Accessible Information is information which is able to be read or received and understood by the individual or group for which it is intended.

The Equality Act 2010 places a duty on all service providers to take steps or make reasonable adjustments in order to avoid putting a disabled PERSON at a substantial disadvantage when compared to a PERSON who is not disabled.

SCCI 1605 Accessible Information requires that Health and Social Care Organisations identify and record the information and communication support needs of PATIENTS and service users (and where appropriate their carers), where these needs relate to or are caused by a DISABILITY, impairment or sensory loss. These Organisations are also required to take action to ensure that these needs are met.

The information and communication support needs cover four areas:

• communication support
• requires specific contact method
• requires communication professional
• requires specific information format

For further information on Accessible Information, see the NHS England website.For further information on Accessible Information, see the NHS England website at: Accessible Information Standard.

In 2008, the Department of Health published 'Framing the Contribution of Allied Health Professionals', which sets out three key aspects for improving the SERVICES which CARE PROFESSIONALS in NHS Allied Health Professional Services (Referral To Treatment Measurement) provide:

• To mandate the collection of Referral To Treatment information for Allied Health Professionals and support SERVICE redesign to improve SERVICES for PATIENTS
• To promote the benefits of self-referral to Physiotherapy SERVICES
• To improve the quality of SERVICES delivered

The Department of Health introduced voluntary collection of Allied Health Professional REFERRAL TO TREATMENT PERIOD waiting time information from April 2010, and mandatory collection from April 2011.  The Community Information Data Set and the Commissioning Data Sets (version 6-2 onwards) include the facility to report the Allied Health Professional REFERRAL TO TREATMENT PERIOD waiting time data elements which are used for waiting time measurement.

The Allied Health Professionals mandated to collect and flow Referral To Treatment data are:

• Art, Drama and Music Therapists (Arts Therapists)
• Chiropodists/Podiatrists
• Dietitians
• Occupational Therapists
• Orthoptists
• Physiotherapists
• Prosthetists and Orthotists
• Radiographers (Diagnostic and Theraputic)
• Radiographers (Diagnostic and Therapeutic)
• Speech and Language Therapists

There is no maximum waiting time target attached to an Allied Health Professional REFERRAL TO TREATMENT PERIOD, so no adjustments can be applied to the calculated waiting time between the REFERRAL TO TREATMENT PERIOD START DATE and the REFERRAL TO TREATMENT PERIOD END DATE.  However, locally the EARLIEST CLINICALLY APPROPRIATE DATE and the EARLIEST REASONABLE OFFER DATE can be used by Health Care Providers and their Commissioners to analyse unexpectedly long waits for First Definitive Treatment.

Allied Health Professionals working as part of a Consultant Led Service in secondary care are excluded.

Further guidance relating to the Allied Health Professional Referral To Treatment initiative can be found at the Department of Health Publications websiteFurther guidance relating to the Allied Health Professional Referral To Treatment initiative can be found on the Department of Health at: Allied Health Professional (AHP) Referral to Treatment (RTT) guide.

The British Association for Paediatric Nephrology is an Organisation.

The aims of the British Association for Paediatric Nephrology are to set and to improve the standard of medical care of children with renal disease. This is facilitated through continuing professional development of paediatricians with responsibility for children with renal disease, collaborative research and audit and to formulate and express opinions on policy concerning the care of children with renal disease.

For further information on the British Association for Paediatric Nephrology see the British Association for Paediatric Nephrology website.For further information on the British Association for Paediatric Nephrology see the British Association for Paediatric Nephrology website.

The British Renal Society is an Organisation.

The British Renal Society promotes formal dialogue between the many professional groups that support professionals involved in the care of PATIENTS with kidney disease.

Its core aims are:

• The promotion of effective PATIENT-centred multi-professional care to improve the quality of life for people with kidney failure, and their families and carers
• The advancement of education in the area of renal disease and replacement therapy
• The funding and support of multi-professional research in to kidney disease and its management

For further information on the British Renal Society, see the British Renal Society website at: About Us.For further information on the British Renal Society, see the British Renal Society website at: About the BRS.

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

The standard:

• is required by the Department of Health for the purposes of assessing implementation of the "Improving Outcomes: a strategy for cancer"
• also supports local and national comparisons of performance and service activity to enable Organisations providing Cancer Services to assess their progress towards implementation of "Improving Outcomes: a strategy for cancer".

Additionally the output supports commissioning and service development through provision of relevant information on service delivery and outcomes.

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

The Cancer Outcomes and Services Data Set covers diseases as defined by the United Kingdom and Ireland Association of Cancer Registries (UKIACR) as described in the User Guide at Appendix A and B.

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

Submission Information:

Providers of Cancer Services are required to provide a monthly return on all cancer PATIENTS using the Cancer Outcomes and Services Data Set.

The Cancer Outcomes and Services Data Set is submitted to the National Cancer Registration and Analysis Service (NCRAS) using the COSDS XML Schema.

While the core and cancer site specific data sets are shown as separate data sets within the NHS Data Model and Dictionary, the COSDS XML Schema integrates each core and cancer site specific set of data elements. Documentation provided on the Technology Reference Data Update Distribution (TRUD) page at: NHS Data Model and Dictionary: DD XML Schemas gives full details of the specification. Documentation provided on the Technology Reference Data Update Distribution (TRUD) page at: NHS Data Model and Dictionary: DD XML Schemas gives full details of the specification.

For all diagnoses not covered by a cancer site specific data set, only the Core Data Set should be completed. A full list of diagnoses mapped to the appropriate data set is provided in the National Cancer Registration and Analysis Service User Guide.

Pathology:

From January 2016 Pathology Laboratories across England were mandated through SCCI1521 17/2014, to collect and return structured pathology using the COSDS XML Schema.From January 2016 Pathology Laboratories across England were mandated through SCCI1521 17/2014, to collect and return structured pathology using the COSDS XML Schema.

This replaced the current reporting to the National Cancer Registration and Analysis Service of electronic pathology reports which were then transcribed by the National Cancer Registration and Analysis Service into the Cancer Registration Reports. This also prevented Cancer Service teams, for example, Multidisciplinary Teams, Pathway Co-ordinators, duplicating the work, which had been happening as part of their data collection process.

From April 2017, a separate Pathology XML Schema was introduced, which is a sub-set of the main Cancer Outcomes and Services Data Set.

By creating a sub-set for pathology, this will allow the Cancer Service teams to concentrate on collecting and reporting all the other clinical data required for the Cancer Outcomes and Services Data Set and the pathologists collecting and reporting the pathology items. This will reduce the burden of data collection for the Cancer Service teams and allow for more accurate pathology reporting to be submitted to the National Cancer Registration and Analysis Service.

There will be no requirement for Pathology Laboratories to double report. Once their Laboratory Information Management Systems (LIMS) are updated to report in the COSDS XML Schema, all other pathology reporting can cease.

Further Guidance:

Further guidance for submission of the Cancer Outcomes and Services Data Set is provided by the National Cancer Registration and Analysis Service at Cancer Outcomes and Services Dataset.

The Care Quality Commission is an Organisation.

The Care Quality Commission is the independent regulator of all health and adult social care services in England, whether provided by the NHS, Local Authorities, private companies or voluntary Organisations. It also protects the rights of people detained under the Mental Health Act.

The Care Quality Commission makes sure that essential common quality standards are being met where care is provided and works towards the improvement of care services. It promotes the rights and interests of people who use services and has a wide range of enforcement powers to take action on their behalf if services are unacceptably poor.

The Care Quality Commission's work brings together independent regulation of health, mental health and adult social care. Before 1 April 2009, this work was carried out by the Healthcare Commission, the Mental Health Act Commission and the Commission for Social Care Inspection. These Organisations no longer exist.

The Care Quality Commission’s main activities are:

• Registration of health and social care providers to ensure they are meeting essential common quality standards;
• Monitoring and inspection of all health and adult social care;
• Using its enforcement powers, such as fines and public warnings or closures, if standards are not being met;
• Improving health and social care services by undertaking regular reviews of how well those who arrange and provide services locally are performing and special reviews on particular care services, pathways of care or themes where there are particular concerns about quality;
• Reporting the outcomes of its work so that people who use services have information about the quality of their local health and adult social care services. It helps those who arrange and provide services to see where improvement is needed and learn from each other about what works best.

