Change Request: CR1784

ADDRESS DIAGRAM

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APPOINTMENT DIAGRAM

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CANCER OUTCOMES AND SERVICES DIAGRAM

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CARE PROFESSIONAL DIAGRAM

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COMMUNITY SERVICES DIAGRAM

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DIAGNOSTIC IMAGING DIAGRAM

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HIV AND AIDS DIAGRAM

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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES DIAGRAM

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MATERNITY SERVICES DIAGRAM

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NATIONAL JOINT REGISTRY DIAGRAM

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NATIONAL WORKFORCE DIAGRAM

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ORGANISATION DIAGRAM

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PATIENT PATHWAY DIAGRAM

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RADIOTHERAPY DIAGRAM

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SERVICE REQUEST DIAGRAM

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SYSTEMIC ANTI-CANCER THERAPY DIAGRAM

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Mental Health Services Data Set Overview

MENTAL HEALTH SERVICES DATA SET

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For a "Full Screen" view, click Mental Health Services Data Set.

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

The Mandatory, Required, Optional or Pilot (M/R/O/P) column indicates the recommendation for the inclusion of data.

M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
R = Required: NHS business processes cannot be delivered without this data element
O = Optional: the inclusion of this data element is optional as required for local purposes
P = Pilot: this data element is for piloting use only.

Note: items in the M/R/O/P column which are shown with notation P have not been approved by the Data Coordination Board and are included to facilitate piloting and testing of future data requirements, prior to formal inclusion in later versions of the Mental Health Services Data Set. These items have been included in the data set layout in order to provide advance notice to data providers and system suppliers of the intention to require these items at a later date. ~~Unless~~ ~~Organisations~~ ~~are engaged in piloting activities relating to these items, they should~~ ~~NOT~~ ~~submit any data item marked P.~~ Unless ORGANISATIONS are engaged in piloting activities relating to these items, they should NOT submit any data item marked P.

For guidance on the Data Set constraints, see the Mental Health Services Data Set Constraints.

HEADER

Header: To carry header details for the submission. One occurrence of this group is required.
M/R/O/P	Data Set Data Elements
M	DATA SET VERSION NUMBER
M	ORGANISATION IDENTIFIER (CODE OF PROVIDER)
M	ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)
M	PRIMARY DATA COLLECTION SYSTEM IN USE
M	REPORTING PERIOD START DATE
M	REPORTING PERIOD END DATE
M	DATE AND TIME DATA SET CREATED

PATIENT DEMOGRAPHICS

Master Patient Index: To carry personal details of the patient. One occurrence of this group is required.
M/R/O/P	Data Set Data Elements
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)
R	ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)
R	ORGANISATION IDENTIFIER (EDUCATIONAL ESTABLISHMENT)
R	NHS NUMBER
R	NHS NUMBER STATUS INDICATOR CODE
R	PERSON BIRTH DATE
R	POSTCODE OF USUAL ADDRESS
R	PERSON STATED GENDER CODE
R	PERSON MARITAL STATUS
R	ETHNIC CATEGORY
R	LANGUAGE CODE (PREFERRED)
R	PERSON DEATH DATE

GP Practice Registration: To carry details of the GP Practice Registration of the patient. One occurrence of this group is required for each change of GP Practice Registration.
M/R/O/P	Data Set Data Elements
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)
R	START DATE (GMP PATIENT REGISTRATION)
R	END DATE (GMP PATIENT REGISTRATION)
R	ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)

Accommodation Status: To carry accommodation details of the patient. One occurrence of this group is permitted for each accommodation status.
M/R/O/P	Data Set Data Elements
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ACCOMMODATION STATUS CODE
R	SETTLED ACCOMMODATION INDICATOR
R	ACCOMMODATION STATUS RECORDED DATE
R	SECURE CHILDRENS HOME PLACEMENT TYPE

Employment Status: To carry details of the employment status of the patient. One occurrence of this group is permitted for each employment status.
M/R/O/P	Data Set Data Elements
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	EMPLOYMENT STATUS
R	EMPLOYMENT STATUS RECORDED DATE
R	WEEKLY HOURS WORKED

Patient Indicators: To carry details of specific indicators relating to a patient. One occurrence of this group is permitted containing the current or most recently recorded status of indicator and psychosis information.
M/R/O/P	Data Set Data Elements
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
R	CONSTANT SUPERVISION AND CARE REQUIRED DUE TO DISABILITY INDICATOR
R	PARENTAL RESPONSIBILITIES INDICATOR
R	YOUNG CARER INDICATOR
R	LOOKED AFTER CHILD INDICATOR
R	CHILD PROTECTION PLAN INDICATION CODE
R	EX-BRITISH ARMED FORCES INDICATOR
R	OFFENCE HISTORY INDICATION CODE
R	PRODROME PSYCHOSIS DATE
R	EMERGENT PSYCHOSIS DATE
R	MANIFEST PSYCHOSIS DATE
R	FIRST PRESCRIPTION DATE (ANTI-PSYCHOTIC MEDICATION)
R	PSYCHOSIS FIRST TREATMENT START DATE

Mental Health Care Coordinator: To carry details of the Mental Health Care Coordinator assigned to a patient. One occurrence of this group is permitted for each Mental Health Care Coordinator assignment.
M/R/O/P	Data Set Data Elements
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	START DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD)
R	CARE PROFESSIONAL LOCAL IDENTIFIER
R	END DATE (MENTAL HEALTH CARE COORDINATOR ASSIGNMENT PERIOD)
R	CARE PROFESSIONAL SERVICE OR TEAM TYPE ASSOCIATION (MENTAL HEALTH)

Disability Type: To carry details of the type of disability affecting a patient, based on their perception or the perception of a patient proxy. One occurrence of this group is permitted for each disability identified.
M/R/O/P	Data Set Data Elements
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	DISABILITY CODE
R	DISABILITY IMPACT PERCEPTION

Care Plan Type: To carry details of Care Plans created for a patient by the organisation. One occurrence of this group is permitted for each Care Plan created for the patient.
M/R/O/P	Data Set Data Elements
M	CARE PLAN IDENTIFIER
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	CARE PLAN TYPE (MENTAL HEALTH)
M	CARE PLAN CREATION DATE
R	CARE PLAN CREATION TIME
R	CARE PLAN LAST UPDATED DATE
R	CARE PLAN LAST UPDATED TIME
R	CARE PLAN IMPLEMENTATION DATE

Care Plan Agreement: To carry details of any agreements to a Care Plan by a person, team or organisation. One occurrence of this group is permitted for each agreement of a Care Plan.
M/R/O/P	Data Set Data Elements
M	CARE PLAN IDENTIFIER
M	CARE PLAN AGREED BY
R	CARE PLAN AGREED DATE
R	CARE PLAN AGREED TIME

Assistive Technology to Support Disability Type: To carry details of when assistive technology is used to support a disabled patient. One occurrence of this group is permitted for each assistive technology type.
M/R/O/P	Data Set Data Elements
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ASSISTIVE TECHNOLOGY FINDING (SNOMED CT)
R	PRESCRIPTION DATE (ASSISTIVE TECHNOLOGY)

Social and Personal Circumstances: To carry details of social and personal circumstances of a patient. One occurrence of this group is permitted for each social and personal circumstance recorded.
M/R/O/P	Data Set Data Elements
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	SOCIAL AND PERSONAL CIRCUMSTANCE (SNOMED CT)
R	SOCIAL AND PERSONAL CIRCUMSTANCE RECORDED DATE

Overseas Visitor Charging Category To carry details of the Overseas Visitor Charging Category of the patient. Multiple occurrences of this group are permitted, one for each Overseas Visitor Charging Category recorded for the patient.
M/R/O/P	Data Set Data Elements
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	OVERSEAS VISITOR CHARGING CATEGORY
R	OVERSEAS VISITOR CHARGING CATEGORY APPLICABLE DATE

REFERRALS

Service or Team Referral: To carry details of the Service or Team referral that the patient is subject to. One occurrence of this group is permitted for each referral.
M/R/O/P	Data Set Data Elements
M	SERVICE REQUEST IDENTIFIER
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
M	REFERRAL REQUEST RECEIVED DATE
R	REFERRAL REQUEST RECEIVED TIME
R	NHS SERVICE AGREEMENT LINE NUMBER
R	SPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE
R	SOURCE OF REFERRAL FOR MENTAL HEALTH
R	ORGANISATION IDENTIFIER (REFERRING)
R	REFERRING CARE PROFESSIONAL STAFF GROUP (MENTAL HEALTH AND COMMUNITY CARE)
R	CLINICAL RESPONSE PRIORITY TYPE
R	PRIMARY REASON FOR REFERRAL (MENTAL HEALTH)
R	REASON FOR OUT OF AREA REFERRAL (ADULT ACUTE MENTAL HEALTH)
R	DISCHARGE PLAN CREATION DATE
R	DISCHARGE PLAN CREATION TIME
R	DISCHARGE PLAN LAST UPDATED DATE
R	DISCHARGE PLAN LAST UPDATED TIME
R	SERVICE DISCHARGE DATE
R	SERVICE DISCHARGE TIME
R	DISCHARGE LETTER ISSUED DATE (MENTAL HEALTH AND COMMUNITY CARE)

Other Reason for Referral: To carry details of additional reasons why a patient has been referred to a specific service. One occurrence of this group is permitted for each additional referral reason.
M/R/O/P	Data Set Data Elements
M	SERVICE REQUEST IDENTIFIER
M	OTHER REASON FOR REFERRAL (MENTAL HEALTH)

Service or Team Type Referred To: To carry details of the service or team that a patient is referred to. One occurrence of this group is permitted for each service or team that a patient has been referred to.
M/R/O/P	Data Set Data Elements
R	CARE PROFESSIONAL TEAM LOCAL IDENTIFIER
M	SERVICE REQUEST IDENTIFIER
M	SERVICE OR TEAM TYPE REFERRED TO (MENTAL HEALTH)
R	REFERRAL CLOSURE DATE
R	REFERRAL CLOSURE TIME
R	REFERRAL REJECTION DATE
R	REFERRAL REJECTION TIME
R	REFERRAL CLOSURE REASON
R	REFERRAL REJECTION REASON

Referral to Treatment (RTT): To carry Referral to Treatment details for the patient's referral. One occurrence of this group is permitted for each change in Referral To Treatment Period Status.
M/R/O/P	Data Set Data Elements
M	SERVICE REQUEST IDENTIFIER
R	PATIENT PATHWAY IDENTIFIER
R	ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)
M	WAITING TIME MEASUREMENT TYPE
R	REFERRAL TO TREATMENT PERIOD START DATE
R	REFERRAL TO TREATMENT PERIOD END DATE
R	REFERRAL TO TREATMENT PERIOD STATUS

Onward Referral: To carry details of any onward referral of the patient which has taken place. One occurrence of this group is permitted for each onward referral.
M/R/O/P	Data Set Data Elements
M	SERVICE REQUEST IDENTIFIER
R	DECISION TO REFER DATE (ONWARD REFERRAL)
R	DECISION TO REFER TIME (ONWARD REFERRAL)
M	ONWARD REFERRAL DATE
R	ONWARD REFERRAL TIME
R	ONWARD REFERRAL REASON
R	REFERRED OUT OF AREA REASON (ADULT ACUTE MENTAL HEALTH)
R	ORGANISATION IDENTIFIER (RECEIVING)

Discharge Plan Agreement: To carry details of any agreements to a Discharge Plan by a person, team or organisation. One occurrence of this group is permitted for each agreement of a Discharge Plan.
M/R/O/P	Data Set Data Elements
M	SERVICE REQUEST IDENTIFIER
M	DISCHARGE PLAN AGREED BY
R	DISCHARGE PLAN AGREED DATE
R	DISCHARGE PLAN AGREED TIME

Medication Prescription: To carry details of each Prescription of Medication for the patient. One occurrence of this group is permitted for each Prescription.
M/R/O/P	Data Set Data Elements
P	SERVICE REQUEST IDENTIFIER
P	PRESCRIPTION IDENTIFIER
P	PRESCRIPTION DATE (MEDICATION)
P	PRESCRIPTION TIME (MEDICATION)

CARE CONTACT, CARE ACTIVITIES AND INDIRECT ACTIVITIES

Care Contact: To carry details of any contacts with a patient which have taken place as part of a referral. One occurrence of this group is permitted for each Care Contact.
M/R/O/P	Data Set Data Elements
M	CARE CONTACT IDENTIFIER
M	SERVICE REQUEST IDENTIFIER
R	CARE PROFESSIONAL TEAM LOCAL IDENTIFIER
M	CARE CONTACT DATE
R	CARE CONTACT TIME
R	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
R	ADMINISTRATIVE CATEGORY CODE
R	SPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE
R	CLINICAL CONTACT DURATION OF CARE CONTACT
R	CONSULTATION TYPE
R	CARE CONTACT SUBJECT
R	CONSULTATION MEDIUM USED
R	ACTIVITY LOCATION TYPE CODE
R	PLACE OF SAFETY INDICATOR
R	ORGANISATION SITE IDENTIFIER (OF TREATMENT)
R	GROUP THERAPY INDICATOR
R	ATTENDED OR DID NOT ATTEND CODE
R	EARLIEST REASONABLE OFFER DATE
R	EARLIEST CLINICALLY APPROPRIATE DATE
R	CARE CONTACT CANCELLATION DATE
R	CARE CONTACT CANCELLATION REASON
R	REPLACEMENT APPOINTMENT DATE OFFERED
R	REPLACEMENT APPOINTMENT BOOKED DATE

