
LCKashmiri
LDEast African Asian
LESri Lanka
LFTamil
LGSinhalese
LHBritish Asian
LJCaribbean Asian
LKOther Asian, Asian unspecified
MCaribbean
NAfrican
PAny other Black background
PASomali
PBMixed Black
PCNigerian
PDBlack British
PEOther Black, Black unspecified
RChinese
SAny other ethnic group
SAVietnamese
SBJapanese
SCFilipino
SDMalaysian
SEAny Other Group
ZNot stated
 

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PDS GMP PRACTICE NAME

Change to Data Element: Changed Description

Format/Length:max an35
National Codes: 
Default Codes: 

Notes: 
PDS GMP PRACTICE NAME is the same as attribute ORGANISATION NAME

For the Personal Demographics Service Birth Notification Data Sets PDS GMP PRACTICE NAME is the ORGANISATION NAME of the General Medical Practitioner Practice where the mother of the PATIENT is registered.

 

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PDS PAF KEY (PATIENT ADDRESS)

Change to Data Element: Changed Description

Format/Length:max an8
National Codes: 
Default Codes: 

Notes: 
PDS PAF KEY (PATIENT ADDRESS) is the same as attribute ADDRESS IDENTIFIER

For the Personal Demographics Service Birth Notification Data Sets PDS PAF KEY (PATIENT ADDRESS) is the unique Royal Mail Postcode Address File Directory key for the ADDRESS of the PATIENT.

 

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PDS PATIENT CARE PROVISION TYPE

Change to Data Element: Changed Description

Format/Length:max an2
National Codes: 
Default Codes: 

Notes: 
For the Personal Demographics Service Birth Notification Data Sets PDS PATIENT CARE PROVISION TYPE is the type of PATIENT care provision for the mother of the PATIENT

Permitted National Codes:

1Primary care
 

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PDS PERSON BIRTH DATE (MOTHER)

Change to Data Element: Changed Description

Format/Length: 
National Codes: 
Default Codes: 

Notes: 
PDS PERSON BIRTH DATE (MOTHER) is the same as attribute PERSON BIRTH DATE

For the Personal Demographics Service Birth Notification Data Sets PDS PERSON BIRTH DATE (BABY) is the PERSON BIRTH DATE of the mother of the PATIENT.

PDS PERSON BIRTH DATE (MOTHER) is presented as 'n8 CCYYMMDD' to comply with the Personal Demographics Service Birth Notification Data Sets reporting requirements.

 

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PDS PERSON GIVEN NAME (AT BIRTH)

Change to Data Element: Changed Description

Format/Length:max an35
National Codes: 
Default Codes: 

Notes: 
For the Personal Demographics Service Birth Notification Data Sets PDS PERSON GIVEN NAME (AT BIRTH) is the first forename or given name of the baby. Where the PDS PERSON GIVEN NAME (AT BIRTH) is not available the PDS PERSON GIVEN NAME (AT BIRTH) should be recorded using the default values:
  • First Forename of ‘Baby’ for a singleton
  • First Forename of ‘Twin One’/’Twin Two’ for twins and as appropriate for multiple births, following the same pattern but substituting the word ‘Twin’ with the words ‘Triplet’, ‘Quadruplet’, ‘Quintuplet’, ‘Sextuplet’, ‘Septuplet’
 

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PDS PERSON NAME PREFIX

Change to Data Element: Changed Description

Format/Length:max an35
National Codes: 
Default Codes: 

Notes: 
For the Personal Demographics Service Birth Notification Data Sets PDS PERSON NAME PREFIX is the form of address used to precede the PERSON NAME.

Where the following values are reported they must be presented as below:

Mr
Mrs
Ms
Miss
Master
Dr
Rev
Sir
Lady
Lord

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PDS PERSON NAME SUFFIX

Change to Data Element: Changed Description

Format/Length:max an35
National Codes: 
Default Codes: 

Notes: 
For the Personal Demographics Service Birth Notification Data Sets PDS PERSON NAME SUFFIX is the textual suffix added to the end of the PERSON NAME

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PDS PERSON NAME TYPE

Change to Data Element: Changed Description

Format/Length:max an17
National Codes: 
Default Codes: 

Notes: 
For the Personal Demographics Service Birth Notification Data Sets PDS PERSON NAME TYPE is the type of PERSON NAME.

Permitted National Codes:

LUsual (current) name
 

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PDS POSTCODE (PATIENT ADDRESS)

Change to Data Element: Changed Description

Format/Length:See POSTCODE 
National Codes: 
Default Codes: 

Notes: 
PDS POSTCODE (PATIENT ADDRESS) is the same as attribute POSTCODE

For the Personal Demographics Service Birth Notification Data Sets PDS POSTCODE (PATIENT ADDRESS) is the POSTCODE of the ADDRESS recorded for the PATIENT.

 

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PDS REGISTERING AUTHORITY TYPE

Change to Data Element: Changed Description

Format/Length:max an2
National Codes: 
Default Codes: 

Notes: 
PDS REGISTERING AUTHORITY TYPE is the same as attribute ORGANISATION TYPE

For the Personal Demographics Service Birth Notification Data Sets PDS REGISTERING AUTHORITY TYPE is the type of ORGANISATION recording the REGISTRABLE BIRTH.

Permitted National Codes:

aStrategic Health Authority
bDirector of Health and Social Care
cNHS Trust
dGP Practice
eOther NHS ORGANISATION
fArmed Forces
gMOD Hospital
hIM&T Service
iSpecial Trustee
jUniversity
kOther Statutory Authority
lNHS Administration Unit
mBreast Screening Unit
nPathology Laboratory
oDepartment of Health
pOther Government Department
qRegistered non-NHS Provider
rUnregistered non-NHS Provider (except Local Authority)
sNon-NHS Commissioner (except Local Authority)
tLocal Authority
uPharmacy
vAppliance Contractor
wSpecialised Services Commissioning Consortium
xPrimary Care Trust
yNHAIS
 

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PDS SENIOR PARTNER NAME (GMP PRACTICE)

Change to Data Element: Changed Description

Format/Length:max an35
National Codes: 
Default Codes: 

Notes: 
For the Personal Demographics Service Birth Notification Data Sets, PDS SENIOR PARTNER NAME (GMP PRACTICE) is the PERSON NAME of the GENERAL MEDICAL PRACTITIONER who is the senior partner of the General Medical Practitioner Practice where the mother of the PATIENT is registered.   

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PDS SUSPECTED CONGENITAL ABNORMALITY INDICATION CODE

Change to Data Element: Changed Description

Format/Length:a1
National Codes: 
Default Codes: 

Notes: 
For the Personal Demographics Service Birth Notification Data Sets PDS SUSPECTED CONGENITAL ABNORMALITY INDICATION CODE is an indication of whether a congenital abnormality is suspected for a REGISTRABLE BIRTH.

Permitted National Codes:

YYes
NNo
UUncertain - further review required
 

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PDS TELECOM USAGE

Change to Data Element: Changed Description

Format/Length:max an2
National Codes: 
Default Codes: 

Notes: 
For the Personal Demographics Service Birth Notification Data Sets PDS TELECOM USAGE is the type of telecommunications information recorded. 

