NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1755
Version No:1.0
Subject:Removal of asterisks from National Code descriptions
Effective Date:Immediate
Reason for Change:Patch
Publication Date:16 December 2019

Background:

Work on the new version of the dictionary has identified that National Code descriptions with asterisks will not migrate successfully to the new Ontoserver.

This patch removes the asterisks from National Code descriptions and adds the notes to the item description to ensure they are still visible.

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

Note: if the web page does not open, please copy the link and paste into the web browser.

Summary of changes:

Attribute Definitions
ACCOMMODATION STATUS CODE   Changed Description
ACTIVITY LOCATION TYPE CODE   Changed Description
ADMISSION METHOD   Changed Description
ATTENDED OR DID NOT ATTEND   Changed Description
CDS BULK REPLACEMENT GROUP CODE   Changed Description
CDS TYPE CODE   Changed Description
CHILDHOOD IMMUNISATION TYPE COMBINED   Changed Description
CONSULTATION MEDIUM USED   Changed Description
CRITICAL CARE ACTIVITY CODE   Changed Description
DIAGNOSIS SCHEME IN USE   Changed Description
DISCHARGE METHOD   Changed Description
FIRST ATTENDANCE   Changed Description
LIVE OR STILL BIRTH   Changed Description
NHS NUMBER STATUS INDICATOR CODE   Changed Description
PROCEDURE SCHEME IN USE   Changed Description
PROFESSIONAL REGISTRATION BODY CODE   Changed Description
REFERRING CARE PROFESSIONAL STAFF GROUP FOR MENTAL HEALTH AND COMMUNITY CARE   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE   Changed Description
SEX OF PATIENTS   Changed Description
SOURCE OF ADMISSION   Changed Description
SOURCE OF REFERRAL FOR MENTAL HEALTH   Changed Description
WAITING TIME MEASUREMENT TYPE   Changed Description
 
Data Elements
COUNTRY CODE (BIRTH)   Changed Description
ETHNIC CATEGORY   Changed Description
INTENDED AGE GROUP   Changed Description
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE   Changed Description
ORGANISATION CODE (RECEIVING)   Changed Description
OVERSEAS VISITOR CHARGING CATEGORY AT CDS ACTIVITY DATE   Changed Description
PROFESSIONAL REGISTRATION ISSUER CODE   Changed Description
 

Date:16 December 2019
Sponsor:Nicholas Oughtibridge, Head of Clinical Data Architecture, NHS Digital

Note: New text is shown with a blue background. Deleted text is crossed out. Retired text is shown in grey. Within the Diagrams deleted classes and relationships are red, changed items are blue and new items are green.

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ACCOMMODATION STATUS CODE

Change to Attribute: Changed Description

An indication of the type of accommodation that a PATIENT currently has. This should be based on the PATIENT's main or permanent residence.

Notes:

National Codes:

MA00Mainstream Housing 
MA01Owner occupier
MA02Settled mainstream housing with family/friends
MA03Shared ownership scheme e.g. Social Homebuy Scheme (tenant purchase percentage of home value from landlord)
MA04Tenant - Local Authority/Arms Length Management Organisation/Registered Landlord
MA05Tenant - Housing Association
MA06Tenant - private landlord
MA09Other mainstream housing
HM00Homeless 
HM01Rough sleeper
HM02Squatting
HM03Night shelter/emergency hostel/Direct access hostel (temporary accommodation accepting self referrals, no waiting list and relatively frequent vacancies)
HM04Sofa surfing (sleeps on different friends floor each night)
HM05Placed in temporary accommodation by Local Authority (including Homelessness resettlement service) e.g. Bed and Breakfast accommodation
HM06Staying with friends/family as a short term guest
HM07Other homeless
MH00Accommodation with mental health care support 
MH01Supported accommodation (accommodation supported by staff or resident caretaker)
MH02Supported lodgings (lodgings supported by staff or resident caretaker)
MH03Supported group home (supported by staff or resident caretaker)
MH04Mental Health Registered Care Home 
MH09Other accommodation with mental health care and support
HS00Acute/long stay healthcare residential facility/hospital 
HS01NHS acute psychiatric ward
HS02Independent hospital/clinic
HS03Specialist rehabilitation/recovery
HS04Secure psychiatric unit
HS05Other NHS facilities/hospital
HS09Other acute/long stay healthcare residential facility/hospital
CH00Accommodation with other (not specialist mental health) care support 
CH01Foyer - accommodation for young people aged 16-25 who are homeless or in housing need
CH02Refuge
CH03Non-Mental Health Registered Care Home 
CH09Other accommodation with care and support (not specialist mental health)
CJ00Accommodation with criminal justice support 
CJ01Bail/Probation hostel
CJ02Prison
CJ03Young Offender Institution
CJ04Detention Centre
CJ05Young Offender Institution (15-17) **
CJ06Young Offender Institution (18-21) **
CJ07Secure Children's Home (Secure Welfare Accommodation only) *
CJ08Secure Children's Home (Youth Detention Accommodation only) *
CJ09Other accommodation with criminal justice support such as ex-offender support ***
CJ10Secure Children's Home (Secure Welfare Accommodation and Youth Detention Accommodation) *
CJ11Secure Training Centre *
CJ12Other accommodation with criminal justice support *
CJ05Young Offender Institution (15-17)
CJ06Young Offender Institution (18-21)
CJ07Secure Children's Home (Secure Welfare Accommodation only)
CJ08Secure Children's Home (Youth Detention Accommodation only)
CJ09Other accommodation with criminal justice support such as ex-offender support
CJ10Secure Children's Home (Secure Welfare Accommodation and Youth Detention Accommodation)
CJ11Secure Training Centre
CJ12Other accommodation with criminal justice support
SH00Sheltered Housing (accommodation with a scheme manager or warden living on the premises or nearby, contactable by an alarm system if necessary) 
SH01Sheltered housing for older persons
SH02Extra care sheltered housing (also known as 'very sheltered housing'. For people who are less able to manage on their own, but who do need an extra level of care. Services offered vary between schemes, but meals and some personal care are often provided.)
SH03Nursing Home for older persons
SH09Other sheltered housing
ML00Mobile accommodation 
 Other 
OC96Not elsewhere classified

Notes:

 

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ACTIVITY LOCATION TYPE CODE

Change to Attribute: Changed Description

The type of LOCATION for an ACTIVITY:

Notes:

National Codes:

