NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1763
Version No:1.0
Subject:Removal of headings from National Code tables
Effective Date:Immediate
Reason for Change:Patch
Publication Date:1 April 2020

Background:

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

This patch removes the headings from National Code tables and adds prefixes to the descriptions where required.

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:

Supporting Information
ACTIVITY LOCATION TYPE CODES   New Supporting Information
SUPPORTING INFORMATION INTRODUCTION   Changed Description
SUPPORTING INFORMATION MENU   Changed Description
 
Attribute Definitions
ACTIVITY LOCATION TYPE CODE   Changed Description
ADMISSION METHOD   Changed Description
CLINICAL CARE INTENSITY   Changed Description
JOINT REPLACEMENT REVISION REASON CODE FOR ANKLE   Changed Description
JOINT REPLACEMENT REVISION REASON CODE FOR HIP   Changed Description
JOINT REPLACEMENT REVISION REASON CODE FOR KNEE   Changed Description
JOINT REPLACEMENT REVISION REASON CODE FOR SHOULDER   Changed Description
REFERRAL TO TREATMENT PERIOD STATUS   Changed Description
SOURCE OF REFERRAL FOR MENTAL HEALTH   Changed Description
SOURCE OF REFERRAL FOR OUT-PATIENTS   Changed Description
 
Data Elements
INTENDED CLINICAL CARE INTENSITY CODE   Changed Description
INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)   Changed Description
REFERRAL TO TREATMENT PERIOD STATUS (INTER-PROVIDER TRANSFER)   Changed Description
 

Date:1 April 2020
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.

Click here for a printer friendly view of this page.


ACTIVITY LOCATION TYPE CODES

Change to Supporting Information: New Supporting Information

For further information regarding the definition and use of Activity Location Type Codes see the attribute ACTIVITY LOCATION TYPE CODE.

National CodeNational Code DescriptionNotes
 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 
 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) 
 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 

top


ACTIVITY LOCATION TYPE CODE

Change to Attribute: Changed Description

The type of LOCATION for an ACTIVITY:

Notes:

Further information on the groupings and scope of each ACTIVITY LOCATION TYPE CODE is provided at: Activity Location Type Codes.

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 
 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) 
 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 
A01PATIENT's Home
A02Carer's Home
A03PATIENT's Workplace
A04Other PATIENT Related Location
B01Primary Care Health Centre
B02Polyclinic
C01General Medical Practitioner Practice
C02Dental Practice
C03OPHTHALMIC MEDICAL PRACTITIONER Premises
D01Walk In Centre
D02Out of Hours Centre
D03Emergency Community Dental Service
E01Out-Patient Clinic
E02WARD
E03Day Hospital
E04Accident and Emergency or Minor Injuries Department
E99Other Departments
F01Hospice
G01Care Home Without Nursing
G02Care Home With Nursing
G03Children's Home
G04Integrated Care Home Without Nursing and Care Home With Nursing
H01Day Centre
J01Resource Centre
K01Sure Start Children’s Centre
K02Child Development Centre
L01School
L02Further Education College
L03University
L04Nursery Premises
L05Other Childcare Premises
L06Training Establishments
L99Other Educational 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)
N01Street or other public open space
N02Other publicly accessible area or building
N03Voluntary or charitable agency premises
N04Dispensing Optician Premises
N05Dispensing Pharmacy Premises
X01Other locations not elsewhere classified
 

top


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'.
  • 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 Code descriptions have been updated to remove National Code headings and add prefixes. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct. 
    • The explanation of the National Code description prefixes are:
      • Elective Admission: when the DECISION TO ADMIT could be separated in time from the actual admission. Note that this does not include a transfer from another Hospital Provider (see National Code 81 below)
      • Emergency Admission: when admission is unpredictable and at short notice because of clinical need
      • 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
      • Other Admission: not specified above.