Permitted National Codes:

ASAn automated answering machine
ECA contact specifically designated to be used for emergencies
HA communication address at a home
HPThe primary home, to reach a person after business hours
HVA vacation home, to reach a person while on vacation
MCA telecommunication device that moves and stays with its owner
PGA paging device suitable to solicit a callback or to leave a very short message
WPAn office address
 

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PDS TOWN OF BIRTH

Change to Data Element: Changed Description

Format/Length:max an35
National Codes: 
Default Codes: 

Notes: 
For the Personal Demographics Service Birth Notification Data Sets PDS TOWN OF BIRTH is text recorded to describe the town where the PATIENT was born. 

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PERFORATIONS OR SEROSAL INVOLVEMENT INDICATION CODE

Change to Data Element: Changed Description

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PERITONEAL DIALYSIS RECEIVED INDICATOR

Change to Data Element: Changed Description

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PERSON GENDER CODE CURRENT (DONOR)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PERSON GENDER CODE
Default Codes: 

Notes: 
PERSON BIRTH DATE (LIVING DONOR) is the same as data element PERSON GENDER CODE CURRENT of the living ORGAN OR TISSUE DONOR.

 

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PHYSICAL DISABILITY STATUS INDICATOR (MOTHER AT BOOKING)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PHYSICAL DISABILITY INDICATOR
Default Codes: 

Notes: 
PHYSICAL DISABILITY STATUS INDICATOR (MOTHER AT BOOKING) is the same as PHYSICAL DISABILITY INDICATOR at the APPOINTMENT DATE (FORMAL ANTENATAL BOOKING).

For the Maternity Services Data Set, the National Code N – No should be reported where the DISABILITY CODE for the mother is NN - No DISABILITY. The National Code Y – Yes should be reported where the DISABILITY CODE for the mother is one of the following National Codes:

02Hearing
03Manual Dexterity
05Mobility and Gross Motor
07Personal, Self Care and Continence 
08Progressive Conditions and Physical Health (such as HIV, cancer, multiple sclerosis, fits etc)
09Sight
10Speech
XXOther
 

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PLANE OF SURGICAL EXCISION TYPE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PLANE OF SURGICAL EXCISION TYPE
Default Codes: 

Notes: 
PLANE OF SURGICAL EXCISION TYPE is the same as attribute PLANE OF SURGICAL EXCISION TYPE

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PORTAL VEIN INVASION INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PORTAL VEIN INVASION INDICATOR
Default Codes:9 - Not Known (Not Recorded)

Notes: 
PORTAL VEIN INVASION INDICATOR is the same as attribute PORTAL VEIN INVASION INDICATOR

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POST AND/OR PRE EXPOSURE PROPHYLAXIS CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See POST AND/OR PRE EXPOSURE PROPHYLAXIS CODE
Default Codes:9 - Unknown (The clinician does not know if the PATIENT has had Post Exposure Prophylaxis (PEP) or Pre Exposure Prophylaxis (PREP))

Notes: 
POST AND/OR PRE EXPOSURE PROPHYLAXIS CODE is the same as attribute POST AND/OR PRE EXPOSURE PROPHYLAXIS CODE

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POSTCODE OF GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION)

Change to Data Element: Changed Description

Format/Length:See POSTCODE 
National Codes: 
Default Codes: 

Notes: 
POSTCODE OF GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION) is the same as data element POSTCODE.

POSTCODE OF GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION) is the POSTCODE of the address where the ADDRESS ASSOCIATION TYPE is either 'Main Business Premises' or 'Other Business Premises'. 

This is the POSTCODE of the address of the primary General Medical Practitioner Practice where the PERSON is registered.

 

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POSTCODE OF TESTING SERVICE (CHLAMYDIA TESTING)

Change to Data Element: Changed Description

Format/Length:See POSTCODE 
National Codes: 
Default Codes: 

Notes: 
POSTCODE OF TESTING SERVICE (CHLAMYDIA TESTING) is the same as data element POSTCODE.

POSTCODE OF TESTING SERVICE (CHLAMYDIA TESTING) is the POSTCODE of the chlamydia testing service address where the ADDRESS ASSOCIATION TYPE is either 'Main Business Premises' or 'Other Business Premises'. 

This is the POSTCODE of the ORGANISATION where the chlamydia test SAMPLE was taken.

 

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POST HAEMORRHAGIC HYDROCEPHALUS OBSERVED DURING CRANIAL ULTRASOUND SCAN INDICATOR

Change to Data Element: Changed Description

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POST MORTEM CARRIED OUT INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See POST MORTEM CARRIED OUT INDICATOR
Default Codes:9 - Not known if Post Mortem carried out

Notes: 
POST MORTEM CARRIED OUT INDICATOR is the same as attribute POST MORTEM CARRIED OUT INDICATOR

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POST OPERATIVE TUMOUR SITE (UPPER GASTROINTESTINAL)

Change to Data Element: Changed Description

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PREGNANCY INDICATOR (HIV)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PREGNANCY INDICATOR FOR HIV
Default Codes: 

Notes: 
PREGNANCY INDICATOR (HIV) is the same as attribute PREGNANCY INDICATOR FOR HIV

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PREGNANCY STATUS INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PREGNANCY STATUS
Default Codes:9 - Unknown

Notes: 
PREGNANCY STATUS INDICATOR is the same as attribute PREGNANCY STATUS

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PRESCRIBED DOSE (ANTI-HUMAN T-LYMPHOCYTE GLOBULIN)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED DOSE (ANTI-HUMAN T-LYMPHOCYTE GLOBULIN) is the total PRESCRIBED DOSE of the RENAL MEDICATION TYPE of 'Anti-human T-lymphocyte globulin', where the UNIT OF MEASUREMENT is 'Milligrams (mg)'

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PRESCRIBED DOSE (ANTITHYMOCYTE GLOBULIN)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED DOSE (ANTITHYMOCYTE GLOBULIN) is the total PRESCRIBED DOSE of the RENAL MEDICATION TYPE of 'Antithymocyte globulin', where the UNIT OF MEASUREMENT is 'Milligrams (mg)'

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PRESCRIBED DOSE (AZATHIOPRINE)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED DOSE (AZATHIOPRINE) is the PRESCRIBED DOSE of the RENAL MEDICATION TYPE of 'Azathioprine', where the UNIT OF MEASUREMENT is 'Milligrams (mg)'

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PRESCRIBED DOSE (BASILIXIMAB)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED DOSE (BASILIXIMAB) is the PRESCRIBED DOSE of the RENAL MEDICATION TYPE of 'Basililximab', where the UNIT OF MEASUREMENT is 'Milligrams (mg)'

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PRESCRIBED DOSE (CICLOSPORIN)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED DOSE (CICLOSPORIN) is the PRESCRIBED DOSE of the RENAL MEDICATION TYPE of 'Ciclosporin', where the UNIT OF MEASUREMENT is 'Milligrams (mg)'

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PRESCRIBED DOSE (DACLIZUMAB)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED DOSE (DACLIZUMAB) is the PRESCRIBED DOSE of the RENAL MEDICATION TYPE of 'Daclizumab', where the UNIT OF MEASUREMENT is 'Milligrams (mg)'

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PRESCRIBED DOSE (MUROMONAB-CD3)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED DOSE (MUROMONAB-CD3) is the total PRESCRIBED DOSE of the RENAL MEDICATION TYPE of 'Muromonab-CD3', where the UNIT OF MEASUREMENT is 'Milligrams (mg)'