For further information on the Care Quality Commission, see the:

• Care Quality Commission website at: About Us
• Contact us page of the Care Quality Commission website for contact details.
• Contact us page of the Care Quality Commission website for contact details.

Contextual Overview

The Maternity and Children’s Data Set has been developed as a key driver to achieving better outcomes of care for mothers, babies and children. The data set will provide comparative, mother and child-centric data that will include information on incidence and care that can be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduces inequalities. The child health element of the data set covers all stages of the care pathway across primary, secondary and tertiary sectors from birth until the day before the 19th birthday and/or transition into adult services. The initial data collection will concentrate on the data required to support the Healthy Child Programme and will for the first time:

• allow maternal and child health data to be linked so that vital information can be used to improve services
• provide comparative data (demographics, equalities, interventions and outcomes from pregnancy through childhood) so that health visiting services can be directed to areas with most need
• provide planners, commissioners and managers with reliable information on service delivery, which can be used to inform future planning and service improvements
• improve accountability, making it easier for the public to access comparative information to support them in making decisions about type and place of care
• record outcomes to contribute to clinical risk management and governance to reduce litigation costs
• underpin the improvement of local information systems to meet data set standards.

Data Collection

The Children and Young People's Health Services Data Set (also known as the Children and Young People's Health Service Secondary Uses Data Set) provides the definitions for data:

• to be lodged in the data warehouse regularly and routinely
• to be assembled, compiled and to flow into a secondary uses data warehouse
• to provide timely, pseudonymised patient-based data and information for purposes other than direct clinical care, e.g. planning, commissioning, public health, clinical audit, performance improvement, research, clinical governance.

Data is expected to be collected from various clinical systems, collated and assembled through the compiler. This standard is intended to facilitate electronic data recording and reporting but it is not intended to create clinical records for Children's and Young People's Health Services or to enable other systems to interoperate with other clinical systems.

Submission Information

The Children and Young People's Health Services Data Set is submitted to NHS Digital using the Children and Young People's Health Services Data Set XML Schema.

Format Information

Data for submission will be formatted into an XML file as per Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.Data for submission will be formatted into an XML file as per Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.

For enquiries regarding the XML Schema, please contact NHS Digital at enquiries@nhsdigital.nhs.uk.

Further Guidance

Further information and implementation guidance has been produced by NHS Digital and is available at: Children and Young People's Health Services Data Set.

• Accident and Emergency Coding Tables
• 
  
• European Dialysis and Transplant Association Coding Scheme
• International Classification of Diseases (ICD)
• International Classification of Diseases for Oncology (ICD-O)
• National Interim Clinical Imaging Procedure Code Set (NICIP Code Set)
• NHS dictionary of medicines and devices (dm+d)
• OPCS Classification of Interventions and Procedures
• Read Coded Clinical Terms
• SNOMED CT®

Requests for Change:

• Change requests for CLINICAL TERMINOLOGY CODES and CLINICAL CLASSIFICATION CODES released by the United Kingdom Terminology Centre (UKTC) and the Clinical Classifications Service (CCS) should be requested through the Request Submission Portal on the NHS Digital website at: Welcome to the Request Submission Portal.
• Change requests for CLINICAL TERMINOLOGY CODES and CLINICAL CLASSIFICATION CODES released by the United Kingdom Terminology Centre (UKTC) and the Clinical Classifications Service (CCS) should be requested through the Request Submission Portal on the NHS Digital website at: Welcome to the Request Submission Portal.
• 
  
• Requests for medicines or devices terminologies should be made via the Service Desk at: information.standards@nhs.net.

The Commissioning Data Sets have notation to identify the business and/or processing rules which apply to individual Data Elements.  This notation appears in the Rules column of the Commissioning Data Sets details page. 

Population Validation

All Data Elements are subject to length validation.  Some Data Elements are also subject to format and content validation against a list of permitted values defined in the NHS Data Model and Dictionary. The value lists are held on the Attribute which the Data Element is based on, plus default codes which are held on the Data Element itself.

Business Rules

Some Data Elements are subject to additional Business Rules as indicated below:

• Prefix H = Healthcare Resource Group Business Rules.
• Prefix I = CDS-XML Schema anomalies and issues.
• Prefix N = NHS Data Standards and Policy Rules
• Prefix S = Secondary Uses Service Business Rules

Listed below are the Commissioning Data Set versions since 2001.

Current versions:

• November 2012: CDS Version 6-2 Type List (updated October 2017 to support CDS Version 6-2-1)

Retired versions:

• November 2008: CDS Version 6-1 Type List 
• December 2007 to November 2012: CDS Version 6-0
• April 2005 to March 2008: CDS Version NHS005 Type List
• April 2001 to March 2005: CDS Version NHS003 and 4 Type List

The XML Schemas and supporting information can be downloaded from Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.The XML Schemas and supporting information can be downloaded from Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.

The Data Dictionary for Care (DD4C) publishes metadata associated with SNOMED CT Subsets.

For further information on the Data Dictionary for Care, see the NHS Digital website at: Welcome to DD4C.For further information on the Data Dictionary for Care, see the NHS Digital website at: Welcome to DD4C.

Contextual Overview

The Female Genital Mutilation Data Set provides essential information in relation to the female genital mutilation population across England.

The Female Genital Mutilation Data Set is used:

• To publish Official Statistics which will inform the Department of Health, NHS England, other Government Agencies and the public, about female genital mutilation when it has been identified
• To identify the potential risk of female genital mutilation to young girls and vulnerable women
• For better planning and management of female genital mutilation SERVICES at a local level and across England

Data may be input immediately using an input screen via the NHS Digital Clinical Audit Platform when female genital mutilation is identified, or data extracts for Patients, can be submitted as a bulk upload on a monthly basis for each Organisation.

CARE CONTACT activities undertaken for female genital mutilation PATIENTS during the REPORTING PERIOD are reported in the data upload.  This includes any attendances at an Out-Patient Clinic led by any type of CARE PROFESSIONAL, Hospital Provider Spells, Accident and Emergency Attendances, Group Therapy, Ward Attendances; or any other type of direct PATIENT-facing CARE CONTACT, with an exception to Sexual and Reproductive Health Clinics and Genitourinary Medicine (GUM) clinics, who are not required to submit the Female Genital Mutilation Data Set to the NHS Digital.

SNOMED CT Subset Metadata:

• Female genital mutilation related findings:
  • Subset Name: Female genital mutilation related findings
  • Subset Original Id: 58681000000133
  • Refset FSN: Female genital mutilation related findings simple reference set (foundation metadata concept)
  • Refset Id: 999002041000000103

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related findings.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related findings.

• Female genital mutilation related procedures:
  • Subset Name: Female genital mutilation related procedures
  • Subset Original Id: 58671000000131
  • Refset FSN: Female genital mutilation related procedures simple reference set (foundation metadata concept)
  • Refset Id: 999002031000000107

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related procedures.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related procedures.

DATA EXTRACT SPECIFICATION

Description:

The Department of Health requires all NHS Trusts, NHS Foundation Trusts and GENERAL MEDICAL PRACTITIONERS to generate and provide a data extract in accordance with the Female Genital Mutilation Data Set. This requirement is applicable to all CARE PROFESSIONALS in these Organisations whenever it has been identified that a woman or young girl has undergone female genital mutilation.

Time period:

Data extracted from systems can be submitted as a bulk upload on a quarterly basis for each Organisation.

Format:

Data submitted by the bulk upload facility must be formatted in 3 separate comma separated variable (csv) files (i.e. Patient, Attendance or Female Genital Mutilation), which are used to populate the NHS Digital Clinical Audit Platform. The data elements should be transmitted in the order specified in the Female Genital Mutilation Data Set.

Transmission

Electronic files must be transmitted to NHS Digital via the Clinical Audit Platform which is a secure web portal.

Connection to the web portal requires registration to the Clinical Audit Platform, which will include the provision of a login account name and password.

Further information about the Clinical Audit Platform and the data upload facility can be found on the Clinical Audit Platform web pages on the NHS Digital website.