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

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

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
81Transfer of any admitted PATIENT from other Hospital Provider other than in an emergency
11Elective Admission: Waiting list
12Elective Admission: Booked
13Elective Admission: Planned
21Emergency Admission: Accident and emergency or dental casualty department of the Health Care Provider 
22Emergency Admission: GENERAL 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
23Emergency Admission: Bed bureau
24Emergency Admission: Consultant Clinic, of this or another Health Care Provider 
25Emergency Admission: Admission via Mental Health Crisis Resolution Team
2AEmergency Admission: Accident and Emergency Department of another provider where the PATIENT had not been admitted
2BEmergency Admission: Transfer of an admitted PATIENT from another Hospital Provider in an emergency
2CEmergency Admission: Baby born at home as intended
2DEmergency Admission: Other emergency admission
28Emergency Admission: Other 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
31Maternity Admission: Admitted ante partum
32Maternity Admission: Admitted post partum
82Other Admission: The birth of a baby in this Health Care Provider
83Other Admission: Baby born outside the Health Care Provider except when born at home as intended
81Other Admission: Transfer of any admitted PATIENT from other Hospital Provider other than in an emergency
 

top


CLINICAL CARE INTENSITY

Change to Attribute: Changed Description

The level of resources and intensity of care which it is intended to provide or is provided in a particular WARD.

Notes:

  • National Code descriptions have been updated to remove National Code headings and add prefixes. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

National Codes:

For PATIENTS with mental illness
51for intensive care: specially designated ward for PATIENTS needing containment and more intensive management. This is not to be confused with intensive nursing where PATIENTS may require one to one nursing while on a standard WARD 
52for short stay: PATIENTS intended to stay less than a year
53for long stay: PATIENTS intended to stay a year or more
51Mental Illness intensive care: specially designated ward for PATIENTS needing containment and more intensive management. This is not to be confused with intensive nursing where PATIENTS may require one to one nursing while on a standard WARD 
52Mental Illness short stay: PATIENTS intended to stay less than a year
53Mental Illness long stay: PATIENTS intended to stay a year or more
For PATIENTS with Learning Disabilities 
61designated or interim secure unit
62PATIENTS intending to stay less than a year
63PATIENTS intending to stay a year or more
61Learning Disability PATIENTS in a designated or interim secure unit
62Learning Disability PATIENTS intending to stay less than a year
63Learning Disability PATIENTS intending to stay a year or more
For maternity PATIENTS 
41only for PATIENTS looked after by CONSULTANTS 
43only for PATIENTS looked after by GENERAL MEDICAL PRACTITIONERS 
42for joint use by CONSULTANTS & GENERAL MEDICAL PRACTITIONERS 
41Only for maternity PATIENTS looked after by CONSULTANTS 
43Only for maternity PATIENTS looked after by GENERAL MEDICAL PRACTITIONERS 
42Joint use for maternity PATIENTS looked after by CONSULTANTS and GENERAL MEDICAL PRACTITIONERS 
For neonates
33maternity: associated with the maternity WARD in that cots are in the maternity WARD nursery or in the WARD itself
32non-maternity: not associated with the maternity WARD and without designated cots for intensive care
31not associated with the maternity WARD and in which there are some designated cots for intensive care
33Neonates: maternity: associated with the maternity WARD in that cots are in the maternity WARD nursery or in the WARD itself
32Neonates: non-maternity: not associated with the maternity WARD and without designated cots for intensive care
31Neonates: not associated with the maternity WARD and in which there are some designated cots for intensive care
For the younger physically disabled
21spinal units, only those units which are nationally recognised
22other units
21
Younger physically disabled PATIENTS: spinal units, only those units which are nationally recognised
22Younger physically disabled PATIENTS: other units
For terminally ill/Palliative Care 
81terminally ill/Palliative Care 
81Terminally ill/Palliative Care PATIENTS
For general PATIENTS 
11for intensive therapy, including high dependency care
12for normal therapy: where resources permit the admission of PATIENTS who might need all but intensive or high dependency therapy
13for limited therapy: where nursing care rather than continuous medical care is provided. Such WARDS can be used only for PATIENTS carefully selected and restricted to a narrow range in terms of the extent and nature of disease
11General PATIENTS: for intensive therapy, including high dependency care
12General PATIENTS: for normal therapy: where resources permit the admission of PATIENTS who might need all but intensive or high dependency therapy
13General PATIENTS: for limited therapy: where nursing care rather than continuous medical care is provided. Such WARDS can be used only for PATIENTS carefully selected and restricted to a narrow range in terms of the extent and nature of disease

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

 

top


JOINT REPLACEMENT REVISION REASON CODE FOR ANKLE

Change to Attribute: Changed Description

The reason that a PATIENT requires Revision Ankle Replacement Surgery.