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PRESCRIBED DOSE (MYCOPHENOLATE MOFETIL)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED DOSE (MYCOPHENOLATE MOFETIL) is the PRESCRIBED DOSE of the RENAL MEDICATION TYPE of 'Mycophenolate mofetil', where the UNIT OF MEASUREMENT is 'Milligrams (mg)'

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PRESCRIBED DOSE (MYCOPHENOLATE SODIUM)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED DOSE (MYCOPHENOLATE SODIUM) is the PRESCRIBED DOSE of the RENAL MEDICATION TYPE of 'Mycophenolate sodium', where the UNIT OF MEASUREMENT is 'Milligrams (mg)'

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PRESCRIBED DOSE (PREDNISOLONE OR PREDNISONE)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED DOSE (PREDNISOLONE OR PREDNISONE) is the PRESCRIBED DOSE of the RENAL MEDICATION TYPE of 'Prednisolone or prednisone', where the UNIT OF MEASUREMENT is 'Milligrams (mg)'

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PRESCRIBED DOSE (SIROLIMUS)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED DOSE (SIROLIMUS) is the PRESCRIBED DOSE of the RENAL MEDICATION TYPE of 'Sirolimus'

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PRESCRIBED DOSE (TACROLIMUS)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED DOSE (TACROLIMUS) is the PRESCRIBED DOSE of the RENAL MEDICATION TYPE of 'Tacrolimus'

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PRESCRIBED FREQUENCY (AZATHIOPRINE)

Change to Data Element: Changed Description

Format/Length:max n2
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED FREQUENCY (AZATHIOPRINE) is the frequency of the dose per day of the RENAL MEDICATION TYPE of 'Azathioprine'

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PRESCRIBED FREQUENCY (CICLOSPORIN)

Change to Data Element: Changed Description

Format/Length:max n2
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED FREQUENCY (CICLOSPORIN) is the frequency of the dose per day of the RENAL MEDICATION TYPE of 'Ciclosporin'

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PRESCRIBED FREQUENCY (MYCOPHENOLATE MOFETIL)

Change to Data Element: Changed Description

Format/Length:max n2
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED FREQUENCY (MYCOPHENOLATE MOFETIL) is the frequency of the dose per day of the RENAL MEDICATION TYPE of 'Mycophenolate mofetil'

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PRESCRIBED FREQUENCY (MYCOPHENOLATE SODIUM)

Change to Data Element: Changed Description

Format/Length:max n2
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED FREQUENCY (MYCOPHENOLATE SODIUM) is the frequency of the dose per day of the RENAL MEDICATION TYPE of 'Mycophenolate sodium'

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PRESCRIBED FREQUENCY (SIROLIMUS)

Change to Data Element: Changed Description

Format/Length:max n2
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED FREQUENCY (SIROLIMUS) is the frequency of the dose per day of the RENAL MEDICATION TYPE of 'Sirolimus'

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PRESCRIBED FREQUENCY (TACROLIMUS)

Change to Data Element: Changed Description

Format/Length:max n2
National Codes: 
Default Codes: 

Notes: 
PRESCRIBED DOSE (TACROLIMUS) is the frequency of the dose per day of the RENAL MEDICATION TYPE of 'Tacrolimus'

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PRESCRIBED MEDICATION (THROMBOSIS PREVENTION DRUG)

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See THROMBOSIS PREVENTION DRUG TYPE FOR RENAL
Default Codes: 

Notes: 
PRESCRIBED MEDICATION (THROMBOSIS PREVENTION DRUG) is the same as attribute THROMBOSIS PREVENTION DRUG TYPE FOR RENAL

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PRESCRIPTION DATE (ALEMTUZUMAB)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (ALEMTUZUMAB) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Alemtuzumab'. 

 

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PRESCRIPTION DATE (ANTICOAGULANT)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (ANTICOAGULANT) is the same as data element  PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Anticoagulants'.

 

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PRESCRIPTION DATE (ANTI-FUNGAL PROPHYLAXIS)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (ANTI-FUNGAL PROPHYLAXIS) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Anti-fungal prophylaxis'.

 

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PRESCRIPTION DATE (ANTI-HUMAN T-LYMPHOCYTE GLOBULIN)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (ANTI-HUMAN T-LYMPHOCYTE GLOBULIN) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Anti-human T-lymphocyte globulin'. 

 

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PRESCRIPTION DATE (ANTITHYMOCYTE GLOBULIN)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (ANTITHYMOCYTE GLOBULIN) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Antithymocyte globulin'. 

 

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PRESCRIPTION DATE (AZATHIOPRINE)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (AZATHIOPRINE) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Azathioprine'. 

 

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PRESCRIPTION DATE (BASILIXIMAB)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (BASILIXIMAB) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Basiliximab'. 

 

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PRESCRIPTION DATE (CICLOSPORIN)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (CICLOSPORIN) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Ciclosporin'. 

 

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PRESCRIPTION DATE (CYTOMEGALOVIRUS TREATMENT)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (CYTOMEGALOVIRUS TREATMENT) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Cytomegalovirus treatment'.

 

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PRESCRIPTION DATE (DACLIZUMAB)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (DACLIZUMAB) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Daclizumab'. 

 

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PRESCRIPTION DATE (DEEP VEIN THROMBOSIS PROPHYLAXIS)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (DEEP VEIN THROMBOSIS PROPHYLAXIS) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Deep vein thrombosis prophylaxis' for the living ORGAN OR TISSUE DONOR.

 

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PRESCRIPTION DATE (HEPARIN SUBCUTANEOUS PROPHYLAXIS)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (HEPARIN SUBCUTANEOUS PROPHYLAXIS) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Heparin subcutaneous prophylaxis' for use post operatively.

 

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PRESCRIPTION DATE (INSULIN)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (INSULIN) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Insulin'.

 

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PRESCRIPTION DATE (INTRAPERITONEAL ANTIBIOTICS)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (INTRAPERITONEAL ANTIBIOTICS) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Intraperitoneal antibiotics'.

 

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PRESCRIPTION DATE (INTRAVENOUS ANTIBIOTICS)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (INTRAVENOUS ANTIBIOTICS) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Intravenous antibiotics'.

 

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PRESCRIPTION DATE (INTRAVENOUS IRON)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (INTRAVENOUS IRON) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Intravenous iron'.

 

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PRESCRIPTION DATE (MUROMONAB-CD3)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (MUROMONAB-CD3) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Muromonab-CD3'. 

 

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PRESCRIPTION DATE (MYCOPHENOLATE MOFETIL)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (MYCOPHENOLATE MOFETIL) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Mycophenolate mofetil'. 

 

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PRESCRIPTION DATE (MYCOPHENOLATE SODIUM)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (MYCOPHENOLATE SODIUM) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Mycophenolate sodium'. 

 

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PRESCRIPTION DATE (OTHER MONOCLONAL ANTIBODY)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (OTHER MONOCLONAL ANTIBODY) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Other monoclonal antibody'.

 

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PRESCRIPTION DATE (PHOSPHATE BINDERS)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (PHOSPHATE BINDERS) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Phosphate binders'.

 

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PRESCRIPTION DATE (PREDNISOLONE OR PREDNISONE)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (PREDNISOLONE OR PREDNISONE) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Prednisolone or prednisone'. 

