NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1772
Version No:1.0
Subject:Attribute Notes
Effective Date:Immediate
Reason for Change:Patch
Publication Date:31 July 2020

Background:

CR1755 removed asterisks from National Code descriptions and added the notes to the item description to ensure they are still visible.

Versions of the Data Dictionary from 3+ onwards will display the National Codes on both Attributes and Definitions. Therefore, users who just view the Data Elements will not see the notes.

This patch:

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
ACTIVITY DATE AND TIME TYPE   Changed Description
ACTIVITY DATE TYPE   Changed Description
ACTIVITY GROUP TYPE   Changed Description
ACTIVITY TIME TYPE   Changed Description
ACTUAL DELIVERY PLACE   Changed Description
ADMISSION METHOD   Changed Description
ADMISSION OFFER OUTCOME   Changed Description
ATTENDED OR DID NOT ATTEND   Changed Description
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS   Changed Description
CANCER TREATMENT MODALITY   Changed Description
CARE CONTACT TYPE   Changed Description
CLINICAL CARE INTENSITY   Changed Description
INTENDED DELIVERY PLACE   Changed Description
LABOUR OR DELIVERY ONSET METHOD   Changed Description
LIVE OR STILL BIRTH   Changed Description
PERSON PROPERTY ASSIGNMENT PERIOD TYPE   Changed Description
PLANNED ACTIVITY DATE TYPE   Changed Description
REASON FOR REFERRAL TO COMMUNITY CARE   Changed Description
SOURCE OF REFERRAL FOR MENTAL HEALTH   Changed Description
WAITING TIME ADJUSTMENT REASON   Changed Description
 
Data Elements
ACCOMMODATION STATUS CODE   Changed Description
ACTIVITY LOCATION TYPE CODE   Changed Description
ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)   Changed Description
ADMISSION METHOD CODE (MOTHER LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL)   Changed Description
ATTENDED OR DID NOT ATTEND CODE   Changed Description
CANCER TREATMENT MODALITY   Changed Description
CDS BULK REPLACEMENT GROUP CODE   Changed Description
CDS TYPE CODE   Changed Description
CHILDHOOD IMMUNISATION TYPE COMBINED (COVER)   Changed Description
CONSULTATION MEDIUM USED   Changed Description
CRITICAL CARE ACTIVITY CODE   Changed Description
DEATH LOCATION TYPE CODE (ACTUAL)   Changed Description
DEATH LOCATION TYPE CODE (PREFERRED)   Changed Description
DIAGNOSIS SCHEME IN USE   Changed Description
DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)   Changed Description
DISCHARGE METHOD CODE (MOTHER POST DELIVERY HOSPITAL PROVIDER SPELL)   Changed Description
FINDING SCHEME IN USE   Changed Description
FIRST ATTENDANCE CODE   Changed Description
GYNAECOLOGICIAL CAPSULE STATUS   Changed Description
INTENDED CLINICAL CARE INTENSITY CODE   Changed Description
LABOUR OR DELIVERY ONSET METHOD CODE   Changed Description
MULTIDISCIPLINARY TEAM MEETING TYPE (CANCER)   Changed Description
NHS NUMBER STATUS INDICATOR CODE   Changed Description
NHS NUMBER STATUS INDICATOR CODE (BABY)   Changed Description
NHS NUMBER STATUS INDICATOR CODE (MOTHER)   Changed Description
ONWARD REFERRAL REASON   Changed Description
PERSON GENDER CODE CURRENT   Changed Description
PERSON GENDER CODE CURRENT (BABY)   Changed Description
PERSON RELATIONSHIP (MAIN CARER)   Changed Description
PROCEDURE SCHEME IN USE   Changed Description
PROFESSIONAL REGISTRATION BODY CODE   Changed Description
REFERRAL TO TREATMENT PERIOD STATUS   Changed Description
REFERRING CARE PROFESSIONAL STAFF GROUP (MENTAL HEALTH AND COMMUNITY CARE)   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE   Changed Description
SEX OF PATIENTS CODE   Changed Description
SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)   Changed Description
SOURCE OF REFERRAL FOR MENTAL HEALTH   Changed Description
SOURCE OF REFERRAL FOR OUT-PATIENTS   Changed Description
WAITING TIME ADJUSTMENT REASON (FIRST SEEN)   Changed Description
WAITING TIME ADJUSTMENT REASON (TREATMENT)   Changed Description
WAITING TIME MEASUREMENT TYPE   Changed Description
 

Date:31 July 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.

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ACTIVITY DATE AND TIME TYPE

Change to Attribute: Changed Description

The type of date and time that defines the usage with regard to the ACTIVITY.

An ACTIVITY may have many dates and times associated with it but may only have one date and time of a particular type.

National Codes:

300Maternal Critical Incident Date and Time (Retired 1 April 2019)
301Procedure Date and Time (Retired September 2018)
302Baby First Feed Date and Time (Retired 1 April 2019)
303Date and Time of Decision to Deliver (Retired 1 April 2019)
304Discharge Date and Time (Hospital Provider Spell Postpartum) (Retired 1 April 2019)
305Oxytocin Administered Date and Time (Retired 1 April 2019)
306Rupture of Membranes Date and Time (Retired September 2018)
307Transfer Start Date and Time (Neonatal Unit) (Retired 1 April 2019)
308Urgent Care Service Accessed Date and Time (Retired 01 September 2015)
309Clinical Intervention Date and Time (Retired September 2018)
310Critical Care Period Start Date and Time (Retired September 2018)
311Parents Seen By Senior Staff Member Date and Time (Retired September 2018)
312Critical Care Period Discharge Date and Time (Retired September 2018)
313Arrival Date and Time at Accident and Emergency Department (Retired September 2018)
314Assault Date and Time (Retired September 2018)

Note: This list is not in alphabetical order.

 

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ACTIVITY DATE TYPE

Change to Attribute: Changed Description

The type of date that defines the usage with regard to the ACTIVITY.

An ACTIVITY may have many dates associated with it but may only have one date of a particular type.