Notes:

  • National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

National Codes:

 Infection
0High Suspicion (e.g. Pus or Confined Micro)
1Low Suspicion (Awaiting Micro-History)
 Aseptic Loosening
0Infection: High Suspicion (e.g. Pus or Confined Micro)
1Infection: Low Suspicion (Awaiting Micro-History)
2Tibial Component Aseptic Loosening
3Talar Component Aseptic Loosening
 Lysis
4Tibia
5Talus
6Malalignment
 Implant Fracture
4Lysis: Tibia
5Lysis: Talus
6Lysis: Malalignment
7Tibial Component Implant Fracture
8Talar Component Implant Fracture
9Meniscal Component
10Wear of Polyethylene Component
11Meniscal Insert Dislocation
12Component Migration/Dissociation
13Unexplained Pain
14Stiffness
15Soft Tissue Impingement
16Other (not listed)
9Meniscal Component Implant Fracture
10Wear of Polyethylene Component
11Meniscal Insert Dislocation
12Component Migration/Dissociation
13Unexplained Pain
14Stiffness
15Soft Tissue Impingement
16Other (not listed)

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

 

top


JOINT REPLACEMENT REVISION REASON CODE FOR HIP

Change to Attribute: Changed Description

The reason that a PATIENT requires Revision Hip Replacement Surgery.

Notes:

  • National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

National Codes:

 Aseptic Loosening
100Stem Aseptic Loosening
101Socket Aseptic Loosening
 Implant Fracture
102Stem Implant Fracture
103Socket Implant Fracture
 Head/Socket Mismatch
120Socket Head/Socket Mismatch
121Head
 Lysis
121Head Mismatch
106Stem Lysis
107Socket Lysis
 Malalignment
108Stem Malalignment
109Socket Malalignment
 Periprosthetic Fracture
110Stem Periprosthetic Fracture
111Socket Periprosthetic Fracture
112Dislocation/ Subluxation
113Infection
114Unexplained Pain
115Wear of Acetabular Component
116Dissociation of Liner
122Adverse Soft Tissue Reaction to Particulate Debris
119Other (not listed)
119Other (not listed)

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

 

top


JOINT REPLACEMENT REVISION REASON CODE FOR KNEE

Change to Attribute: Changed Description

The reason that a PATIENT requires Revision Knee Replacement Surgery.

Notes:

  • National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

National Codes:

 Aseptic Loosening
1Femur Aseptic Loosening
2Tibia Aseptic Loosening
16Patella
3Infection
4Dislocation/ Subluxation
 Lysis
16Patella Aseptic Loosening
3Infection Aseptic Loosening
4Dislocation/ Subluxation Aseptic Loosening
5Femur Lysis
6Tibia Lysis
7Instability
8Wear of Polyethelene Component
9Component Dissociation
10Unexplained Pain
11Malalignment
12Peri-prosthetic Fracture
13Implant Fracture
14Stiffness
18Progressive Arthritis Remaining Knee
17Other (not listed)
7Instability
8Wear of Polyethelene Component
9Component Dissociation
10Unexplained Pain
11Malalignment
12Peri-prosthetic Fracture
13Implant Fracture
14Stiffness
18Progressive Arthritis Remaining Knee
17Other (not listed)

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

 

top


JOINT REPLACEMENT REVISION REASON CODE FOR SHOULDER

Change to Attribute: Changed Description

The reason that a PATIENT requires Revision Shoulder Replacement Surgery.