Care Activity: To carry details of any Care Activity undertaken at a Care Contact. One occurrence of this group is permitted for each Care Activity.
M/R/O/P	Data Set Data Elements
M	CARE ACTIVITY IDENTIFIER
M	CARE CONTACT IDENTIFIER
R	CARE PROFESSIONAL LOCAL IDENTIFIER
R	CLINICAL CONTACT DURATION OF CARE ACTIVITY
R	CODED PROCEDURE AND PROCEDURE STATUS (SNOMED CT)
R	FINDING SCHEME IN USE
R	CODED FINDING (CODED CLINICAL ENTRY)
R	CODED OBSERVATION (SNOMED CT)
R	OBSERVATION VALUE
R	UCUM UNIT OF MEASUREMENT

Other in Attendance: To carry details of any other people in attendance at a Care Contact. One occurrence of this group is permitted for each other patient in attendance at a Care Contact.
M/R/O/P	Data Set Data Elements
M	CARE CONTACT IDENTIFIER
M	OTHER PERSON IN ATTENDANCE AT CARE CONTACT

Indirect Activity: To carry details of indirect activity which takes place as a result of the referral. One occurrence of this group is permitted for each instance of indirect activity taking place.
M/R/O/P	Data Set Data Elements
M	SERVICE REQUEST IDENTIFIER
R	CARE PROFESSIONAL TEAM LOCAL IDENTIFIER
M	INDIRECT ACTIVITY DATE
R	INDIRECT ACTIVITY TIME
R	DURATION OF INDIRECT ACTIVITY
R	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
R	CARE PROFESSIONAL LOCAL IDENTIFIER
R	CODED PROCEDURE AND PROCEDURE STATUS (SNOMED CT)
R	FINDING SCHEME IN USE
R	CODED FINDING (CODED CLINICAL ENTRY)

GROUP SESSIONS

Group Session: To carry details of any group sessions which have been provided to a group of patients. One occurrence of this group is permitted for each Group Session activity.
M/R/O/P	Data Set Data Elements
M	GROUP SESSION IDENTIFIER
M	GROUP SESSION DATE
M	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
R	CLINICAL CONTACT DURATION OF GROUP SESSION
R	GROUP SESSION TYPE (MENTAL HEALTH)
R	NUMBER OF GROUP SESSION PARTICIPANTS
R	ACTIVITY LOCATION TYPE CODE
R	ORGANISATION SITE IDENTIFIER (OF TREATMENT)
R	CARE PROFESSIONAL LOCAL IDENTIFIER
R	SERVICE OR TEAM TYPE REFERRED TO (MENTAL HEALTH)
R	NHS SERVICE AGREEMENT LINE NUMBER

MENTAL HEALTH ACT (MHA) EPISODES

Mental Health Act Legal Status Classification Assignment Period: To carry details of Mental Health Act Legal Status Classification Assignment Periods for patients formally detained under the Mental Health Act 1983 or other Acts. One occurrence of this group is permitted for each Mental Health Act Legal Status Classification Assignment Period identified.
M/R/O/P	Data Set Data Elements
M	MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	START DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD)
M	START TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD)
R	MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD START REASON
R	EXPIRY DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
R	EXPIRY TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION)
R	END DATE (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD)
R	END TIME (MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD)
R	MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD END REASON
R	MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION CODE
R	MENTAL HEALTH ACT 2007 MENTAL CATEGORY

Mental Health Responsible Clinician Assignment: To carry details of the assignment of a Mental Health Responsible Clinician to the patient. One occurrence of this group is permitted for each assigned Mental Health Responsible Clinician to the Mental Health Act Legal Status Classification Assignment Period.
M/R/O/P	Data Set Data Elements
M	MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
M	START DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT PERIOD)
M	CARE PROFESSIONAL LOCAL IDENTIFIER
R	END DATE (MENTAL HEALTH RESPONSIBLE CLINICIAN ASSIGNMENT PERIOD)

Conditional Discharge: To carry details of each separate period of conditional discharge for the patient. One occurrence of this group is permitted for each conditional discharge.
M/R/O/P	Data Set Data Elements
M	MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
M	START DATE (MENTAL HEALTH CONDITIONAL DISCHARGE)
R	END DATE (MENTAL HEALTH CONDITIONAL DISCHARGE)
R	MENTAL HEALTH CONDITIONAL DISCHARGE END REASON
R	MENTAL HEALTH ABSOLUTE DISCHARGE RESPONSIBILITY

Community Treatment Order: To carry details of each separate period of a Community Treatment Order under section 17a of the Mental Health Act 1983 for the patient. One occurrence of this group is permitted whenever a patient on Community Treatment Order occurs.
M/R/O/P	Data Set Data Elements
M	MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
M	START DATE (COMMUNITY TREATMENT ORDER)
R	EXPIRY DATE (COMMUNITY TREATMENT ORDER)
R	END DATE (COMMUNITY TREATMENT ORDER)
R	COMMUNITY TREATMENT ORDER END REASON

Community Treatment Order Recall: To carry details of each separate period of of a recall into hospital for a patient on a Community Treatment Order under section 17a of the Mental Health Act 1983. One occurrence of this group is permitted whenever a patient on a Community Treatment Order occurs.
M/R/O/P	Data Set Data Elements
M	MENTAL HEALTH ACT LEGAL STATUS CLASSIFICATION ASSIGNMENT PERIOD IDENTIFIER
M	START DATE (COMMUNITY TREATMENT ORDER RECALL)
M	START TIME (COMMUNITY TREATMENT ORDER RECALL)
R	END DATE (COMMUNITY TREATMENT ORDER RECALL)
R	END TIME (COMMUNITY TREATMENT ORDER RECALL)

HOSPITAL PROVIDER SPELLS

Hospital Provider Spell: To carry details of each Hospital Provider Spell for a patient. One occurrence of this group is permitted for each Hospital Provider Spell.
M/R/O/P	Data Set Data Elements
M	HOSPITAL PROVIDER SPELL NUMBER
M	SERVICE REQUEST IDENTIFIER
M	START DATE (HOSPITAL PROVIDER SPELL)
R	START TIME (HOSPITAL PROVIDER SPELL)
R	SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)
R	ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)
R	POSTCODE OF MAIN VISITOR
R	ESTIMATED DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
R	PLANNED DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
R	PLANNED DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)
R	DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
R	DISCHARGE TIME (HOSPITAL PROVIDER SPELL)
R	DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)
R	DISCHARGE DESTINATION CODE (HOSPITAL PROVIDER SPELL)
R	POSTCODE OF DISCHARGE DESTINATION (HOSPITAL PROVIDER SPELL)

Ward Stay: To carry details of Ward Stays which occurred during a Hospital Provider Spell for the patient. One occurrence of this group is permitted for each Ward Stay.
M/R/O/P	Data Set Data Elements
M	WARD STAY IDENTIFIER
M	HOSPITAL PROVIDER SPELL NUMBER
M	START DATE (WARD STAY)
R	START TIME (WARD STAY)
R	END DATE (MENTAL HEALTH TRIAL LEAVE)
R	END DATE (WARD STAY)
R	END TIME (WARD STAY)
R	ORGANISATION SITE IDENTIFIER (OF TREATMENT)
R	WARD SETTING TYPE (MENTAL HEALTH)
R	INTENDED AGE GROUP (MENTAL HEALTH)
R	SEX OF PATIENTS CODE
R	INTENDED CLINICAL CARE INTENSITY CODE (MENTAL HEALTH)
R	WARD SECURITY LEVEL
R	LOCKED WARD INDICATOR
R	MENTAL HEALTH ADMITTED PATIENT CLASSIFICATION
R	SPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE
O	WARD CODE

Assigned Care Professional: To carry details of the Care Professional assigned responsibility for the care of the patient. One occurrence of this group is permitted for each Care Professional Admitted Care Episode.
M/R/O/P	Data Set Data Elements
M	HOSPITAL PROVIDER SPELL NUMBER
M	CARE PROFESSIONAL LOCAL IDENTIFIER
M	START DATE (CARE PROFESSIONAL ADMITTED CARE EPISODE)
R	END DATE (CARE PROFESSIONAL ADMITTED CARE EPISODE)
R	TREATMENT FUNCTION CODE (MENTAL HEALTH)

Mental Health Delayed Discharge: To carry details of the patient's Mental Health Delayed Discharge Periods which occurred during a Hospital Provider Spell. One occurrence of this group is permitted whenever a patient is subject to a Mental Health Delayed Discharge Period.
M/R/O/P	Data Set Data Elements
M	HOSPITAL PROVIDER SPELL NUMBER
M	START DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
R	END DATE (MENTAL HEALTH DELAYED DISCHARGE PERIOD)
R	MENTAL HEALTH DELAYED DISCHARGE REASON
R	MENTAL HEALTH DELAYED DISCHARGE ATTRIBUTABLE TO INDICATION CODE
R	ORGANISATION IDENTIFIER (RESPONSIBLE LOCAL AUTHORITY MENTAL HEALTH DELAYED DISCHARGE)

Restrictive Intervention: To carry details of each separate reported incident of a Restrictive Intervention of the patient by one or more members of staff in response to aggressive behaviour or resistance to treatment during a Hospital Provider Spell. One occurrence of this group is permitted whenever a Restrictive Intervention is carried out.
M/R/O/P	Data Set Data Elements
M	WARD STAY IDENTIFIER
M	START DATE (RESTRICTIVE INTERVENTION)
R	START TIME (RESTRICTIVE INTERVENTION)
R	RESTRICTIVE INTERVENTION TYPE
R	END DATE (RESTRICTIVE INTERVENTION)
R	END TIME (RESTRICTIVE INTERVENTION)
R	RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (PATIENT)
R	RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (CARE PERSONNEL)
R	RESTRICTIVE INTERVENTION RESTRAINT INJURY INDICATOR (OTHER PERSON)
R	RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (PATIENT)
R	RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW NOT HELD REASON (PATIENT)
R	RESTRICTIVE INTERVENTION POST-INCIDENT REVIEW HELD INDICATOR (CARE PERSONNEL)

Assault: To carry details of each separate reported incident of assault on a patient by another patient during a Hospital Provider Spell. One occurrence of this group is permitted whenever an assault on the patient occurs.
M/R/O/P	Data Set Data Elements
M	WARD STAY IDENTIFIER
M	DATE OF ASSAULT ON PATIENT

Self-Harm: To carry details of each separate reported incident of self-harm by the patient during a Hospital Provider Spell. One occurrence of this group is permitted whenever an incident of self-harm is reported.
M/R/O/P	Data Set Data Elements
M	WARD STAY IDENTIFIER
M	DATE OF SELF-HARM

Home Leave: To carry details of each separate period of Home Leave from a Hospital Provider Spell for a patient who is NOT liable for detention under the Mental Health Act 1983 and who is NOT on a Community Treatment Order. One occurrence of this group is permitted whenever a period of home leave takes place.
M/R/O/P	Data Set Data Elements
M	WARD STAY IDENTIFIER
M	START DATE (HOME LEAVE)
R	START TIME (HOME LEAVE)
R	END DATE (HOME LEAVE)
R	END TIME (HOME LEAVE)

Mental Health Leave of Absence: To carry details of each separate period of Mental Health Leave of Absence under section 17 of the Mental Health Act 1983 involving an overnight stay for the patient. One occurrence of this group is permitted whenever a period of Mental Health Leave of Absence takes place.
M/R/O/P	Data Set Data Elements
M	WARD STAY IDENTIFIER
M	START DATE (MENTAL HEALTH LEAVE OF ABSENCE)
R	START TIME (MENTAL HEALTH LEAVE OF ABSENCE)
R	END DATE (MENTAL HEALTH LEAVE OF ABSENCE)
R	END TIME (MENTAL HEALTH LEAVE OF ABSENCE)
R	MENTAL HEALTH LEAVE OF ABSENCE END REASON
R	ESCORTED MENTAL HEALTH LEAVE OF ABSENCE INDICATOR

Mental Health Absence Without Leave: To carry details of each separate period of Mental Health Absence Without Leave for the patient under section 18 of the Mental Health Act 1983, as amended by the Mental Health (Patients in the Community) Act 1995. One occurrence of this group is permitted whenever a period of Mental Health Absence Without Leave takes place.
M/R/O/P	Data Set Data Elements
M	WARD STAY IDENTIFIER
M	START DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
R	START TIME (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
R	END DATE (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
R	END TIME (MENTAL HEALTH ABSENCE WITHOUT LEAVE)
R	MENTAL HEALTH ABSENCE WITHOUT LEAVE END REASON