CODEVALUENOTES
 PATIENT Main Residence or Related Location
A01PATIENT's Home 
A02Carer's Home 
A03PATIENT's Workplace 
A04Other PATIENT Related Locatione.g. temporary address
 Health Centre Premises
B01Primary Care Health CentrePrimary Care Health Centre with or without GP Practice(s) based in it, providing community-based healthcare services such as podiatry, community dentistry, ophthalmology, minor injuries nursing etc, Sexual and Reproductive Health Service, health promotion etc, and sometimes hosting outreach services from NHS Trusts and NHS Foundation Trusts
B02PolyclinicProvide similar services to Primary Care Health Centre but also additional services such as diagnostics, minor procedures, Out-Patient Appointments, urgent care etc. and also co-located services with Local Authority Social Care.  May also provide extended/out of hours services.
 GENERAL PRACTITIONER and OPHTHALMIC MEDICAL PRACTITIONER
C01General Medical Practitioner PracticeStand-alone GP Practice premises, not part of a Primary Care Health Centre
C02Dental PracticeStand-alone GP Practice premises, not part of a Primary Care Health Centre
C03OPHTHALMIC MEDICAL PRACTITIONER Premises 
 Walk In Centres, Out of Hours Premises and Emergency Community Dental Services
D01Walk In CentreMay be NHS GENERAL PRACTITIONER Led, NURSE-led, or provided by private company.  May be sited in different areas - health care premises, in retail premises etc
D02Out of Hours CentreMay be NHS GENERAL PRACTITIONER-Led, NURSE-led, or provided by private company.  May be sited in different areas - health care premises, in retail premises etc
D03Emergency Community Dental ServiceRun by Community Dental Services not GENERAL DENTAL PRACTITIONERS
 Locations on Hospital Premises
E01Out-Patient Clinic 
E02WARD 
E03Day Hospital 
E04Accident and Emergency or Minor Injuries Department 
E99Other Departmentse.g. Pathology Laboratories, physiotherapy, diagnostic imaging, Occupational Therapy, Pharmacy Premises etc
 Hospice Premises
F01Hospice 
 Nursing and Residential Homes
G01Care Home Without Nursing 
G02Care Home With Nursing 
G03Children's Home 
G04Integrated Care Home Without Nursing and Care Home With Nursing * 
G04Integrated Care Home Without Nursing and Care Home With Nursing 
 Day Centre Premises
H01Day CentreFacilities operated by the NHS, Social Services or private or voluntary bodies, providing day care and respite care for elderly or disabled people
 Resource Centre Premises
J01Resource CentrePremises where information and support for PATIENTS and their families/Carers is provided.
 Dedicated Facilities for Children and Families
K01Sure Start Children’s CentreChildren’s centres are service hubs where children under five years old and their families can receive seamless integrated services and information. Services vary according to centre but may include:
  • Integrated early education and childcare
  • Support for parents including advice on parenting, local childcare options and access to specialist services for families
  • Child and family health services
  • Helping parents into work
K02Child Development Centre 
 Educational, Childcare and Training Establishments
L01SchoolIncluding Extended Services, where provided on School premises (where provided off School premises, use other appropriate location)
L02Further Education College 
L03University 
L04Nursery PremisesPre-school Nurseries attached to Schools would be classed as Schools in their own right
L05Other Childcare Premisese.g. Childminder
L06Training Establishments 
L99Other Educational PremisesSuch as Teenage Pregnancy Units, School Preparation Units (for toddlers), Pupil Referral Units (excluded older children and young people), units providing specialist education e.g. deaf children, autistic children etc
 Justice and Home Office Premises
M01Prison 
M02Probation Service Premises 
M03Police Station / Police Custody Suite 
M04Young Offender Institution 
M05Immigration Removal Centre 
M06Young Offender Institution (15-17) ** 
M07Young Offender Institution (18-21) ** 
M06Young Offender Institution (15-17) 
M07Young Offender Institution (18-21) 
 Public Locations
N01Street or other public open spacePublic areas such as streets, parks, outdoor sports facilities etc
N02Other publicly accessible area or buildingPublicly accessible premises such as Youth Centres, supermarkets, shops and other retail locations such as shopping centres, community facilities such as libraries, church halls, community centres etc
N03Voluntary or charitable agency premises 
N04Dispensing Optician Premises 
N05Dispensing Pharmacy PremisesWhere it is not on a Hospital Site
 Other Locations
X01Other locations not elsewhere classified 

Notes:

 

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ADMISSION METHOD

Change to Attribute: Changed Description

The method of admission to a Hospital Provider Spell.

Note: see ELECTIVE ADMISSION TYPE for a full definition of Elective Admission.

Notes:

  • The National Codes have been listed in logical sequence rather than alphanumeric order
  • The following National Codes have been introduced to replace National Code 28 'Other means'. National Code 28 will be retired in the next version of the Commissioning Data Set:
  • The following National Codes are not valid for use in the Mental Health Services Data Set:
    • 2C 'Baby born at home as intended'
    • 28 'Other means'
    • 31 'Admitted ante partum'
    • 32 'Admitted post partum'
    • 82 'The birth of a baby in this Health Care Provider'
    • 83 'Baby born outside the Health Care Provider except when born at home as intended'.

National Codes:

Elective Admission, when the DECISION TO ADMIT could be separated in time from the actual admission:
11Waiting list
12Booked
13Planned
Note that this does not include a transfer from another Hospital Provider (see 81 below).

Emergency Admission, when admission is unpredictable and at short notice because of clinical need:
21Accident and emergency or dental casualty department of the Health Care Provider 
22GENERAL PRACTITIONER: after a request for immediate admission has been made direct to a Hospital Provider, i.e. not through a Bed bureau, by a GENERAL PRACTITIONER or deputy
23Bed bureau
24Consultant Clinic, of this or another Health Care Provider 
25Admission via Mental Health Crisis Resolution Team
2AAccident and Emergency Department of another provider where the PATIENT had not been admitted *
2BTransfer of an admitted PATIENT from another Hospital Provider in an emergency *
2CBaby born at home as intended * #
2DOther emergency admission *
28Other means, examples are: #
- admitted from the Accident and Emergency Department of another provider where they had not been admitted
- transfer of an admitted PATIENT from another Hospital Provider in an emergency
- baby born at home as intended
2AAccident and Emergency Department of another provider where the PATIENT had not been admitted
2BTransfer of an admitted PATIENT from another Hospital Provider in an emergency
2CBaby born at home as intended
2DOther emergency admission
28Other means, examples are:
- admitted from the Accident and Emergency Department of another provider where they had not been admitted
- transfer of an admitted PATIENT from another Hospital Provider in an emergency
- baby born at home as intended

Maternity Admission, of a pregnant or recently pregnant woman to a maternity WARD (including Delivery facilities) except when the intention is to terminate the pregnancy
31Admitted ante partum #
32Admitted post partum #
31Admitted ante partum
32Admitted post partum

Other Admission not specified above
82The birth of a baby in this Health Care Provider #
83Baby born outside the Health Care Provider except when born at home as intended #
82The birth of a baby in this Health Care Provider
83Baby born outside the Health Care Provider except when born at home as intended
81Transfer of any admitted PATIENT from other Hospital Provider other than in an emergency

Notes:

  • The National Codes have been listed in logical sequence rather than alphanumeric order.
  • * National Codes 2A, 2B, 2C and 2D have been introduced to replace National Code 28 'Other means'. National Code 28 will be retired in the next version of the Commissioning Data Set.
  • # National Codes 2C, 28, 31, 32, 82 and 83 are NOT valid for use in the Mental Health Services Data Set.
 

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ATTENDED OR DID NOT ATTEND

Change to Attribute: Changed Description

An indication of whether an APPOINTMENT for a CARE CONTACT took place.

If the APPOINTMENT did not take place it also indicates if advance warning was given.

When an APPOINTMENT is cancelled the APPOINTMENT CANCELLED DATE should also be recorded.

Notes:

Use in the Future Outpatient Commissioning Data Set:

  • For referral records with no APPOINTMENT yet made, or for future APPOINTMENTS, National Code 0 'Not applicable - APPOINTMENT occurs in the future' should be used.
  • Where the future attendance has been cancelled, use the appropriate value from the National Codes.