Further guidance on the Female Genital Mutilation Data Set can be found on the on the NHS Digital website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.

Healthwatch England is an Organisation.

Healthwatch England works with Local Healthwatch and:

• advises NHS England, English Local Authorities, NHS Improvement and the Secretary of State for health.
• has the power to recommend that action is taken by the Care Quality Commission (CQC) when there are concerns about health and social care services.

• Care Quality Commission website at: Healthwatch
• Healthwatch website.

NHS DATA MODEL AND DICTIONARY

Version 3

What's New: April 2017

NHS DATA MODEL AND DICTIONARY Version 3

What's New: June 2017

	Welcome to the NHS Data Model and Dictionary for England If you would like to know more about us or need help using the NHS Data Model and Dictionary, see the Help pages The NHS Data Model and Dictionary provides a reference point for approved Information Standards and Collections (including Extractions) (ISCEs) to support health care activities within the NHS in England. It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS. The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are governed by the Data Coordination Board. Changes are published as Information Standards Notices (ISNs) and Data Dictionary Change Notices (DDCNs).
	Related Links Frequently Asked Questions Department of Health website NHS Digital website Published Information Standards Documentation
	Welcome to the NHS Data Model and Dictionary for England If you would like to: know more about us or need help using the NHS Data Model and Dictionary, see the Help pages view our Frequently Asked Questions, see Frequently Asked Questions. The NHS Data Model and Dictionary provides a reference point for approved Information Standards Notices to support health care activities within the NHS in England. It has been developed for everyone who is actively involved in the collection of data and the management of information in the NHS. The NHS Data Model and Dictionary is maintained and published by the NHS Data Model and Dictionary Service and all changes are governed by the Standardisation Committee for Care Information. Changes are published as Information Standards Notices (ISN) and Data Dictionary Change Notices (DDCN).
	Related Links: Frequently Asked Questions Department of Health website NHS Digital website Published Information Standards Documentation

The purpose of the Information Sharing to Tackle Violence Minimum Data Set is to enable the collection of anonymised information on those PATIENTS presenting at  Accident and Emergency Departments for treatment as a result of a violent assault.  This information is to be shared with Community Safety Partnerships (formerly known as Crime and Disorder Reduction Partnerships in England) to reduce community violence.

The requirement for ACCIDENT AND EMERGENCY DEPARTMENT TYPE '01' to collect the Information Sharing to Tackle Violence Minimum Data Set is considered mandatory. 

The requirement for ACCIDENT AND EMERGENCY DEPARTMENT TYPE '02', '03' and '04' to collect the Information Sharing to Tackle Violence Minimum Data Set is considered optional.

The frequency of reporting the Information Sharing to Tackle Violence Minimum Data Set should be determined locally, but must be at least monthly.

Submission Information:

The Information Sharing to Tackle Violence Minimum Data Set is submitted to a Community Safety Partnership using the Information Sharing to Tackle Violence XML Schema.

The XML Schema and Release Notes are available as a downloadable zip file from Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.The XML Schema and Release Notes are available as a downloadable zip file from Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.

Contact the Community Safety Partnership before submitting using the XML Schema.

A Local Healthwatch is an Organisation.

A Local Healthwatch covers every Local Authority area in England.

A Local Healthwatch:

• represents the views of:
  • people who use SERVICES
  • carers and
  • the public

on the Health and Wellbeing Boards set up by Local Authorities

• provides a complaints advocacy service to support people who make a complaint about SERVICES

• reports concerns about the quality of health care to Healthwatch England, which can then recommend that the Care Quality Commission take action. 

For further information on Local Healthwatch, see the:For further information on Local Healthwatch, see the Healthwatch website.

• Care Quality Commission website
• Healthwatch website.

Contextual Overview

The Maternity and Children's Data Sets have been developed as a key driver to achieving better outcomes of care for mothers, babies and children.

The Maternity Services Data Set provides comparative, mother and child-centric data that includes information on incidence and care that can be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduces inequalities.

The Maternity Services Data Set contains two data sets for:

• Maternity Services Data Set (also known at the Maternity Services Secondary Uses Data Set) where the information is identifiable

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

The Maternity Services Data Set:

• allows maternal and child health data to be linked so that vital information can be used to improve services
• addresses health inequalities
• provides comparative data (demographics, equalities, interventions and outcomes from pregnancy through childhood) so that health visiting services can be directed to areas with most need
• improves accountability, making it easier for the public to access comparative information to support them in making decisions about type and place of care
• records outcomes to contribute to clinical risk management and governance to reduce litigation costs
• supports the development of maternity networks and changes to the maternity tariff to drive the extension of women’s choices of maternity care, and
• underpins the improvement of local information systems to meet data set standards
• supports the Maternity Currencies.

Data Collection

The Maternity Services Data Set provides the definitions for data:

• to be lodged in the data warehouse regularly and routinely e.g. monthly. Extracts for Hospital Episode Statistics (HES) and other reports will be taken at prearranged intervals for publication as currently with the process for Commissioning Data Sets;

• to be assembled, compiled and to flow into a secondary uses data warehouse;

• to provide timely, pseudonymised PATIENT-based data and information for purposes other than direct clinical care, e.g. planning, commissioning, public health, clinical audit, performance improvement, research, clinical governance.

The Maternity Services Data Set enables standardised collection of data from various services to be assembled for reporting purposes.

Submission information

The Maternity Services Data Set is submitted to NHS Digital using the Maternity Services Data Set XML Schema.

Format information

Data for submission will be formatted into an XML file as per Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.Data for submission will be formatted into an XML file as per Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.

For enquiries regarding the XML Schema, please contact NHS Digital at enquiries@nhsdigital.nhs.uk.

Further guidance

Further guidance has been produced by NHS Digital and is available at Maternity Data Set.

Introduction:

The Cancer Reform Strategy (2007) introduced new and changed commitments in terms of service standards for cancer PATIENTS that must be met. A Review of Cancer Waiting Times Standards was carried out by the Department of Health and published alongside Improving Outcomes: A Strategy for Cancer (2011).

Following this review it was confirmed in Improving Outcomes: A Strategy for Cancer that:

“overall, cancer waiting time standards should be retained. Shorter waiting times can help to ease patient anxiety and, at best, can lead to earlier diagnosis, quicker treatment, a lower risk of complications, an enhanced patient experience and improved cancer outcomes. The current cancer waiting times standards will therefore be retained.”

This updated version of the National Cancer Waiting Times Monitoring Data Set supports the continued management and monitoring of the following waiting times:

• A maximum two week wait from an urgent GP referral for suspected cancer to DATE FIRST SEEN by a specialist for all suspected cancers
• A maximum one month (31-day) wait from diagnosis (CANCER TREATMENT PERIOD START DATE) to First Definitive Treatment for all cancers
• A maximum two month (62-day) wait from urgent GP referral for suspected cancer to First Definitive Treatment for all cancers
• A maximum one month (31-day) wait from urgent GP referral for suspected cancer to First Definitive Treatment for children’s cancers, testicular cancers and acute leukaemia
• A maximum 62-day wait from referral from a cancer Screening Programme to First Definitive Treatment for all cancers
• A maximum 62-day wait from a CONSULTANTS decision to upgrade the urgency of a PATIENT they suspect to have cancer to First Definitive Treatment for all cancers
• A maximum 31-day wait for all subsequent treatments for new cases of primary and recurrent cancer where an Anti-Cancer Drug Regimen, surgery or Radiotherapy is the chosen CANCER TREATMENT MODALITY
• A maximum two week wait from referral for breast symptoms (where cancer is not initially suspected) to DATE FIRST SEEN.

Patient Pathway Scenarios:

The Patient Pathway Scenarios for the National Cancer Waiting Times Monitoring Data Set are to be used to manage the collection of data for all PATIENTS suspected of having, or diagnosed with cancer.

Cancer for the purpose of this data collection exercise is defined using the International Classification of Diseases (ICD) codes. Data for Patient Pathway Scenarios two to seven must be collected and transmitted as specified for all PATIENTS with a PRIMARY DIAGNOSIS within the range C00 to C97 or D05, or a secondary or metastatic disease linked to the original PRIMARY DIAGNOSIS (ICD) within this range (excluding categories relating to non-melanoma skin cancer).