Mental Health Trial Leave: To carry details of each separate period of Mental Health Trial Leave for the patient. One occurrence of this group is permitted whenever a period of Mental Health Trial Leave takes place.
M/R/O/P	Data Set Data Elements
M	WARD STAY IDENTIFIER
M	START DATE (MENTAL HEALTH TRIAL LEAVE)
R	START TIME (MENTAL HEALTH TRIAL LEAVE)
R	END DATE (MENTAL HEALTH TRIAL LEAVE)
R	END TIME (MENTAL HEALTH TRIAL LEAVE)

Hospital Provider Spell Commissioner: To carry details of each Commissioner Assignment Period during a Hospital Provider Spell. One occurrence of this group is permitted for each Commissioner Assignment Period.
M/R/O/P	Data Set Data Elements
M	HOSPITAL PROVIDER SPELL NUMBER
M	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)
M	START DATE (COMMISSIONER ASSIGNMENT PERIOD)
R	END DATE (COMMISSIONER ASSIGNMENT PERIOD)

Substance Misuse: To carry observation details of evidence of substance misuse by a patient within a ward stay. One occurrence of this group is permitted for each date that evidence was observed.
M/R/O/P	Data Set Data Elements
M	WARD STAY IDENTIFIER
M	OBSERVATION DATE (SUBSTANCE MISUSE EVIDENCE)

CLINICALLY CODED TERMINOLOGY

Medical History (Previous Diagnosis): To carry details of any previous diagnoses for a patient which are stated by the patient or recorded in medical notes. These do not necessarily have been diagnosed by the organisation submitting the data. One occurrence of this group is permitted for each Previous Diagnosis.
M/R/O/P	Data Set Data Elements
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	DIAGNOSIS SCHEME IN USE
M	PREVIOUS DIAGNOSIS (CODED CLINICAL ENTRY)
R	DIAGNOSIS DATE

Provisional Diagnosis: To carry details of a provisional diagnosis recorded for a patient made by the service that the patient was referred or admitted to. One occurrence of this group is permitted for each Provisional Diagnosis.
M/R/O/P	Data Set Data Elements
M	SERVICE REQUEST IDENTIFIER
M	DIAGNOSIS SCHEME IN USE
M	PROVISIONAL DIAGNOSIS (CODED CLINICAL ENTRY)
R	PROVISIONAL DIAGNOSIS DATE

Primary Diagnosis: To carry details of the primary diagnosis recorded for a patient made by the service that the patient was referred or admitted to. This can change during a reporting period. One occurrence of this group is permitted for the Primary Diagnosis.
M/R/O/P	Data Set Data Elements
M	SERVICE REQUEST IDENTIFIER
M	DIAGNOSIS SCHEME IN USE
M	PRIMARY DIAGNOSIS (CODED CLINICAL ENTRY)
R	DIAGNOSIS DATE

Secondary Diagnosis: To carry details of a secondary diagnosis recorded for a patient made by the service that the patient was referred or admitted to. One occurrence of this group is permitted for each Secondary Diagnosis.
M/R/O/P	Data Set Data Elements
M	SERVICE REQUEST IDENTIFIER
M	DIAGNOSIS SCHEME IN USE
M	SECONDARY DIAGNOSIS (CODED CLINICAL ENTRY)
R	DIAGNOSIS DATE

Coded Scored Assessment (Referral): To carry details of scored assessments that are issued and completed as part of a referral to a Mental Health Service, but do not take place at a specific contact. One occurrence of this group is permitted for each coded scored assessment question or dimension captured outside of a Care Contact.
M/R/O/P	Data Set Data Elements
M	SERVICE REQUEST IDENTIFIER
M	CODED ASSESSMENT TOOL TYPE (SNOMED CT)
M	PERSON SCORE
M	ASSESSMENT TOOL COMPLETION DATE
R	CARE PROFESSIONAL LOCAL IDENTIFIER

Coded Scored Assessment (Care Activity): To carry details of scored assessments that are issued and completed as part of a specific Care Activity. One occurrence of this group is permitted for each coded scored assessment question or dimension captured as part of a specific Care Activity.
M/R/O/P	Data Set Data Elements
M	CARE ACTIVITY IDENTIFIER
M	CODED ASSESSMENT TOOL TYPE (SNOMED CT)
M	PERSON SCORE

ANONYMOUS SELF-ASSESSMENT

Anonymous Self-Assessment: To carry details of anonymous self-assessments that are issued and completed as part of a referral to a Mental Health Service. One occurrence of this group is permitted for each coded anonymous self-assessment question or dimension captured.
M/R/O/P	Data Set Data Elements
M	ASSESSMENT TOOL COMPLETION DATE
M	CODED ASSESSMENT TOOL TYPE (SNOMED CT)
M	PERSON SCORE
R	ACTIVITY LOCATION TYPE CODE
R	ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)

CARE PROGRAMME APPROACH (CPA) CARE EPISODES

Care Programme Approach (CPA) Care Episode: To carry details of the periods of time the patient spent on Care Programme Approach. One occurrence of this group is required for each Care Programme Approach (CPA) care episode.
M/R/O/P	Data Set Data Elements
M	CARE PROGRAMME APPROACH CARE EPISODE IDENTIFIER
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	START DATE (CARE PROGRAMME APPROACH CARE)
R	END DATE (CARE PROGRAMME APPROACH CARE)

Care Programme Approach (CPA) Review: To carry details of Care Programme Approach reviews undertaken for the patient. One occurrence of this group is permitted for the most recent Care Programme Approach Review that has taken place.
M/R/O/P	Data Set Data Elements
M	CARE PROGRAMME APPROACH CARE EPISODE IDENTIFIER
M	CARE PROGRAMME APPROACH REVIEW DATE
R	CARE PROGRAMME APPROACH REVIEW ABUSE QUESTION ASKED INDICATOR
R	CARE PROFESSIONAL LOCAL IDENTIFIER

CARE CLUSTERS

Clustering Tool Assessment: To carry details of clustering tool assessments. One occurrence of this group is permitted for each Clustering Tool assessment that takes place.
M/R/O/P	Data Set Data Elements
M	CLUSTERING TOOL ASSESSMENT IDENTIFIER
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	CLUSTERING TOOL ASSESSMENT CATEGORY
M	ASSESSMENT TOOL COMPLETION DATE
R	ASSESSMENT TOOL COMPLETION TIME
R	CLUSTERING TOOL ASSESSMENT REASON
R	MENTAL HEALTH CARE CLUSTER SUPER CLASS CODE
R	ADULT MENTAL HEALTH CARE CLUSTER CODE (INITIAL)
P	LEARNING DISABILITIES CARE CLUSTER CODE (INITIAL)
P	FORENSIC LEARNING DISABILITIES CARE CLUSTER CODE (INITIAL)

Coded Scored Assessment (Clustering Tool): To carry details of scored assessments that are issued and completed as part of a Clustering Tool assessment. One occurrence of this group is permitted for each coded scored assessment question or dimension captured as part of a Clustering Tool assessment.
M/R/O/P	Data Set Data Elements
M	CLUSTERING TOOL ASSESSMENT IDENTIFIER
M	CODED ASSESSMENT TOOL TYPE (SNOMED CT)
M	PERSON SCORE

Care Cluster: To carry details of the Care Cluster resulting from a clustering tool assessment. One occurrence of this group is permitted for each period of time that a patient was allocated to a Care Cluster.
M/R/O/P	Data Set Data Elements
M	CLUSTERING TOOL ASSESSMENT IDENTIFIER
M	START DATE (CARE CLUSTER ASSIGNMENT PERIOD)
R	START TIME (CARE CLUSTER ASSIGNMENT PERIOD)
R	ADULT MENTAL HEALTH CARE CLUSTER CODE (FINAL)
R	CHILD AND ADOLESCENT MENTAL HEALTH NEEDS BASED GROUPING CODE
P	LEARNING DISABILITIES CARE CLUSTER CODE (FINAL)
R	FORENSIC MENTAL HEALTH CARE CLUSTER CODE (FINAL)
P	FORENSIC LEARNING DISABILITIES CARE CLUSTER CODE (FINAL)
R	END DATE (CARE CLUSTER ASSIGNMENT PERIOD)
R	END TIME (CARE CLUSTER ASSIGNMENT PERIOD)

Five Forensic Pathways: To carry details of the Five Forensic Pathways grouping allocated to the patient during a Five Forensic Pathways assessment. One occurrence of this group is permitted for each initial assessment or review of the grouping allocation.
M/R/O/P	Data Set Data Elements
M	LOCAL PATIENT IDENTIFIER (EXTENDED)
M	FIVE FORENSIC PATHWAYS ASSESSMENT DATE
R	FIVE FORENSIC PATHWAYS ASSESSMENT REASON
M	FIVE FORENSIC PATHWAYS CODE

CARE PROFESSIONALS

Care Professionals: To carry details of the staff involved in providing the patient's care. One occurrence of this group is permitted for each staff member.
M/R/O/P	Data Set Data Elements
M	CARE PROFESSIONAL LOCAL IDENTIFIER
R	PROFESSIONAL REGISTRATION BODY CODE
R	PROFESSIONAL REGISTRATION ENTRY IDENTIFIER
R	CARE PROFESSIONAL STAFF GROUP (MENTAL HEALTH)
R	MAIN SPECIALTY CODE (MENTAL HEALTH)
R	OCCUPATION CODE
R	CARE PROFESSIONAL (JOB ROLE CODE)

National Neonatal Data Set Overview

NATIONAL NEONATAL DATA SET - EPISODIC AND DAILY CARE

Change to Data Set: Changed Description

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

M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
R = Required: NHS business processes cannot be delivered without this data element
O = Optional: the inclusion of this data element is optional as required for local purposes

Note: items in the M/R/O column which are shown with notation P have not been approved by the Information Standards Board for Health and Social Care and are included to facilitate piloting and testing of future Neonatal Data Analysis Unitdata requirements, prior to formal inclusion in later versions of the data set. These items have been included in the data set layout in order to provide advance notice to data providers and system suppliers of the intention to require these items at a later date. ~~Unless~~ ~~Organisations~~ ~~are engaged in piloting activities relating to these items, they should NOT submit any data item marked~~ P. Unless ORGANISATIONS are engaged in piloting activities relating to these items, they should NOT submit any data item marked P.

DEMOGRAPHICS AND BIRTH INFORMATION (BABY)

One of the following Baby Demographics Data Group Structures must be used:

Baby Demographics (Standard): To carry the Baby's demographic details where anonymisation of the record is NOT required. One occurrence of this group is required.
M/R/O	Data Set Data Elements
R	NHS NUMBER (BABY)
M	NHS NUMBER STATUS INDICATOR CODE (BABY)
R	COMMUNITY HEALTH INDEX NUMBER (BABY)
R	HEALTH AND CARE NUMBER (BABY)
M	BABY LOCAL PATIENT IDENTIFIER (NATIONAL NEONATAL DATA SET)
R	DATE TIME OF BIRTH (BABY)
M	SITE CODE (OF ACTUAL PLACE OF DELIVERY) or ORGANISATION CODE (OF ACTUAL PLACE OF DELIVERY)
R	BIRTH WEIGHT
O	BIRTH LENGTH
O	BIRTH HEAD CIRCUMFERENCE
O	GESTATION LENGTH (AT DELIVERY)
O	GESTATION LENGTH (REMAINING DAYS AT DELIVERY)
R	PERSON PHENOTYPIC SEX
P	PERSON GENOTYPIC SEX (NATIONAL NEONATAL DATA SET)
O	BLOOD GROUP (BABY)
O	RHESUS GROUP (BABY)
R	BASE DEFICIT CONCENTRATION (WORST WITHIN 12 HOURS AFTER BIRTH)

Baby Demographics (Withheld): To carry the Baby's demographic details where anonymisation of the record IS required. One occurrence of this group is required.
M/R/O	Data Set Data Elements
M	NHS NUMBER STATUS INDICATOR CODE (BABY)
M	BABY LOCAL PATIENT IDENTIFIER (NATIONAL NEONATAL DATA SET)
R	YEAR AND MONTH OF BIRTH (BABY)
M	SITE CODE (OF ACTUAL PLACE OF DELIVERY) or ORGANISATION CODE (OF ACTUAL PLACE OF DELIVERY)
R	BIRTH WEIGHT
O	BIRTH LENGTH
O	BIRTH HEAD CIRCUMFERENCE
O	GESTATION LENGTH (AT DELIVERY)
O	GESTATION LENGTH (REMAINING DAYS AT DELIVERY)
R	PERSON PHENOTYPIC SEX
P	PERSON GENOTYPIC SEX (NATIONAL NEONATAL DATA SET)
O	BLOOD GROUP (BABY)
O	RHESUS GROUP (BABY)
R	BASE DEFICIT CONCENTRATION (WORST WITHIN 12 HOURS AFTER BIRTH)

PARENTS

One of the following Parent's Demographics Data Group Structures should be used:

Parents Demographics (Standard): To carry the Parent's demographic details where anonymisation of the record is NOT required. One occurrence of this group is permitted.
R	NHS NUMBER (MOTHER)
M	NHS NUMBER STATUS INDICATOR CODE (MOTHER)
R	COMMUNITY HEALTH INDEX NUMBER (MOTHER)
R	HEALTH AND CARE NUMBER (MOTHER)
R	YEAR OF BIRTH (MOTHER)
M	POSTCODE OF USUAL ADDRESS (MOTHER)
P	QUALIFICATION ATTAINMENT LEVEL MOTHER (NATIONAL NEONATAL DATA SET)
O	OCCUPATION MOTHER (SNOMED CT)
R	ETHNIC CATEGORY (MOTHER)
R	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION (MOTHER))
R	YEAR OF BIRTH (FATHER)
R	ETHNIC CATEGORY (FATHER)
R	PARENTS CONSANGUINEOUS INDICATOR

Parents Demographics (Withheld): To carry the Parent's demographic details where anonymisation of the record IS required. One occurrence of this group is permitted.
M	NHS NUMBER STATUS INDICATOR CODE (MOTHER)
R	YEAR OF BIRTH (MOTHER)
P	QUALIFICATION ATTAINMENT LEVEL MOTHER (NATIONAL NEONATAL DATA SET)
O	OCCUPATION MOTHER (SNOMED CT)
R	ETHNIC CATEGORY (MOTHER)
R	GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION (MOTHER))
R	YEAR OF BIRTH (FATHER)
R	ETHNIC CATEGORY (FATHER)
R	PARENTS CONSANGUINEOUS INDICATOR

ANTENATAL

Pregnancy Details: To carry details of the pregnancy. One occurrence of this group is required
M/R/O	Data Set Data Elements
P	MOTHER ANTENATALLY BOOKED INDICATOR
M	SITE CODE (OF INTENDED PLACE OF DELIVERY) or ORGANISATION CODE (OF INTENDED PLACE OF DELIVERY)
R	PREGNANCY TOTAL PREVIOUS PREGNANCIES
R	MATERNITY COMPLICATING MEDICAL DIAGNOSIS TYPE (NATIONAL NEONATAL DATA SET) Multiple occurrences of this item are permitted
P	MATERNITY OBSTETRIC DIAGNOSIS TYPE (CURRENT PREGNANCY) Multiple occurrences of this item are permitted
R	MATERNITY MEDICAL DIAGNOSIS TYPE (CURRENT PREGNANCY) Multiple occurrences of this item are permitted
R	BLOOD GROUP (MOTHER)
R	RHESUS GROUP (MOTHER)
O	HAEMOGLOBINOPATHY INVESTIGATION RESULT CODE FOR NATIONAL NEONATAL DATA SET (MOTHER)
R	MOTHER CURRENT SMOKER AT BOOKING INDICATOR
O	CIGARETTES PER DAY (MOTHER AT BOOKING)
R	STEROIDS GIVEN DURING PREGNANCY TO MATURE FETAL LUNGS INDICATOR
R	ANTENATAL STEROID COURSE COMPLETION STATUS
O	STEROID TYPE GIVEN TO MOTHER (SNOMED CT DM+D)
O	INVESTIGATION RESULT CODE (MOTHER RUBELLA SCREENING)
R	LAST MENSTRUAL PERIOD DATE or LAST MENSTRUAL PERIOD YEAR AND MONTH and NUMBER OF MINUTES (BIRTH TO EVENT)
M	ESTIMATED DATE OF DELIVERY (AGREED) or ESTIMATED DATE OF DELIVERY (AGREED) YEAR AND MONTH and NUMBER OF MINUTES (BIRTH TO EVENT)
R	METHOD OF ESTIMATED DATE OF DELIVERY (AGREED)

LABOUR AND DELIVERY

Labour and Delivery Details: To carry details of the labour and delivery. One occurrence of this group is required
M/R/O	Data Set Data Elements
R	LABOUR OR DELIVERY ONSET METHOD CODE (NATIONAL NEONATAL DATA SET)
O	MECONIUM PRESENT IN LIQUOR INDICATOR
O	MEDICATION GIVEN DURING LABOUR (SNOMED CT DM+D) Multiple occurrences of this item are permitted
R	RUPTURE OF MEMBRANES DATE TIME or RUPTURE OF MEMBRANES YEAR AND MONTH and NUMBER OF MINUTES (BIRTH TO EVENT)
O	SIGNIFICANT MATERNAL PYREXIA IN LABOUR INDICATOR
O	INTRAPARTUM ANTIBIOTICS GIVEN INDICATOR
R	PRESENTATION AT DELIVERY
M	MODE OF DELIVERY
P	IN LABOUR BEFORE CAESARIAN SECTION INDICATOR
P	DELIVERY INSTRUMENT TYPE Multiple occurrences of this item are permitted
R	BIRTH ORDER (MATERNITY SERVICES)
R	NUMBER OF FETUSES (NOTED DURING PREGNANCY EPISODE)
O	TIME BETWEEN DELIVERY AND SPONTANEOUS RESPIRATION CODE
R	APGAR SCORE (1 MINUTE)
R	APGAR SCORE (5 MINUTES)
R	APGAR SCORE (10 MINUTES)
R	NEONATAL RESUSCITATION METHOD (NATIONAL NEONATAL DATA SET)
O	NEONATAL RESUSCITATION DRUG (SNOMED CT DM+D) Multiple occurrences of this item are permitted
P	UMBILICAL CORD CLAMPED IMMEDIATELY AFTER BIRTH INDICATOR
P	TIME BETWEEN DELIVERY AND UMBILICAL CORD CLAMPING
P	UMBILICAL CORD MILKING PERFORMED INDICATOR
O	UMBILICAL CORD BLOOD PH LEVEL (ARTERIAL)
O	UMBILICAL CORD BLOOD PH LEVEL (VENOUS)
O	UMBILICAL CORD BLOOD PARTIAL PRESSURE CARBON DIOXIDE (ARTERIAL)
O	UMBILICAL CORD BLOOD PARTIAL PRESSURE CARBON DIOXIDE (VENOUS)
O	UMBILICAL CORD BLOOD LACTATE LEVEL
R	UMBILICAL CORD BLOOD BASE EXCESS CONCENTRATION (ARTERIAL)
R	UMBILICAL CORD BLOOD BASE EXCESS CONCENTRATION (VENOUS)
R	SURFACTANT GIVEN INDICATOR (DURING RESUSCITATION)

ADMISSION TO NEONATAL CRITICAL CARE

Admission Details: To carry details of the admission to Neonatal Critical Care. One occurrence of this group is required.
M/R/O	Data Set Data Elements
M	CRITICAL CARE START DATE AND TIME or CRITICAL CARE START YEAR AND MONTH and NUMBER OF MINUTES (BIRTH TO EVENT)
M	SITE CODE (OF ADMITTING NEONATAL UNIT) or ORGANISATION CODE (OF ADMITTING NEONATAL UNIT)
R	EPISODE NUMBER (NEONATAL CRITICAL CARE SPELL)
R	SITE CODE (ADMITTED FROM TO NEONATAL UNIT) or ORGANISATION CODE (ADMITTED FROM TO NEONATAL UNIT)
O	LOCATION IN HOSPITAL TYPE (BABY ADMITTED FROM)
R	PRIMARY CATEGORY OF CARE REQUIRED ON ADMISSION TO NEONATAL CRITICAL CARE
M	TEMPERATURE RECORDED AFTER ADMISSION TO NEONATAL CRITICAL CARE INDICATOR
M	TEMPERATURE (ON ADMISSION TO NEONATAL CRITICAL CARE)
R	OBSERVATION DATE AND TIME (TEMPERATURE) or OBSERVATION YEAR AND MONTH (TEMPERATURE) and NUMBER OF MINUTES (BIRTH TO EVENT)
R	MEAN ARTERIAL BLOOD PRESSURE (ON ADMISSION TO NEONATAL CRITICAL CARE)
R	HEART RATE (ON ADMISSION TO NEONATAL CRITICAL CARE)
O	RESPIRATORY RATE (ON ADMISSION TO NEONATAL CRITICAL CARE)
O	OXYGEN SATURATION (ON ADMISSION TO NEONATAL CRITICAL CARE)
O	BLOOD GLUCOSE CONCENTRATION (ON ADMISSION TO NEONATAL CRITICAL CARE)
R	DIAGNOSIS (ICD ON ADMISSION TO NEONATAL CRITICAL CARE) Multiple occurrences of this item are permitted and/or DIAGNOSIS (SNOMED CT ON ADMISSION TO NEONATAL CRITICAL CARE) Multiple occurrences of this item are permitted
O	PARENTAL CONSENT TO ADMINISTER VITAMIN K INDICATOR
O	VITAMIN K ADMINISTERED INDICATOR
O	VITAMIN K ROUTE OF ADMINISTRATION
O	CARE PROFESSIONAL JOB ROLE CODE (COMPLETING NEONATAL INTENSIVE CARE UNIT ADMISSION FORM)
M	PARENTS SEEN BY SENIOR STAFF MEMBER WITHIN 24 HOURS OF ADMISSION INDICATOR
M	PARENTS SEEN BY SENIOR STAFF MEMBER DATE AND TIME or PARENTS SEEN BY SENIOR STAFF MEMBER YEAR AND MONTH and NUMBER OF MINUTES (BIRTH TO EVENT)

DISCHARGE FROM NEONATAL CRITICAL CARE UNIT

Discharge Details: To carry details of the discharge from the Neonatal Intensive Care Unit. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
M	CRITICAL CARE DISCHARGE DATE AND TIME or CRITICAL CARE DISCHARGE YEAR AND MONTH and NUMBER OF MINUTES (BIRTH TO EVENT)
M	DESTINATION ON DISCHARGE FROM NEONATAL CRITICAL CARE
R	TRANSFERRED FOR FURTHER CARE TYPE (NATIONAL NEONATAL DATA SET)
O	WARD TYPE DISCHARGED TO (NATIONAL NEONATAL DATA SET)
R	SITE CODE (RECEIVING) or ORGANISATION CODE (RECEIVING)
R	PERSON DEATH DATE AND TIME (DURING NEONATAL CRITICAL CARE PERIOD) or PERSON DEATH YEAR AND MONTH (DURING NEONATAL CRITICAL CARE PERIOD) and NUMBER OF MINUTES (BIRTH TO EVENT)
R	DEATH CAUSE ICD CODE (DURING NEONATAL CRITICAL CARE PERIOD) Multiple occurrences of this item are permitted
O	POST MORTEM CARRIED OUT INDICATOR
O	PARENTAL CONSENT TO POST MORTEM INDICATOR
O	POST MORTEM CONFIRMED NECROTISING ENTEROCOLITIS DIAGNOSIS INDICATOR
O	RECEIVING OXYGEN THERAPY ON DISCHARGE INDICATOR
O	SITE CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY) or ORGANISATION CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY)
R	DIAGNOSIS (ICD RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE) Multiple occurrences of this item are permitted and/or DIAGNOSIS (SNOMED CT RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE) Multiple occurrences of this item are permitted

Procedures Recorded At Discharge: To carry details of procedures recorded at discharge. Multiple occurrences of this group are permitted.
M/R/O	Data Set Data Elements
R	PROCEDURE (OPCS RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE) and/or PROCEDURE (SNOMED CT RECORDED ON DISCHARGE FROM NEONATAL CRITICAL CARE)
R	PROCEDURE DATE AND TIME (DURING NEONATAL CRITICAL CARE PERIOD) or PROCEDURE YEAR AND MONTH (DURING NEONATAL CRITICAL CARE PERIOD) and NUMBER OF MINUTES (BIRTH TO EVENT)

CLINICAL TRIALS (EPISODIC)

Clinical Trials Details: To carry details of Clinical Trial enrolment at any time during the Neonatal Critical Care Period. Multiple occurrences of this group are permitted.
M/R/O	Data Set Data Elements
O	CLINICAL TRIAL NAME
O	CLINICAL TRIAL MEDICATION ADMINISTERED NAME Multiple occurrences of this item are permitted

INFECTION CULTURES (EPISODIC)

Infection Culture Indicators: To carry indicators relating to Infection Cultures undertaken at any time during the Neonatal Critical Care Period. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
P	INFECTION CULTURE TEST INDICATOR (BLOOD)
P	INFECTION CULTURE TEST INDICATOR (CEREBROSPINAL FLUID)
P	INFECTION CULTURE TEST INDICATOR (URINE)

Infection Cultures: To carry information relating to Infection Cultures at any time during the Neonatal Critical Care Period. Multiple occurrences of this group are permitted.
M/R/O	Data Set Data Elements
R	SAMPLE COLLECTION DATE AND TIME or SAMPLE COLLECTION YEAR AND MONTH and NUMBER OF MINUTES (BIRTH TO EVENT)
R	SAMPLE TYPE (NATIONAL NEONATAL DATA SET)
R	CLINICAL SIGN OBSERVED AT SAMPLE COLLECTION Multiple occurrences of this item are permitted
R	SAMPLE TEST RESULT ORGANISM TYPE (SNOMED CT) Multiple occurrences of this item are permitted
O	SAMPLE ANTIBIOTIC SENSITIVITY RESULT (SNOMED CT DM+D) Multiple occurrences of this item are permitted

ABDOMINAL X-RAYS (EPISODIC)

Abdominal X-Ray Indicator: To carry an indicator relating to Abdominal X-Rays undertaken at any time during the Neonatal Critical Care Period. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
P	ABDOMINAL X-RAY PERFORMED INDICATOR