National Codes:

001Angiogram Date (Retired July 2012)
002Arrival Date At Accident and Emergency Department
003Breast Assessment Date (Retired 1 January 2013)
004Cancer Dental Assessment Date (Retired September 2018)
005Colorectal or Stoma Nurse Seen Date (Retired 1 January 2013)
006Coronary Angiography Date (Retired July 2012)
007Care Programme Approach Review Date (Retired September 2018)
008Date Biopsy Taken (Retired 01 April 2014)
009Discharge Date
010Discharge Ready Date
011End Date
012Event Date (Retired July 2012)
013Expected Delivery Date (Retired September 2012)
014First Antenatal Assessment Date
015Full Postnatal Examination Date (Retired September 2012)
016Initial Patient Contact Date (Retired July 2012)
017Investigation Transfer Date (Retired July 2012)
018Intrauterine Device Application Date (Retired September 2012)
019Intrauterine Device Fitted Date (Retired September 2012)
020Last Dosage Date (Retired April 2019)
021Mental Health Care Assessment Date (Retired September 2012)
022Miscarriage Date (Retired September 2012)
023Pathology Result Due Date (Retired April 2019)
024Patient Informed Biopsy Result Date (Retired April 2019)
025Patient Informed Of Outcome Date (Retired September 2012)
026Smoking Quit Date (Retired October 2017)
027Review Planned Date (Retired 01 April 2014)
028Screening Result Date (Retired 01 April 2014)
029Screening Result Sent Date (Retired April 2019)
030Specialist Palliative Care Date (Retired 01 April 2014)
031Start Date
032Cancer Symptoms First Noted Date (Retired September 2018)
033Attendance Date (Retired September 2018)
034Clinical Intervention Date
035Immunisation Completion Date (Retired 01 September 2015)
036Clinical Status Assessment Date (Retired September 2018)
037Dose Given Date (Retired September 2012)
038Test Date (Retired September 2012)
039Contact Date (Retired September 2018)
040Appointment Date (Retired September 2018)
041Primary Procedure Date (Retired September 2018)
042Second Operation Date (Retired 01 April 2014)
043Speech and Language Assessment Date (Retired September 2018)
044Third Operation Date (Retired 01 April 2014)
045Date First Seen (Retired September 2018)
046Statutory Assessment Date (Retired 01 January 2016)
047Screening Test Date (Retired September 2018)
048Genitourinary Care Contact Date (Retired January 2014)
049Consultant Upgrade Date
101Referral Closure Date (Community Care) (Retired 01 September 2015)
102Discharge Letter Issued Date (Community Care) (Retired 01 September 2015)
103Systemic Anti-Cancer Therapy Administration Date (Retired September 2018)
104Procedure Date
105Immunisation Date (Retired September 2018)
106Antenatal Appointment Date (Retired 1 April 2019)
107Antenatal Booking Appointment Date (Retired September 2018)
108Pregnancy First Contact Date
109Screening Test Information Given Date (Retired 1 April 2019)
110Assessment Date For Transplant Suitability
111Accident and Emergency Initial Assessment Date
112Accident and Emergency Date Seen For Treatment
113Accident and Emergency Attendance Conclusion Date
114Accident and Emergency Departure Date
115Clinical Assessment Date (Retired September 2018)
116Imaging or Radiodiagnostic Event Date (Retired September 2018)
117Neonatal Critical Care Daily Care Date
118Two Year Neonatal Outcomes Assessment Date (Retired September 2018)
119Date of Pregnancy Outcome (Current Fetus) (Retired 1 April 2019)
120Neonatal Critical Incident Date (Retired 1 April 2019)
121American Joint Committee on Cancer Stage Date (Retired September 2018)
122Ann Arbor Stage Date (Retired September 2018)
123Barcelona Clinic Liver Cancer Stage Date (Retired September 2018)
124Binet Stage Date (Retired September 2018)
125Chang Staging System Stage Date (Retired September 2018)
126Clinical Stage Date (Pancreatic Cancer) (Retired September 2018)
127Final Figo Stage Date (Retired September 2018)
128Holistic Needs Assessment Completed Date (Retired September 2018)
129Intergroup Rhabdomyosarcoma Study Post Surgical Group Date (Retired September 2018)
130International Neuroblastoma Staging System Date (Retired 01 April 2017)
131Myeloma International Staging System Stage Date (Retired September 2018)
132Modified Dukes Stage Date (Retired September 2018)
133Multidisciplinary Team Discussion Date (Cancer)
134Multidisciplinary Team Meeting Date (Cancer)
135Murphy St Jude Stage Date (Retired September 2018)
136Rai Stage Date (Retired 01 April 2017)
137Retinoblastoma Assessment Date (Retired September 2018)
138TNM Stage Grouping Date (Final Pretreatment) (Retired September 2018)
139TNM Stage Grouping Date (Integrated) (Retired September 2018)
140Wilms Tumour Stage Date (Retired September 2018)
141Care Contact Cancellation Date
142Care Contact Date
143Child Protection Plan End Date (Retired September 2018)
144Child Protection Plan Start Date (Retired September 2018)
145Discharge Letter Issued Date (Mental Health and Community Care)
146Health Visitor First Antenatal Visit Date (Retired September 2018)
147Infant Physical Examination Date (Retired September 2018)
148Onward Referral Date (Retired September 2018)
149Referral Closure Date
150Referral Rejection Date
151Replacement Appointment Booked Date
152Replacement Appointment Date Offered
153Service Discharge Date (Retired September 2018)
154Date of Restrictive Intervention (Retired 01 April 2019)
155Indirect Activity Date
156Mental Health Crisis Plan Creation Date (Retired 01 April 2017)
157Mental Health Crisis Plan Last Updated Date (Retired 01 April 2017)
158Care Plan Agreed Date
159Care Plan Creation Date
160Care Plan Implementation Date
161Care Plan Last Updated Date
162Five Forensic Pathways Assessment Date (Retired September 2018)
163International Neuroblastoma Risk Group Staging System Stage Date (Retired September 2018)
164Stage Grouping Date (Testicular Cancer) (Retired September 2018)
165Emergency Care Arrival Date
166Emergency Care Initial Assessment Date
167Emergency Care Date Seen For Treatment
168Emergency Care Attendance Conclusion Date
169Emergency Care Departure Date
170Injury Date (Retired September 2018)
171Referred To Service Assessment Date (Retired September 2018)
172Intended Smoking Quit Date (Moved to PLANNED ACTIVITY DATE TYPE September 2018)
173Cancer Transformation Agreed Date (Primary Cancer Pathway)
174Cancer Progression Agreed Date (Primary Cancer Pathway)
175Clinical Trial Decision Date
176Treatment Start Date (Cancer) (Retired September 2018)
177Cancer Faster Diagnosis Pathway End Date (Retired September 2018)
178Cancer Referral To Treatment Period Start Date (Retired September 2018)
179Cancer Treatment Period Start Date (Retired September 2018)
180Observable Entity Date
181Package of Care or Year of Care Start Date (Contract Monitoring)
182NHS Continuing Healthcare Standard Checklist Completed Date
183Clinical Commissioning Group Eligibility Decision Date (NHS Continuing Healthcare Standard)
184Clinical Commissioning Group Eligibility Decision Outcome Communicated To Patient Date (NHS Continuing Healthcare Standard)
185NHS Continuing Healthcare Fast Track Pathway Tool Completed Date
186NHS Continuing Healthcare Request Received Date
187NHS Continuing Healthcare Local Resolution Formal Meeting Date
188NHS Continuing Healthcare Local Resolution Informal Meeting Date
189Local Resolution Eligibility Decision Outcome Communicated To Patient Date (NHS Continuing Healthcare)
190NHS Continuing Healthcare Care Package Eligibility Status Change Date
191NHS Continuing Healthcare Eligibility Start Date Following Independent Review
192NHS Continuing Healthcare Previously Unassessed Period Of Care Decision Made Date
193NHS Continuing Healthcare Previously Unassessed Period Of Care Eligibility Decision Communicated To Requester Date
194Unbundled Care Activity Date

Note: This list is not in alphabetical order.