Notes:

  • National Code descriptions have been updated to remove National Code headings and add prefixes where required. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

National Codes:

6Infection 
8Instability
10Cuff Insufficiency
15Aseptic Loosening Humerus
16Aseptic Loosening Glenoid
7Peri-prosthetic Fracture
17Stiffness
18Impingement
19Component dissociation
20Glenoid Implant Wear
21Native Glenoid Surface Erosion
22Implant Fracture
 Lysis
23Humerus
24Glenoid
25Dislocation/Subluxation
26Unexplained Pain
13Other (not listed)
23Humerus Lysis
24Glenoid Lysis
25Dislocation/Subluxation Lysis
26Unexplained Pain Lysis
13Other (not listed)

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

 

top


REFERRAL TO TREATMENT PERIOD STATUS

Change to Attribute: Changed Description

The status of an ACTIVITY (or anticipated ACTIVITY) for the REFERRAL TO TREATMENT PERIOD decided by the lead CARE PROFESSIONAL.

National Codes:The status of an ACTIVITY (or anticipated ACTIVITY) for the REFERRAL TO TREATMENT PERIOD decided by the lead CARE PROFESSIONAL.

 The first ACTIVITY in a REFERRAL TO TREATMENT PERIOD where the First Definitive Treatment will be a subsequent ACTIVITY 
10first ACTIVITY - first ACTIVITY in a REFERRAL TO TREATMENT PERIOD 
11Active Monitoring end - first ACTIVITY at the start of a new REFERRAL TO TREATMENT PERIOD following Active Monitoring 
12CONSULTANT or NHS Allied Health Professional Service (Referral To Treatment Measurement) referral - the first ACTIVITY at the start of a new REFERRAL TO TREATMENT PERIOD following a decision to refer directly to the CONSULTANT or NHS Allied Health Professional Service (Referral To Treatment Measurement) for a separate condition
 
 Subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD 
20subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD - further ACTIVITIES anticipated
21transfer to another Health Care Provider - subsequent ACTIVITY by another Health Care Provider during a REFERRAL TO TREATMENT PERIOD anticipated
 
 ACTIVITY that ends the REFERRAL TO TREATMENT PERIOD 
30Start of First Definitive Treatment 
31start of Active Monitoring initiated by the PATIENT 
32start of Active Monitoring initiated by the CARE PROFESSIONAL 
33Did not attend - the PATIENT did not attend the first CARE ACTIVITY after the referral1 
34decision not to treat - decision not to treat made or no further contact required2 
35PATIENT declined offered treatment
36PATIENT died before treatment
 
 ACTIVITY that is not part of a REFERRAL TO TREATMENT PERIOD 
90after treatment - First Definitive Treatment occurred previously (e.g. admitted as an emergency from A&E or the ACTIVITY is after the start of treatment)
91Active Monitoring - CARE ACTIVITY during Active Monitoring 
92not yet referred - not yet referred for treatment, undergoing diagnostic tests by GENERAL PRACTITIONER before referral
98not applicable - ACTIVITY not applicable to REFERRAL TO TREATMENT PERIODS 
 
 ACTIVITY where the REFERRAL TO TREATMENT PERIOD STATUS is not yet known 
99not yet known

Where the REFERRAL TO TREATMENT PERIOD STATUS is National Code 99 - "not yet known" the status is treated as if the ACTIVITY is a subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD. In this case the REFERRAL TO TREATMENT PERIOD STATUS should be corrected once it is possible to determine the correct value.Notes:

1 PATIENTS who do not attend an appointment
National code 33 - "Did not attend - the PATIENT did not attend the first CARE ACTIVITY after the referral" may only be used where

2 Decision not to treat
National Code 34 - "decision not to treat - decision not to treat made or no further contact required" includes