Abdominal X-Rays: To carry information relating to Abdominal X-Rays at any time during the Neonatal Critical Care Period. Multiple occurrences of this group are permitted.
M/R/O	Data Set Data Elements
R	PROCEDURE DATE AND TIME (ABDOMINAL X-RAY) or PROCEDURE YEAR AND MONTH (ABDOMINAL X-RAY) and NUMBER OF MINUTES (BIRTH TO EVENT)
R	ABDOMINAL X-RAY PERFORMED TO INVESTIGATE ABDOMINAL SIGNS INDICATOR
R	CONDITION SEEN IN ABDOMEN DURING X-RAY Multiple occurrences of this item are permitted
R	ABDOMINAL X-RAY PERFORMED REASON Multiple occurrences of this item are permitted
R	TRANSFERRED FROM NEONATAL INTENSIVE CARE UNIT FOR NECROTISING ENTEROCOLITIS MANAGEMENT INDICATOR
R	LAPAROTOMY FOR NECROTISING ENTEROCOLITIS INDICATION CODE
R	VISUAL INSPECTION CONFIRMED NECROTISING ENTEROCOLITIS DURING LAPAROTOMY INDICATOR
R	HISTOLOGY CONFIRMED NECROTISING ENTEROCOLITIS FOLLOWING LAPAROTOMY INDICATOR
R	PERITONEAL DRAIN INSERTED FOLLOWING ABDOMINAL X-RAY INDICATOR

RETINOPATHY OF PREMATURITY SCREENING (EPISODIC)

Retinopathy of Prematurity Screening Indicator: To carry an indicator relating to Retinopathy of Prematurity Screening undertaken at any time during the Neonatal Critical Care Period. One occurrence of this group is required.
M/R/O	Data Set Data Elements
M	RETINOPATHY OF PREMATURITY SCREENING PERFORMED INDICATOR

Retinopathy of Prematurity Screening: To carry information relating to Retinopathy of Prematurity Screening at any time during the Neonatal Critical Care Period. Multiple occurrences of this group are permitted.
M/R/O	Data Set Data Elements
R	PROCEDURE DATE AND TIME (RETINOPATHY OF PREMATURITY SCREENING) or PROCEDURE YEAR AND MONTH (RETINOPATHY OF PREMATURITY SCREENING) and NUMBER OF MINUTES (BIRTH TO EVENT)
R	SITE CODE (OF RETINOPATHY OF PREMATURITY SCREENING) or ORGANISATION CODE (OF RETINOPATHY OF PREMATURITY SCREENING)
R	RETINOPATHY OF PREMATURITY STAGE (LEFT EYE)
R	RETINOPATHY OF PREMATURITY STAGE (RIGHT EYE)
R	RETINOPATHY OF PREMATURITY CLOCK HOURS MAXIMUM STAGE (LEFT EYE)
R	RETINOPATHY OF PREMATURITY CLOCK HOURS MAXIMUM STAGE (RIGHT EYE)
R	RETINOPATHY OF PREMATURITY MAXIMUM ZONE (LEFT EYE)
R	RETINOPATHY OF PREMATURITY MAXIMUM ZONE (RIGHT EYE)
R	RETINOPATHY OF PREMATURITY PLUS DISEASE STATUS (LEFT EYE)
R	RETINOPATHY OF PREMATURITY PLUS DISEASE STATUS (RIGHT EYE)
R	RETINOPATHY OF PREMATURITY SCREENING OUTCOME STATUS CODE

CRANIAL ULTRASOUND SCANS (EPISODIC)

Cranial Ultrasound Scan Indicator: To carry an indicator relating to Cranial Ultrasound Scans undertaken at any time during the Neonatal Critical Care Period. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
P	CRANIAL ULTRASOUND SCAN PERFORMED INDICATOR

Cranial Ultrasound Scan: To carry information relating to Cranial Ultrasound Scans at any time during the Neonatal Critical Care Period. Multiple occurrences of this group are permitted.
M/R/O	Data Set Data Elements
R	PROCEDURE DATE AND TIME (CRANIAL ULTRASOUND SCAN) or PROCEDURE YEAR AND MONTH (CRANIAL ULTRASOUND SCAN) and NUMBER OF MINUTES (BIRTH TO EVENT)
O	INTRAVENTRICULAR HAEMORRHAGE GRADE (LEFT SIDE)
O	PORENCEPHALIC CYST VISIBLE DURING CRANIAL ULTRASOUND SCAN INDICATOR (LEFT SIDE)
O	VENTRICULAR DILATION DIAGNOSED DURING CRANIAL ULTRASOUND SCAN INDICATOR (LEFT SIDE)
O	INTRAVENTRICULAR HAEMORRHAGE GRADE (RIGHT SIDE)
O	PORENCEPHALIC CYST VISIBLE DURING CRANIAL ULTRASOUND SCAN INDICATOR (RIGHT SIDE)
O	VENTRICULAR DILATION DIAGNOSED DURING CRANIAL ULTRASOUND SCAN INDICATOR (RIGHT SIDE)
O	CYSTIC PERIVENTRICULAR LEUKOMALACIA OBSERVED DURING CRANIAL ULTRASOUND SCAN INDICATOR
O	POST HAEMORRHAGIC HYDROCEPHALUS OBSERVED DURING CRANIAL ULTRASOUND SCAN INDICATOR

NEWBORN BLOOD SPOT BIOCHEMICAL SCREENING (EPISODIC)

Newborn Blood Spot Test Indicator: To carry an indicator relating to Newborn Blood Spot Tests undertaken at any time during the Neonatal Critical Care Period. One occurrence of this group is required.
M/R/O	Data Set Data Elements
M	NEWBORN BLOOD SPOT TEST PERFORMED INDICATOR

Newborn Blood Spot Screening: To carry details of Newborn Blood Spot Biochemical Screening undertaken at any time in the Neonatal Critical Care Period. Multiple occurrences of this group are permitted.
M/R/O	Data Set Data Elements
R	BLOOD SPOT CARD COMPLETION DATE or BLOOD SPOT CARD COMPLETION YEAR AND MONTH and NUMBER OF MINUTES (BIRTH TO EVENT)

NEWBORN HEARING SCREENING (EPISODIC)

Newborn Hearing Screening Indicator: To carry an indicator relating to Newborn Hearing Screening undertaken at any time during the Neonatal Critical Care Period. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
P	NEWBORN HEARING SCREENING PERFORMED INDICATOR

Newborn Hearing Screening: To carry information relating to Newborn Hearing Screening at any time during the Neonatal Critical Care Period. Multiple occurrences of this group are permitted.
M/R/O	Data Set Data Elements
R	PROCEDURE DATE AND TIME (NEWBORN HEARING SCREENING) or PROCEDURE YEAR AND MONTH (NEWBORN HEARING SCREENING) and NUMBER OF MINUTES (BIRTH TO EVENT)
O	NEWBORN HEARING SCREENING OUTCOME LEFT EAR (NATIONAL NEONATAL DATA SET)
O	NEWBORN HEARING SCREENING OUTCOME RIGHT EAR (NATIONAL NEONATAL DATA SET)
O	NEWBORN HEARING SCREENING TEST TYPE

DAILY CARE INFORMATION

Daily Care General Information: To carry General Information relating to Daily Care. Multiple occurrences of this group are permitted (at least one occurrence is required).
M/R/O	Data Set Data Elements
M	NEONATAL CRITICAL CARE DAILY CARE DATE or NEONATAL CRITICAL CARE DAILY CARE YEAR AND MONTH and NUMBER OF MINUTES (BIRTH TO EVENT)
R	PERSON WEIGHT IN GRAMS
O	HEAD CIRCUMFERENCE IN CENTIMETRES
O	PERSON LENGTH IN CENTIMETRES
R	LOCATION OF HIGHEST LEVEL OF CARE
R	PATIENT RECEIVING ONE TO ONE NURSING CARE INDICATOR
R	CARER RESIDENT INDICATION CODE (NATIONAL NEONATAL DATA SET)
R	DIAGNOSIS (ICD ON NEONATAL CRITICAL CARE DAILY CARE DATE) Multiple occurrences of this item are permitted and/or DIAGNOSIS (SNOMED CT ON NEONATAL CRITICAL CARE DAILY CARE DATE) Multiple occurrences of this item are permitted
R	PROCEDURE (OPCS ON NEONATAL CRITICAL CARE DAILY CARE DATE) Multiple occurrences of this item are permitted and/or PROCEDURE (SNOMED CT ON NEONATAL CRITICAL CARE DAILY CARE DATE) Multiple occurrences of this item are permitted
R	PERSON ACCOMPANYING TRANSPORTED PATIENT Multiple occurrences of this item are permitted

Daily Care Respiratory: To carry Respiratory information relating to Daily Care. One occurrence of this group is required.
M/R/O	Data Set Data Elements
P	RESPIRATORY SUPPORT DEVICE TYPE (NATIONAL NEONATAL DATA SET) Multiple occurrences of this item are permitted
P	RESPIRATORY SUPPORT MODE (NATIONAL NEONATAL DATA SET) Multiple occurrences of this item are permitted
R	NITRIC OXIDE GIVEN INDICATOR
R	CHEST DRAIN IN SITU INDICATOR
R	TRACHEOSTOMY TUBE IN SITU INDICATOR
R	REPLOGLE TUBE IN SITU INDICATOR
R	SURFACTANT GIVEN INDICATOR (ON NEONATAL CRITICAL CARE DAILY CARE DATE)
P	FRACTION OF INSPIRED OXYGEN PERCENTAGE

Daily Care Cardiovascular: To carry Cardiovascular information relating to Daily Care. One occurrence of this group is required.
M/R/O	Data Set Data Elements
R	CONTINUOUS INFUSION OF PULMONARY VASODILATOR RECEIVED INDICATOR
R	INOTROPE INFUSION RECEIVED INDICATOR
R	PROSTAGLANDIN INFUSION RECEIVED INDICATOR
R	TREATMENT TYPE FOR PATENT DUCTUS ARTERIOSUS Multiple occurrences of this item are permitted

Daily Care Gastrointestinal: To carry Gastrointestinal information relating to Daily Care. One occurrence of this group is required.
M/R/O	Data Set Data Elements
R	PERITONEAL DIALYSIS RECEIVED INDICATOR
R	HAEMOFILTRATION RECEIVED INDICATOR
R	TREATMENT TYPE FOR NECROTISING ENTEROCOLITIS
R	MORE THAN THREE RECTAL WASHOUTS RECEIVED INDICATOR
R	STOMA PRESENT INDICATOR

Daily Care Blood Transfusion: To carry Blood Transfusion information relating to Daily Care. Multiple occurrences of this group are permitted.
M/R/O	Data Set Data Elements
R	BLOOD TRANSFUSION TYPE
R	BLOOD TRANSFUSION PRODUCT TYPE Multiple occurrences of this item are permitted

Daily Care Neurology: To carry Neurology information relating to Daily Care. One occurrence of this group is required.
M/R/O	Data Set Data Elements
R	CENTRAL TONE STATUS
R	NEONATAL CONSCIOUSNESS STATUS
R	SEIZURE OCCURRED INDICATOR
R	NEONATAL ABSTINENCE SYNDROME OBSERVED INDICATOR
R	BRAIN ACTIVITY SCAN PERFORMED INDICATOR
R	THERAPEUTIC HYPOTHERMIA INDUCED INDICATOR
R	HYPOXIC ISCHEMIC ENCEPHALOPATHY GRADE (HIGHEST ON NEONATAL CRITICAL CARE DAILY CARE DATE)

Daily Care Retinopathy of Prematurity Screening: To carry Retinopathy of Prematurity information relating to Daily Care. One occurrence of this group is required.
M/R/O	Data Set Data Elements
R	RETINOPATHY OF PREMATURITY SCREENING PERFORMED INDICATOR

Daily Care Fluids and Feeding: To carry Fluids and Feeding information relating to Daily Care. One occurrence of this group is required.
M/R/O	Data Set Data Elements
R	VASCULAR LINE TYPE IN SITU Multiple occurrences of this item are permitted
R	PARENTERAL NUTRITION RECEIVED INDICATOR
R	INTRAVENOUS INFUSION OF GLUCOSE AND ELECTROLYTE SOLUTION RECEIVED INDICATOR
R	ENTERAL FEED TYPE GIVEN Multiple occurrences of this item are permitted
R	FORMULA MILK OR MILK FORTIFIER TYPE Multiple occurrences of this item are permitted or FORMULA MILK OR MILK FORTIFIER TYPE (SNOMED CT DM+D) Multiple occurrences of this item are permitted
R	TOTAL VOLUME OF MILK RECEIVED
O	ENTERAL FEEDING METHOD Multiple occurrences of this item are permitted

Daily Care Infections: To carry Infection information relating to Daily Care. One occurrence of this group is required.
M/R/O	Data Set Data Elements
R	SEPSIS SUSPECTED INDICATOR

Daily Care Jaundice: To carry Jaundice information relating to Daily Care. One occurrence of this group is required.
M/R/O	Data Set Data Elements
R	PHOTOTHERAPY RECEIVED INDICATOR

Daily Care Medication: To carry Medication Administered information relating to Daily Care. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	MEDICATION GIVEN DURING NEONATAL CRITICAL CARE DAILY CARE DATE (SNOMED CT DM+D) Multiple occurrences of this item are permitted

National Neonatal Data Set Overview

NATIONAL NEONATAL DATA SET - TWO YEAR NEONATAL OUTCOMES ASSESSMENT

Change to Data Set: Changed Description

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

M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present
R = Required: NHS business processes cannot be delivered without this data element
O = Optional: the inclusion of this data element is optional as required for local purposes.