A full list of the International Classification of Diseases (ICD) diagnosis codes the Cancer Waiting Times Database will accept is available at: Cancer Waiting Times.

When reporting patient records to the Cancer Waiting Times Database:

• The Trust first seeing a PATIENT in a particular month or quarter is responsible for ensuring that the mandated and required data fields, up to DATE FIRST SEEN, are complete on the database by the national deadline.
• The Trust first treating or giving subsequent treatment to a PATIENT in a particular month or quarter is responsible for ensuring that the mandated data fields on that PATIENT are complete on the database by the national deadline.
• Data to be complete and validated 25 working days after the REPORTING PERIOD END DATE, either month or quarter
• Specified dates are available at: Cancer Waiting Times.

Transmission:

• Information can be entered either manually through the Cancer Waiting Times Record screen (as an individual record) or via the available batch upload function.
• The specification for the csv upload file is detailed in the 'National Cancer Waiting Times User Manual' available at: Cancer Waiting Times.
• Further information relating to the data items required for the seven scenarios can be found at  Patient Pathway Scenarios.
• The ability to transmit the data to the Cancer Waiting Times Database in XML format will be introduced from 1 October 2016 with the current csv upload function being discontinued from 1 April 2017. Data for submission will be formatted into an XML file as per Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.
• The ability to transmit the data to the Cancer Waiting Times Database in XML format will be introduced from 1 October 2016 with the current csv upload function being discontinued from 1 April 2017. Data for submission will be formatted into an XML file as per Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.

Security and Confidentiality:

Security and confidentiality information to accompany the collection of this information is available at: Cancer Waiting Times.

Further guidance:

• Further guidance is available at: Cancer Waiting Times.
• Any additional queries regarding the National Cancer Waiting Times Monitoring Data Set should be addressed to CANCER-WAITS@dh.gsi.gov.uk.

The National Contact Point (NCP) is an Organisation.

The National Contact Point is run by NHS England.

The primary role of the National Contact Point is the provision of information to prospective European PATIENTS travelling to England for treatment (‘incoming PATIENTS’) and English residents seeking funding for healthcare in the European Economic Area (‘outgoing PATIENTS’).

For further information on the role of the National Contact Point, see the NHS England website.For further information on the role of the National Contact Point, see the NHS Choices website.

The National Tariff Payment System is managed by NHS England and NHS Improvement.

The National Tariff Payment System sets out the national tariff for each year.

This set of prices and rules helps local Clinical Commissioning Groups work with Health Care Providers, such as NHS Trusts and NHS Foundation Trusts to identify which health care SERVICES provide best value to their PATIENTS.

For further information on the National Tariff Payment System, see the:

• NHS England website at: NHS payment system
• NHS England website at: NHS payment system
• gov.uk website at: The NHS payment system: documents and guidance.

NHS England (known as the NHS Commissioning Board in the Health and Social Care Act 2012) is an Organisation.

The NHS Commissioning Board was established as an independent body, at arm's length to the Government, from October 2012 and took on its full range of responsibilities once it became established on 1 April 2013.

The NHS Commissioning Board has adopted the name NHS England.

The main aim of NHS England is to improve the health outcomes for people in England.

NHS England empowers and supports clinical leaders at every level of the NHS through Clinical Commissioning Groups (CCGs), Clinical Networks and Clinical Senates and helps Health Care Providers make genuinely informed decisions to provide high quality SERVICES.

For further information on NHS England, see the NHS England website.For further information on NHS England, see the NHS England website.

NHS Wales Informatics Service (NWIS) is an NHS Wales Organisation.

The NHS Wales Informatics Service was established on 1 April, 2010, as part of the healthcare reform programme. It brings together the strategic development of Information Communications Technology (ICT), the delivery of operational ICT services and information management.

The new Organisation has a national remit to support the transformation of NHS Wales and make better use of scarce skills and resources. It was formed by merging Informing Healthcare, Health Solutions Wales, the Business Services Centre IM&T element, the Corporate Health Information Programme and the Primary Care Informatics Programme.

The new arrangements will allow Information Communications Technology resources to work together more closely to support a consistent approach to health informatics and the implementation of common national systems. The Organisation will also be an exemplar for health informatics professional development.

For further information on the NHS Wales Informatics Service, see the NHS Wales Informatics Service website.For further information on the NHS Wales Informatics Service, see the NHS Wales Informatics Service website.

The Royal Marsden is an Organisation.

The Royal Marsden is a world-leading cancer centre specialising in cancer diagnosis, treatment, research and education.

For further information on The Royal Marsden, see the Royal Marsden website.For further information on The Royal Marsden, see the Royal Marsden website.

SNOMED CT® is the clinical terminology approved as an Information Standard.

Requirements for utilising SNOMED CT® are stated within the National Information Board document "A Framework for Action".

SNOMED CT® provides the clinical language that facilitates electronic communication between healthcare professionals in clear and unambiguous terms, and can be used to code, retrieve and analyse clinical data.

SNOMED CT® is comprehensive and provides clinical terms for all healthcare professions. Applications often use subsets of SNOMED CT® that have been developed to support specific requirements. The NHS Data Model and Dictionary references SNOMED CT Subsets to support data reporting for specific data items.

SNOMED CT® is currently provided in two release formats:

• Release Format 1 (RF1)
  • RF1 of SNOMED CT® contains SNOMED CT Subsets referenced by subset original ID
  • RF1 will no longer be available after 1st April 2018
• 
  
• Release Format 2 (RF2)
  • RF2 of SNOMED CT® contains SNOMED CT Refsets referenced by refset ID. The simple form of SNOMED CT Refset is used to represent a SNOMED CT Subset and RF2 includes content that corresponds to RF1.

SNOMED CT® is managed and maintained internationally by the International Health Terminology Standards Development Organisation (IHTSDO) and in the UK by the UK Terminology Centre (UKTC).

National and International arrangements have been established to ensure there is adequate and relevant governance of SNOMED CT®, to ensure it meets the needs of healthcare in the respective jurisdictions with:

• United Kingdom Terminology Centre (UKTC) - UK governance arrangements
• International Health Terminology Standards Development Organisation (IHTSDO) - International governance arrangements.

Note: previous versions of SNOMED (including SNOMED RT and SNOMED 3) cease to be licenced by the International Health Terminology Standards Development Organisation (IHTSDO) after April 2017 other than for historical content.Note: previous versions of SNOMED (including SNOMED RT and SNOMED 3) ceased to be licenced by the International Health Terminology Standards Development Organisation (IHTSDO) after April 2017 other than for historical content.

Mapping tables and guidance to enable historical data previously captured using a previous version of SNOMED, can be found on the Technology Reference Data Update Distribution (TRUD) at: SNOMED Antecedent Versions Data Migration.Mapping tables and guidance to enable historical data previously captured using a previous version of SNOMED, can be found on the Technology Reference Data Update Distribution (TRUD) at: SNOMED Antecedent Versions Data Migration.

For further information on SNOMED CT®, see the NHS Digital website at: SNOMED CT.

A SNOMED CT Refset:

• Is a data structure defined within SNOMED CT® 2 (RF2)
• Consists of a set of references to SNOMED CT® components, like concepts, descriptions or relationships.

In its simple form a SNOMED CT Refset can represent a SNOMED CT Subset.

Change requests for SNOMED CT Subsets and SNOMED CT Refsets released by the United Kingdom Terminology Centre (UKTC) should be requested through the Request Submission Portal on the NHS Digital website at: Welcome to the Request Submission Portal.Change requests for SNOMED CT Subsets and SNOMED CT Refsets released by the United Kingdom Terminology Centre (UKTC) should be requested through the Request Submission Portal on the NHS Digital website at: Welcome to the Request Submission Portal.

A SNOMED CT Subset is a:

• Set of SNOMED CT® concepts, descriptions, or relationships
• Simple form of a SNOMED CT Refset.

SNOMED CT Subsets:

• Usually represent groups of concepts that share specified characteristics (for example, a specific clinical domain)
• Support user interface development through the organisation of clinical display, creation of menus and pick-lists, or support of knowledge structures
• May be created as value sets for messaging or data entry.