 

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ACTIVITY GROUP TYPE

Change to Attribute: Changed Description

The type of ACTIVITY GROUP.

National Codes:

01Accident and Emergency Episode
02Acute Myocardial Infarction Care Spell (Retired July 2012)
03Augmented Care Period (Retired 1 April 2006)
04Breast Cancer Care Spell
05Cancer Care Spell
06Care Home Stay (Consultant Care)
07Care Home Stay (Midwife Care)
08Care Home Stay (Nursing Care)
09Care Home Stay (Residential)
10Care Programme Approach Care Episode
11Colorectal Cancer Care Spell
12Community Episode (Retired 01 January 2016)
13Mental Health Care Professional Episode (Acute Home-Based) (Retired 01 January 2016)
14Consultant Episode (Hospital Provider)
15Consultant Out-Patient Episode
16Dental Episode (Retired 01 April 2014)
17Drug Misuse Episode (Retired 1 April 2019)
18Sexual Health and HIV Episode
19Head and Neck Cancer Care Spell
20Home Dialysis Episode (Retired October 2019)
21Hospital Provider Spell
22Lung Cancer Care Spell
23Adult Mental Health, Learning Disability or Autism Spectrum Disorder Care Spell (Retired 01 January 2016)
24Midwife Episode
25Neonatal Level Of Care Period
26Nursing Episode
27Palliative Care Episode
28Person Stop Smoking Episode
29Pregnancy Episode (Retired 1 April 2019)
30Professional Staff Group Episode (Retired 01 January 2016)
31Regular Attender Episode (Retired 01 January 2016)
32Road Traffic Accident Treatment (Retired 01 April 2014)
33Sarcoma Cancer Care Spell
34Skin Cancer Care Spell
35Supervised Discharge Episode (Retired 01 April 2014)
36Supervision Register Episode (Retired 01 April 2014)
37Upper Gastrointestinal Cancer Care Spell
38Urological Cancer Care Spell
39Ward Stay
40Hospital Stay
41Care Spell
42CRITICAL CARE PERIOD
43PATIENT PATHWAY
44REFERRAL TO TREATMENT PERIOD
45Active Monitoring
46Supervised Community Treatment Recall (Retired 01 January 2016)
47Supervised Community Treatment (Retired 01 January 2016)
48Mental Health Care Without Patient Consent (Retired 01 January 2016)
49Cancer Treatment Period
50Gynaecological Cancer Care Spell
51Mental Health Care Spell (Retired 01 January 2016)
52Improving Access to Psychological Therapies Care Spell (Retired 1 April 2020)
53Adult Mental Health Care Team Episode (Retired 01 January 2016)
54Mental Health NHS Day Care Episode (Retired 01 January 2016)
55Mental Health Delayed Discharge Period
56Mental Health Care Cluster Assignment Period (Retired 01 January 2016)
57Mental Health Care Coordinator Assignment Period
58Child and Adolescent Mental Health Clinical Intervention Episode (Retired 01 January 2016)
59Child and Adolescent Mental Health Care Spell (Retired 01 January 2016)
60Maternity Episode
61HIV Episode
62Central Nervous System Cancer Care Spell
63Children Teenagers and Young Adults Cancer Care Spell
64Haematological Cancer Care Spell
65Lung Cancer Care Spell (Retired 1 April 2018)
66Commissioner Assignment Period
67Breast Screening Episode
68High Risk Breast Screening Episode
69Open Breast Screening Episode
70Neonatal Critical Care Spell
71Radiotherapy Episode
72Healthy Person Stay
73Mental Health Responsible Clinician Assignment Period
74Mental Health Conditional Discharge Period
75Mental Health Act Legal Status Classification Period (Moved to PERSON PROPERTY ASSIGNMENT PERIOD TYPE 01 January 2016)
76Care Professional Admitted Care Episode
77Liver Cancer Care Spell
78NHS Continuing Healthcare
79NHS-funded Nursing Care
80Package of Care
81Acute Oncology Episode
82Personalised Care and Support Planning
83Community Bed-based Intermediate Care
84Crisis Response Intermediate Care
85Home-based Intermediate Care
86Reablement Intermediate Care

Note:
The list is not in alphabetical order.

 

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ACTIVITY TIME TYPE

Change to Attribute: Changed Description

The type of time that defines the usage with regard to the ACTIVITY.

An ACTIVITY may have many times associated with it but may only have one time of a particular type.

National Codes:

50Accident and Emergency Attendance Conclusion Time
51Accident and Emergency Departure Time
52Accident and Emergency Initial Assessment Time
53Accident and Emergency Time Seen For Treatment
54Arrival At Hospital Time (Retired April 2012)
55ARRIVAL TIME (Retired April 2012)
56End Time
57Event Time (Retired July 2012)
58Initial Patient Contact Time (Retired July 2012)
59Last Dosage Time (Retired April 2019)
60Pathology Result Due Time (Retired April 2019)
61Start Time
62Theatre Case Time In To Theatre Suite (Retired September 2012)
63Theatre Case Time Out Of Theatre (Retired September 2012)
64Theatre Case Time Out Of Theatre Suite (Retired September 2012)
65Time Seen (Retired September 2018)
66Discharge Ready Time (Retired April 2012)
67Arrival Time At Accident and Emergency Department
68Arrival Time For Transport Requests (Retired September 2015)
69Discharge Time
70Clinical Intervention Time
71Care Contact Time
72Indirect Activity Time
73Service Discharge Time (Retired September 2018)
74Referral Closure Time
75Onward Referral Time (Retired September 2018)
76Emergency Care Arrival Time
77Emergency Care Initial Assessment Time
78Emergency Care Time Seen For Treatment
79Emergency Care Attendance Conclusion Time
80Emergency Care Departure Time
81Injury Time (Retired September 2018)
82Referred To Service Assessment Time (Retired September 2018)
83Procedure Time
84Care Plan Agreed Time
85Care Plan Creation Time
86Care Plan Last Updated Time
87Referral Rejection Time
88Observable Entity Time

Note: This list is not in alphabetical order.

 

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ACTUAL DELIVERY PLACE

Change to Attribute: Changed Description

The actual place type of Delivery.

Recording both the planned and the actual place of Delivery allows all changes of intent to be logged. Note that if a baby is delivered in a different hospital to the one originally specified, there would be no change in the Delivery place type, since the Birth would still have taken place in an NHS hospital.