TWO YEAR NEONATAL OUTCOMES ASSESSMENT

One of the following Child Demographics Data Group Structures must be used:

Child Demographics (Standard): To carry the Child's demographic details where anonymisation of the record is NOT required. One occurrence of this group is required.
M/R/O	Data Set Data Elements
R	NHS NUMBER
M	NHS NUMBER STATUS INDICATOR CODE
R	COMMUNITY HEALTH INDEX NUMBER
R	HEALTH AND CARE NUMBER
M	BABY LOCAL PATIENT IDENTIFIER (NATIONAL NEONATAL DATA SET)
R	DATE TIME OF BIRTH
M	SITE CODE (OF ACTUAL PLACE OF DELIVERY) or ORGANISATION CODE (OF ACTUAL PLACE OF DELIVERY)
O	GESTATION LENGTH (AT DELIVERY)
O	GESTATION LENGTH (REMAINING DAYS AT DELIVERY)
R	PERSON PHENOTYPIC SEX or PERSON GENOTYPIC SEX (NATIONAL NEONATAL DATA SET)

Child's Demographics (Withheld): To carry the Child's demographic details where anonymisation of the record IS required. One occurrence of this group is required.
M/R/O	Data Set Data Elements
M	NHS NUMBER STATUS INDICATOR CODE
M	BABY LOCAL PATIENT IDENTIFIER (NATIONAL NEONATAL DATA SET)
R	YEAR AND MONTH OF BIRTH
M	SITE CODE (OF ACTUAL PLACE OF DELIVERY) or ORGANISATION CODE (OF ACTUAL PLACE OF DELIVERY)
O	GESTATION LENGTH (AT DELIVERY)
O	GESTATION LENGTH (REMAINING DAYS AT DELIVERY)
R	PERSON PHENOTYPIC SEX or PERSON GENOTYPIC SEX (NATIONAL NEONATAL DATA SET)

One of the following Two Year Assessment Administration Data Group Structures must be used:

Two Year Assessment Administration (Standard): To carry administrative information relating to the Two Year Neonatal Outcomes Assessment where anonymisation of the record is NOT required. One occurrence of this group is required.
M/R/O	Data Set Data Elements
M	TWO YEAR NEONATAL OUTCOMES ASSESSMENT DATE
O	CARE PROFESSIONAL JOB ROLE CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
R	POSTCODE OF USUAL ADDRESS (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
M	SITE CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT) or ORGANISATION CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
R	TWO YEAR NEONATAL OUTCOMES ASSESSMENT NOT CARRIED OUT REASON
R	PERSON DEATH DATE (POST DISCHARGE FROM NEONATAL CRITICAL CARE)

Two Year Administration (Withheld): To carry administrative information relating to the Two Year Neonatal Outcomes Assessment where anonymisation of the record IS required. One occurrence of this group is required.
M/R/O	Data Set Data Elements
R	TWO YEAR NEONATAL OUTCOMES ASSESSMENT YEAR AND MONTH and NUMBER OF MINUTES (BIRTH TO EVENT)
O	CARE PROFESSIONAL JOB ROLE CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
R	SITE CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT) or ORGANISATION CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
R	TWO YEAR NEONATAL OUTCOMES ASSESSMENT NOT CARRIED OUT REASON
R	PERSON DEATH YEAR AND MONTH (POST DISCHARGE FROM NEONATAL CRITICAL CARE) and NUMBER OF MINUTES (BIRTH TO EVENT)

Two Year TPRG-SEND - Neuromotor: To carry information relating to TPRG-SEND Neuromotor at the Two Year Neonatal Outcomes Assessment. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION A)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION B)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION C)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION D)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION E)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION F)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION G)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROMOTOR QUESTION H)

Two Year TPRG-SEND - Malformations: To carry information relating to TPRG-SEND Malformations at the Two Year Neonatal Outcomes Assessment. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (MALFORMATIONS QUESTION A)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (MALFORMATIONS QUESTION B)

Two Year TPRG-SEND - Respiratory and Cardiovascular: To carry information relating to TPRG-SEND Respiratory and Cardiovascular System at the Two Year Neonatal Outcomes Assessment. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (RESPIRATORY AND CARDIOVASCULAR SYSTEM QUESTION A)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (RESPIRATORY AND CARDIOVASCULAR SYSTEM QUESTION B)

Two Year TPRG-SEND - Gastrointestinal Tract: To carry information relating to TPRG-SEND Gastrointestinal Tract at the Two Year Neonatal Outcomes Assessment. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (GASTRO-INTESTINAL TRACT QUESTION A)
R	SPECIAL DIET DESCRIPTION
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (GASTRO-INTESTINAL TRACT QUESTION B)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (GASTRO-INTESTINAL TRACT QUESTION C)

Two Year TPRG-SEND - Renal: To carry information relating to TPRG-SEND Renal at the Two Year Neonatal Outcomes Assessment. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (RENAL QUESTION A)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (RENAL QUESTION B)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (RENAL QUESTION C)

Two Year TPRG-SEND - Neurology: To carry information relating to TPRG-SEND Neurology at the Two Year Neonatal Outcomes Assessment. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROLOGY QUESTION A)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROLOGY QUESTION B)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROLOGY QUESTION C)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROLOGY QUESTION D)

Two Year TPRG-SEND - Growth: To carry information relating to TPRG-SEND Growth at the Two Year Neonatal Outcomes Assessment. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	PERSON WEIGHT (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
P	OBSERVATION DATE (WEIGHT) or OBSERVATION YEAR AND MONTH (WEIGHT) and NUMBER OF MINUTES (BIRTH TO EVENT)
R	PERSON HEIGHT IN CENTIMETRES (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
P	OBSERVATION DATE (HEIGHT) or OBSERVATION YEAR AND MONTH (HEIGHT) and NUMBER OF MINUTES (BIRTH TO EVENT)
R	HEAD CIRCUMFERENCE IN CENTIMETRES (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT)
P	OBSERVATION DATE (HEAD CIRCUMFERENCE) or OBSERVATION YEAR AND MONTH (HEAD CIRCUMFERENCE) and NUMBER OF MINUTES (BIRTH TO EVENT)

Two Year TPRG-SEND - Development: To carry information relating to TPRG-SEND Development at the Two Year Neonatal Outcomes Assessment. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (DEVELOPMENT ADDITIONAL QUESTION FOR NATIONAL NEONATAL DATA SET)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (DEVELOPMENT QUESTION A)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (DEVELOPMENT QUESTION B)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (DEVELOPMENT QUESTION C)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (DEVELOPMENT QUESTION D)
R	NEURODEVELOPMENTAL ASSESSMENT ALREADY TAKEN INDICATOR
R	NEURODEVELOPMENTAL ASSESSMENT TEST NAME

Two Year TPRG-SEND - Neurosensory: To carry information relating to TPRG-SEND Neurosensory at the Two Year Neonatal Outcomes Assessment. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROSENSORY QUESTION A)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROSENSORY QUESTION B)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROSENSORY QUESTION C)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROSENSORY QUESTION D)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROSENSORY QUESTION E)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (NEUROSENSORY QUESTION F)

Two Year TPRG-SEND - Communication: To carry information relating to TPRG-SEND Communication at the Two Year Neonatal Outcomes Assessment. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (COMMUNICATION QUESTION A)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (COMMUNICATION QUESTION B)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (COMMUNICATION QUESTION C)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (COMMUNICATION QUESTION D)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (COMMUNICATION QUESTION E)

Two Year TPRG-SEND - Special Questions: To carry information relating to TPRG-SEND Special Questions at the Two Year Neonatal Outcomes Assessment. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (SPECIAL QUESTIONS QUESTION A)
R	TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT SCORE (SPECIAL QUESTIONS QUESTION B)
R	CHILD DIFFICULT TO TEST REASON CODE Multiple occurrences of this item are permitted

Two Year TPRG-SEND - Neurological Diagnosis: To carry information relating to TPRG-SEND Neurological Diagnosis at the Two Year Neonatal Outcomes Assessment. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	PATIENT DIAGNOSIS INDICATOR (CEREBRAL PALSY)
R	CEREBRAL PALSY TYPE CODE (NATIONAL NEONATAL DATA SET)
R	DIAGNOSIS (ICD NEUROLOGICAL) Multiple occurrences of this item are permitted

Two Year Bayley III Assessment: To carry information relating to the Bayley III Assessment. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
P	ASSESSMENT TOOL COMPLETION DATE or ASSESSMENT TOOL COMPLETION YEAR AND MONTH and NUMBER OF MINUTES (BIRTH TO EVENT)

Two Year Bayley III - Cognitive: To carry information relating to the Bayley III Cognitive sub-scale. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	BAYLEY III COGNITIVE TOTAL RAW SCORE
R	BAYLEY III COGNITIVE SCALE SCORE
R	BAYLEY III COGNITIVE DEVELOPMENTAL AGE EQUIVALENT SCORE
R	BAYLEY III COGNITIVE COMPOSITE SCORE

Two Year Bayley III - Communication: To carry information relating to the Bayley III Communication sub-scales. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) TOTAL RAW SCORE
R	BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) SCALE SCORE
R	BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) DEVELOPMENTAL AGE EQUIVALENT SCORE
R	BAYLEY III COMMUNICATION (RECEPTIVE COMMUNICATION) COMPOSITE SCORE
R	BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) TOTAL RAW SCORE
R	BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) SCALE SCORE
R	BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) DEVELOPMENTAL AGE EQUIVALENT SCORE
R	BAYLEY III COMMUNICATION (EXPRESSIVE COMMUNICATION) COMPOSITE SCORE
R	BAYLEY III COMMUNICATION SUM TOTAL RAW SCORE
R	BAYLEY III COMMUNICATION SUM TOTAL SCALE SCORE
R	BAYLEY III COMMUNICATION SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE
R	BAYLEY III COMMUNICATION SUM TOTAL COMPOSITE SCORE

Two Year Bayley III - Neuromotor: To carry information relating to the Bayley III Neuromotor sub-scales. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	BAYLEY III NEUROMOTOR (FINE MOTOR) TOTAL RAW SCORE
R	BAYLEY III NEUROMOTOR (FINE MOTOR) SCALE SCORE
R	BAYLEY III NEUROMOTOR (FINE MOTOR) DEVELOPMENTAL AGE EQUIVALENT SCORE
R	BAYLEY III NEUROMOTOR (FINE MOTOR) COMPOSITE SCORE
R	BAYLEY III NEUROMOTOR (GROSS MOTOR) TOTAL RAW SCORE
R	BAYLEY III NEUROMOTOR (GROSS MOTOR) SCALE SCORE
R	BAYLEY III NEUROMOTOR (GROSS MOTOR) DEVELOPMENTAL AGE EQUIVALENT SCORE
R	BAYLEY III NEUROMOTOR (GROSS MOTOR) COMPOSITE SCORE
R	BAYLEY III NEUROMOTOR SUM TOTAL RAW SCORE
R	BAYLEY III NEUROMOTOR SUM TOTAL SCALE SCORE
R	BAYLEY III NEUROMOTOR SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE
R	BAYLEY III NEUROMOTOR SUM TOTAL COMPOSITE SCORE

Two Year Bayley III - Social-Emotional: To carry information relating to the Bayley III Social-Emotional sub-scale. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	BAYLEY III SOCIAL-EMOTIONAL TOTAL RAW SCORE
R	BAYLEY III SOCIAL-EMOTIONAL SCALE SCORE
R	BAYLEY III SOCIAL-EMOTIONAL DEVELOPMENTAL AGE EQUIVALENT SCORE
R	BAYLEY III SOCIAL-EMOTIONAL COMPOSITE SCORE

Two Year Bayley III - Adaptive Behaviour: To carry information relating to the Bayley III Adaptive Behaviour sub-scales. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
R	BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNICATION) TOTAL RAW SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNICATION) SCALE SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNITY USE) TOTAL RAW SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (COMMUNITY USE) SCALE SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (FUNCTIONAL PRE-ACADEMICS) TOTAL RAW SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (FUNCTIONAL PRE-ACADEMICS) SCALE SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (HOME LIVING) TOTAL RAW SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (HOME LIVING) SCALE SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (HEALTH AND SAFETY) TOTAL RAW SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (HEALTH AND SAFETY) SCALE SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (LEISURE) TOTAL RAW SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (LEISURE) SCALE SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (SELF-CARE) TOTAL RAW SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (SELF-CARE) SCALE SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (SELF-DIRECTION) TOTAL RAW SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (SELF-DIRECTION) SCALE SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (SOCIAL) TOTAL RAW SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (SOCIAL) SCALE SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (MOTOR) TOTAL RAW SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR (MOTOR) SCALE SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL RAW SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL SCALE SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL DEVELOPMENTAL AGE EQUIVALENT SCORE
R	BAYLEY III ADAPTIVE BEHAVIOUR SUM TOTAL COMPOSITE SCORE