Different types of SNOMED CT Subsets are used to represent:

• Descriptions or concepts for particular realms or specialties
• Suitability of particular concepts for use in a particular context in a record.

Change requests for SNOMED CT Subsets and SNOMED CT Refsets released by the United Kingdom Terminology Centre (UKTC) should be requested through the Request Submission Portal on the NHS Digital website at: Welcome to the Request Submission Portal.Change requests for SNOMED CT Subsets and SNOMED CT Refsets released by the United Kingdom Terminology Centre (UKTC) should be requested through the Request Submission Portal on the NHS Digital website at: Welcome to the Request Submission Portal.

For further information on SNOMED CT Subsets, see the NHS Digital website at: SNOMED CT. 

Technology Reference Data Update Distribution (TRUD) is a website hosted by NHS Digital.

Technology Reference Data Update Distribution (TRUD) provides a mechanism for NHS Digital to license and distribute reference data to interested parties. This is the preferred terminology distribution method of NHS Digital.

For further information, see Technology Reference Data Update Distribution (TRUD) at: TRUD Welcome to the Technology Reference data Update Distribution site.For further information, see Technology Reference Data Update Distribution (TRUD) at: TRUD Welcome to the Technology Reference data Update Distribution site.

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

Release: June 2017

• CR1607 (Immediate) - DDCN 1607/2017 Renaming of NHS Commissioning Board Commissioning Region and NHS England Region (Geography)
• CR1604 (Immediate) - DDCN 1604/2017 Introduction of the Data Coordination Board

Release: April 2017

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 October 2017:

• CR1598 (1 October 2017) - SCCI0092-2062 Commissioning Data Set Type 011 Emergency Care

Release: March 2017

• CR1605 (Immediate) - DDCN 1605/2017 NHS Number Status Indicator Code
• CR1594 (Immediate) - DDCN 1594/2017 Technology Reference Data Update Distribution (TRUD)
• CR1564 (01 April 2017) - SCCI1521 Cancer Outcomes and Services Data Set Version 7
• CR1563 (01 April 2017) - SCCI0011 Mental Health Services Data Set Version 2.0
• CR1577 (01 April 2017) - SCCI0084 Introduction of OPCS-4.8

Release: December 2016

• CR1601 (Immediate) - DDCN 1601/2016 Organisation Identifier Data Elements
• CR1600 (Immediate) - DDCN 1600/2016 HES Data Dictionary

Release: November 2016

• CR1442 (01 November 2016) - SCCI1570 Amd 20/2015 HIV and AIDS Reporting Data Set and XML Schema Version 3
• CR1531 (Immediate) - DDCN 1531/2016 Clinical Terminology Update

Release: October 2016

• CR1578 (Immediate) - DDCN 1578/2016 Religious or Other Belief System Affiliation Groups SNOMED CT Subset
• CR1569 (Immediate) - DDCN 1569/2016 NHS Improvement

Release: September 2016

• CR1545 (Immediate) - SCCI0075 and SCCI0076 Updates to the Neonatal Critical Care and Paediatric Critical Care Minimum Data Sets

Release: August 2016

• CR1532 (Immediate) - SCCI0090 Health and Social Care Organisation Reference Data
• CR1583 (Immediate) - DDCN 1583/2016 Introduction of NHS Digital
• CR1575 (Immediate) - DDCN 1575/2016 Introduction of the National Cancer Registration and Analysis Service (NCRAS)
• CR1570 (Immediate) - DDCN 1570/2016 Update to COVER Central Return Data Set

Release: July 2016

• CR1565 (Immediate) - ISB 1561 Retirement of Diabetes Summary Core Data Set ISB 1561

Release: March 2016

• CR1300 (1 April 2016) - SCCI01477 Updates to the National Cancer Waiting Times Monitoring Data Set and introduction of the XML Schema
• CR1412 (1 April 2016) - SCCI0021 Introduction of the International Classification of Diseases (ICD) 10th Revision 5th Edition
• CR1544 (1 April 2016) - SCCI1111 Radiotherapy Data Set - Change of data flow
• CR1549 (1 April 2016) - SCCII0011 Mental Health Services Data Set Version 1.1

Release: February 2016

• CR1517 (1 January 2016) - SCCI1067 Workforce Data Set Version 2.8
• CR1559 (Immediate) - DDCN 1559/2016 Lower Layer Super Output Area (Residence) and ONS Local Government Geography Code (Local Authority District)

Release: December 2015

• CR1514 (1 January 2016) - SCCI0011 Mental Health Services Data Set
• CR1515 (1 January 2016) - SCCI0011 Retirement of Mental Health Standards
• CR1560 (Immediate) - DDCN 1560/2015 Retirement of Data Management and Integration Centre

Release: November 2015

• CR1558 (Immediate) - DDCN 1558/2015 Children and Young People’s Health Services Data Set and Community Information Data Set Inconsistencies
• CR1554 (1 October 2015) - SCCI2026 Corrigendum to CR1494 Female Genital Mutilation Data Set

Release: October 2015

• CR1534 (Immediate) - DDCN 1534/2015 Retirement of Hospital Episode Statistics Cross Reference Tables

Release: September 2015

• CR1521 (Immediate) - SCCI1580 Palliative Care Co-ordination: Core content (Formerly End of Life Care)
• CR1522 (Immediate) - DDCN 1522/2015 Update General Dental Council Registration Number
• CR1530 (Immediate) - ISB 0158 Retirement of Ambulance Services (KA34) Central Return Data Set
• CR1528 (Immediate) - ISB 1568 Retirement of KO41 (A) Hospital and Community Health Service Complaints and KO41 (B) General Practice (including Dental) Complaints Central Return Forms
• CR1551 (Immediate) - ISB 0133 Retirement of HPV Immunisation Programme Vaccine Monitoring Monthly Minimum Data Set and HPV Immunisation Programme Vaccine Monitoring Annual Minimum Data Set

Release: August 2015

• CR1374 (1 September 2015) - SCCI1510 Community Information Data Set Update
• CR1356 (1 September 2015) - SCCI1069 Children and Young People’s Health Services Data Set Update and XML Schema
• CR1529 (Immediate) - DDCN 1529/2015 Change to the Mechanism for XML Schema Publication and Download
• CR1543 (Immediate) - DDCN 1543/2015 Treatment Function Code: 840 Audiology

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

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

Release: December 2014

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

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

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

Release: November 2014

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

Release: October 2014

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

Release: September 2014

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

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

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

Release: August 2014

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

Release: July 2014

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

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

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

Release: June 2014

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

Release: May 2014

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

Release: April 2014

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

Release: March 2014

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

Release: February 2014

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

Release: January 2014

• CR1386 (31 January 2014) - ISB 0090 Amd 9/2013 Special Health Authority (SpHA) Code Structure Change
• CR1443 (Immediate) - DDCN 1443/2014 Change of name of the National Institute for Health and Clinical Excellence
• CR1441 (Immediate) - DDCN 1441/2014 Retirement of Review of Central Returns (ROCR) - Central Return Form KH03A
• CR1440 (Immediate) - DDCN 1440/2014 Retirement of Review of Central Returns (ROCR) - Genitourinary Medicine Access Monthly Monitoring Data Set
• CR1439 (Immediate) - DDCN 1439/2013 Retirement of Review of Central Returns (ROCR) Returns
• CR1405 (Immediate) - DDCN 1405/2013 Overseas Visitors
• CR1393 (Immediate) - DDCN 1393/2013 Amendment to Inter-Provider Transfer Administrative Minimum Data Set Overview
• CR1392 (Immediate) - DDCN 1392/2013 Review of Central Returns (ROCR) Discontinuations - Referral to Treatment Performance Sharing Data Set
• CR1391 (Immediate) - DDCN 1391/2013 Review of Central Returns (ROCR) Discontinuations - Referral to Treatment (RTT) Summary Patient Tracking List Data Set

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

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

Release: November 2013

• CR1424 (Immediate) - DDCN 1424/2013 Application Identifier (GS1)
• CR1367 (29 November 2013) - ISB 0090 Amd 5/2013 Organisation Data Service - Introduction of New Sub Type Identifier for Private Dental Practices
• CR1359 (29 November 2013) - ISB 0090 Amd 47/2012 Organisation Data Service - Identification Codes for Local Authorities
• CR1407 (Immediate) - DDCN 1407/2013 Clinical Investigations
• CR1415 (Immediate) - DDCN 1415/2013 Area Teams
• CR1411 (Immediate) - DDCN 1411/2013 Update to Supporting Information: SNOMED CT®