10First ACTIVITY in a REFERRAL TO TREATMENT PERIOD 
11First ACTIVITY at the start of a new REFERRAL TO TREATMENT PERIOD following Active Monitoring 
12First ACTIVITY at the start of a new REFERRAL TO TREATMENT PERIOD following a decision to refer directly to the CONSULTANT or NHS Allied Health Professional Service (Referral To Treatment Measurement) for a separate condition
20Subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD - further ACTIVITIES anticipated
21Subsequent ACTIVITY by another Health Care Provider following a transfer to another Health Care Provider during a REFERRAL TO TREATMENT PERIOD anticipated
30End of the REFERRAL TO TREATMENT PERIOD: Start of First Definitive Treatment 
31End of the REFERRAL TO TREATMENT PERIOD: Start of Active Monitoring initiated by the PATIENT 
32End of the REFERRAL TO TREATMENT PERIOD: Start of Active Monitoring initiated by the CARE PROFESSIONAL 
33End of the REFERRAL TO TREATMENT PERIOD: Did not attend - the PATIENT did not attend the first CARE ACTIVITY after the referral
34End of the REFERRAL TO TREATMENT PERIOD: Decision not to treat - decision not to treat made or no further contact required
35End of the REFERRAL TO TREATMENT PERIOD: PATIENT declined offered treatment
36End of the REFERRAL TO TREATMENT PERIOD: PATIENT died before treatment
90Not part of a REFERRAL TO TREATMENT PERIOD: After treatment - First Definitive Treatment occurred previously (e.g. admitted as an emergency from A&E or the ACTIVITY is after the start of treatment)
91Not part of a REFERRAL TO TREATMENT PERIODCARE ACTIVITY during Active Monitoring 
92Not part of a REFERRAL TO TREATMENT PERIOD: Not yet referred for treatment, undergoing diagnostic tests by GENERAL PRACTITIONER before referral
98Not part of a REFERRAL TO TREATMENT PERIODACTIVITY not applicable to REFERRAL TO TREATMENT PERIODS 
99REFERRAL TO TREATMENT PERIOD STATUS not yet known
 

top


SOURCE OF REFERRAL FOR MENTAL HEALTH

Change to Attribute: Changed Description

The source of referral to a Mental Health Service.

Notes:

National Codes:

 Primary Health Care
A1General Medical Practitioner Practice
A2Health Visitor
A1Primary Health Care: General Medical Practitioner Practice
A2Primary Health Care: Health Visitor
A3Other Primary Health Care
A4Maternity Service
 Self Referral
B1Self
B2Carer/Relative
 Local Authority and Other Public Services
C1Social Services
C2Education Service / Educational Establishment
C3Housing Service
 Employer
A4Primary Health Care: Maternity Service
B1Self-Referral: Self
B2Self-Referral: Carer/Relative
C1Local Authority and Other Public Services: Social Services
C2Local Authority and Other Public Services: Education Service / Educational Establishment
C3Local Authority and Other Public Services: Housing Service
D1Employer
D2Occupational Health
 Justice System
E1Police
E2Courts
E3Probation Service
E4Prison
E5Court Liaison and Diversion Service
E6Youth Offending Team
 Child Health
F1School Nurse
F2Hospital-based Paediatrics
F3Community-based Paediatrics
 Independent/Voluntary Sector
D2Employer: Occupational Health
E1Justice System: Police
E2Justice System: Courts
E3Justice System: Probation Service
E4Justice System: Prison
E5Justice System: Court Liaison and Diversion Service
E6Justice System: Youth Offending Team
F1Child Health: School Nurse
F2Child Health: Hospital-based Paediatrics
F3Child Health: Community-based Paediatrics
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
H1Acute Secondary Care: Accident 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) (Retired 1 April 2020)
J1Community Mental Health Team (Adult Mental Health) (Retired 1 April 2020)
J2Community Mental Health Team (Older People) (Retired 1 April 2020)
J3Community Mental Health Team (Learning Disabilities) (Retired 1 April 2020)
J4Community Mental Health Team (Child and Adolescent Mental Health) (Retired 1 April 2020)
 Internal referrals from Inpatient Service (within own NHS Trust) (Retired 1 April 2020)
K1Inpatient Service (Adult Mental Health) (Retired 1 April 2020)
K2Inpatient Service (Older People) (Retired 1 April 2020)
K3Inpatient Service (Forensics) (Retired 1 April 2020)
K4Inpatient Service (Child and Adolescent Mental Health) (Retired 1 April 2020)
K5Inpatient Service (Learning Disabilities) (Retired 1 April 2020)
 Transfer by graduation (within own NHS Trust) (Retired 1 April 2020)
L1Transfer by graduation from Child and Adolescent Mental Health Service to Adult Mental Health Services (Retired 1 April 2020)
L2Transfer by graduation from Adult Mental Health Services to Older Peoples Mental Health Services (Retired 1 April 2020)
 Other
M1Asylum Services
M2Telephone or Electronic Access Service
M3Out of Area Agency
M4Drug Action Team / Drug Misuse Agency
M5Jobcentre Plus
M1Other: Asylum Services
M2Other: Telephone or Electronic Access Service
M3Other: Out of Area Agency
M4Other: Drug Action Team / Drug Misuse Agency
M5Other: Jobcentre Plus
M6Other SERVICE or agency
M7Single Point of Access Service
M8Debt Agency
 Improving Access to Psychological Therapies
M7Other: Single Point of Access Service
M8Other: Debt Agency
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
 