National Codes:

1At a domestic ADDRESS
2In NHS hospital - Delivery facilities associated with CONSULTANT WARD
3In NHS hospital - Delivery facilities associated with GENERAL MEDICAL PRACTITIONER WARD
0In NHS hospital - Delivery facilities associated with MIDWIFE WARD
4In NHS hospital - Delivery facilities associated with CONSULTANT/ GENERAL MEDICAL PRACTITIONER/ MIDWIFE WARD inclusive of any combination of two of the professionals mentioned
7In NHS hospital - WARD or unit without Delivery facilities
5In private hospital
6In other hospital or institution
8None of the above
9Not known

Note: The codes have been listed in logical sequence rather than in numeric order.

 

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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'
  • 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:
    • 2A 'Emergency Admission: Accident and Emergency Department of another provider where the PATIENT had not been admitted'
    • 2B 'Emergency Admission: Transfer of an admitted PATIENT from another Hospital Provider in an emergency'
    • 2C 'Emergency Admission: Baby born at home as intended'
    • 2D 'Emergency Admission: Other emergency admission'
  • The following National Codes are not valid for use in the Mental Health Services Data Set:
    • 2C 'Emergency Admission: Baby born at home as intended'
    • 28 'Emergency Admission: Other means'
    • 31 'Maternity Admission: Admitted ante partum'
    • 32 'Maternity Admission: Admitted post partum'
    • 82 'Other Admission: The birth of a baby in this Health Care Provider'
    • 83 'Other Admission: 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:

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
 

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ADMISSION OFFER OUTCOME

Change to Attribute: Changed Description

A code which indicates the outcome of an OFFER OF ADMISSION to a PATIENT on an ELECTIVE ADMISSION LIST.

National Codes:

8PATIENT admitted - treatment commenced
1PATIENT admitted - treatment completed
2Admission cancelled by, or on behalf of, the PATIENT
6Admission cancelled by hospital before day offered for admission
7Admission cancelled by hospital on day offered for admission
4PATIENT failed to arrive
5PATIENT admitted - treatment deferred

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

 

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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
 

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CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS

Change to Attribute: Changed Description

The status of a REFERRAL REQUEST for a PATIENT referred with a suspected cancer, or referred with breast symptoms with cancer not originally suspected.

For the Cancer Outcomes and Services Data Set, CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS can be recorded for all PATIENTS (regardless of the referral route).

The National Codes have been listed in logical sequence rather than numeric order.

National Codes:

14Suspected Primary Cancer
09Under investigation following symptomatic referral, cancer not suspected (breast referrals only). This National Code should only be used when the TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE is National Code 'Exhibited (non-cancer) breast symptoms - cancer not initially suspected.'
03No new cancer diagnosis identified by the Health Care Provider 
10Diagnosis of new cancer confirmed - NHS funded first treatment not yet planned
11Diagnosis of new cancer confirmed - NHS funded first treatment planned
07Diagnosis of new cancer confirmed - no NHS funded treatment planned
08First NHS funded treatment commenced
12Diagnosis of new cancer confirmed - subsequent NHS funded treatment not yet planned
13Diagnosis of new cancer confirmed - subsequent NHS funded treatment planned
21Subsequent NHS funded treatment commenced
15Suspected Recurrent Cancer
16Diagnosis of Recurrent Cancer confirmed - first NHS funded treatment not yet planned
17Diagnosis of Recurrent Cancer confirmed - NHS funded first treatment planned
18Diagnosis of Recurrent Cancer confirmed - no NHS funded treatment planned
19Diagnosis of Recurrent Cancer confirmed - subsequent NHS funded treatment not yet planned
20Diagnosis of Recurrent Cancer confirmed - subsequent NHS funded treatment planned
 

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CANCER TREATMENT MODALITY

Change to Attribute: Changed Description

The type of treatment or care which was delivered during a Cancer Treatment Period.

Notes:

National Codes:

01Surgery
02Anti-Cancer Drug Regimen (Cytotoxic Chemotherapy)
03Anti-Cancer Drug Regimen (Hormone Therapy)
04Chemoradiotherapy
05Teletherapy (Beam Radiation excluding Proton Therapy)
06Brachytherapy
07Specialist Palliative Care
08Active Monitoring (excluding Non-Specialist Palliative Care)
09Non-Specialist Palliative Care (excluding Active Monitoring)
10Radiofrequency Ablation (RFA)
11High Intensity Focused Ultrasound (HIFU)
12Cryotherapy
13Proton Therapy
14Anti-Cancer Drug Regimen (other)
15Anti-Cancer Drug Regimen (Immunotherapy)
16Light Therapy (including Photodynamic Therapy and Psoralen and Ultraviolet A Therapy (PUVA))
17Hyperbaric Oxygen Therapy
18Other Treatment (Retired 1 July 2012)
19Radioisotope Therapy (including Radioiodine)
20Laser Treatment (including Argon Beam therapy)
21Biological Therapies (excluding Immunotherapy)
22Radiosurgery
97Other treatment (not listed)
98All treatment declined

Notes:

 

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CARE CONTACT TYPE

Change to Attribute: Changed Description

The type of CARE CONTACT.

National Codes:

01Accident and Emergency Attendance
02Acute Home-Based Contact (Retired 01 January 2016)
03Audiology Attendance (Retired 01 April 2014)
04Cancer Clinical Status Assessment
05Care Programme Approach Review
06Clinic Attendance Consultant
07Clinic Attendance Sexual and Reproductive Health Service (Retired November 2014)
08Clinic Attendance Midwife
09Clinic Attendance Non-Consultant
10Clinic Attendance Nurse
11Contact Tracing Activity (Retired 01 April 2014)
12Dental Treatment Contact (Retired 01 April 2014)
13Day Care Attendance (Retired 01 January 2016)
14Domiciliary Consultation
15Emergency Dental Attendance (Retired 01 April 2014)
16Face To Face Contact Community Care (Retired 01 January 2016)
17Face To Face Contact CPA Care Coordinator (Retired 01 January 2016)
18Face To Face Contact Dental (Retired 01 April 2014)
19Face To Face Contact Optical (Retired 01 April 2014)
20Face To Face Contact Social Worker (Retired 01 April 2011)
21Face To Face Contact Surveillance (Retired 01 April 2014)
22Sexual and Reproductive Health Domiciliary Visit
23Genitourinary Consultant Clinic Attendance
24GMP Consultation (Retired 01 April 2014)
25GMP Practice Consultation (Retired 01 April 2014)
26Home Assessment Visit (Retired 01 January 2016)
27Maternity Domiciliary Visit
28Night Consultation Visit (Retired 01 April 2014)
29Nurse or Midwife Contact
30Out-Patient Attendance Consultant
31Registration Health Check  (Retired 01 April 2014)
32Sheltered Work Attendance (Retired 01 April 2011)
33Sight Test (Retired 01 April 2014)
34Social Services Statutory Assessment (Retired 01 January 2016)
35Professional Advice And Support Contact (Retired 01 April 2014)
36Professional Staff Group Contact (Retired 01 January 2016)
37Telephone Contact NHS Direct (Mental Health) (Retired 01 April 2011)
38Theatre Case
39Ward Attendance
40Genitourinary Care Contact (Retired January 2014)
41Improving Access to Psychological Therapies Contact
42NHS Health Check Assessment (Retired April 2019)
43Antenatal Booking Appointment (Retired 1 April 2019)
44Pregnancy First Contact
45Nutritional Assessment
46HIV Clinic Attendance
47Multi-Disciplinary Consultation (National Tariff Payment System)
48Multi-Professional Consultation (National Tariff Payment System)
49Two Year Neonatal Outcomes Assessment
50Radiotherapy Attendance
51Holistic Needs Assessment
52Emergency Care Attendance

Note: The list is not in alphabetical order.