 

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PRESCRIPTION DATE (PROTON PUMP INHIBITORS)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (PROTON PUMP INHIBITORS) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Proton pump inhibitors'.

 

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PRESCRIPTION DATE (SIROLIMUS)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (SIROLIMUS) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Sirolimus'. 

 

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PRESCRIPTION DATE (TACROLIMUS)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (TACROLIMUS) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Tacrolimus'. 

 

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PRESCRIPTION DATE (THROMBO EMBOLISM DETERRENT STOCKING)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (THROMBO EMBOLISM DETERRENT STOCKING) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Thrombo embolism deterrent prophylaxis'. 

 

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PRESCRIPTION DATE (THROMBOSIS PREVENTION DRUG)

Change to Data Element: Changed Description

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

Notes: 
PRESCRIPTION DATE (THROMBOSIS PREVENTION DRUG) is the same as data element PRESCRIPTION DATE for the RENAL MEDICATION TYPE of 'Thrombosis prevention'.

 

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PRETEXT STAGING SYSTEM STAGE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PRETEXT STAGING SYSTEM STAGE
Default Codes: 

Notes: 
PRETEXT STAGING SYSTEM STAGE is the same as attribute PRETEXT STAGING SYSTEM STAGE

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PRETEXT STAGING SYSTEM STAGE (OUTSIDE LIVER)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PRETEXT STAGING SYSTEM STAGE OUTSIDE LIVER
Default Codes: 

Notes: 
PRETEXT STAGING SYSTEM STAGE (OUTSIDE LIVER) is the same as attribute PRETEXT STAGING SYSTEM STAGE OUTSIDE LIVER

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PRIMARY EXTRANODAL SITE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See PRIMARY EXTRANODAL SITE
Default Codes: 

Notes: 
PRIMARY EXTRANODAL SITE is the same as attribute PRIMARY EXTRANODAL SITE

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PRIMARY PROCEDURE (READ)

Change to Data Element: Changed Description

Format/Length:See READ CODE
National Codes: 
Default Codes: 

Notes: 
PRIMARY PROCEDURE (READ) is the same as attribute CLINICAL TERMINOLOGY CODE.

PRIMARY PROCEDURE (READ) is the Read Coded Clinical Terms code which is used to identify the primary Patient Procedure carried out.

Note: Read Coded Clinical Terms Version 3 (CTV3) with qualifiers is not supported in the Commissioning Data Sets. Therefore, the Commissioning Data Set Version 6-1 and 6-2 XML Schemas have the format of this Data Element constrained to max an5. Therefore, the Commissioning Data Set Version 6-2 XML Schema has the format of this Data Element constrained to max an5.

 

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PRIMARY PROCEDURE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes: 
PRIMARY PROCEDURE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE

PRIMARY PROCEDURE (SNOMED CT) is the SNOMED CT concept ID which is used to identify the main Patient Procedure carried out.

 

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PROCEDURE (OPCS RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE)

Change to Data Element: Changed Description

Format/Length:See OPCS-4 CODE
National Codes: 
Default Codes: 

Notes: 
PROCEDURE (OPCS RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE) is the same as attribute CLINICAL CLASSIFICATION CODE.

PROCEDURE (OPCS RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE) is an OPCS-4 classification of a Patient Procedure recorded when the PATIENT is discharged from a neonatal critical care.

PROCEDURE (OPCS RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE) should include any Patient Procedures which were not recorded as expected on the applicable Neonatal Critical Care Daily Care Date during a Neonatal CRITICAL CARE PERIOD.

 

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PROCEDURE (READ)

Change to Data Element: Changed Description

Format/Length:See READ CODE
National Codes: 
Default Codes: 

Notes: 
PROCEDURE (READ) is the same as attribute CLINICAL TERMINOLOGY CODE.

PROCEDURE (READ) is the Read Coded Clinical Terms for a procedure other than the PRIMARY PROCEDURE (READ).

For Commissioning Data Sets purposes it is recommended that multiple Procedures are recorded and the CDS-XML Message (CDS Version 6 onwards) has been designed to carry as many Procedures as required.

Note: Read Coded Clinical Terms Version 3 (CTV3) with qualifiers is not supported in the Commissioning Data Sets. Therefore, the Commissioning Data Set Version 6-1 and 6-2 XML Schemas have the format of this Data Element constrained to max an5. Therefore, the Commissioning Data Set Version 6-2 XML Schema has the format of this Data Element constrained to max an5.

 

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PROCEDURE (SNOMED CT)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes: 
PROCEDURE (SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

PROCEDURE (SNOMED CT) is the SNOMED CT concept ID which is used to identify the Patient Procedure carried out, other than the PRIMARY PROCEDURE (SNOMED CT).

 

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PROCEDURE (SNOMED CT ON NEONATAL CRITICAL CARE DAILY CARE DATE)

Change to Data Element: Changed Description

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PROCEDURE (SNOMED CT RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE)

Change to Data Element: Changed Description

Format/Length:See SNOMED CT CODE
National Codes: 
Default Codes: 

Notes: 
PROCEDURE (SNOMED CT RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE) is the same as attribute CLINICAL TERMINOLOGY CODE.

PROCEDURE (SNOMED CT RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE) is the SNOMED CT concept ID for a Patient Procedure recorded when the PATIENT is discharged from a Neonatal Intensive Care Unit.

PROCEDURE (SNOMED CT RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE) should include any Patient Procedures which were not recorded as expected on the applicable Neonatal Critical Care Daily Care Date during a Neonatal CRITICAL CARE PERIOD

 

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PROCEDURE DATE (FIRST END STAGE RENAL FAILURE TREATMENT)

Change to Data Element: Changed Description

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

Notes: 
PROCEDURE DATE (FIRST END STAGE RENAL FAILURE TREATMENT) is the same as data element PROCEDURE DATE for the start of renal replacement therapy. 

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PROCEDURE DATE (GRAFT NEPHRECTOMY)

Change to Data Element: Changed Description

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

Notes: 
PROCEDURE DATE (GRAFT NEPHRECTOMY) is the same as data element PROCEDURE DATE of the transplant surgery. 

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PROCEDURE DATE AND TIME (DURING NEONATAL CRITICAL CARE PERIOD)

Change to Data Element: Changed Description

Format/Length:See DATE AND TIME
National Codes: 
Default Codes: 

Notes: 
PROCEDURE DATE AND TIME (DURING NEONATAL CRITICAL CARE PERIOD) is the same as Procedure Date and Time for a Patient Procedure performed during a neonatal CRITICAL CARE PERIOD.

 

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PROTEIN CREATININE RATIO

Change to Data Element: Changed Description

Format/Length:max n3.max n1
National Codes: 
Default Codes: 

Notes: 
PROTEIN CREATININE RATIO is the result of the Clinical Investigation which measures the PATIENT's protein creatinine ratio, where the UNIT OF MEASUREMENT is 'Milligrams per millimole (mg/mmol)'

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PSYCHOSIS TREATMENT START DATE

Change to Data Element: Changed Description

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

Notes: 
PSYCHOSIS TREATMENT START DATE is the DATE the PATIENT commenced prescribed anti-psychotic medication and thereafter was compliant for at least 75% of the time during the subsequent month (using clinical judgement). 