top


SOURCE OF REFERRAL FOR OUT-PATIENTS

Change to Attribute: Changed Description

The source of referral of each Consultant Out-Patient Episode.

Note: National Code 12 'referral from a General Practitioner with an Extended Role (GPwER) or Dentist with Enhanced Skills (DES)' has been updated in Data Dictionary Change Notice 1752 "Practitioners with a Special Interest Name Change". The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.Notes:

National Codes:

Initiated by the CONSULTANT responsible for the Consultant Out-Patient Episode 
01following an emergency admission
02following a Domiciliary Consultation 
10following an Accident and Emergency Attendance (including Minor Injuries Units and Walk In Centres)
11other - initiated by the CONSULTANT responsible for the Consultant Out-Patient Episode 
Not initiated by the CONSULTANT responsible for the Consultant Out-Patient Episode 
03referral from a GENERAL MEDICAL PRACTITIONER 
92referral from a GENERAL DENTAL PRACTITIONER 
12referral from a General Practitioner with an Extended Role (GPwER) or Dentist with Enhanced Skills (DES)
04referral from an Accident and Emergency Department (including Minor Injuries Units and Walk In Centres)
05referral from a CONSULTANT, other than in an Accident and Emergency Department 
06self-referral
07referral from a Prosthetist 
13referral from a Specialist NURSE (Secondary Care)
14referral from an Allied Health Professional
15referral from an OPTOMETRIST 
16referral from an Orthoptist 
17referral from a National Screening Programme 
93referral from a Community Dental Service
97other - not initiated by the CONSULTANT responsible for the Consultant Out-Patient Episode 
01CONSULTANT initiated following an emergency admission
02CONSULTANT initiated following a Domiciliary Consultation 
10CONSULTANT initiated following an Accident and Emergency Attendance (including Minor Injuries Units and Walk In Centres)
11CONSULTANT initiated: Other (not listed)
03CONSULTANT initiated following a referral from a GENERAL MEDICAL PRACTITIONER 
92CONSULTANT not initiated following a referral from a GENERAL DENTAL PRACTITIONER 
12CONSULTANT not initiated following a referral from a General Practitioner with an Extended Role (GPwER) or Dentist with Enhanced Skills (DES)
04CONSULTANT not initiated following a referral from an Accident and Emergency Department (including Minor Injuries Units and Walk In Centres)
05CONSULTANT not initiated following a referral from a CONSULTANT, other than in an Accident and Emergency Department 
06CONSULTANT not initiated following a self-referral
07CONSULTANT not initiated following a referral from a Prosthetist 
13CONSULTANT not initiated following a referral from a Specialist NURSE (Secondary Care)
14CONSULTANT not initiated following a referral from an Allied Health Professional
15CONSULTANT not initiated following a referral from an OPTOMETRIST 
16CONSULTANT not initiated following a referral from an Orthoptist 
17CONSULTANT not initiated following a referral from a National Screening Programme 
93CONSULTANT not initiated following a referral from a Community Dental Service
97CONSULTANT not initiated following a referral: Other (not listed)

Note: The classification has been listed in logical sequence rather than numeric order.

Where a PATIENT is referred by a GENERAL PRACTITIONER acting in the capacity of a General Practitioner with an Extended Role (GPwER), National Code 12 'referral from a General Practitioner with an Extended Role (GPwER) or Dentist with Enhanced Skills (DES)' should be used.