 

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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:

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
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
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

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

 

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INTENDED DELIVERY PLACE

Change to Attribute: Changed Description

The Delivery place type where the pregnant woman plans to have her baby.

National Codes:

1At a domestic ADDRESS
2In NHS hospital - Delivery facilities associated with CONSULTANT WARD
3In NHS hospital - Delivery facilities associated with GENERAL MEDICAL PRACTITIONER WARD
0In NHS hospital - Delivery facilities associated with MIDWIFE WARD
4In NHS hospital - Delivery facilities associated with CONSULTANT/ GENERAL MEDICAL PRACTITIONER/ MIDWIFE WARD inclusive of any combination of two of the professionals mentioned
7In NHS hospital - WARD or unit without Delivery facilities
5In private hospital
6In other hospital or institution
8None of the above
9Not known

Note: The codes have been listed in logical sequence rather than in numeric order.

 

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LABOUR OR DELIVERY ONSET METHOD

Change to Attribute: Changed Description

The method by which the process of Labour began, or Delivery by caesarean section occurred.

Note:

  • National Code 1 is not to be recorded if a planned elective caesarean section is carried out, see National Code 2.
  • If an unplanned caesarean section is performed after Labour has started National Codes 1, 3, 4, and 5 should be used as applicable.
  • If the methods at National Code 3, 4, or 5 have been used to accelerate rather than induce Labour, they should not be recorded under these codes.

National Codes:

1Spontaneous; the onset of regular contractions whether or not preceded by spontaneous rupture of the membranes
2Any caesarean section carried out before the onset of Labour or a planned elective caesarean section carried out immediately following the onset of Labour, when the decision was made before Labour
3Surgical induction; by amniotomy
4Medical induction; including administration of agents either orally, intravenously or intravaginally with the intention of initiating Labour
5Combination of surgical induction and medical induction

Note: 1 is not to be recorded if a planned elective caesarean section is carried out, see 2. If an unplanned caesarean section is performed after Labour has started code 1, 3, 4, & 5 is to be used as applicable. If the methods at 3, 4, or 5 have been used to accelerate rather than induce Labour, they should not be recorded under these codes.

 

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LIVE OR STILL BIRTH

Change to Attribute: Changed Description

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

A stillbirth 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
2Stillbirth ante-partum
3Stillbirth intra-partum
4Stillbirth indeterminate
5Baby born but died later
 

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PERSON PROPERTY ASSIGNMENT PERIOD TYPE

Change to Attribute: Changed Description

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PLANNED ACTIVITY DATE TYPE

Change to Attribute: Changed Description

The type of date that defines the usage with regard to the PLANNED ACTIVITY.

A PLANNED ACTIVITY may have many dates associated with it but may only have one date of a particular type.

National Codes:

01Planned Discharge Date (Hospital Provider Spell)
02Estimated Discharge Date (Hospital Provider Spell)
03Intended Smoking Quit Date
04NHS Continuing Healthcare Care Package Review Date

Note: This list is not in alphabetical order.

 

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REASON FOR REFERRAL TO COMMUNITY CARE

Change to Attribute: Changed Description

The reason that a PATIENT was referred to a Community Health Service

National Codes:

001Accident/Trauma
002Alopecia
003Antenatal Care
004Bereavement
005Bladder Care
006Blood Pressure
007Bowel Problems
008Cancer
009Cardiac Conditions
010Catheter Problems
011Cerebral Palsy
012Cleft Palate
013Cognitive Problems
014Colostomy Care
015Continence Problems
016Contraception and Sexual Health (Retired 01 September 2015)
017Developmental Problems
018Diabetes
019Diarrhoea and Vomiting
020Dizziness/Balance Problems
021Downs Syndrome
022Deep Vein Thrombosis
023Ear Infections/Problems
024Eating Disorder
025Emotional/Behavioural Problems
026End of Life Support
027Epilepsy
028Equipment Provision
029Eustachian Tube Dysfunction
030Falls Risk
031Family Support
032Feeding/Swallowing Problems
033Foot Care/Problems
034Head Injury
035Hearing Problems/Loss
036Immunisation
037Laryngectomy
038Leg Ulcer
039Looked After Children
040Low Muscle Tone
041Lymphoedema Management
042Mobility Problems
043Musculoskeletal Problems
044Neurological Problems
045Healthy Child Pathway
046Nutrition and Dietetics
047Ophthalmic Problems
048Over 75 Assessment
049Pain/Symptom Control
050Parkinson's Disease
051Personal Hygiene
052Post Operative Care
053Pressure Ulcer
054Problems with Activities of Daily Living
055Psychological Conditions
056Rehabilitation
057Respiratory Conditions
058Safeguarding
059Skin Problems
060Sleep Problems
061Smoking Cessation
062Speech and Language Problems
063Stoma Care
064Structural/Functional Impairment
065Substance Misuse
066Trismus/Restricted Mouth Opening
067Tuberculosis
068Vascular Problems
069Vomiting/Nausea
070Wound Care
071Multiple Complex Communication Difficulties
072Dental Care/Problems
073Haematology/Phlebotomy
074Chronic Fatigue Syndrome/Myalgic Encephalopathy
075Chronic Allergy/Immunological Problem
076Metabolic/Endocrine Disorders
077Renal Problems
078Minor Surgery
079Gastrostomy Management/Care
080Care of the Next Infant (CONI) Pathway
081Failure to Thrive
082Maternal Mood Problems
083Complex Social Factors (as defined by the National Institute for Health and Care Excellence guidance)
084Condition(s) Requiring Respite Care
085Other Congenital Conditions
086Blood Disorders
087Genetic Disorders
088Neonatal Abstinence Syndrome

Note: This list is not in alphabetical order.

 

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SOURCE OF REFERRAL FOR MENTAL HEALTH

Change to Attribute: Changed Description

The source of referral to a Mental Health Service.