National Codes:

5Attended on time or, if late, before the relevant CARE PROFESSIONAL was ready to see the PATIENT 
6Arrived late, after the relevant CARE PROFESSIONAL was ready to see the PATIENT, but was seen
7PATIENT arrived late and could not be seen
2APPOINTMENT cancelled by, or on behalf of, the PATIENT 
3Did not attend - no advance warning given
4APPOINTMENT cancelled or postponed by the Health Care Provider 
0Not applicable - APPOINTMENT occurs in the future *
0Not applicable - APPOINTMENT occurs in the future

Note: The National Codes have been listed in logical sequence rather than alphanumeric order.

* Note that code 0 - 'Not applicable - APPOINTMENT occurs in the future' is NOT valid for use in the following data sets:

Use in the Future Outpatient Commissioning Data Set:

  • For referral records with no APPOINTMENT yet made, or for future APPOINTMENTS, code 0 - Not applicable - APPOINTMENT occurs in the future should be used.
  • Where the future attendance has been cancelled, use the appropriate value from the National Codes.
 

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CDS BULK REPLACEMENT GROUP CODE

Change to Attribute: Changed Description

The Commissioning Data Set Group into which CDS Types must be grouped when using the Commissioning Data Set Bulk Replacement Update Mechanism.

Note:

National Codes:

010Finished General, Delivery and Birth Episodes
020Unfinished General, Delivery and Birth Episodes
030Other Delivery
040Other Birth
050Detained and/or Long Term Psychiatric Census
060Outpatient
070Standard variation of Elective Admission List End Of Period Census
080New and Old variations of Elective Admission List End Of Period Census
090Add variation of Elective Admission List Event During Period
100Remove variation of Elective Admission List Event During Period
110Offer variation of Elective Admission List Event During Period
120Available/Unavailable variation of Elective Admission List Event During Period
130New and Old variations of Elective Admission List Event During Period
140Accident and Emergency Attendance
150Future Outpatient
160Emergency Care Attendance *
160Emergency Care Attendance

* Note - National Code 'Emergency Care Attendance' is only valid for:

 

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CDS TYPE CODE

Change to Attribute: Changed Description

A code to identify the specific type of Commissioning Data Set data.

Note:

National Codes:

010Accident and Emergency Attendance
011Emergency Care Attendance *
011Emergency Care Attendance
020Outpatient
May also be used to submit a Referral To Treatment Clock Stop Administrative Event
021Future Outpatient
030Elective Admission List End of Period Census (Standard)
040Elective Admission List End of Period Census (Old)
050Elective Admission List End of Period Census (New)
060Elective Admission List Event During Period (Add)
070Elective Admission List Event During Period (Remove)
080Elective Admission List Event During Period (Offer)
090Elective Admission List Event During Period (Available/Unavailable)
100Elective Admission List Event During Period (Old Service Agreement)
110Elective Admission List Event During Period (New Service Agreement)
120Finished Birth Episode
130Finished General Episode
140Finished Delivery Episode
150Other Birth
160Other Delivery
170Detained and/or Long-Term Psychiatric Census
180Unfinished Birth Episode
190Unfinished General Episode
200Unfinished Delivery Episode

* Note - National Code 'Emergency Care Attendance' is only valid for:

 

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CHILDHOOD IMMUNISATION TYPE COMBINED

Change to Attribute: Changed Description

The type of combined childhood immunisation given to a child on the IMMUNISATION DATE.

Notes:

  • National Code 320 'Hib/MenC - Haemophilus influenzae type b and Meningococcal group C' is the same as National Code 080 in CHILDHOOD IMMUNISATION TYPE.
  • National Code 330  is the same as National Code 060 'MMR - Measles, Mumps and Rubella' in CHILDHOOD IMMUNISATION TYPE.

National Codes:

300DTaP/IPV/Hib/HepB - Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenzae type b and Hepatitis B
310DTaP/IPV - Diphtheria, Tetanus, Pertussis and Polio
320Hib/MenC - Haemophilus influenzae type b and Meningococcal group C *
330MMR - Measles, Mumps and Rubella **
320Hib/MenC - Haemophilus influenzae type b and Meningococcal group C
330MMR - Measles, Mumps and Rubella

Notes:

 

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CONSULTATION MEDIUM USED

Change to Attribute: Changed Description

CONSULTATION MEDIUM USED identifies the communication mechanism used to relay information between the CARE PROFESSIONAL and the PERSON who is the subject of the consultation, during a CARE ACTIVITY.

The consultation should directly support diagnosis and care planning and must replace a face to face Out-Patient Attendance Consultant, Clinic Attendance Nurse or Clinic Attendance Midwife, types of CARE ACTIVITY.

A record of the consultation must be retained in the PATIENT's records.

Telephone contacts solely for informing PATIENTS of results are excluded.

Notes:

National Codes:

01Face to face communication
02Telephone
03Telemedicine
04Talk type for a PERSON unable to speak
05Email **
06Short Message Service (SMS) - Text Messaging ***
07On-line Triage****
98Other (not listed) *
05Email
06Short Message Service (SMS) - Text Messaging
07On-line Triage
98Other (not listed)

Notes:

 

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CRITICAL CARE ACTIVITY CODE

Change to Attribute: Changed Description

A type of CRITICAL CARE ACTIVITY provided to a PATIENT during a CRITICAL CARE PERIOD.

Note:

  • National Codes 80-97 should not be reported nationally until the functionality to do so becomes available in the next release of the Commissioning Data Sets and the associated XML Schema. Prior to this release, these codes must be recorded locally, however the National Codes 80-97 cannot be transmitted in the current version of the Commissioning Data Sets (Version 6-2). Further guidance can be found on the NHS Digital website at: SCCI0075 and  SCCI0076.

National Codes:

01Respiratory support via a tracheal tube (Respiratory support via a tracheal tube provided)
02Nasal Continuous Positive Airway Pressure (nCPAP) (PATIENT receiving nCPAP for any part of the day)
03Surgery (PATIENT received surgery)
04Exchange Transfusion (PATIENT received exchange transfusion)
05Peritoneal Dialysis (PATIENT received Peritoneal Dialysis)
06Continuous infusion of inotrope, pulmonary vasodilator or prostaglandin (PATIENT received a continuous infusion of an inotrope, vasodilator (includes pulmonary vasodilators) or prostaglandin)
07Parenteral Nutrition (PATIENT receiving Parenteral Nutrition (amino acids +/- lipids))
08Convulsions (PATIENT having convulsions requiring treatment)
09Oxygen Therapy (PATIENT receiving additional oxygen)
10Neonatal abstinence syndrome (PATIENT receiving drug treatment for neonatal abstinence (withdrawal) syndrome)
11Care of an intra-arterial catheter or chest drain (PATIENT receiving care of an intra-arterial catheter or chest drain)
12Dilution Exchange Transfusion (PATIENT received Dilution Exchange Transfusion)
13Tracheostomy cared for by nursing staff (PATIENT receiving care of tracheostomy cared for by nursing staff not by an external Carer (e.g. parent))
14Tracheostomy cared for by external Carer (PATIENT receiving care of tracheostomy cared for by an external Carer (e.g. parent) not by a NURSE)
15Recurrent apnoea (PATIENT has recurrent apnoea needing frequent intervention, i.e. over 5 stimulations in 8 hours, or resuscitation with IPPV two or more times in 24 hours)
16Haemofiltration (PATIENT received Haemofiltration)
21Carer Resident - Caring for Baby (External Carer (for example, parent) resident with the baby and reducing nursing required by caring for the baby)
22Continuous monitoring (PATIENT requiring continuous monitoring (by mechanical monitoring equipment) of respiration or heart rate, or by transcutaneous transducers or by Saturation Monitors. Note: apnoea alarms and monitors are excluded as forms of continuous monitoring)
23Intravenous glucose and electrolyte solutions (PATIENT being given intravenous glucose and electrolyte solutions)
24Tube-fed (PATIENT being tube-fed)
25Barrier nursed (PATIENT being barrier nursed)
26Phototherapy (PATIENT receiving phototherapy)
27Special monitoring (PATIENT receiving special monitoring of blood glucose or serum bilirubin measurement at a minimum frequency of more than one per calendar day)
28Observations at regular intervals (PATIENT requiring recorded observations for Temperature, Heart Rate, Respiratory Rate, Blood Pressure or scoring for neonatal abstinence syndrome. Recorded observations must be at a minimum frequency of 4 hourly)
29Intravenous medication (PATIENT receiving intravenous medication)
50Continuous electrocardiogram monitoring
51Invasive ventilation via endotracheal tube
52Invasive ventilation via tracheostomy tube
53Non-invasive ventilatory support
55Nasopharyngeal airway
56Advanced ventilatory support (Jet or Oscillatory ventilation)
57Upper airway obstruction requiring nebulised Epinephrine/ Adrenaline
58Apnoea requiring intervention
59Acute severe asthma requiring intravenous bronchodilator therapy or continuous nebuliser
60Arterial line monitoring
61Cardiac pacing via an external box (pacing wires or external pads or oesophageal pacing)
62Central venous pressure monitoring
63Bolus intravenous fluids (> 80 ml/kg/day) in addition to maintenance intravenous fluids
64Cardio-pulmonary resuscitation (CPR)
65Extracorporeal membrane oxygenation (ECMO) or Ventricular Assist Device (VAD) or aortic balloon pump
66Haemodialysis (acute PATIENTS only i.e. excluding chronic)
67Plasma filtration or Plasma exchange
68ICP-intracranial pressure monitoring
69Intraventricular catheter or external ventricular drain
70Diabetic ketoacidosis (DKA) requiring continuous infusion of insulin
71Intravenous infusion of thrombolytic agent (limited to tissue plasminogen activator [tPA] and streptokinase)
72Extracorporeal liver support using Molecular Absorbent Liver Recirculating System (MARS)
73Continuous pulse oximetry
74PATIENT nursed in single occupancy cubicle
80Heated Humidified High Flow Therapy (HHHFT) (PATIENT receiving HHHFT) *
81Presence of an umbilical venous line *
82Continuous infusion of insulin (PATIENT receiving a continuous infusion of insulin) *
83Therapeutic hypothermia (PATIENT receiving therapeutic hypothermia) *
84PATIENT has a Replogle tube in situ *
85PATIENT has an epidural catheter in situ *
86PATIENT has an abdominal silo *
87Administration of intravenous (IV) blood products *
88PATIENT has a central venous or long line (Peripherally Inserted Central Catheter line) in situ *
89PATIENT has an indwelling urinary or suprapubic catheter in situ *
90PATIENT has a trans-anastomotic tube in situ following oesophageal atresia repair *
91PATIENT has confirmed clinical seizure(s) today and/or continuous cerebral function monitoring (CFM) *
92PATIENT has a ventricular tap via needle or reservoir today *
93PATIENT has a stoma *
94PATIENT has arrhythmia requiring intravenous anti-arrhythmic therapy *
95PATIENT has reduced conscious level (Glasgow Coma Score 12 or below) and hourly (or more frequent) Glasgow Coma Score monitoring *
96Intravenous infusion of sedative agent (PATIENT receiving continuous intravenous infusion of sedative agent) *
97PATIENT has status epilepticus requiring treatment with continuous intravenous infusion *
80Heated Humidified High Flow Therapy (HHHFT) (PATIENT receiving HHHFT)
81Presence of an umbilical venous line
82Continuous infusion of insulin (PATIENT receiving a continuous infusion of insulin)
83Therapeutic hypothermia (PATIENT receiving therapeutic hypothermia)
84PATIENT has a Replogle tube in situ
85PATIENT has an epidural catheter in situ
86PATIENT has an abdominal silo
87Administration of intravenous (IV) blood products
88PATIENT has a central venous or long line (Peripherally Inserted Central Catheter line) in situ
89PATIENT has an indwelling urinary or suprapubic catheter in situ
90PATIENT has a trans-anastomotic tube in situ following oesophageal atresia repair
91PATIENT has confirmed clinical seizure(s) today and/or continuous cerebral function monitoring (CFM)
92PATIENT has a ventricular tap via needle or reservoir today
93PATIENT has a stoma
94PATIENT has arrhythmia requiring intravenous anti-arrhythmic therapy
95PATIENT has reduced conscious level (Glasgow Coma Score 12 or below) and hourly (or more frequent) Glasgow Coma Score monitoring
96Intravenous infusion of sedative agent (PATIENT receiving continuous intravenous infusion of sedative agent)
97PATIENT has status epilepticus requiring treatment with continuous intravenous infusion
99No Defined Critical Care Activity (PATIENT is not receiving any of the critical care interventions listed above (Excluding code 21). For example, PATIENT is on the Intensive Care Unit ready for discharge and is receiving normal care. This is the default code.

*  Note - National Codes 80-97 should not be reported nationally until the functionality to do so becomes available in the next release of the Commissioning Data Sets and the associated XML Schema. Prior to this release, these codes must be recorded locally, however the National Codes 80-97 cannot be transmitted in the current version of the Commissioning Data Sets (Version 6-2). Further guidance can be found on the NHS Digital website at: SCCI0075 and  SCCI0076.

 

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DIAGNOSIS SCHEME IN USE

Change to Attribute: Changed Description

The type of CODED CLINICAL ENTRY used for the PATIENT DIAGNOSIS.

Notes:

National Codes:

01Accident & Emergency Diagnosis ***
01Accident & Emergency Diagnosis
02ICD-10
03Read Code 4Byte Version (retired 1 October 2009)
04Read Coded Clinical Terms Version 2
05Read Coded Clinical Terms Version 3 (CTV3) *
06SNOMED CT® **
05Read Coded Clinical Terms Version 3 (CTV3)
06SNOMED CT®

Notes:

 

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DISCHARGE METHOD

Change to Attribute: Changed Description

The method of discharge from a Hospital Provider Spell.

Note:

National Codes:

1PATIENT discharged on clinical advice or with clinical consent
2PATIENT discharged him/herself or was discharged by a relative or advocate
3PATIENT discharged by mental health review tribunal, Home Secretary or Court
4PATIENT died
5Stillbirth **
6PATIENT discharged him/herself *
7PATIENT discharged by a relative or advocate *
5Stillbirth
6PATIENT discharged him/herself
7PATIENT discharged by a relative or advocate

Note:

 

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FIRST ATTENDANCE

Change to Attribute: Changed Description

An indication of whether a PATIENT is making a first attendance or contact; or a follow-up attendance or contact and whether the CONSULTATION MEDIUM USED national code was 'Face to face communication' or 'Telephone' or 'Telemedicine'.