Release: September 2013

• CR1348 (1 October 2013) - ISB 1597 Amd 35/2012 Breast Screening Programmes Data Set (KC63 and KC62)
• CR1403 (Immediate) - DDCN 1403/2013 Religious or Other Belief System Affiliation
• CR1384 (Immediate) - DDCN 1384/2013 Health and Social Care Information Centre Rebranding of XML Schemas
• CR1397 (Immediate) - DDCN 1397/2013 Retired Main Specialty Codes

Release: July 2013

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

Release: May 2013

• CR1363 (Immediate) - ISB 1067 Amd 43/2012 National Workforce Data Set Version 2.6
• CR1382 (Immediate) - DDCN 1382/2013 National Renal Data Set amendment
• CR1381 (Immediate) - DDCN 1381/2013 Healthcare Resource Groups
• CR1235 (1 June 2013) - ISB 1588 Amd 11/2012 Accident and Emergency Clinical Quality Indicators

Release: April 2013

• CR1372 (Immediate) - DDCN 1372/2013 Organisation Update: April 2013
• CR1369 (Immediate) - DDCN 1369/2013 Organisation Codes and Organisation Types
• CR1347 (1 April 2013) - ISB 1521 Amd 40/2012 Updates to the Cancer Outcomes and Services Data Set and XML Schema

Release: March 2013

• CR1364 (Immediate) - DDCN 1364/2013 Operating Theatre
• CR1335 (1 April 2013) - ISB 1593 Amd 27/2012 Venous Thromboembolism Risk Assessment Data Set
• CR1340 (1 April 2013) - ISB 0090 Amd 37/2012 Organisation Data Service - Non-Legislative Organisations
• CR1321 (1 April 2013) - ISB 0011 Amd 25/2012 Mental Health Minimum Data Set version 4.1

Release: February 2013

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

Release: December 2012

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

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

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

Release: November 2012

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

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

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

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

Release: September 2012

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

Release: August 2012

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

Release: June 2012

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

Release: May 2012

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

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

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

Release: March 2012

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

Release: January 2012

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

Release: November 2011

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

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

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

Release: October 2011

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

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

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

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

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

Release: August 2011

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

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

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

Release: July 2011

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

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

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

Release: June 2011

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

Release: April 2011

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

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

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

Release: March 2011

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

Release: January 2011

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

Release: December 2010

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

Release: November 2010

• 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

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

Release: May 2010

• CR957 (Immediate) - DSCN 19/2010 Central Returns: KA34 Ambulance Services
• CR1069 (Immediate) - Redesign of the Commissioning Data Set Pages
  The Information Standards Board for Health and Social Care have been involved in the redesign of the Commissioning Data Set Pages and are satisfied that it meets the requirements of the service, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.

Release: March 2010

• 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

Background:

XML Schemas and Release Notes can be downloaded from Technology Reference Data Update Distribution (TRUD).

In order to access the XML Schemas and Release Notes on Technology Reference Data Update Distribution (TRUD), users will be required to:

• Create a TRUD account at: TRUD Welcome to the Technology Reference data Update Distribution site (if an account does not currently exist. This only has to be done once to access any XML Schema)
• Log into TRUD at: TRUD Log in
• Access NHS Data Model and Dictionary: DD XML Schemas and subscribe to the XML Schema to be downloaded
• Create a TRUD account at: TRUD: Account Creation (if an account does not currently exist. This only has to be done once to access any XML Schema)
• Log into TRUD at: TRUD: Log in
• Access NHS Data Model and Dictionary: DD XML Schemas and subscribe to the XML Schema to be downloaded
• Accept the licence and request the subscription (an email will be sent immediately to confirm that the request has been accepted and the files can be downloaded, which avoids any delays)
• Once the "Subscription accepted" email has been received, download the zip file from NHS Data Model and Dictionary: DD XML Schemas.
• Once the "Subscription accepted" email has been received, download the zip file from NHS Data Model and Dictionary: DD XML Schemas.

Once an XML Schema has been added to TRUD, users who have subscribed to that item will be automatically notified by email of any updates to that area, for example, new versions, retirements etc.

XML Schema Download:

XML Schemas and Release Notes for the following Data Sets in the NHS Data Model and Dictionary can be downloaded from Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.XML Schemas and Release Notes for the following Data Sets in the NHS Data Model and Dictionary can be downloaded from Technology Reference Data Update Distribution (TRUD) at: NHS Data Model and Dictionary: DD XML Schemas.

• Cancer Outcomes and Services Data Set (COSDS)
• Children and Young People's Health Services Data Set (CYPHS)
• Commissioning Data Set (CDS) V6-2
• CDS V6-2-1 Type 011 - Emergency Care Commissioning Data Set
• Diagnostic Imaging Data Set (DIDS)
• HIV and AIDS Reporting Data Set (HARS)
• Information Sharing to Tackle Violence Minimum Data Set (ISTVDS)
• Maternity Services Data Set (MSDS)
• National Cancer Waiting Times Monitoring Data Set (NCWTMDS)
• NHS Health Checks Data Set (NHSHC)
• Systemic Anti-Cancer Therapy Data Set (SACT)

For supplementary information on the XML Schema Publication and Download, see the NHS Data Model and Dictionary Service part of the NHS Digital website at: Policies: XML Schema Publication and Download guidance.

A string of alphabetic and numeric characters (which may include symbols such as @ in an email address).This item has been retired from the NHS Data Model and Dictionary.

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

A set of codes defined on attributes which are used for derivation purposes.This item has been retired from the NHS Data Model and Dictionary.

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

The last live version of this item is available in the April 2017 release of the NHS Data Model and Dictionary.

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

The last live version of this item is available in the April 2017 release of the NHS Data Model and Dictionary.

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

The last live version of this item is available in the April 2017 release of the NHS Data Model and Dictionary.

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

A string of numeric characters.This item has been retired from the NHS Data Model and Dictionary.

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

The last live version of this item is available in the April 2017 release of the NHS Data Model and Dictionary.

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

The physical status of the PATIENT as recorded by an anaesthetist for the operative procedure.

This is the American Society of Anesthesiologists (ASA) Physical Status Classification System, see the American Society of Anesthesiologists website.This is the American Society of Anesthesiologists (ASA) Physical Status Classification System. For further information see the American Society of Anesthesiologists website at: ASA Physical Status Classification System.

National Codes:

The reason why a Cancer Care Spell Delay was experienced with regard to a Cancer Care Spell.

The national codes to be used are the same for delays between:

• CANCER REFERRAL TO TREATMENT PERIOD START DATE and TREATMENT START DATE FOR CANCER
• DECISION TO TREAT DATE and TREATMENT START DATE FOR CANCER
• CONSULTANT UPGRADE DATE and TREATMENT START DATE FOR CANCER.

This is the reason why the Health Care Provider was unable to offer a DATE within the service standard (31 days between DECISION TO TREAT DATE and TREATMENT START DATE FOR CANCER, and CONSULTANT UPGRADE DATE and TREATMENT START DATE FOR CANCER; or 62 days between the CANCER REFERRAL TO TREATMENT PERIOD START DATE and TREATMENT START DATE FOR CANCER). 

National Codes:The reason why a delay occurred between the CANCER REFERRAL TO TREATMENT PERIOD START DATE and the DATE FIRST SEEN, when the PRIORITY TYPE of the SERVICE REQUEST was National Code 3 'Two Week Wait'.

Delays relating to diagnostic and pre-treatment eventsThis is the reason why the Health Care Provider was unable to offer a DATE within the service standard (31 days between DECISION TO TREAT DATE and TREATMENT START DATE FOR CANCER, and CONSULTANT UPGRADE DATE and TREATMENT START DATE FOR CANCER; or 62 days between the CANCER REFERRAL TO TREATMENT PERIOD START DATE and TREATMENT START DATE FOR CANCER).