Notes:

National Codes:

A1Primary Health Care: General Medical Practitioner Practice
A2Primary Health Care: Health Visitor
A3Other Primary Health Care
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
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
H1Acute Secondary Care: Accident and Emergency Department
H2Other secondary care specialty
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)
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
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
P1Internal Referral
 

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WAITING TIME ADJUSTMENT REASON

Change to Attribute: Changed Description

The prime reason for an adjustment to waiting time for the National Cancer Waiting Times Monitoring Data Set.

Where there is more than one adjustment applicable, this should be the reason for the longest adjustment.

Notes:

National Codes:

 Out-patient services 
3Did Not Attend Out-Patient Appointment:
Where the ATTENDED OR DID NOT ATTEND is National Code 'Did Not Attend - no advance warning given' or National Code 'PATIENT arrived late and could not be seen' 
9No adjustment to waiting time
 In-patient services 
8Patient pause:
The PATIENT is paused on the ELECTIVE ADMISSION LIST because they have made themselves unavailable for treatment for a specified period (because of family reasons, holidays etc.)
9No adjustment to waiting time

Notes:

 

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ACCOMMODATION STATUS CODE

Change to Data Element: Changed Description

Format/Length:an4
National Codes:See ACCOMMODATION STATUS CODE 
Default Codes:OC97 - Not specified
 OC98 - Not applicable
 OC99 - Not Known (Not Recorded)

Notes:
ACCOMMODATION STATUS CODE is the same as attribute ACCOMMODATION STATUS CODEFor specific National Code usage, see ACCOMMODATION STATUS CODE.

 

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ACTIVITY LOCATION TYPE CODE

Change to Data Element: Changed Description

Format/Length:an3
National Codes:See ACTIVITY LOCATION TYPE CODE 
Default Codes: 

Notes:
ACTIVITY LOCATION TYPE CODE is the same as attribute ACTIVITY LOCATION TYPE CODE.

Use in Commissioning Data Set Version 6-2 onwards

Where Out-Patient Clinics are held on WARDS (such as Pre-assessment Clinics), these should be categorised as ACTIVITY LOCATION TYPE CODE National Code E01 'Out-Patient Clinic' and not National Code E02 'WARD'.  This will allow Ward Attendances to be differentiated from Out-Patient Clinics in the CDS V6-2 Type 020 - Outpatient Commissioning Data Set flow.

For ACTIVITY falling under Allied Health Professional Referral To Treatment Measurement, ACTIVITY LOCATION TYPE CODE may be submitted to allow identification of Allied Health Professional ACTIVITY taking place on WARDS, which is not related to the Hospital Provider Spell for the PATIENT being seen by the Allied Health Professional.  For example, if a Podiatrist were asked to see a PATIENT who was currently admitted for a condition where the agreed care pathway did not include Podiatry services, then an Out-Patient Appointment Non-Consultant should be recorded, with the ACTIVITY LOCATION TYPE CODE of E02 'WARD'.

 For specific National Code usage in different data sets, see ACTIVITY LOCATION TYPE CODE.

 

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ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See ADMISSION METHOD
Default Codes:98 - Not applicable
 99 - Not known: a validation error

Notes:
ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL) is the same as attribute ADMISSION METHOD.

ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL) is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 For specific National Code usage in different data sets, see ADMISSION METHOD.

 

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ADMISSION METHOD CODE (MOTHER LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See ADMISSION METHOD
Default Codes:98 - Not applicable
 99 - Not Known (Not Recorded)

Notes:
ADMISSION METHOD CODE (MOTHER LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL) is the same as attribute ADMISSION METHOD.

ADMISSION METHOD CODE (MOTHER LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL) is the method of admission to a Hospital Provider Spell for a mother for Labour and Delivery.

 For specific National Code usage in different data sets, see ADMISSION METHOD.

 

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ATTENDED OR DID NOT ATTEND CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See ATTENDED OR DID NOT ATTEND 
Default Codes: 

Notes:
ATTENDED OR DID NOT ATTEND CODE is the same as attribute ATTENDED OR DID NOT ATTEND.

Use in the Future Outpatient CDS:

  • Where the attendance is in the future (and has not been cancelled) use value 0 (zero) - not applicable - APPOINTMENT occurs in the future.
  • Where the future attendance has been cancelled, use the appropriate value from the national codes (see ATTENDED OR DID NOT ATTEND).
 For specific National Code usage in different data sets, see ATTENDED OR DID NOT ATTEND.



 

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CANCER TREATMENT MODALITY

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See CANCER TREATMENT MODALITY 
Default Codes: 

Notes:
CANCER TREATMENT MODALITY is the same as attribute CANCER TREATMENT MODALITYFor specific National Code usage, see CANCER TREATMENT MODALITY.

 

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CDS BULK REPLACEMENT GROUP CODE

Change to Data Element: Changed Description

Format/Length:an3
National Codes:See CDS BULK REPLACEMENT GROUP CODE
Default Codes: 


Notes:
CDS BULK REPLACEMENT GROUP CODE is the same as attribute CDS BULK REPLACEMENT GROUP CODE.

CDS BULK REPLACEMENT GROUP CODE is not required when the Commissioning Data Set Net Change Update Mechanism is used.

The Commissioning Data Set Bulk Replacement Update Mechanism process identifies previously transferred CDS Types that are to be replaced by the submitted Commissioning Data Set interchange. To do this the CDS BULK REPLACEMENT GROUP CODE must be used together with the following data items:

It is particularly important when using the Commissioning Data Set Bulk Replacement Update Mechanism for a CDS BULK REPLACEMENT GROUP CODE to contain all the relevant CDS Types for the extracted time period in a single Commissioning Data Set Interchange, e.g. the Finished General Episodes, Finished Delivery Episodes and Finished Birth Episodes in a Finished Episode Group.

 For specific National Code usage in different data sets, see CDS BULK REPLACEMENT GROUP CODE.

 

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CDS TYPE CODE

Change to Data Element: Changed Description

Format/Length:an3
National Codes:See CDS TYPE CODE
Default Codes: 

Notes:
CDS TYPE CODE is the same as attribute CDS TYPE CODEFor specific National Code usage in different data sets, see CDS TYPE CODE.

 

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CHILDHOOD IMMUNISATION TYPE COMBINED (COVER)

Change to Data Element: Changed Description

Format/Length:an3
National Codes:See CHILDHOOD IMMUNISATION TYPE COMBINED
Default Codes: 

Notes:
CHILDHOOD IMMUNISATION TYPE COMBINED (COVER) is the same as attribute CHILDHOOD IMMUNISATION TYPE COMBINED for the Cover of Vaccination Evaluated Rapidly (COVER) Data SetFor specific National Code usage, see CHILDHOOD IMMUNISATION TYPE COMBINED.

 

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CONSULTATION MEDIUM USED

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See CONSULTATION MEDIUM USED 
Default Codes: 

Notes:
CONSULTATION MEDIUM USED is the same as attribute CONSULTATION MEDIUM USEDFor specific National Code usage in different data sets, see CONSULTATION MEDIUM USED.