A first attendance is the first in a series, or only attendance of an APPOINTMENT which took place regardless of how many previous APPOINTMENTS were made which did not take place for whatever reason. All subsequent attendances in the series which take place should be recorded as follow-up.

Note:

National Codes:

1First attendance face to face
2Follow-up attendance face to face
3First telephone or Telemedicine consultation
4Follow-up telephone or Telemedicine consultation
5Referral To Treatment Clock Stop Administrative Event*
5Referral To Treatment Clock Stop Administrative Event

Note: *Referral to Treatment Clock Stop Administrative Event allows the Secondary Uses Service to build accurate PATIENT PATHWAYS for the reporting of 18 weeks activity. It flows through the CDS V6-2 Type 020 - Outpatient Commissioning Data Set structure. See Referral To Treatment Clock Stop Administrative Event.

 

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LIVE OR STILL BIRTH

Change to Attribute: Changed Description

An indication of whether the birth was a live or still birth.

A still birth is a birth after a gestation of 24 weeks (168 days) where the baby shows no identifiable signs of life at delivery.

Note:

National Codes:

1Live
2Still birth ante-partum
3Still birth intra-partum
4Still birth indeterminate
5Baby born but died later*
5Baby born but died later

* Note - National Code 5 'Baby born but died later' is only valid for use in the PDS Birth Notification Data Sets. This value is not permitted to flow in the Commissioning Data Sets.

 

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NHS NUMBER STATUS INDICATOR CODE

Change to Attribute: Changed Description

The trace status of the NHS NUMBER.

Note:

National Codes:

01Number present and verified
02Number present but not traced
03Trace required
04Trace attempted - No match or multiple match found
05Trace needs to be resolved - (NHS NUMBER or PATIENT detail conflict)
06Trace in progress
07Number not present and trace not required
08Trace postponed (baby under six weeks old) *
08Trace postponed (baby under six weeks old)

Note: * National Code 08 'Trace postponed (baby under six weeks old)' is NOT valid for the Maternity Services Data Set and Mental Health Services Data Set.

 

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PROCEDURE SCHEME IN USE

Change to Attribute: Changed Description

The type of CODED CLINICAL ENTRY used for the CLINICAL INTERVENTION.

Notes:

National Codes:

01Accident & Emergency Treatment ***
02OPCS-4 ***
01Accident & Emergency Treatment
02OPCS-4
03Read Code 4Byte Version (retired 1 October 2009)
04Read Coded Clinical Terms Version 2
05Read Coded Clinical Terms Version 3 (CTV3) *
06SNOMED CT® **
05Read Coded Clinical Terms Version 3 (CTV3)
06SNOMED CT®

Notes:

 

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PROFESSIONAL REGISTRATION BODY CODE

Change to Attribute: Changed Description

A code which identifies the PROFESSIONAL REGISTRATION BODY.

Notes:

National Codes:

01General Chiropractic Council 
02General Dental Council 
03General Medical Council 
04General Optical Council 
05Social Care Wales **
05Social Care Wales
06Scottish Social Services Council (Retired 01 April 2013)
07General Social Care Council (for England) (Retired 01 August 2012)
08Health and Care Professions Council 
09Nursing and Midwifery Council
10Royal Pharmaceutical Society (Retired 27 September 2010)
11British Psychological Society (Retired 01 October 2017)
12Association for Operating Department Practitioners (Retired January 2015)
13Association of Chartered Certified Accountants (Retired 01 October 2017)
14Chartered Institute of Personnel and Development (Retired 01 October 2017)
15Chartered Institute of Management Accountants (Retired 01 October 2017)
16General Pharmaceutical Council
17General Osteopathic Council *
18Social Work England ***
17General Osteopathic Council
18Social Work England

Notes:

 

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REFERRING CARE PROFESSIONAL STAFF GROUP FOR MENTAL HEALTH AND COMMUNITY CARE

Change to Attribute: Changed Description

The staff group of a CARE PROFESSIONAL who referred a PATIENT to a Community Health Service or Mental Health Service.

Note:

  • The following National Codes are only valid for use in the Community Services Data Set:
    • C10 'Health Trainer (Non Clinical)'
    • C11 'Health Trainer (Clinical)'
    • C12 'Health Care Assistant'
    • C13 'Health Care Support Worker'

National Codes:

 Allied Health Professionals
A01Art Therapist
A02Clinical Psychologist
A03Dietitian
A04Drama Therapist
A05Music Therapist
A06Occupational Therapist
A07Orthotist
A08Physiotherapist
A09Podiatrist
A10Prosthetist
A11Psychotherapist
A12Radiographer
A13Speech and Language Therapist
A14Orthoptist
 Medical/Dental
M01Community Dentist
M02CONSULTANT
M03GENERAL MEDICAL PRACTITIONER
M04General Practitioner With A Special Interest
 Nursing, Health Visiting and Midwifery
N01MIDWIFE
N02District NURSE
N03Health Visitor
N04Macmillan NURSE
N05School Nurse
N06Specialist Nursing - Active Case Management (Community Matrons)
N07Specialist Nursing - Arthritis Nursing/Liaison
N08Specialist Nursing - Asthma and Respiratory Nursing/Liaison
N09Specialist Nursing - Breast Care Nursing/Liaison
N10Specialist Nursing - Cancer Related
N11Specialist Nursing - Cardiac Nursing/Liaison
N12Specialist Nursing - Children's Services
N13Specialist Nursing - Community Cystic Fibrosis
N14Specialist Nursing - Continence Services
N15Specialist Nursing - Diabetic Nursing/Liaison
N16Specialist Nursing - Enteral Feeding Nursing Services
N17Specialist Nursing - Haemophilia Nursing Services
N18Specialist Nursing - HIV/AIDS Nursing Services (Retired 01 September 2015)
N19Specialist Nursing - Infectious Diseases
N20Specialist Nursing - Intensive Care Nursing
N21Specialist Nursing - Palliative/Respite Care
N22Specialist Nursing - Parkinson's and Alzheimers Nursing/Liaison
N23Specialist Nursing - Rehabilitation Nursing
N24Specialist Nursing - Stoma Care Services
N25Specialist Nursing - Tissue Viability Nursing/Liaison
N26Specialist Nursing - Transplantation Patients Nursing Services
N27Specialist Nursing - Treatment Room Nursing Services
N28Specialist Nursing - Tuberculosis Specialist Nursing
N29Specialist Nursing - Other Specialist Nursing
N30Specialist Nursing - Safeguarding
N31Practice Nursing
N32Staff NURSE
N33Other Registered NURSE
N34Public Health NURSE
 Other Care Professionals
C01Appliances Technician
C02Audiologist
C03Counsellor
C04Nursery Nurse
C06Play Therapist
C07Social Worker
C08Voluntary Care Worker
C09Screener (in a National Screening Programme)
C10
Health Trainer (Non Clinical) *
C11Health Trainer (Clinical) *
C12Health Care Assistant *
C13Health Care Support Worker *
C10
Health Trainer (Non Clinical)
C11Health Trainer (Clinical)
C12Health Care Assistant
C13Health Care Support Worker
C99Other CARE PROFESSIONAL (not listed)

* Note: National Codes C10, C11, C12 and C13 are only valid for use in the Community Services Data Set.