Where a PATIENT is referred by that GENERAL PRACTITIONER acting in their capacity as an ordinary GENERAL MEDICAL PRACTITIONER, or as an ordinary GENERAL DENTAL PRACTITIONER, National Code 03 - referral from a GENERAL MEDICAL PRACTITIONER or National Code 92 - referral from a GENERAL DENTAL PRACTITIONER should be used as appropriate.

Two Week Wait Referrals made by Specialist NURSES in Primary Care, under the authority of the GENERAL MEDICAL PRACTITIONER leading their team, should continue to be classified as referrals from the GENERAL PRACTITIONER (National Code 03 - referral from a GENERAL MEDICAL PRACTITIONER). Referrals from Specialist NURSES in Secondary Care should be classified as National Code 13 - referral from a Specialist Nurse (Secondary Care).

 

top


INTENDED CLINICAL CARE INTENSITY CODE

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
INTENDED CLINICAL CARE INTENSITY CODE is the same as attribute CLINICAL CARE INTENSITY.INTENDED CLINICAL CARE INTENSITY CODE is the same as attribute CLINICAL CARE INTENSITY and the values recorded are the National Codes, including additions:

INTENDED CLINICAL CARE INTENSITY CODE is the same as attribute CLINICAL CARE INTENSITY and the values recorded are the National Codes contained within the definition of CLINICAL CARE INTENSITY, including additions:Notes:

  • National Code descriptions have been updated to remove National Code headings and add prefixes. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.
  • The National Codes have been listed in logical sequence rather than alphanumeric order.

Permitted National Codes:

 For PATIENTS with mental illness
51for intensive care: specially designated ward for PATIENTS needing containment and more intensive management. This is not to be confused with intensive nursing where PATIENTS may require one to one nursing while on a standard WARD 
52for short stay: PATIENTS intended to stay less than a year
53for long stay: PATIENTS intended to stay a year or more
51Mental Illness intensive care: specially designated ward for PATIENTS needing containment and more intensive management. This is not to be confused with intensive nursing where PATIENTS may require one to one nursing while on a standard WARD 
52Mental Illness short stay: PATIENTS intended to stay less than a year
53Mental Illness long stay: PATIENTS intended to stay a year or more
 For PATIENTS with Learning Disabilities 
61designated or interim secure unit
62PATIENTS intending to stay less than a year
63PATIENTS intending to stay a year or more
 For maternity PATIENTS 
41only for PATIENTS looked after by CONSULTANTS 
43only for PATIENTS looked after by GENERAL MEDICAL PRACTITIONERS 
42for joint use by CONSULTANTS & GENERAL MEDICAL PRACTITIONERS 
 For neonates
33maternity: associated with the maternity WARD in that cots are in the maternity WARD nursery or in the WARD itself
32non-maternity: not associated with the maternity WARD and without designated cots for intensive care
31not associated with the maternity WARD and in which there are some designated cots for intensive care
61Learning Disability PATIENTS in a designated or interim secure unit
62Learning Disability PATIENTS intending to stay less than a year
63Learning Disability PATIENTS intending to stay a year or more
41Only for maternity PATIENTS looked after by CONSULTANTS 
43Only for maternity PATIENTS looked after by GENERAL MEDICAL PRACTITIONERS 
42Joint use for maternity PATIENTS looked after by CONSULTANTS and GENERAL MEDICAL PRACTITIONERS 
33Neonates: maternity: associated with the maternity WARD in that cots are in the maternity WARD nursery or in the WARD itself
32Neonates: non-maternity: not associated with the maternity WARD and without designated cots for intensive care
31Neonates: not associated with the maternity WARD and in which there are some designated cots for intensive care
 For the younger physically disabled
21spinal units, only those units which are nationally recognised
22other units
 For terminally ill/Palliative Care 
81terminally ill/Palliative Care 
 For general PATIENTS 
11for intensive therapy, including high dependency care
12for normal therapy: where resources permit the admission of PATIENTS who might need all but intensive or high dependency therapy
13for limited therapy: where nursing care rather than continuous medical care is provided. Such WARDS can be used only for PATIENTS carefully selected and restricted to a narrow range in terms of the extent and nature of disease
 additional codes
21
Younger physically disabled PATIENTS: spinal units, only those units which are nationally recognised
22Younger physically disabled PATIENTS: other units
81Terminally ill/Palliative Care PATIENTS
11General PATIENTS: for intensive therapy, including high dependency care
12General PATIENTS: for normal therapy: where resources permit the admission of PATIENTS who might need all but intensive or high dependency therapy
13General PATIENTS: for limited therapy: where nursing care rather than continuous medical care is provided. Such WARDS can be used only for PATIENTS carefully selected and restricted to a narrow range in terms of the extent and nature of disease
71Home Leave, non-psychiatric
72Home Leave, psychiatric
 