 

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CRITICAL CARE ACTIVITY CODE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See CRITICAL CARE ACTIVITY CODE
Default Codes: 

Notes:
CRITICAL CARE ACTIVITY CODE is the same as attribute CRITICAL CARE ACTIVITY CODE.  

For specific National Code usage in different data sets, see CRITICAL CARE ACTIVITY CODE.

 

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DEATH LOCATION TYPE CODE (ACTUAL)

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See DEATH LOCATION TYPE CODE
Default Codes: 

Notes:
DEATH LOCATION TYPE CODE (ACTUAL) is the same as attribute DEATH LOCATION TYPE CODE.

DEATH LOCATION TYPE CODE (ACTUAL) is the actual LOCATION where the PERSON died.

 For specific National Code usage, see DEATH LOCATION TYPE CODE.

 

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DEATH LOCATION TYPE CODE (PREFERRED)

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See DEATH LOCATION TYPE CODE
Default Codes:99 - The CARE PROFESSIONAL did not discuss the preferred LOCATION of death prior to the death of the PATIENT

Notes:
DEATH LOCATION TYPE CODE (PREFERRED) is the same as attribute DEATH LOCATION TYPE CODE.

DEATH LOCATION TYPE CODE (PREFERRED) is the preferred LOCATION of death as specified by the PATIENT, Patient Proxy or Carer.

 For specific National Code usage, see DEATH LOCATION TYPE CODE.

 

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DIAGNOSIS SCHEME IN USE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See DIAGNOSIS SCHEME IN USE
Default Codes: 

Notes:
DIAGNOSIS SCHEME IN USE is the same as attribute DIAGNOSIS SCHEME IN USE.  

For specific National Code usage in different data sets, see DIAGNOSIS SCHEME IN USE.

 

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DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See DISCHARGE METHOD
Default Codes:8 - Not applicable - Hospital Provider Spell not finished at episode end (i.e. not discharged) or current episode unfinished
 9 - Not known: a validation error

Notes:
DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL) is the same as attribute DISCHARGE METHOD.

DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL) is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 For specific National Code usage in different data sets, see DISCHARGE METHOD.

 

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DISCHARGE METHOD CODE (MOTHER POST DELIVERY HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See DISCHARGE METHOD
Default Codes:8 - Not applicable - Hospital Provider Spell not finished at episode end (i.e. not discharged) or current episode unfinished
 9 - Not Known (Not Recorded)

Notes:
DISCHARGE METHOD CODE (MOTHER POST DELIVERY HOSPITAL PROVIDER SPELL) is the same as attribute DISCHARGE METHOD.

DISCHARGE METHOD CODE (MOTHER POST DELIVERY HOSPITAL PROVIDER SPELL) is the method of discharge from a Hospital Provider Spell for the mother following Delivery.

 For specific National Code usage in different data sets, see DISCHARGE METHOD.

 

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FINDING SCHEME IN USE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See FINDING SCHEME IN USE
Default Codes: 

Notes:
FINDING SCHEME IN USE is the same as attribute FINDING SCHEME IN USEFor specific National Code usage in different data sets, see FINDING SCHEME IN USE.

 

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FIRST ATTENDANCE CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See FIRST ATTENDANCE
Default Codes: 

Notes:
FIRST ATTENDANCE CODE is the same as attribute FIRST ATTENDANCE.

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

For further information, please refer to the NHS Digital website at: Payment by Results GuidanceFor specific National Code usage, see FIRST ATTENDANCE.

 

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GYNAECOLOGICIAL CAPSULE STATUS

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See GYNAECOLOGICIAL CAPSULE STATUS
Default Codes:X - Not Assessable (Cannot be assessed)

Notes:
GYNAECOLOGICIAL CAPSULE STATUS is the same as attribute GYNAECOLOGICIAL CAPSULE STATUSFor specific National Code usage, see GYNAECOLOGICIAL CAPSULE STATUS.

 

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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 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, 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:

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 
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
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
 

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LABOUR OR DELIVERY ONSET METHOD CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See LABOUR OR DELIVERY ONSET METHOD
Default Codes:9 - Not known: a validation error

Notes:
LABOUR OR DELIVERY ONSET METHOD CODE is the same as attribute LABOUR OR DELIVERY ONSET METHOD.

Only those methods that are used to induce Labour, such as surgical induction, medical induction or a combination of the two, should be recorded. Methods that are used to accelerate Labour should not be recorded.

 For specific National Code usage, see LABOUR OR DELIVERY ONSET METHOD.

 

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MULTIDISCIPLINARY TEAM MEETING TYPE (CANCER)

Change to Data Element: Changed Description

Format/Length:an4
National Codes:See MULTIDISCIPLINARY TEAM MEETING TYPE FOR CANCER
Default Codes: 

Notes:
MULTIDISCIPLINARY TEAM MEETING TYPE (CANCER) is the same as attribute MULTIDISCIPLINARY TEAM MEETING TYPE FOR CANCERFor specific National Code usage, see MULTIDISCIPLINARY TEAM MEETING TYPE FOR CANCER.

 

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NHS NUMBER STATUS INDICATOR CODE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See NHS NUMBER STATUS INDICATOR CODE
Default Codes: 

Notes:
NHS NUMBER STATUS INDICATOR CODE is the same as attribute NHS NUMBER STATUS INDICATOR CODEFor specific National Code usage in different data sets, see NHS NUMBER STATUS INDICATOR CODE.

 

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NHS NUMBER STATUS INDICATOR CODE (BABY)

Change to Data Element: Changed Description

Format/Length:See NHS NUMBER STATUS INDICATOR CODE 
National Codes:See NHS NUMBER STATUS INDICATOR CODE
Default Codes: 

Notes:
NHS NUMBER STATUS INDICATOR CODE (BABY) is the is the same as attribute NHS NUMBER STATUS INDICATOR CODE of the NHS NUMBER (BABY)For specific National Code usage in different data sets, see NHS NUMBER STATUS INDICATOR CODE.

 

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NHS NUMBER STATUS INDICATOR CODE (MOTHER)

Change to Data Element: Changed Description

Format/Length:See NHS NUMBER STATUS INDICATOR CODE 
National Codes:See NHS NUMBER STATUS INDICATOR CODE
Default Codes: 

Notes:
NHS NUMBER STATUS INDICATOR CODE (MOTHER) is the same as attribute NHS NUMBER STATUS INDICATOR CODE of the NHS NUMBER (MOTHER)For specific National Code usage in different data sets, see NHS NUMBER STATUS INDICATOR CODE.

 

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ONWARD REFERRAL REASON

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See ONWARD REFERRAL REASON
Default Codes:98 - Onward Referral Reason Not Applicable
 99 - Not Known (Not Recorded)

Notes:
ONWARD REFERRAL REASON is the same as attribute ONWARD REFERRAL REASON.  