 

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RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE

Change to Attribute: Changed Description

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

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

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

SNOMED CT Refset Metadata:

  • Refset FSN: Religious or other belief system affiliation simple reference set (foundation metadata concept)
  • Refset Id: 999000531000000100
  • 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 Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Religious or Other Belief System Affiliation.

National Codes:

Baha'i  
 A1Baha'i
Buddhist  
 B1Buddhist
 B2Mahayana Buddhist
 B3New Kadampa Tradition Buddhist
 B4Nichiren Buddhist
 B5Pure Land Buddhist
 B6Theravada Buddhist
 B7Tibetan Buddhist
 B8Zen Buddhist
Christian 
 C1Christian
 C2Amish
 C3Anabaptist
 C4Anglican
 C5Apostolic Pentecostalist
 C6Armenian Catholic
 C7Armenian Orthodox
 C8Baptist
 C9Brethren
 C10Bulgarian Orthodox
 C11Calvinist
 C12Catholic: Not Roman Catholic
 C13Celtic Christian
 C14Celtic Orthodox Christian
 C15Chinese Evangelical Christian
 C16Christadelphian
 C17Christian Existentialist
 C18Christian Humanist
 C19Christian Scientists
 C20Christian Spiritualist
 C21Church in Wales
 C22Church of England
 C23Church of God of Prophecy
 C24Church of Ireland
 C25Church of Scotland
 C26Congregationalist
 C27Coptic Orthodox
 C28Eastern Catholic
 C29Eastern Orthodox
 C30Elim Pentecostalist
 C31Ethiopian Orthodox
 C32Evangelical Christian
 C33Exclusive Brethren
 C34Free Church
 C35Free Church of Scotland
 C36Free Evangelical Presbyterian
 C37Free Methodist
 C38Free Presbyterian
 C39French Protestant
 C40Greek Catholic
 C41Greek Orthodox
 C42Independent Methodist
 C43Indian Orthodox
 C44Jehovah's Witness
 C45Judaic Christian
 C46Lutheran
 C47Mennonite
 C48Messianic Jew
 C49Methodist
 C50Moravian
 C51Mormon
 C52Nazarene Church
Synonym: Nazarene
 C53New Testament Pentacostalist
 C54Nonconformist
 C55Old Catholic
 C56Open Brethren
 C57Orthodox Christian
 C58Pentecostalist
Synonym: Pentacostal Christian
 C59Presbyterian
 C60Protestant
 C61Plymouth Brethren
 C62Quaker
 C63Rastafari
 C64Reformed Christian
 C65Reformed Presbyterian
 C66Reformed Protestant
 C67Roman Catholic
 C68Romanian Orthodox
 C69Russian Orthodox
 C70Salvation Army Member
 C71Scottish Episcopalian
 C72Serbian Orthodox
 C73Seventh Day Adventist
 C74Syrian Orthodox
 C75Ukrainian Catholic
 C76Ukrainian Orthodox
 C77Uniate Catholic
 C78Unitarian
 C79United Reform
 C80Zwinglian
Hindu 
 D1Hindu
 D2Advaitin Hindu
 D3Arya Samaj Hindu
 D4Shakti Hindu
 D5Shiva Hindu
 D6Vaishnava Hindu
Synonym: Hare Krishna
Jain 
 E1Jain
Jewish 
 F1Jewish
 F2Ashkenazi Jew
 F3Haredi Jew
 F4Hasidic Jew
 F5Liberal Jew
 F6Masorti Jew
 F7Orthodox Jew
 F8Reform Jew
Muslim 
 G1Muslim
 G2Ahmadi
 G3Druze
 G4Ismaili Muslim
 G5Shi'ite Muslim
 G6Sunni Muslim
Pagan 
 H1Pagan
 H2Asatruar
 H3Celtic Pagan
 H4Druid
 H5Goddess
 H6Heathen
 H7Occultist
 H8Shaman
 H9Wiccan
Sikh 
 I1Sikh
Zoroastrian 
 J1Zoroastrian
Other 
 K1Agnostic  *
 K2Ancestral Worship
 K3Animist
 K4Anthroposophist
 K5Black Magic
 K6Brahma Kumari
 K7British Israelite
 K8Chondogyo
 K9Confucianist
 K10Deist
 K11Humanist
 K12Infinite Way
 K13Kabbalist
 K14Lightworker
 K15New Age Practitioner
 K16Native American Religion
 K17Pantheist
 K18Peyotist
 K19Radha Soami
Synonym: Sant Mat
 K20Religion (Other Not Listed)  **
 K21Santeri
 K22Satanist
 K23Scientologist
 K24Secularist
 K25Shumei
 K26Shinto
 K27Spiritualist
 K28Swedenborgian
Synonym: Neo-Christian
 K29Taoist
 K30Unitarian-Universalist
 K31Universalist
 K32Vodun
 k33Yoruba
None 
 L1Atheist
 L2Not Religious
Declines to Disclose 
 M1Religion not given - PATIENT refused
Unknown 
 N1Patient Religion Unknown ***
 Baha'i
A1Baha'i
 Buddhist
B1Buddhist
B2Mahayana Buddhist
B3New Kadampa Tradition Buddhist
B4Nichiren Buddhist
B5Pure Land Buddhist
B6Theravada Buddhist
B7Tibetan Buddhist
B8Zen Buddhist
 Christian
C1Christian
C2Amish
C3Anabaptist
C4Anglican
C5Apostolic Pentecostalist
C6Armenian Catholic
C7Armenian Orthodox
C8Baptist
C9Brethren
C10Bulgarian Orthodox
C11Calvinist
C12Catholic: Not Roman Catholic
C13Celtic Christian
C14Celtic Orthodox Christian
C15Chinese Evangelical Christian
C16Christadelphian
C17Christian Existentialist
C18Christian Humanist
C19Christian Scientists
C20Christian Spiritualist
C21Church in Wales
C22Church of England
C23Church of God of Prophecy
C24Church of Ireland
C25Church of Scotland
C26Congregationalist
C27Coptic Orthodox
C28Eastern Catholic
C29Eastern Orthodox
C30Elim Pentecostalist
C31Ethiopian Orthodox
C32Evangelical Christian
C33Exclusive Brethren
C34Free Church
C35Free Church of Scotland
C36Free Evangelical Presbyterian
C37Free Methodist
C38Free Presbyterian
C39French Protestant
C40Greek Catholic
C41Greek Orthodox
C42Independent Methodist
C43Indian Orthodox
C44Jehovah's Witness
C45Judaic Christian
C46Lutheran
C47Mennonite
C48Messianic Jew
C49Methodist
C50Moravian
C51Mormon
C52Nazarene Church
Synonym: Nazarene
C53New Testament Pentacostalist
C54Nonconformist
C55Old Catholic
C56Open Brethren
C57Orthodox Christian
C58Pentecostalist
Synonym: Pentacostal Christian
C59Presbyterian
C60Protestant
C61Plymouth Brethren
C62Quaker
C63Rastafari
C64Reformed Christian
C65Reformed Presbyterian
C66Reformed Protestant
C67Roman Catholic
C68Romanian Orthodox
C69Russian Orthodox
C70Salvation Army Member
C71Scottish Episcopalian
C72Serbian Orthodox
C73Seventh Day Adventist
C74Syrian Orthodox
C75Ukrainian Catholic
C76Ukrainian Orthodox
C77Uniate Catholic
C78Unitarian
C79United Reform
C80Zwinglian
 Hindu
D1Hindu
D2Advaitin Hindu
D3Arya Samaj Hindu
D4Shakti Hindu
D5Shiva Hindu
D6Vaishnava Hindu
Synonym: Hare Krishna
 Jain
E1Jain
 Jewish
F1Jewish
F2Ashkenazi Jew
F3Haredi Jew
F4Hasidic Jew
F5Liberal Jew
F6Masorti Jew
F7Orthodox Jew
F8Reform Jew
 Muslim
G1Muslim
G2Ahmadi
G3Druze
G4Ismaili Muslim
G5Shi'ite Muslim
G6Sunni Muslim
 Pagan
H1Pagan
H2Asatruar
H3Celtic Pagan
H4Druid
H5Goddess
H6Heathen
H7Occultist
H8Shaman
H9Wiccan
 Sikh
I1Sikh
 Zoroastrian
J1Zoroastrian
 Other 
K1Agnostic
K2Ancestral Worship
K3Animist
K4Anthroposophist
K5Black Magic
K6Brahma Kumari
K7British Israelite
K8Chondogyo
K9Confucianist
K10Deist
K11Humanist
K12Infinite Way
K13Kabbalist
K14Lightworker
K15New Age Practitioner
K16Native American Religion
K17Pantheist
K18Peyotist
K19Radha Soami
Synonym: Sant Mat
K20Religion (Other Not Listed)
K21Santeri
K22Satanist
K23Scientologist
K24Secularist
K25Shumei
K26Shinto
K27Spiritualist
K28Swedenborgian
Synonym: Neo-Christian
K29Taoist
K30Unitarian-Universalist
K31Universalist
K32Vodun
K33Yoruba
 None
L1Atheist
L2Not Religious
 Declines to Disclose
M1Religion not given - PATIENT refused
 Unknown
N1PATIENT Religion Unknown