For the majority of PATIENTS this will be the same as the PRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION).

 

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PSYCHOTROPIC MEDICATION USAGE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See PSYCHOTROPIC MEDICATION USAGE
Default Codes: 

Notes: 
PSYCHOTROPIC MEDICATION USAGE is the same as attribute PSYCHOTROPIC MEDICATION USAGE.

 

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RECEIVING OXYGEN THERAPY ON DISCHARGE INDICATOR

Change to Data Element: Changed Description

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REFERRAL DATE (TRANSPLANT CONSIDERATION)

Change to Data Element: Changed Description

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

Notes: 
REFERRAL DATE (TRANSPLANT CONSIDERATION) is the same as attribute REFERRAL DATE FOR RENAL TRANSPLANT CONSIDERATION

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REFERRAL RATE FOR BREAST ASSESSMENT (PERCENTAGE OF SCREENED)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 


Notes: 
REFERRAL RATE FOR BREAST ASSESSMENT (PERCENTAGE OF SCREENED) is the rate of referrals for Breast Assessment from Breast Screening.

REFERRAL RATE FOR BREAST ASSESSMENT (PERCENTAGE OF SCREENED) is defined as the percentage of women who are referred for any Breast Assessment procedure. 

 

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REFERRAL RATE FOR CYTOLOGY AND/OR CORE BIOPSY (PERCENTAGE OF SCREENED)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes: 
REFERRAL RATE FOR CYTOLOGY AND/OR CORE BIOPSY (PERCENTAGE OF SCREENED) is the percentage of women who attend a Breast Screening who receive a REFERRAL REQUEST for PATHOLOGY INVESTIGATION TYPE FOR BREAST SCREENING recorded as National Codes 'Needle Biopsy for Cytology (Fine Needle Aspiration or Cytology)' or 'Needle Biopsy for Histology (Wide Bore Needle or Core Biopsy)' as part of the Breast Assessment process.

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REFERRAL RATE FOR OPEN BIOPSY (PERCENTAGE OF SCREENED)

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes: 
REFERRAL RATE FOR OPEN BIOPSY (PERCENTAGE OF SCREENED) is the percentage of women who attend a Breast Screening who receive a REFERRAL REQUEST for PATHOLOGY INVESTIGATION TYPE FOR BREAST SCREENING recorded as National Code 'Diagnostic Surgery for Histology (Open Biopsy)' either directly from screening or following other Breast Assessment procedures. 

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REGION OF COUNTRY CODE FOR FEMALE GENITAL MUTILATION (ORIGIN)

Change to Data Element: Changed Description

Format/Length:an5
National Codes:See REGION OF COUNTRY CODE FOR FEMALE GENITAL MUTILATION DATA SET
Default Codes: 

Notes: 
REGION OF COUNTRY CODE FOR FEMALE GENITAL MUTILATION (ORIGIN)  is the same as attribute REGION OF COUNTRY CODE FOR FEMALE GENITAL MUTILATION DATA SET for the region of the country from which the PATIENT believes reflects their cultural heritage. 

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REGISTERED FOR OTHER TRANSPLANT TYPE

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes: 

Notes: 
REGISTERED FOR OTHER TRANSPLANT TYPE is a derived indicator of if the recipient is registered for other types of transplant. The two types that are of interest are heart (and/or) lungs or liver transplants.

This is derived from if the PATIENT is on an ELECTIVE ADMISSION LIST for a transplant where the type of transplant is heart and/or lungs or liver.

Permitted National Codes:

1Heart and/or lung(s)
2Liver
 

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REHABILITATION ASSESSMENT TEAM TYPE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See REHABILITATION ASSESSMENT TEAM TYPE
Default Codes:8 - Not applicable - ACTIVITY is not Rehabilitation Assessment
9 - Rehabilitation Assessment Team Type not known

Notes: 
REHABILITATION ASSESSMENT TEAM TYPE is the same as attribute REHABILITATION ASSESSMENT TEAM TYPE.

This data item is included in Commissioning Data Set version 6-2, but should not be submitted until further development by the Department of Health has been undertaken.

 

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RENAL TRANSPLANT FAILED CAUSE CODE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See RENAL TRANSPLANT FAILURE CAUSE CODE
Default Codes:99 - Unknown

Notes: 
RENAL TRANSPLANT FAILED CAUSE CODE is the same as attribute RENAL TRANSPLANT FAILURE CAUSE CODE

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RENAL VEIN TUMOUR INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See RENAL VEIN TUMOUR INDICATOR
Default Codes: 

Notes: 
RENAL VEIN TUMOUR INDICATOR is the same as attribute RENAL VEIN TUMOUR INDICATOR

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RESECTION MARGIN INVOLVEMENT INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See RESECTION MARGIN INVOLVEMENT INDICATOR
Default Codes: 

Notes: 
RESECTION MARGIN INVOLVEMENT INDICATOR is the same as attribute RESECTION MARGIN INVOLVEMENT INDICATOR

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RESPIRATORY RATE (ON ADMISSION TO NEONATAL CRITICAL CARE)

Change to Data Element: Changed Description

Format/Length:max n3
National Codes: 
Default Codes:999 -Respiratory Rate unknown

Notes: 
RESPIRATORY RATE (ON ADMISSION TO NEONATAL CRITICAL CARE) is the Respiratory Rate per minute of the baby on admission to neonatal critical care.

The value is in the range of 10-200.

 

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RETINOBLASTOMA ASSESSMENT DATE

Change to Data Element: Changed Description

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

Notes: 
RETINOBLASTOMA ASSESSMENT DATE is the same as attribute ACTIVITY DATE, where the ACTIVITY DATE TYPE is National Code 'Retinoblastoma Assessment Date'. 

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RUPTURE OF MEMBRANES YEAR AND MONTH

Change to Data Element: Changed Description

Format/Length:See YEAR AND MONTH
National Codes: 
Default Codes: 

Notes: 
RUPTURE OF MEMBRANES YEAR AND MONTH is the YEAR AND MONTH element of the RUPTURE OF MEMBRANES DATE TIME.

For the National Neonatal Data Set - Episodic and Daily Care, RUPTURE OF MEMBRANES YEAR AND MONTH is submitted instead of RUPTURE OF MEMBRANES DATE TIME, where the data set record is anonymised.

 

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SECONDARY CAUSE OF END STAGE RENAL FAILURE

Change to Data Element: Changed Description

Format/Length:an5 for ICD-10
an2 for European Renal Association (European Dialysis and Transplant Association)
National Codes: 
Default Codes: 

Notes: 
SECONDARY CAUSE OF END STAGE RENAL FAILURE is the same as attribute CLINICAL CLASSIFICATION CODE or EUROPEAN RENAL ASSOCIATION CODE.

SECONDARY CAUSE OF END STAGE RENAL FAILURE is either:

depending on the value in DIAGNOSIS SCHEME IN USE (RENAL) detailing a secondary cause for the PATIENT's end stage renal failure diagnosis.

 

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SECONDARY DIAGNOSIS (READ)

Change to Data Element: Changed Description

Format/Length:See READ CODE
National Codes: 
Default Codes: 

Notes: 
SECONDARY DIAGNOSIS (READ) is the same as attribute CLINICAL TERMINOLOGY CODE.