top


INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes:
INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH) is the same as attribute CLINICAL CARE INTENSITY for the Mental Health Services Data Set.

Notes:

  • National Code descriptions have been updated to remove National Code headings and add prefixes. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

Permitted National Codes:

 For PATIENTS with Mental Illness: 
51For Intensive Care - specially designated ward for PATIENTS needing containment and more intensive management (eg Psychiatric Intensive Care Unit (PICU)). This is not to be confused with intensive nursing where a PATIENT may require one-to-one nursing while on a standard WARD 
52For Short Stay - PATIENTS intended to stay for less than a year
53For Long Stay - PATIENTS intended to stay for a year or more
 For PATIENTS with Learning Disabilities: 
61Designated or interim secure unit
62PATIENTS intending to stay less than a year
63PATIENTS intending to stay a year or more
51Mental Illness intensive care: specially designated ward for PATIENTS needing containment and more intensive management (e.g. Psychiatric Intensive Care Unit (PICU)). This is not to be confused with intensive nursing where PATIENTS may require one to one nursing while on a standard WARD 
52Mental Illness short stay: PATIENTS intended to stay less than a year
53Mental Illness long stay: PATIENTS intended to stay a year or more
61Learning Disability PATIENTS in a designated or interim secure unit
62Learning Disability PATIENTS intending to stay less than a year
63Learning Disability PATIENTS intending to stay a year or more
 

top


REFERRAL TO TREATMENT PERIOD STATUS (INTER-PROVIDER TRANSFER)

Change to Data Element: Changed Description

Format/Length:n2
National Codes: 
Default Codes: 

Notes:
REFERRAL TO TREATMENT PERIOD STATUS (INTER-PROVIDER TRANSFER) is the same as attribute REFERRAL TO TREATMENT PERIOD STATUS.
REFERRAL TO TREATMENT PERIOD STATUS (INTER-PROVIDER TRANSFER) is the same as attribute REFERRAL TO TREATMENT PERIOD STATUS for inter-provider transfers.
Notes:

For inter-provider transfers, a restricted list of REFERRAL TO TREATMENT PERIOD STATUSES are used.Permitted National Codes:

Permitted National Codes:

For first and subsequent activity 
12consultant referral - the first activity at the start of a new REFERRAL TO TREATMENT PERIOD following a decision to refer directly to the CONSULTANT for a separate condition
20subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD - further ACTIVITIES anticipated
For activity not part of a Referral to Treatment Period 
90after treatment - first treatment occurred previously (e.g. admitted as an emergency from A&E or the ACTIVITY is after the start of treatment)
98not applicable - ACTIVITY not applicable to REFERRAL TO TREATMENT PERIODS 
12First ACTIVITY at the start of a new REFERRAL TO TREATMENT PERIOD following a decision to refer directly to the CONSULTANT or NHS Allied Health Professional Service (Referral To Treatment Measurement) for a separate condition
20Subsequent ACTIVITY during a REFERRAL TO TREATMENT PERIOD - further ACTIVITIES anticipated
90Not part of a REFERRAL TO TREATMENT PERIOD: After treatment - First Definitive Treatment occurred previously (e.g. admitted as an emergency from A&E or the ACTIVITY is after the start of treatment)
98Not part of a REFERRAL TO TREATMENT PERIODACTIVITY not applicable to REFERRAL TO TREATMENT PERIODS 
 

top


For enquiries about this Change Request, please email information.standards@nhs.net

ISO 9001 CERTIFICATION EUROPE