Two Year Griffiths: To carry information relating to Griffiths Scale of Infant Development. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
P	ASSESSMENT TOOL COMPLETION DATE or ASSESSMENT TOOL COMPLETION YEAR AND MONTH and NUMBER OF MINUTES (BIRTH TO EVENT)
R	GRIFFITHS LOCOMOTOR SCALE SCORE
R	GRIFFITHS PERSONAL-SOCIAL SCALE SCORE
R	GRIFFITHS LANGUAGE SCALE SCORE
R	GRIFFITHS EYE AND HAND CO-ORDINATION SCALE SCORE
R	GRIFFITHS PERFORMANCE SCALE SCORE
R	GRIFFITHS PRACTICAL REASONING SCALE SCORE

Two Year Schedule of Growing: To carry information relating to Schedule of Growing Skills. One occurrence of this group is permitted.
M/R/O	Data Set Data Elements
P	ASSESSMENT TOOL COMPLETION DATE or ASSESSMENT TOOL COMPLETION YEAR AND MONTH and NUMBER OF MINUTES (BIRTH TO EVENT)
R	SCHEDULE OF GROWING SKILLS (PASSIVE POSTURE) SCALE SCORE
R	SCHEDULE OF GROWING SKILLS (ACTIVE POSTURE) SCALE SCORE
R	SCHEDULE OF GROWING SKILLS (LOCOMOTOR) SCALE SCORE
R	SCHEDULE OF GROWING SKILLS (MANIPULATIVE) SCALE SCORE
R	SCHEDULE OF GROWING SKILLS (VISUAL) SCALE SCORE
R	SCHEDULE OF GROWING SKILLS (HEARING AND LANGUAGE) SCALE SCORE
R	SCHEDULE OF GROWING SKILLS (SPEECH AND LANGUAGE) SCALE SCORE
R	SCHEDULE OF GROWING SKILLS (INTERACTIVE SOCIAL) SCALE SCORE
R	SCHEDULE OF GROWING SKILLS (SELF-CARE SOCIAL) SCALE SCORE

ABBREVIATED MENTAL TEST SCORE

Change to Supporting Information: Changed Description

~~The~~ ~~Abbreviated Mental Test Score~~ (~~AMTS) is an~~ ~~ASSESSMENT TOOL~~.The Abbreviated Mental Test Score is an ASSESSMENT TOOL.

~~The~~ ~~Abbreviated Mental Test Score~~ ~~is used to quickly assess elderly patients for the possibility of dementia.~~The Abbreviated Mental Test Score (AMTS) is used to quickly assess elderly patients for the possibility of dementia.

For further information on the Abbreviated Mental Test Score, see Abbreviated Mental Test Score.

ACTIVITY DATE FOR AGE (CONTRACT MONITORING)

Change to Supporting Information: Changed Description

An Activity Date for Age (Contract Monitoring) is an ACTIVITY DATE TIME.

An Activity Date for Age (Contract Monitoring) is the ACTIVITY DATE used to calculate the age of the PATIENT, for the Contract Monitoring Data Sets.

An Activity Date for Age (Contract Monitoring) is specified according to the specific data set as follows:

DATA SET	ACTIVITY DATE
Patient Level Contract Monitoring
Admitted Patient Care	END DATE (EPISODE)
Out-Patient Appointment	APPOINTMENT DATE
Emergency Care Attendance	EMERGENCY CARE ARRIVAL DATE / EMERGENCY CARE ARRIVAL TIME
Devices Patient Level Contract Monitoring Data Set	CLINICAL INTERVENTION DATE (MEDICAL DEVICE IMPLEMENTATION)
Drugs Patient Level Contract Monitoring Data Set	CLINICAL INTERVENTION DATE (DRUG ADMINISTERED)

ACTIVITY END DATE (CONTRACT MONITORING)

Change to Supporting Information: Changed Description

An Activity End Date (Contract Monitoring) is an ACTIVITY DATE TIME.

An Activity End Date (Contract Monitoring) is the date on which a commissioned ACTIVITY is deemed to have ended, for the purposes of Contract Monitoring.

The Activity End Date (Contract Monitoring) for:

Admitted patient care:
- Finished Consultant Episodes (FCEs) is END DATE (EPISODE)
- Hospital Provider Spells is the DISCHARGE DATE (HOSPITAL PROVIDER SPELL)
Out-Patient Appointments (non-admitted care and diagnostic tests) is the APPOINTMENT DATE
Packages of Care is the END DATE of the ACTIVITY within the Package of Care
Emergency Care Attendances is the EMERGENCY CARE DEPARTURE DATE
Critical care is the END DATE of that particular level of critical care.

ACTIVITY START DATE (CONTRACT MONITORING)

Change to Supporting Information: Changed Description

An Activity Start Date (Contract Monitoring) is an ACTIVITY DATE TIME.

An Activity Start Date (Contract Monitoring) is the date on which a commissioned ACTIVITY is deemed to have occurred, for the purposes of Contract Monitoring.

The Activity Start Date (Contract Monitoring) for:

Admitted patient care:
- Finished Consultant Episodes (FCEs) is START DATE (EPISODE)
- Hospital Provider Spells is START DATE (HOSPITAL PROVIDER SPELL)
Out-Patient Appointments (non-admitted care and diagnostic tests) is the APPOINTMENT DATE
Packages of Care is the date of the ACTIVITY within the Package of Care
Emergency Care Attendances is the EMERGENCY CARE ARRIVAL DATE
Critical care is the START DATE of that particular level of critical care.

ADULT COMORBIDITY EVALUATION - 27

Change to Supporting Information: Changed Description

~~The~~ ~~Adult Comorbidity Evaluation - 27~~ (~~ACE-27) is an~~ ~~ASSESSMENT TOOL~~.The Adult Comorbidity Evaluation - 27 is an ASSESSMENT TOOL.

~~The~~ ~~Adult Comorbidity Evaluation - 27~~ ~~is a 27-item comorbidity index for~~ ~~PATIENTS~~ ~~with cancer.~~The Adult Comorbidity Evaluation - 27 (ACE-27) is a 27-item comorbidity index for PATIENTS with cancer. It Identifies the important medical comorbidities and grade severity using the index.

For further information on the Adult Comorbidity Evaluation - 27, see Adult Comorbidity Evaluation-27.

ADULT IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES PROGRAMME

Change to Supporting Information: Changed Description

~~The~~ ~~Adult Improving Access to Psychological Therapies Programme~~ ~~is part of an~~ ~~Organisation~~.The Adult Improving Access to Psychological Therapies Programme is an ORGANISATION.

The Adult Improving Access to Psychological Therapies Programme supports the frontline NHS in implementing National Institute for Health and Care Excellence (NICE) guidelines for people suffering from depression and anxiety disorders.

For further information on the Adult Improving Access to Psychological Therapies Programme, see the NHS England website at: Adult Improving Access to Psychological Therapies programme.

AGGREGATE CONTRACT MONITORING DATA SET OVERVIEW

Change to Supporting Information: Changed Description

The Aggregate Contract Monitoring Data Set is to enable the interchange, in a uniform and consistent format, of monthly aggregate Contract Monitoring data between all purchasers and Health Care Providers. ~~This will ensure that~~ ~~Contract Monitoring~~ ~~and reporting is consistent, comparable and fit for purpose across all commissioning~~ ~~Organisations~~. This will ensure that Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.

Submission of the Aggregate Contract Monitoring Data Set is a contractual requirement and a recognised monthly reconciliation statement. It demonstrates the aggregated cost of commissioned clinical care provided to PATIENTS as well as financial adjustments not attributed directly to clinical care. The totality of expenditure documented in the Aggregate Contract Monitoring Data Set must be equivalent to the monetary value of the invoice raised by the Health Care Provider and presented to the commissioner.

Scope

The scope of the Aggregate Contract Monitoring Data Set is all NHS-funded clinical care provided (including drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) provided to PATIENTS as well as financial adjustments not attributed directly to clinical care, for all commissioners. This covers:

All NHS and Independent Sector Healthcare Providers, secondary Health Care Providers, (acute, mental health and community services), but not primary care, from whom the NHS commissions healthcare.
All NHS commissioners (Clinical Commissioning Groups or their equivalents and NHS England)

The Aggregate Contract Monitoring Data Set is an aggregation of the three separate patient-level Contract Monitoring data set flows:

Submission

The Aggregate Contract Monitoring Data Set is submitted on a monthly basis to the respective Data Services for Commissioners Regional Office (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.

The completed monthly Aggregate Contract Monitoring Data Set should be transmitted using the NHS Digital Data Landing Portal (DLP).

For further information on the Aggregate Contract Monitoring Data Set, see the NHS England website at: Specialised Services Reporting Requirements.

ALLRED SCORE

Change to Supporting Information: Changed Description

~~The~~ ~~Allred Score~~ ~~is a~~ ~~PERSON SCORE~~.The Allred Score is a PERSON SCORE.

The Allred Score is used for PATIENTS with breast cancer during a Cancer Care Spell.

There are two types of Allred Score:

Estrogen Receptor (ER)
Progesterone Receptor (PR).

AMBULANCE SERVICE

Change to Supporting Information: Changed Description

An Ambulance Service is a SERVICE.

An ~~Ambulance Service~~ ~~is a~~ ~~SERVICE~~ ~~provided by an~~ ~~Organisation~~ ~~for the provision of~~ ~~PATIENT~~ ~~transport services.~~An Ambulance Service is a SERVICE provided by an ORGANISATION for the provision of PATIENT transport services.

AMERICAN JOINT COMMITTEE ON CANCER

Change to Supporting Information: Changed Description

~~The~~ ~~American Joint Committee on Cancer~~ (~~AJCC) is an~~ ~~Organisation~~.The American Joint Committee on Cancer is an ORGANISATION.

~~The~~ ~~American Joint Committee on Cancer~~ ~~defines and publishes~~ ~~CANCER STAGING~~ ~~systems, such as the~~ ~~TNM Staging System~~.The American Joint Committee on Cancer (AJCC) defines and publishes CANCER STAGING systems, such as the TNM Staging System.

For further information on the American Joint Committee on Cancer, see the American Joint Committee on Cancer website.

AMERICAN SOCIETY OF ANESTHESIOLOGISTS

Change to Supporting Information: Changed Description

~~The~~ ~~American Society of Anesthesiologists~~ (~~ASA) is an~~ ~~Organisation~~.The American Society of Anesthesiologists is an ORGANISATION.

~~The~~ ~~American Society of Anesthesiologists~~ ~~is an educational, research and scientific association of physicians organised to raise and maintain the standards of the medical practice of anesthesiology and improve the care of the~~ ~~PATIENT~~.The American Society of Anesthesiologists (ASA) is an educational, research and scientific association of physicians organised to raise and maintain the standards of the medical practice of anesthesiology and improve the care of the PATIENT.

For further information on the American Society of Anesthesiologists, see the American Society of Anesthesiologists website at: About ASA.

ANTENATAL

Change to Supporting Information: Changed Description

Antenatal is an ACTIVITY GROUP.

Antenatal is the period of time from conception to before birth.

ANTIRETROVIRAL THERAPY

Change to Supporting Information: Changed Description

~~Antiretroviral Therapy~~ (~~ART) is a~~ ~~CLINICAL INTERVENTION~~.Antiretroviral Therapy is a CLINICAL INTERVENTION.

~~Antiretroviral Therapy~~ ~~is the treatment of people infected with human immunodeficiency virus (HIV) using antiretroviral drugs.~~Antiretroviral Therapy (ART) is the treatment of people infected with human immunodeficiency virus (HIV) using antiretroviral drugs.

For further information on Antiretroviral Therapy, see the World Health Organisation website at: Antiretroviral Therapy.

APPOINTMENT REQUEST

Change to Supporting Information: Changed Description

An Appointment Request is a type of SERVICE REQUEST for an APPOINTMENT.

Each originating request may result in one or more APPOINTMENT OFFERS.

The originating request may be from:

a PATIENT self-referral REFERRAL REQUEST
a ~~REFERRAL REQUEST~~ ~~from one~~ ~~Organisation~~ or ~~CARE PROFESSIONAL~~ ~~to another~~ ~~Organisation~~ or ~~CARE PROFESSIONAL~~
a REFERRAL REQUEST from one ORGANISATION or CARE PROFESSIONAL to another ORGANISATION or CARE PROFESSIONAL
follow up to a previous APPOINTMENT at which attendance or contact has taken place related to the same REFERRAL REQUEST
an APPOINTMENT at which attendance did not take place for whatever reason, requiring a new APPOINTMENT to be made
an invitation for an APPOINTMENT as part of a HEALTH PROGRAMME
an ACTIVITY which requires an APPOINTMENT to be made for further care or treatment.