Note:Notes:

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

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

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

  

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SEX OF PATIENTS

Change to Attribute: Changed Description

The sex of PATIENTS intended to use a WARD indicated in the WARD OPERATIONAL PLANS, with the addition of Home Leave.

Note:

National Codes:

1Male
2Female
8Not specified
9Home Leave*
9Home Leave

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

 

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SOURCE OF ADMISSION

Change to Attribute: Changed Description

The source of admission to a Hospital Provider Spell or a Nursing Episode when the PATIENT is in a Hospital Site or a Care Home.

National Code 51 'NHS other hospital provider - WARD for general PATIENTS or the younger physically disabled or A & E department' should not be used if the PATIENT arrives at an Accident and Emergency Department and is admitted to the same Hospital Provider.

Notes:

National Codes:

19Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by Local Authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes PATIENTS with no fixed abode.
29Temporary place of residence when usually resident elsewhere (e.g. hotels, residential Educational Establishments)
39Penal establishment, Court, or Police Station / Police Custody Suite
40Penal establishment *
41
42Police Station / Police Custody Suite *
40Penal establishment
41
42Police Station / Police Custody Suite
49NHS other Hospital Provider - high security psychiatric accommodation in an NHS Hospital Provider (NHS Trust or NHS Foundation Trust)
51NHS other Hospital Provider - WARD for general PATIENTS or the younger physically disabled or A & E department
52NHS other Hospital Provider - WARD for maternity PATIENTS or Neonates
53NHS other Hospital Provider - WARD for PATIENTS who are mentally ill or have Learning Disabilities
54NHS run Care Home
65Local Authority residential accommodation i.e. where care is provided
66Local Authority foster care
79Babies born in or on the way to hospital **
79Babies born in or on the way to hospital
85Non-NHS (other than Local Authority) run Care Home
87Non NHS run hospital
88Non-NHS (other than Local Authority) run Hospice

Notes:

  • * Note: National Codes 40, 41 and 42 have been introduced for the Mental Health Services Data Set only to add further granularity to National Code 39. However, National Code 39 is still valid for the Mental Health Services Data Set where extra detail cannot be collected. National Codes 40, 41 and 42 are NOT valid in any other data set including Commissioning Data Set version 6-2
  • ** National Code 79 'Babies born in or on the way to hospital' is NOT valid for the Mental Health Services Data Set.

 

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SOURCE OF REFERRAL FOR MENTAL HEALTH

Change to Attribute: Changed Description

The source of referral to a Mental Health Service.

Note: For the Mental Health Services Data Set, National Code P1 has been introduced to replace the National Codes under the headings:Notes:

Users collecting the National Codes at the lower level must map to National Code P1 prior to submission of the Mental Health Services Data Set. 

National Codes:

 Primary Health Care 
A1General Medical Practitioner Practice
A2Health Visitor 
A3Other Primary Health Care
A4Maternity Service ****
A4Maternity Service
 Self Referral 
B1Self
B2Carer/Relative
 Local Authority and Other Public Services 
C1Social Services
C2Education Service / Educational Establishment
C3Housing Service ****
C3Housing Service
 Employer 
D1Employer
D2Occupational Health ****
D2Occupational Health
 Justice System 
E1Police
E2Courts
E3Probation Service
E4Prison
E5Court Liaison and Diversion Service
E6Youth Offending Team ****
E6Youth Offending Team
 Child Health 
F1School Nurse 
F2Hospital-based Paediatrics
F3Community-based Paediatrics
 Independent/Voluntary Sector 
G1Independent sector - Medium Secure Inpatients
G2Independent Sector - Low Secure Inpatients
G3Other Independent Sector Mental Health Services
G4Voluntary Sector
 Acute Secondary Care 
H1Accident and Emergency Department 
H2Other secondary care specialty
 Other Mental Health NHS Trust 
I1Temporary transfer from another Mental Health NHS Trust
I2Permanent transfer from another Mental Health NHS Trust
 Internal referrals from Community Mental Health Team (within own NHS Trust) 
J1Community Mental Health Team (Adult Mental Health) ***
J2Community Mental Health Team (Older People) ***
J3Community Mental Health Team (Learning Disabilities) ***
J4Community Mental Health Team (Child and Adolescent Mental Health) ***
J1Community Mental Health Team (Adult Mental Health)
J2Community Mental Health Team (Older People)
J3Community Mental Health Team (Learning Disabilities)
J4Community Mental Health Team (Child and Adolescent Mental Health)
 Internal referrals from Inpatient Service (within own NHS Trust) 
K1Inpatient Service (Adult Mental Health) ***
K2Inpatient Service (Older People) ***
K3Inpatient Service (Forensics) ***
K4Inpatient Service (Child and Adolescent Mental Health) ***
K5Inpatient Service (Learning Disabilities) ***
K1Inpatient Service (Adult Mental Health)
K2Inpatient Service (Older People)
K3Inpatient Service (Forensics)
K4Inpatient Service (Child and Adolescent Mental Health)
K5Inpatient Service (Learning Disabilities)
 Transfer by graduation (within own NHS Trust) 
L1Transfer by graduation from Child and Adolescent Mental Health Service to Adult Mental Health Services
L2Transfer by graduation from Adult Mental Health Services to Older Peoples Mental Health Services
 Other 
M1Asylum Services
M2Telephone or Electronic Access Service
M3Out of Area Agency
M4Drug Action Team / Drug Misuse Agency
M5Jobcentre Plus **
M5Jobcentre Plus
M6Other SERVICE or agency
M7Single Point of Access Service ****
M7Single Point of Access Service
 Improving Access to Psychological Therapies
N1Stepped up from low intensity Improving Access to Psychological Therapies Service *
N2Stepped down from high intensity Improving Access to Psychological Therapies Service *
N3Improving Access to Psychological Therapies Service ****
N1Stepped up from low intensity Improving Access to Psychological Therapies Service
N2Stepped down from high intensity Improving Access to Psychological Therapies Service
N3Improving Access to Psychological Therapies Service
 Internal
P1Internal Referral ****
P1Internal Referral

Notes:

 

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WAITING TIME MEASUREMENT TYPE

Change to Attribute: Changed Description

The type of waiting time measurement methodology which may be applied during a PATIENT PATHWAY.