SECONDARY DIAGNOSIS (READ) is the Read Coded Clinical Terms used to identify the secondary PATIENT DIAGNOSIS.

For Commissioning Data Set (CDS) purposes it is recommended that multiple Diagnoses are recorded and the CDS-XML Message (CDS Version 6 onwards) has been designed to carry as many Diagnoses as required.

Note: Read Coded Clinical Terms Version 3 (CTV3) with qualifiers is not supported in the Commissioning Data Sets. Therefore, the Commissioning Data Set Version 6-1 and 6-2 XML Schemas have the format of this Data Element constrained to max an5. Therefore, the Commissioning Data Set Version 6-2 XML Schema has the format of this Data Element constrained to max an5.

 

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SOURCE OF REFERRAL FOR FEMALE GENITAL MUTILATION

Change to Data Element: Changed Description

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SPECIMEN TYPE (CHLAMYDIA TESTING SNOMED CT)

Change to Data Element: Changed Description

Format/Length:min n6 max n18
National Codes: 
Default Codes: 

Notes: 
SPECIMEN TYPE (CHLAMYDIA TESTING SNOMED CT) is the same as attribute CLINICAL TERMINOLOGY CODE.

SPECIMEN TYPE (CHLAMYDIA TESTING SNOMED CT) is the SNOMED CT concept ID which is used to identify the type of specimen used for Chlamydia testing.

The SNOMED CT Subset:

  • original ID is 58831000000130
  • name is 'Chlamydia test procedures'.
 

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TREATMENT FUNCTION CODE (RECEIVING SERVICE)

Change to Data Element: Changed Description

Format/Length:See ACTIVITY TREATMENT FUNCTION CODE
National Codes:See TREATMENT FUNCTION CODE 
Default Codes: 

Notes: 
TREATMENT FUNCTION CODE (RECEIVING SERVICE) is the same as attribute TREATMENT FUNCTION CODE.

TREATMENT FUNCTION CODE (RECEIVING SERVICE) is the TREATMENT FUNCTION under which the CARE PROFESSIONAL or SERVICE receiving the inter-provider transfer SERVICE REQUEST is expected to treat the PATIENT.

 

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TREATMENT FUNCTION CODE (REFERRING SERVICE)

Change to Data Element: Changed Description

Format/Length:See ACTIVITY TREATMENT FUNCTION CODE
National Codes:See TREATMENT FUNCTION CODE 
Default Codes: 

Notes: 
TREATMENT FUNCTION CODE (RECEIVING SERVICE) is the same as attribute TREATMENT FUNCTION CODE.

TREATMENT FUNCTION CODE (REFERRING SERVICE) is the TREATMENT FUNCTION under which the CARE PROFESSIONAL or SERVICE has been treating the PATIENT before referring the PATIENT as an inter-provider transfer to another Health Care Provider.

 

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TUMOUR INVASION INDICATOR (PERIRENAL FAT)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See TUMOUR INVASION INDICATOR
Default Codes:U - Uncertain (Unable to give a definitive answer)

Notes: 
TUMOUR INVASION INDICATOR (PERIRENAL FAT) is the same as attribute TUMOUR INVASION INDICATOR, to indicate if the Tumour has invaded the perirenal fat. 

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TUMOUR INVASION INDICATOR (PT3)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See TUMOUR INVASION INDICATOR
Default Codes:U - Uncertain (Unable to give a definitive answer)
 X - Cannot be assessed (Sample is not suitable to assess)

Notes: 
TUMOUR INVASION INDICATOR (PT3) is the same as attribute TUMOUR INVASION INDICATOR, to indicate if the pT3 Tumour has invaded the maxilla, mandible, orbit or temporal bone. 

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TUMOUR INVASION INDICATOR (RENAL SINUS)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See TUMOUR INVASION INDICATOR
Default Codes:U - Uncertain (Unable to give a definitive answer)

Notes: 
TUMOUR INVASION INDICATOR (RENAL SINUS) is the same as attribute TUMOUR INVASION INDICATOR, to indicate if the Tumour has invaded the renal sinus (a cavity within the kidney which is occupied by the renal pelvis, renal calyces, blood vessels, nerves and fat). 

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TUMOUR REGRESSION INDICATION CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See TUMOUR REGRESSION INDICATION CODE
Default Codes:X - Cannot be assessed (Sample is not suitable to assess)
 9 - Not Known (Not Recorded)

Notes: 
TUMOUR REGRESSION INDICATION CODE is the same as attribute TUMOUR REGRESSION INDICATION CODE

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ULCERATION INDICATION CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See ULCERATION INDICATION CODE
Default Codes:X - Cannot be assessed (Sample is not suitable to assess)
 9 - Not Known (Not Recorded)

Notes: 
ULCERATION INDICATION CODE is the same as attribute ULCERATION INDICATION CODE

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VIABLE TUMOUR INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See VIABLE TUMOUR INDICATOR
Default Codes:U - Uncertain (Unable to give a definitive answer)

Notes: 
VIABLE TUMOUR INDICATOR is the same as attribute VIABLE TUMOUR INDICATOR

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WARD DAY PERIOD AVAILABILITY CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes: 

Notes: 
WARD DAY PERIOD AVAILABILITY CODE is the same as attribute WARD DAY PERIOD AVAILABILITY.

The value for the number of days open only during the day is as recorded by attribute WARD DAY PERIOD AVAILABILITY, but with the addition of Home Leave:

Permitted National Codes:

0Zero days
1One day
2Two days
3Three days
4Four days
5Five days
6Six days
7Seven days
9Home Leave
 

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WARD NIGHT PERIOD AVAILABILITY CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes: 

Notes: 
WARD NIGHT PERIOD AVAILABILITY CODE is the same as attribute WARD NIGHT PERIOD AVAILABILITY.

The value for the number of days open only during the night is as recorded by attribute WARD NIGHT PERIOD AVAILABILITY, but with the addition of Home Leave:

Permitted National Codes:

0Zero nights
1One night
2Two nights
3Three nights
4Four nights
5Five nights
6Six nights
7Seven nights
9Home Leave
 

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WILMS TUMOUR STAGE DATE

Change to Data Element: Changed Description

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

Notes: 
WILMS TUMOUR STAGE DATE is the same as attribute ACTIVITY DATE, where the ACTIVITY DATE TYPE is National Code 'Wilms Tumour Stage Date'. 

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WOMEN RECALL CEASED TOTAL (UPPER TIER LOCAL AUTHORITY)

Change to Data Element: Changed Description

Format/Length:max n5
National Codes: 
Default Codes: 

Notes: 
WOMEN RECALL CEASED TOTAL (UPPER TIER LOCAL AUTHORITY) is the total number of resident women ineligible for the NHS Breast Screening Programme in the Upper Tier Local Authority.

WOMEN RECALL CEASED TOTAL (UPPER TIER LOCAL AUTHORITY) are those women with a BREAST SCREENING CALL STATUS recorded as National Code 'Recall ceased - Bilateral Mastectomy' or 'Recall ceased - Patient choice'. 

 

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CANCER OUTCOMES AND SERVICES DATA SET XML SCHEMA CONSTRAINTS

Change to XML Schema Constraint: Changed Description

XML Schema constraints applied to the Cancer Outcomes and Services Data Set.