National Codes:

Notes:

• If National Code 98 'Other reason' is used, the reason must be explained within DELAY REASON COMMENT (CONSULTANT UPGRADE), DELAY REASON COMMENT (REFERRAL TO TREATMENT) or DELAY REASON COMMENT (DECISION TO TREATMENT) as appropriate.
• National Code 03 'Administrative delay' should not be used to record delays linked to a ‘Did Not Attend’ (DNA) event where a waiting time adjustment has been entered into the PATIENT record.
• National Codes 04, 05 and 21 can only be used where the treatment was delivered in an admitted care setting i.e. where the CANCER CARE SETTING (TREATMENT) is National Code 01 or 02.
• National Codes 14 and 16 can only be used where the treatment was delivered in a non-admitted care setting i.e. where the CANCER CARE SETTING (TREATMENT) is National Code 03 or 04.
• National Code 17 should only be used where DELAY REASON REFERRAL TO FIRST SEEN (CANCER OR BREAST SYMPTOMS) is also present in the PATIENT record.
• National Code 20 should not be used for any Did Not Attend (DNA) event relating to DATE FIRST SEEN. Events of this type should not constitute a delay as they can be accounted for by entering a value for WAITING TIME ADJUSTMENT (FIRST SEEN) in the PATIENT record.
• National Codes 07, 11, 13, 17, 18, 19 and 20 should only be used for Referral to Treatment type pathways, therefore these should not be used to record a value for DELAY REASON COMMENT (DECISION TO TREATMENT).
• National Code 22 'PATIENT care not commissioned by the English NHS (waiting time standard does not apply)' should only be used in instances where the non-English administration has commissioned a cancer service with similar ‘target times’ and data item attributes. This is to allow different commissioning arrangements to be supported by a single local administrative and clinical system.
• If a delay to the pathway is due to an administrative delay in the transfer of a PATIENT from one Health Care Provider to another (an Inter-Provider Transfer or IPT) this should be recorded as National Code  03 'Administrative delay' with appropriate supporting detail given in either DELAY REASON COMMENT (REFERRAL TO TREATMENT) or DELAY REASON COMMENT (CONSULTANT UPGRADE).

A code which identifies the MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION.

Note that the National Code 'Informal' is used for those PATIENTS who are neither formally detained nor receiving supervised aftercare.

Where applicable, MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE is aligned with descriptors for "Mental Health Act legal status findings" in SNOMED CT® as follows:

SNOMED CT Subset Metadata:

• Subset Name: Mental Health Act legal status findings
• Subset Original Id: 75081000000134
• Refset FSN: Mental Health Act legal status findings simple reference set
• Refset Id: 999003071000000100

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Mental Health Act legal status findings.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Mental Health Act legal status findings.

National Codes:

The outcome/status of a Newborn Blood Spot Test request.

NEWBORN BLOOD SPOT TEST OUTCOME STATUS CODE is aligned with descriptors in SNOMED CT® as follows:

SNOMED CT Subset Metadata:

• Subset Name: Newborn blood spot screening result status
• Subset Original Id: 61081000000135
• Refset FSN: Newborn blood spot screening result status simple reference set (foundation metadata concept)
• Refset Id: 966281000000109

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Newborn blood spot screening result status.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Newborn blood spot screening result status.

National Codes:

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

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

• For electronic REFERRAL REQUESTS the REFERRAL REQUEST RECEIVED DATE is the date the REFERRAL REQUEST is received electronically by the Health Care Provider
• For Choose and Book, the referral is received when the PATIENT's Unique Booking Reference Number (UBRN) is used to book the first outpatient APPOINTMENT slot (i.e. converted).
• For Choose and Book, the referral is received when the PATIENT's Unique Booking Reference Number (UBRN) is used to book the first Out-Patient Appointment slot (i.e. converted).

Where an electronic REFERRAL REQUEST made through Choose and Book is rejected by the chosen provider, the ORIGINAL REFERRAL REQUEST RECEIVED DATE should be used when the PATIENT is subsequently re-referred to another service, so that  PATIENTS are not unfairly disadvantaged when their waiting time calculations are made.

In the circumstance that a PATIENT calls the national Choose and Book Appointments Line and an APPOINTMENT SLOT is not available with the chosen Health Care Provider, the national Choose and Book Appointments Line will electronically forward the REFERRAL REQUEST details to the chosen Health Care Provider so the Health Care Provider can liaise directly with the PATIENT to arrange their Out-Patient Appointment. The REFERRAL REQUEST RECEIVED DATE will be the date that the Health Care Provider receives electronic notification from the national Choose and Book Appointments Line that the PATIENT has experienced slot unavailability. (Note that this is NOT the date that the Health Care Provider opens or actions the electronic notification).

For written REFERRAL REQUESTS letters must be opened and date stamped on the day of receipt. It is this date that must be entered on any Patient Administration System (PAS) or similar system, not the date on which the information is fed into the system if this is later than the date of receipt.

If the REFERRAL REQUEST takes the form of a phone call followed by a letter, record the date when the letter arrives. If there is no following letter, the date of the verbal request should be recorded.

The RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION of a PERSON, as specified by a PERSON.

Note: This is the Religious Affiliation of a PERSON, not their Religion.

Where applicable, RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE is aligned with descriptors for "Religious and Other Belief System Affiliation" in SNOMED CT® as follows:

SNOMED CT Subset Metadata:

• Subset Name: Religious or Other Belief System Affiliation
• Subset Original Id: 10791000000130
• Refset FSN: Religious or other belief system affiliation simple reference set (foundation metadata concept)
• Refset Id: 999000531000000100

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Religious or Other Belief System Affiliation.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Religious or Other Belief System Affiliation.

National Codes:

Note:

*  Where the PATIENT has been asked for their RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION but they are unsure what it is: Agnostic should be used

** Where the PATIENT has been asked for their RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION and it is one that is not listed: Religion (Other Not Listed) should be used

*** Where the PATIENT has not been asked for their RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION: Patient Religion Unknown should be used

The RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION group of a PERSON, as specified by a PERSON.

Note: This is the Religious Affiliation of a PERSON, not their Religion.

RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION GROUP CODE is aligned with descriptors for "Religious or other belief system affiliation groups" in SNOMED CT® as follows:

SNOMED CT Subset Metadata:

• Subset Name: Religious or other belief system affiliation groups
• Subset Original Id: 71981000000132
• Refset FSN: Religious or other belief system affiliation groups simple reference set (foundation metadata concept)
• Refset Id : 999002601000000106

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Religious or other belief system affiliation groups.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Religious or other belief system affiliation groups.

National Codes:

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.

SNOMED CT Subset Metadata:

• Subset Name: Accessible information - communication support
• Subset Original Id: 58921000000137
• Refset FSN: Accessible information - communication support simple reference set (foundation metadata concept)
• Refset Id: 999002121000000109

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - communication support.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - communication support.

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.

SNOMED CT Subset Metadata:

• Subset Name: Accessible Information - requires specific contact method
• Subset Original Id: 58931000000135
• Refset FSN: Accessible information - requires specific contact method simple reference set (foundation metadata concept)
• Refset Id: 999002131000000106

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires specific contact method.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires specific contact method.

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.

SNOMED CT Subset Metadata:

• Subset Name: Accessible Information - requires communication professional
• Subset Original Id: 58951000000133
• Refset FSN: Accessible information - requires communication professional simple reference set (foundation metadata concept)
• Refset Id: 999002151000000104

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires communication professional.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires communication professional.

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.

SNOMED CT Subset Metadata:

• Subset Name: Accessible Information - requires specific information format
• Subset Original Id: 58941000000130
• Refset FSN: Accessible information - requires specific information format simple reference set (foundation metadata concept)
• Refset Id: 999002141000000102

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires specific information format.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accessible Information - requires specific information format.

ACCOMMODATION STATUS (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the details of the ACCOMMODATION of the PERSON.

SNOMED CT Subset Metadata:

• Subset Name: Emergency care usual residence type
• Subset Original Id: 72091000000139
• Refset FSN: Emergency care usual residence type simple reference set (foundation metadata concept)
• Refset Id: 999003051000000109

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accommodation Status.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Accommodation Status.