For specific National Code usage in different data sets, see ONWARD REFERRAL REASON.

 

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PERSON GENDER CODE CURRENT

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PERSON GENDER CODE 
Default Codes: 

Notes:
PERSON GENDER CODE CURRENT is the same as attribute PERSON GENDER CODE.

PERSON GENDER CODE CURRENT is a PERSON's gender currently.

PERSON GENDER CODE CURRENT is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

PERSON GENDER CODE CURRENT will be replaced with PERSON STATED GENDER CODE or PERSON PHENOTYPIC SEX, which is the most recent approved national information standard to describe the required definition.PERSON GENDER CODE CURRENT will be replaced with PERSON STATED GENDER CODE or PERSON PHENOTYPIC SEX, which is the most recent approved national information standard to describe the required definition.

 For specific National Code usage, see PERSON GENDER CODE.

 

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PERSON GENDER CODE CURRENT (BABY)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:PERSON GENDER CODE
Default Codes: 

Notes:
PERSON GENDER CODE CURRENT (BABY) is the same as data element PERSON GENDER CODE CURRENT for the baby. For specific National Code usage, see PERSON GENDER CODE.

 

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PERSON RELATIONSHIP (MAIN CARER)

Change to Data Element: Changed Description

Format/Length:an3
National Codes:See RELATIONSHIP TO PERSON FOR COMMUNITY
Default Codes: 

Notes:
PERSON RELATIONSHIP (MAIN CARER) is the same as attribute RELATIONSHIP TO PERSON FOR COMMUNITY

PERSON RELATIONSHIP (MAIN CARER) is the relationship between the PATIENT and the PERSON who undertakes the main caring role for them.

 For specific National Code usage , see RELATIONSHIP TO PERSON FOR COMMUNITY.

 

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PROCEDURE SCHEME IN USE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See PROCEDURE SCHEME IN USE
Default Codes: 

Notes:
PROCEDURE SCHEME IN USE is the same as attribute PROCEDURE SCHEME IN USE.  

For specific National Code usage in different data sets, see PROCEDURE SCHEME IN USE.

 

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PROFESSIONAL REGISTRATION BODY CODE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See PROFESSIONAL REGISTRATION BODY CODE
Default Codes: 

Notes:
PROFESSIONAL REGISTRATION BODY CODE is the same as attribute PROFESSIONAL REGISTRATION BODY CODE.  

For specific National Code usage in different data sets, see PROFESSIONAL REGISTRATION BODY CODE.

 

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REFERRING CARE PROFESSIONAL STAFF GROUP (MENTAL HEALTH AND COMMUNITY CARE)

Change to Data Element: Changed Description

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RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE

Change to Data Element: Changed Description

Format/Length:an4
National Codes:See RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE
Default Codes: 

Notes:
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE is the same as attribute RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information.

 For specific National Code usage, see RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE.

 

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SEX OF PATIENTS CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See SEX OF PATIENTS
Default Codes: 

Notes:
SEX OF PATIENTS CODE is the same as attribute SEX OF PATIENTS.  

For specific National Code usage in different data sets, see SEX OF PATIENTS.

 

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SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See SOURCE OF ADMISSION
Default Codes:98 - Not applicable
 99 - Not known: a validation error

Notes:
SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL) is the same as attribute SOURCE OF ADMISSION.

SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL) is the source of admission to a Hospital Provider Spell in a Hospital Site.

SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL) is used by the Secondary Uses Service to derive the Healthcare Resource Group 4. Failure to correctly populate this data element is likely to result in an incorrect Healthcare Resource Group, usually associated with lower levels of Healthcare resource.

For further information, please refer to the NHS Digital website at: Payment by Results Guidance.

 For specific National Code usage in different data sets, see SOURCE OF ADMISSION.

 

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SOURCE OF REFERRAL FOR MENTAL HEALTH

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See SOURCE OF REFERRAL FOR MENTAL HEALTH
Default Codes: 

Notes:
SOURCE OF REFERRAL FOR MENTAL HEALTH is the same as attribute SOURCE OF REFERRAL FOR MENTAL HEALTH.  

For specific National Code usage in different data sets, see SOURCE OF REFERRAL FOR MENTAL HEALTH.

 

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SOURCE OF REFERRAL FOR OUT-PATIENTS

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See SOURCE OF REFERRAL FOR OUT-PATIENTS
Default Codes: 

Notes:
SOURCE OF REFERRAL FOR OUT-PATIENTS is the same as attribute SOURCE OF REFERRAL FOR OUT-PATIENTSFor specific National Code usage, see SOURCE OF REFERRAL FOR OUT-PATIENTS.

 

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WAITING TIME ADJUSTMENT REASON (FIRST SEEN)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See WAITING TIME ADJUSTMENT REASON 
Default Codes: 

Notes:
WAITING TIME ADJUSTMENT REASON (FIRST SEEN) is the same as attribute WAITING TIME ADJUSTMENT REASON.

WAITING TIME ADJUSTMENT REASON (FIRST SEEN) is the reason for an adjustment to a waiting time prior to the DATE FIRST SEEN.

If there is more than one adjustment applicable, WAITING TIME ADJUSTMENT REASON (FIRST SEEN) should be the reason for the longest calculated adjustment days.

WAITING TIME ADJUSTMENT REASON (FIRST SEEN) is mandatory, whenever an adjustment is appropriate as calculated and recorded by WAITING TIME ADJUSTMENT (FIRST SEEN).

 For specific National Code usage, see WAITING TIME ADJUSTMENT REASON.

 

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WAITING TIME ADJUSTMENT REASON (TREATMENT)

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See WAITING TIME ADJUSTMENT REASON 
Default Codes: 

Notes:
WAITING TIME ADJUSTMENT REASON (TREATMENT) is the same as attribute WAITING TIME ADJUSTMENT REASON.

WAITING TIME ADJUSTMENT REASON (TREATMENT) is mandatory, whenever an adjustment is appropriate as calculated and recorded by WAITING TIME ADJUSTMENT (TREATMENT). It is the prime reason for the adjustment and where there is more than one adjustment applicable, this should be the reason for the longest calculated adjustment days.

WAITING TIME ADJUSTMENT REASON (TREATMENT) should only be recorded where CANCER CARE SETTING FOR TREATMENT is:

 For specific National Code usage, see WAITING TIME ADJUSTMENT REASON.

 

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WAITING TIME MEASUREMENT TYPE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See WAITING TIME MEASUREMENT TYPE 
Default Codes: 

Notes:
WAITING TIME MEASUREMENT TYPE is the same as attribute WAITING TIME MEASUREMENT TYPE.

Note: National Codes 01, 03 and 04 are not valid for the Referral To Treatment (RTT) data group in the Mental Health Services Data Set.

 For specific National Code usage in different data sets, see WAITING TIME MEASUREMENT TYPE.

 

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

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