The "Allowed Values" column indicates the NHS Data Model and Dictionary National Codes and Default Codes present in the XML Schema:

  • None = The National Codes and Default Codes are included in the XML Schema
  • Removed = The National Codes and Default Codes are not included in the XML Schema.
Data ElementXML Schema Format/LengthAllowed ValuesRangePattern Match *Reason / Comment / XML Choice
Data ElementXML Schema Format/LengthAllowed ValuesRangePattern MatchReason / Comment / XML Choice
ALBUMIN LEVELNone
None
10-80
None
Range 10-80
ALLRED SCORE (ESTROGEN RECEPTOR)None
None
0 and 2-8
None
Range 0 and 2-8
ALLRED SCORE (PROGESTERONE RECEPTOR)None
None
0 and 2-8
None
Range 0 and 2-8
BETA2 MICROGLOBULIN LEVELNone
None
None
d{1,2}(.d){1}
\d{1,2}(\.\d){1}
Format pattern applied to allow correct reporting of BETA2 MICROGLOBULIN LEVEL
BLOOD BASOPHILS PERCENTAGENone
None
0-100
None
Range 0-100
BLOOD EOSINOPHILS PERCENTAGENone
None
0-100
None
Range 0-100
BLOOD LYMPHOCYTE COUNTNone
None
None
\d{1,2}(\.\d){1}
Format pattern applied to allow correct reporting of BLOOD LYMPHOCYTE COUNT
BLOOD MYELOBLASTS PERCENTAGENone
None
0-100
None
Range 0-100
BONE MARROW BLAST CELLS PERCENTAGENone
None
0-20
None
Range 0-20
BODY MASS INDEXNone
None
None
\d{2}(\.\d){1}
Format pattern applied to allow correct reporting of BODY MASS INDEX
BRESLOW THICKNESSNone
None
None
d{1,2}.d{1,2}
\d{1,2}\.\d{1,2}
Format pattern applied to allow correct reporting of BRESLOW THICKNESS
CANCER SYMPTOMS FIRST NOTED DATENone
None
None
((19|20)dd-(0[1-9]|1[012])-(0[1-9]|[12][0-9]|3[01])|(19|20)dd-(0[1-9]|1[012])|(19|20)dd)
Format pattern applied to allow correct reporting of CANCER SYMPTOMS FIRST NOTED DATE
CARE PROFESSIONAL MAIN SPECIALTY CODE (CANCER REFERRAL)None
Removed
None
None
National Codes and default codes not enumerated in the XML Schema
CARE PROFESSIONAL MAIN SPECIALTY CODE (DIAGNOSIS)None
Removed
None
None
National Codes and default codes not enumerated in the XML Schema
CHRONIC MYELOID LEUKAEMIA INDEX SCORE (SOKAL)None
None
None
d{1}(.d){1}
([0-2]{1}\.\d{1}|3.0)
Format pattern applied to allow correct reporting of CHRONIC MYELOID LEUKAEMIA INDEX SCORE (SOKAL)
CONSULTANT CODE (ENDOSCOPIC OR RADIOLOGICAL PROCEDURE)None
Removed
None
None
Default codes not enumerated in the XML Schema
CONSULTANT CODE (FIRST SEEN)None
Removed
None
None
Default codes not enumerated in the XML Schema
CONSULTANT CODE (PATHOLOGIST)None
Removed
None
None
Default codes not enumerated in the XML Schema
CONSULTANT CODE (TREATMENT)None
Removed
None
None
Default codes not enumerated in the XML Schema
COSDS SUBMISSION IDENTIFIERNone
None
None
[0-9A-F]{8}-[0-9A-F]{4}-[0-9A-F]{4}-[0-9A-F]{4}-[0-9A-F]{12}
Format pattern applied to allow correct reporting of COSDS SUBMISSION RECORD COUNT
COSDS UNIQUE IDENTIFIERNone
None
None
[0-9A-F]{8}-[0-9A-F]{4}-[0-9A-F]{4}-[0-9A-F]{4}-[0-9A-F]{12}
Format pattern applied to allow correct reporting of COSDS UNIQUE IDENTIFIER
DISTANCE BEYOND MUSCULARIS PROPRIANone
None
None
\d{1,3}\.\d{1,2}
Format pattern applied to allow correct reporting of DISTANCE BEYOND MUSCULARIS PROPRIA
DISTANCE FROM DENTATE LINENone
None
None
\d{1.3}\.\{1,2}
Format pattern applied to allow correct reporting of DISTANCE FROM DENTATE LINE
DISTANCE TO CLOSEST NON PERITONEALISED RESECTION MARGINNone
None
None
d{1,2}.d{1,2}
\d{1,2}\.\d{1,2}
Format pattern applied to allow correct reporting of DISTANCE TO CLOSEST NON PERITONEALISED RESECTION MARGIN
DISTANCE TO DISTAL RESECTION MARGINNone
None
None
\d{1,4}\.\d{1,2}
Format pattern applied to allow correct reporting of DISTANCE TO DISTAL RESECTION MARGIN
DISTANCE TO MARGINNone
None
None
\d{1,2}\.\d{1}
Format pattern applied to allow correct reporting of DISTANCE TO MARGIN
ETHNIC CATEGORYmax an2
None
None
None
Existing Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Second character can be for local use. XML Schema allows max an10
FINAL EXCISION MARGIN AFTER WIDE LOCAL EXCISIONNone
None
None
d{1,2}.d{1,2}
\d{1,2}\.\d{1,2}
Format pattern applied to allow correct reporting of FINAL EXCISION MARGIN AFTER WIDE LOCAL EXCISION
FOLLICULAR LYMPHOMA INTERNATIONAL PROGNOSTIC INDEX SCORENone
None
0-5
None
Range 0-5
FORCED EXPIRATORY VOLUME IN 1 SECOND (ABSOLUTE AMOUNT)None
None
0.10-9.99
(0.1[0-9]{1}|0.[2-9]{1}[0-9]{1}|[1-9].dd){1}\d\d){1}
Range 0.10 to 9.99
FORCED EXPIRATORY VOLUME IN 1 SECOND (PERCENTAGE)None
None
1-150
None
Range 1 to 150
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
GENERAL MEDICAL PRACTITIONER (SPECIFIED)None
Removed
None
None
Default codes not enumerated in the XML Schema
GLEASON GRADE (PRIMARY)None
None
1-5
None
Range 1-5
GLEASON GRADE (SECONDARY)None
None
1-5
None
Range 1-5
GLEASON GRADE (TERTIARY)None
None
1-5 and 8
None
Range 1-5 and 8
HAEMOGLOBIN CONCENTRATION (GRAMS PER LITRE)None
None
10-250
None
Range 10-250
HASENCLEVER INDEX SCORENone
None
0-7
None
Range 0-7
INTERNATIONAL PROGNOSTIC SCORING SYSTEM SCORENone
None
0.0-3.0
([0-2]{1}.d{1}|3.
0.0-3.0|([0-2]{1}\.\d{1}|3.0)
Range 0.0-3.0
INVASIVE THICKNESSNone
None
None
d{1,2}.d{1,2}
\d{1,2}\.\d{1,2}
Format pattern applied to allow correct reporting of INVASIVE THICKNESS
LESION SIZE (PATHOLOGICAL)None
None
None
\d{1,3}\.\d{1,2}
Format pattern applied to allow correct reporting of LESION SIZE (PATHOLOGICAL)
LESION SIZE (RADIOLOGICAL)None
None
None
\d{1,3}\.\d{1,2}
Format pattern applied to allow correct reporting of LESION SIZE (RADIOLOGICAL)
LOCAL PATIENT IDENTIFIERmax an10
None
None
None
Existing format an10 should mean fixed length - however this is incorrect - cannot immediately change format/length in dictionary as used by other data sets. XML Schema allows max an10
MULTIDISCIPLINARY TEAM MEETING TYPE (CANCER)None
Removed
None
None
National Codes not enumerated in the XML Schema
NEUTROPHIL COUNTNone
None
None
\d{1,3}(\.\d){1}
Format pattern applied to allow correct reporting of NEUTROPHIL COUNT
NON INVASIVE TUMOUR SIZENone
None
None
\d{1,3}\.\d{1,2}
Format pattern applied to allow correct reporting of NON INVASIVE TUMOUR SIZE
NOTTINGHAM PROGNOSTIC INDEX SCORENone
None
None
d{1,2}.d{1,2}
\d{1,2}\.\d{1,2}
Format pattern applied to allow correct reporting of NOTTINGHAM PROGNOSTIC INDEX SCORE
NUMBER OF LYMPHADENOPATHY AREASNone
None
0-3
None
Range 0-3
ORGANISATION CODE (CODE OF PROVIDER)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
ORGANISATION CODE (CODE OF SUBMITTING ORGANISATION)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
ORGANISATION CODE (OF REPORTING PATHOLOGIST)min an3 max an12
None
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
PERSON HEIGHT IN METRESNone
None
None
\d{1}(\.\d{1,2}){1}
Format pattern applied to allow correct reporting of PERSON HEIGHT IN METRES
PERSON WEIGHTNone
None
None
d{1,3}.d{1,3}
\d{1,3}\.\d{1,3}
Format pattern applied to allow correct reporting of PERSON WEIGHT
PLATELETS COUNTNone
None
0-5000
None
Range 0-5000
PRIMARY DIAGNOSIS (ICD)min an4 max an6
None
None
None
Existing Format/Length allows for all clinical classifications - XML Schema allows min an4 max an6
PRIMARY TUMOUR SIZE (RADIOLOGICAL)None
None
None
d{1,3}.d{1,2}
\d{1,3}\.\d{1,2}
Format pattern applied to allow correct reporting of PRIMARY TUMOUR SIZE (RADIOLOGICAL)
PROSTATE SPECIFIC ANTIGEN (DIAGNOSIS)None
None
None
\d{1,5}(\.\d){1}
Format pattern applied to allow correct reporting of PROSTATE SPECIFIC ANTIGEN (DIAGNOSIS)
PROSTATE SPECIFIC ANTIGEN (PRE-TREATMENT)None
None
None
d{1,5}(.d){1}
\d{1,5}(\.\d){1}
Format pattern applied to allow correct reporting of PROSTATE SPECIFIC ANTIGEN (PRE-TREATMENT)
PROVISIONAL DIAGNOSIS (ICD)min an4 max an6
None
None
None
Existing Format/Length allows for all clinical classifications -XML Schema allows min an4 max an6
REVISED INTERNATIONAL PROGNOSTIC INDEX SCORENone
None
0-5
None
Range 0-5
SECONDARY DIAGNOSIS (ICD)min an4 max an6
None
None
None
Existing Format/Length allows for all clinical classifications - XML Schema allows min an4 max an6
SITE CODE (OF AXILLA ULTRASOUND)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
SITE CODE (OF BREAST ULTRASOUND)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
SITE CODE (OF CLINICAL ASSESSMENT)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
SITE CODE (OF IMAGING)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
SITE CODE (OF MAMMOGRAM)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
SITE CODE (OF MULTIDISCIPLINARY TEAM MEETING)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
SITE CODE (OF PATHOLOGY TEST REQUEST)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
SITE CODE (OF PROVIDER CANCER TREATMENT START DATE)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
SITE CODE (OF PROVIDER ENDOSCOPIC OR RADIOLOGICAL PROCEDURE)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
SITE CODE (OF PROVIDER FIRST CANCER SPECIALIST)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
SITE CODE (OF PROVIDER FIRST SEEN)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
SPLEEN BELOW COSTAL MARGINNone
None
0-50
None
Range 0-50
TURP TUMOUR PERCENTAGENone
None
0-100
None
Range 0-100
UNINVOLVED CERVICAL STROMA THICKNESSNone
None
None
d{1,2}.d{1,2}
\d{1,2}\.\d{1,2}
Format pattern applied to allow correct reporting of UNINVOLVED CERVICAL STROMA THICKNESS
WHITE BLOOD CELL COUNT (HIGHEST PRETREATMENT)None
None
None
\d{1,3}(\.\d{1}){1}
Format pattern applied to allow correct reporting of WHITE BLOOD CELL COUNT (HIGHEST PRETREATMENT)
WHOLE TUMOUR SIZENone
None
None
d{1,3}.d{1,2}
\d{1,3}\.\d{1,2}
Format pattern applied to allow correct reporting of WHOLE TUMOUR SIZE