The methodology applied may be for one part of a PATIENT PATHWAY, such as the measurement of a REFERRAL TO TREATMENT PERIOD, or other parts of the PATIENT PATHWAY according to Department of Health and Social Care policy.

Notes:

National Codes:

01Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement 
02Allied Health Professional Referral To Treatment Measurement
03Improving Access to Psychological Therapies Referral To Treatment Measurement *
04Early Intervention in Psychosis Waiting Time Measurement *
03Improving Access to Psychological Therapies Referral To Treatment Measurement
04Early Intervention in Psychosis Waiting Time Measurement
09Other Referral To Treatment Measurement Type

Notes: 

 

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COUNTRY CODE (BIRTH)

Change to Data Element: Changed Description

Format/Length:a3
National Codes: 
Default Codes:XXX - Unknown *
ZZZ - Not stated (PERSON asked but declined to provide a response)**
Default Codes:XXX - Unknown: only valid for use in the Female Genital Mutilation Data Set
ZZZ - Not stated (PERSON asked but declined to provide a response): only valid for use in the GUMCAD Sexually Transmitted Infection Surveillance System Data Set and Female Genital Mutilation Data Set

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

COUNTRY CODE (BIRTH) is the country where the PERSON was born.

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

Notes:

 

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ETHNIC CATEGORY

Change to Data Element: Changed Description

Format/Length:an2
NWDS ID:PETH
NWDS Field Name:Ethnic Category
ESR Field Name:Ethnic Origin
National Codes:See ETHNIC CATEGORY CODE 
Default Codes:99 - Not known*
Default Codes:99 - Not known

Notes:
ETHNIC CATEGORY is the same as attribute ETHNIC CATEGORY CODE.

The 16+1 ethnic data categories defined in the 2001 census is the national mandatory standard for the collection and analysis of ethnicity.

The national code must be transmitted as the first character in the 2 character field. The second character is optional for use locally. It must, however, be able to be grouped consistently with the 16 main categories.

National code Z should be used where the PERSON has been given the opportunity to state their ETHNIC CATEGORY but chose not to. Default code 99 should be used where the PERSON's ETHNIC CATEGORY is not known.

*For the Stop Smoking Services Quarterly Data Set default code 99 'Not Known' is NOT valid.Note: for the Stop Smoking Services Quarterly Data Set default code 99 'Not Known' is not valid. 

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INTENDED AGE GROUP

Change to Data Element: Changed Description

Format/Length:an1
National Codes: 
Default Codes: 

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

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

Permitted National Codes:

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

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MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE
Default Codes:98 - Not Applicable
 99 - Not Known *
 99 - Not Known

Notes:
MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE is the same as attribute MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE.

MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE is required for all PATIENTS who have a Hospital Provider Spell which includes the care of a CONSULTANT in the psychiatric specialties or have been discharged from such a Hospital Provider Spell and are required to receive supervised aftercare under the provisions of the Mental Health (Patients in the Community) Act 1995.

* Note: for the Mental Health Services Data Set, 'Not Known' indicates 'Not Recorded'.Note: for the Mental Health Services Data Set, 'Not Known' indicates 'Not Recorded'.

 

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ORGANISATION CODE (RECEIVING)

Change to Data Element: Changed Description

Format/Length:an3 or an5
National Codes: 
Default Codes:ZZ201 - Not applicable (not discharged to another Organisation) *
Default Codes:ZZ201 - Not applicable (not discharged to another Organisation): only valid for the National Neonatal Data Set - Episodic and Daily Care

Notes:
ORGANISATION CODE (RECEIVING) is the same as the attribute ORGANISATION CODE.

ORGANISATION CODE (RECEIVING) is the ORGANISATION CODE of the Organisation that is receiving the PATIENT from another Health Care Provider.

For the National Neonatal Data Set - Episodic and Daily Care, this is the ORGANISATION CODE of the Organisation where a baby is transferred to on discharge from the neonatal critical care. 

* Note: default code ZZ201 is ONLY valid for the National Neonatal Data Set - Episodic and Daily Care.

ORGANISATION CODE (RECEIVING) will be replaced with ORGANISATION IDENTIFIER (RECEIVING), when it has been approved for use in national information standards.

ORGANISATION CODE (RECEIVING) will be replaced with ORGANISATION IDENTIFIER (RECEIVING), when it has been approved for use in national information standards.

 

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OVERSEAS VISITOR CHARGING CATEGORY AT CDS ACTIVITY DATE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See OVERSEAS VISITOR CHARGING CATEGORY
Default Codes:9 - OVERSEAS VISITOR CHARGING CATEGORY Not Known (Not Recorded)
 X - Not Known (Decision pending on OVERSEAS VISITOR CHARGING CATEGORY) *
 X - Not Known (Decision pending on OVERSEAS VISITOR CHARGING CATEGORY): only valid for CDS V6-2-1 Type 011 - Emergency Care Commissioning Data Set

Notes:
OVERSEAS VISITOR CHARGING CATEGORY AT CDS ACTIVITY DATE is the same as attribute OVERSEAS VISITOR CHARGING CATEGORY, recorded at the CDS ACTIVITY DATE.

OVERSEAS VISITOR STATUS information must be collected in accordance with the Overseas Visitor Charging Category Information Standard: DCB3017.

* Default Code X 'Not Known (Decision pending on OVERSEAS VISITOR CHARGING CATEGORY)' is ONLY valid for CDS V6-2-1 Type 011 - Emergency Care Commissioning Data Set.

 

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PROFESSIONAL REGISTRATION ISSUER CODE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
PROFESSIONAL REGISTRATION ISSUER CODE is the same as attribute PROFESSIONAL REGISTRATION BODY CODE but only the following National Codes are permitted:

Permitted National Codes:

02General Dental Council 
03General Medical Council 
04General Optical Council *
04General Optical Council 
08Health and Care Professions Council 
09Nursing and Midwifery Council

*Note that National Code 04 -'General Optical Council' is only valid for CDS V6-2-2 Type 011 - Emergency Care Commissioning Data Set and must not be submitted in other Commissioning Data Set versions.Note:

 
  • National Code 04 'General Optical Council' is only valid for CDS V6-2-2 Type 011 - Emergency Care Commissioning Data Set and must not be submitted in other Commissioning Data Set versions.
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    For enquiries about this Change Request, please email information.standards@nhs.net

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