AIDS DEFINING ILLNESS CODE ADULT (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the type of Acquired Immune Deficiency Syndrome (AIDS) defining illness a PATIENT is diagnosed with.

AIDS DEFINING ILLNESS CODE ADULT (SNOMED CT) is used for adult PERSONS over 15 years of age.

SNOMED CT Subset Metadata:

• Subset Name: AIDS defining illness for adults
• Subset Original Id: 69311000000130
• Refset FSN: Acquired immune deficiency syndrome defining illness for adults simple reference set (foundation metadata concept)
• Refset Id : 999002431000000102

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: AIDS defining illness for adults.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: AIDS defining illness for adults.

ANTIRETROVIRAL THERAPY 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 Antiretroviral Therapy drug prescribed to a PATIENT at the HIV Clinic Attendance.

SNOMED CT Subset Metadata:

• Subset Name: NHS dm+d VTM
• Subset Original Id: 601000001138
• Refset FSN: National Health Service dictionary of medicines and devices virtual therapeutic moiety simple reference set (foundation metadata concept)
• Refset Id : 999000581000001102

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: NHS dm+d VTM.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: NHS dm+d VTM.

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

SNOMED CT Subset Metadata:

• Subset Name: Chlamydia test result findings
• Subset Original Id: 58851000000137
• Refset FSN: Chlamydia test result findings simple reference set (foundation metadata concept)
• Refset Id: 999002091000000108

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Chlamydia test result findings.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Chlamydia test result findings.

CODED ASSESSMENT TOOL TYPE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify an ASSESSMENT TOOL.

Nationally published SNOMED CT Subset Metadata can be found on the Data Dictionary for Care (DD4C) website at: Published Subset Metadata.Nationally published SNOMED CT Subset Metadata can be found on the Data Dictionary for Care (DD4C) website at: Published Subset Metadata.

COMORBIDITY (SNOMED CT) is the SNOMED CT® concept ID which is used to identify comorbid conditions.

SNOMED CT Subset Metadata:

• Subset Name: Comorbid conditions for selection
• Subset 61071000000137
• Refset FSN: Comorbid conditions for selection simple reference set (foundation metadata concept)
• Refset Id: 991381000000107

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Comorbid conditions for selection.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Comorbid conditions for selection.

A DELAY REASON (DECISION TO TREATMENT) must be present in the National Cancer Waiting Times Monitoring Data Set where a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT FOR CANCER exists.A DELAY REASON (CONSULTANT UPGRADE) must be present in the National Cancer Waiting Times Monitoring Data Set where a Cancer Care Spell Delay with a DELAY REASON TO TREATMENT FOR CANCER exists.

EMERGENCY CARE ACUITY (SNOMED CT) is the SNOMED CT® concept ID which is used to indicate the acuity of the PATIENT's condition on the Emergency Care Initial Assessment Date and Emergency Care Initial Assessment Time.

The EMERGENCY CARE ACUITY (SNOMED CT) may be determined by a formal triage process, or by the physical allocation of the PATIENT to a specific clinical area such as Resuscitation.

SNOMED CT Subset Metadata:

• Subset Name: Emergency care acuity
• Subset Original Id: 75071000000132
• Refset FSN: Emergency care acuity simple reference set (foundation metadata concept)
• Refset Id: 999003061000000107

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care acuity.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care acuity.

EMERGENCY CARE ARRIVAL MODE (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the transport mode by which the PATIENT arrived at the Emergency Care Department.

SNOMED CT Subset Metadata:

• Subset Name: Emergency care arrival mode
• Subset Original Id: 72101000000133
• Refset FSN: Emergency care arrival mode simple reference set (foundation metadata concept)
• Refset Id: 999002981000000107

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care arrival mode.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care arrival mode.

EMERGENCY CARE ATTENDANCE SOURCE (SNOMED CT) is the SNOMED CT® concept ID which is used to indicate the source of an Emergency Care Attendance.

SNOMED CT Subset Metadata:

• Subset Name: Emergency care attendance source
• Subset Original Id: 75011000000136
• Refset FSN: Emergency care source of attendance findings simple reference set (foundation metadata concept)
• Refset Id: 999003041000000106

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care attendance source.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care attendance source.

EMERGENCY CARE CHIEF COMPLAINT (SNOMED CT) is the SNOMED CT® concept ID which is used to indicate the nature of the PATIENT’s chief complaint as assessed by the CARE PROFESSIONAL first assessing the PATIENT.

SNOMED CT Subset Metadata:

• Subset Name: Emergency care presenting complaints or issues
• Subset Original Id: 63491000000132
• Refset FSN: Emergency care presenting complaints or issues simple reference set (foundation metadata concept)
• Refset Id: 991401000000107

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care presenting complaints or issues.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care presenting complaints or issues.

EMERGENCY CARE CLINICAL INVESTIGATION (SNOMED CT) is the SNOMED CT® concept ID which is used to identify a Clinical Investigation performed while a PATIENT is under the care of an Emergency Care Department.

SNOMED CT Subset Metadata:

• Subset Name: Emergency care investigations
• Subset Original Id: 63541000000137
• Refset FSN: Emergency care investigations simple reference set (foundation metadata concept)
• Refset Id: 991261000000107

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care investigations.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care investigations.

EMERGENCY CARE DIAGNOSIS (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the PATIENT DIAGNOSIS.

SNOMED CT Subset Metadata:

• Subset Name: Emergency care diagnosis
• Subset 63481000000130
• Refset FSN: Emergency care diagnosis simple reference set (foundation metadata concept)
• Refset Id: 991411000000109

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care diagnosis.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care diagnosis.

EMERGENCY CARE DIAGNOSIS QUALIFIER (SNOMED CT) is the SNOMED CT® concept ID which is used to express the level of certainty of a PATIENT DIAGNOSIS.

SNOMED CT Subset Metadata:

• Subset Name: Emergency care diagnosis qualifier
• Subset Original Id: 75021000000133
• Refset FSN: Emergency care diagnosis qualifier simple reference set (foundation metadata concept)
• Refset Id: 999003001000000108

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care diagnosis qualifier.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care diagnosis qualifier.

EMERGENCY CARE DISCHARGE DESTINATION (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the intended destination of the PATIENT following discharge from the Emergency Care Department.

SNOMED CT Subset Metadata:

• Subset Name: Emergency care discharge destination
• Subset Original Id: 75031000000130
• Refset FSN: Emergency care discharge destination simple reference set (foundation metadata concept)
• Refset Id: 999003011000000105

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care discharge destination.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care discharge destination.

EMERGENCY CARE DISCHARGE FOLLOW UP (SNOMED CT) is the SNOMED CT® concept ID which is used to identify the SERVICE to which a PATIENT was referred for continuing care following an Emergency Care Attendance.

SNOMED CT Subset Metadata:

• Subset Name: Emergency care follow-up procedures
• Subset Original Id: 63571000000134
• Refset FSN: Emergency care follow-up procedures simple reference set (foundation metadata concept)
• Refset Id: 991441000000105

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care follow-up procedures.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care follow-up procedures.

EMERGENCY CARE DISCHARGE INFORMATION GIVEN (SNOMED CT) is the SNOMED CT® concept ID which is used to identify whether a copy of a letter to their GENERAL PRACTITIONER has been printed and given to the PATIENT on discharge from an Emergency Care Department.

SNOMED CT Subset Metadata:

• Subset Name: Emergency care notification to general practitioner
• Subset Original Id: 63611000000139
• Refset FSN: Emergency care notification to general practitioner simple reference set (foundation metadata concept)
• Refset Id: 991241000000106

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care notification to general practitioner.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care notification to general practitioner.

EMERGENCY CARE DISCHARGE STATUS (SNOMED CT) is the SNOMED CT® concept ID which is used indicate the status of the PATIENT on discharge from an Emergency Care Department.

SNOMED CT Subset Metadata:

• Subset Name: Emergency care discharge status
• Subset Original Id: 75041000000135
• Refset FSN: Emergency care discharge status simple reference set (foundation metadata concept)
• Refset Id: 999003021000000104

For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care discharge status.For further details relating to the SNOMED CT Subset Metadata, see the Data Dictionary for Care (DD4C) website at: Emergency care discharge status.