The following Data Elements are not included in the Cancer Outcomes and Services Data Set Message.

Cancer Registries obtain the data from another source, or the item is submitted under another Standard and is included for reference only:

Note: * Due to technical constraints the patterns shown in the "Pattern Match" column are displayed incorrectly. Please refer to the XML Schema documentation at Cancer Outcomes and Services Data Set Message Versions for the correct patterns.

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DIAGNOSTIC IMAGING DATA SET XML SCHEMA CONSTRAINTS

Change to XML Schema Constraint: Changed Description

XML Schema constraints applied to the Diagnostic Imaging Data Set.

The "Allowed Values" column indicates the NHS Data Model and Dictionary National Codes and Default Codes present in the XML Schema:

  • None = The National Codes and Default Codes are included in the XML Schema
  • Removed = The National Codes and Default Codes are not included in the XML Schema.
Data ElementXML Schema Format/LengthAllowed ValuesRangePattern MatchReason / Comment / XML Choice
ETHNIC CATEGORYmax an2
None
None
None
Existing Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Second character can be for local use.
XML Schema allows max an10
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)min an3 max an12
RemovedXML Schema allows max an2
GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
IMAGING CODE (NICIP)
None
None
None
None
XML choice required to allow recording of either or both of IMAGING CODE (NICIP) / IMAGING CODE (SNOMED-CT)

XML choice 1:
One of two data items IMAGING CODE (NICIP) / IMAGING CODE (SNOMED-CT)) must be present

XML choice 2:
IMAGING CODE (NICIP) and IMAGING CODE (SNOMED-CT) must be present

IMAGING CODE (SNOMED-CT)
None
RADIOLOGICAL ACCESSION NUMBERNone
None
None
None
Spaces allowed in character set, to follow guidance on Digital Imaging and Communications in Medicine (DICOM) number format
REFERRING ORGANISATION CODEmin an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION CODE changes
SITE CODE (OF IMAGING)min an3 max an12
Removed
None
None
Field size extended to future proof for ODS ORGANISATION SITE CODE changes

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MATERNITY XML SCHEMA-RELEASE NOTES-V1-0

Change to Binary: Changed attached binary file

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For enquiries about this Change Request, please email information.standards@hscic.gov.uk