~~Each~~ ~~Appointment Request~~ ~~should be reviewed by the receiving~~ ~~CARE PROFESSIONAL~~, ~~Organisation~~ or ~~SERVICE~~ ~~to decide whether an offer of an~~ ~~APPOINTMENT~~ ~~should be made.~~Each Appointment Request should be reviewed by the receiving CARE PROFESSIONAL, ORGANISATION or SERVICE to decide whether an offer of an APPOINTMENT should be made.

It is on this date it is considered that the PATIENT has been added to the Out-Patient Waiting List for the APPOINTMENT with the expectation that it will take place.

When it is decided that an offer of an APPOINTMENT should be made then one or more APPOINTMENT OFFER should be offered each of which will record a separate and different APPOINTMENT DATE OFFERED and APPOINTMENT TIME OFFERED to the PATIENT.

The APPOINTMENT DATE OFFERED and APPOINTMENT TIME OFFERED of the APPOINTMENT OFFER equate to the allocated APPOINTMENT SLOT.

When more than one date is offered for the same Appointment Request, the PATIENT can choose which date and time to accept. APPOINTMENT ACCEPTED DATE records the date that the offer is accepted. When multiple dates are offered, the PATIENT should only be allowed to select one of them.

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

APPRAISAL REVIEW

Change to Supporting Information: Changed Description

An Appraisal Review is a review of an EMPLOYEE PLAN.

An ~~Appraisal Review~~ ~~or performance review of personal development of an~~ ~~EMPLOYEE~~ ~~as agreed with their employing~~ ~~Organisation~~. ~~This will normally be based upon the setting of, or review of an~~ ~~EMPLOYEE PLAN~~.An Appraisal Review or performance review of personal development of an EMPLOYEE as agreed with their employing ORGANISATION. This will normally be based upon the setting of, or review of an EMPLOYEE PLAN.

An EMPLOYEE may have one or more written EMPLOYEE PLAN each of which should be reviewed at least annually, but may be reviewed more frequently. Each review should be recorded by an Appraisal Review.

APPROVED MENTAL HEALTH PROFESSIONAL

Change to Supporting Information: Changed Description

An Approved Mental Health Professional is a CARE PROFESSIONAL.

An Approved Mental Health Professional is a CARE PROFESSIONAL approved by Local Social Services Authorities as trained to deal with PERSONS suffering from a mental disorder.

The Approved Mental Health Professional is responsible for co-ordinating the preliminary examination process and for providing a non-medical view when considering, with her/his colleagues, whether a PATIENT meets the conditions for treatment under the Mental Health Act 1983 as amended by the Mental Health Act 2007. Other duties include: registering PATIENTS, taking PATIENTS to hospital and taking PATIENTS who abscond or who are Absent Without Leave into custody.

ASSOCIATION OF EARLY PREGNANCY UNITS

Change to Supporting Information: Changed Description

~~The~~ ~~Association of Early Pregnancy Units~~ (~~AEPU) is an~~ ~~Organisation~~.The Association of Early Pregnancy Units is an ORGANISATION.

~~The aim of the~~ ~~Association of Early Pregnancy Units~~ ~~is to provide support and resources to help~~ ~~PATIENT~~ ~~choice and maintain standards in~~ ~~Early Pregnancy Units~~.The aim of the Association of Early Pregnancy Units (AEPU) is to provide support and resources to help PATIENT choice and maintain standards in Early Pregnancy Units.

For further information on the Association of Early Pregnancy Units, see the Association of Early Pregnancy Units website at: Early Pregnancy Information Centre.

BACKGROUND

Change to Supporting Information: Changed Description

~~The NHS Data Model and Dictionary provides a reference point for approved~~ ~~Information Standards and Collections (including Extractions)~~ ~~within the NHS in England and is maintained by the~~ ~~NHS Data Model and Dictionary Service~~.

~~It contains~~ ~~Data Collections~~ ~~and associated definitions which have been approved by the~~ ~~Information Standards Board for Health and Social Care~~, ~~Standardisation Committee for Care Information~~ or ~~Data Coordination Board. The information will be of interest to professionals and~~ ~~Organisations~~ ~~that work within Health and Social Care, along with suppliers of electronic systems and services.~~

~~Note: The NHS Data Model and Dictionary does not contain all national data collections.~~

~~What would you like to do next?~~

~~NHS Data Model and Dictionary Content~~

~~Access the NHS Data Model and Dictionary~~ ~~Main Menu~~.

~~Help Pages~~

~~If you need help using the NHS Data Model and Dictionary, access the~~ ~~Help~~ ~~pages.~~

The NHS Data Model and Dictionary provides a reference point for approved Information Standards and Collections (including Extractions) within the NHS in England and is maintained by the NHS Data Model and Dictionary Service.

It contains Data Collections and associated definitions which have been approved by the Information Standards Board for Health and Social Care, Standardisation Committee for Care Information or Data Coordination Board. The information will be of interest to professionals and ORGANISATIONS that work within Health and Social Care, along with suppliers of electronic systems and services.

Note: The NHS Data Model and Dictionary does not contain all national data collections.

What would you like to do next?

NHS Data Model and Dictionary Content

Access the NHS Data Model and Dictionary Main Menu.

Help Pages

If you need help using the NHS Data Model and Dictionary, access the Help pages.

BODY MASS INDEX

Change to Supporting Information: Changed Description

~~Body Mass Index~~ (~~BMI) is a~~ ~~CLINICAL INVESTIGATION RESULT ITEM~~.Body Mass Index is a CLINICAL INVESTIGATION RESULT ITEM.

~~Body Mass Index~~ ~~is a measure of body fat based on~~ ~~Height~~ ~~and~~ ~~Weight~~.Body Mass Index (BMI) is a measure of body fat based on Height and Weight.

For further information on Body Mass Index, see the NHS website at: Healthy weight.

BREAST SCREENING UNIT

Change to Supporting Information: Changed Description

A ~~Breast Screening Unit~~ ~~is an~~ ~~Organisation~~ ~~in England.~~A Breast Screening Unit is an ORGANISATION in England.

Breast Screening Units are responsible for the delivery of NHS Breast Screening Programmes locally to a defined population.

For further details, see the NHS website at: Find Breast screening services.

BRITISH ASSOCIATION FOR PAEDIATRIC NEPHROLOGY

Change to Supporting Information: Changed Description

~~The~~ ~~British Association for Paediatric Nephrology~~ ~~is an~~ ~~Organisation~~.The British Association for Paediatric Nephrology is an ORGANISATION.

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

For further information on the British Association for Paediatric Nephrology see the British Association for Paediatric Nephrology website at: Welcome to the British Association for Paediatric Nephrology.

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

BRITISH HIV ASSOCIATION

Change to Supporting Information: Changed Description

~~The~~ ~~British HIV Association~~ (~~BHIVA) is an~~ ~~Organisation~~.The British HIV Association is an ORGANISATION.

~~The~~ ~~British HIV Association~~:The British HIV Association (BHIVA):

is the leading UK association representing professionals in Human Immunodeficiency Virus (HIV) care
is committed to providing excellent care for people living with and affected by HIV
is a national advisory body on all aspects of HIV care
provides a national platform for HIV care issues.

For further information on the British HIV Association, see the British HIV Association website at: About BHIVA.

BRITISH PSYCHOLOGICAL SOCIETY

Change to Supporting Information: Changed Description

~~The~~ ~~British Psychological Society~~ ~~is an~~ ~~Organisation~~.The British Psychological Society is an ORGANISATION.

The British Psychological Society is the learned society and professional representative body for Psychologists in the United Kingdom. It is a registered charity in the United Kingdom and is charged with overseeing psychology and psychologists. It has responsibility for the development, promotion and application of pure and applied psychology for the public good.

The British Psychological Society recognises the following as the main types of psychologists:

For further information on the British Psychological Society, see the British Psychological Society website at: The British Psychological Society.

Note: Eight of the above areas of psychology are also regulated by the Health and Care Professions Council. It is necessary to be registered with the Health and Care Professions Council to practise in the UK under any of these titles: Clinical Psychologist, Counselling Psychologist, Educational Psychologist, Forensic Psychologist, Health Psychologist, Occupational Psychologist, Sport and Exercise Psychologist and Practitioner Psychologist.

BRITISH TRANSPLANTATION SOCIETY

Change to Supporting Information: Changed Description

~~The~~ ~~British Transplantation Society~~ ~~is an~~ ~~Organisation~~.The British Transplantation Society is an ORGANISATION.

The British Transplantation Society is the national professional voice of transplantation, representing all the disciplines of the transplantation community and developing scientific, clinical and ethical practice for the benefit of PATIENTS.

The society advances the study of the biological and clinical problems of TISSUE and organ transplantation and to facilitate contact between PERSONS interested in transplantation.

For further information on the British Transplantation Society, see the British Transplantation Society website at: About the BTS.

CANCER END OF TREATMENT SUMMARY PLAN

Change to Supporting Information: Changed Description

An ~~Cancer End of Treatment Summary Plan~~ (~~EOTS) is a~~ ~~CARE PLAN~~.A Cancer End of Treatment Summary Plan is a CARE PLAN.

An ~~Cancer End of Treatment Summary Plan~~ ~~is a document produced by secondary cancer~~ ~~CARE PROFESSIONALS~~ ~~at the end of treatment and sent to the~~ ~~PATIENT~~’s ~~GENERAL PRACTITIONER~~.A Cancer End of Treatment Summary Plan (EOTS) is a document produced by secondary cancer CARE PROFESSIONALS at the end of treatment and sent to the PATIENT’s GENERAL PRACTITIONER.

An ~~Cancer End of Treatment Summary Plan~~ ~~provides important information for~~ ~~GENERAL PRACTITIONERS, including possible treatment toxicities, information about side effects and/or consequences of treatment, signs and symptoms of a~~ ~~Cancer Recurrence~~ ~~and any actions for the~~ ~~GENERAL PRACTITIONER~~.A Cancer End of Treatment Summary Plan provides important information for GENERAL PRACTITIONERS, including possible treatment toxicities, information about side effects and/or consequences of treatment, signs and symptoms of a Cancer Recurrence and any actions for the GENERAL PRACTITIONER.

For further information on Cancer End of Treatment Summary Plans, see the National Institute for Health and Care Excellence website at: Quality statement 4: End-of-treatment summary plan.

CANCER OUTCOMES AND SERVICES DATA SET OVERVIEW

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The Cancer Outcomes and Services Data Set is a compiled data set which provides the standard for secondary uses information required to support national cancer registration and associated analysis (at local, regional, national and international level), as well as other national cancer audit programmes

The standard and XML Schema consists of:

a set of individual data items, with their definitions
the assemblage of data items into discrete data sets
the means of flowing the data items
compilation of the data items into a reconciled and verified data set.

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

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

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

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

Submission Information:

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

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

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

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

Pathology:

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

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

From April 2020, the pathology data can only be collected and submitted using the separate Pathology Data Set and Pathology XML Schema. Pathology data items have been removed from the main Cancer Outcomes and Services Data Set.

This allows the Cancer Service teams to concentrate on collecting and reporting all the other clinical data required for the Cancer Outcomes and Services Data Set and the Pathologists to collect and report the pathology items. This will reduce the burden of data collection for the Cancer Service teams and allow for more accurate pathology reporting to be submitted to the National Cancer Registration and Analysis Service.

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

Further Guidance:

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

CARDIOPULMONARY EXERCISE TEST

Change to Supporting Information: Changed Description

A ~~Cardiopulmonary Exercise Test~~ (~~CPET) is a~~ ~~Clinical Investigation~~.A Cardiopulmonary Exercise Test is a Clinical Investigation.

A ~~Cardiopulmonary Exercise Test~~ ~~is a non-invasive method used to assess the performance of the heart and lungs at rest and during exercise.~~A Cardiopulmonary Exercise Test (CPET) is a non-invasive method used to assess the performance of the heart and lungs at rest and during exercise.

A Cardiopulmonary Exercise Test is for:

Incremental Shuttle Walk Test (ISWT) or
Oxygen Consumption (VO2).

CARE HOME

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A ~~Care Home~~ ~~is an~~ ~~Organisation Site~~.A Care Home is an ORGANISATION SITE.

A Care Home is a place where personal care and accommodation are provided together.

People may live in a Care Home for short or long periods. For many people, it is their sole place of residence and so it becomes their home, although they do not legally own or rent it. Both the care that people receive and the premises are regulated by the Care Quality Commission.

There are two types of Care Homes:

For further information on Care Homes, see the Care Quality Commission website at: Care Homes.

Any establishment in which treatment or nursing (or both) are provided for PERSONS liable to be detained under the Mental Health Act 1983 cannot be a Care Home and is either a NHS hospital or must be registered as an independent hospital.

CARE HOME STAY (MIDWIFE CARE)

Change to Supporting Information: Changed Description

A Care Home Stay (Midwife Care) is an ACTIVITY GROUP.

A Care Home Stay (Midwife Care) is a period of time that a PATIENT stays in one Care Home with care provided during one or more Midwife Episodes.

~~Information recorded for a~~ ~~Care Home Stay (Midwife Care)~~ ~~includes:~~

~~ADMINISTRATIVE CATEGORY CODE~~
~~DISCHARGE DESTINATION~~ O
~~SOURCE OF ADMISSION~~

CARE HOME STAY (NURSING CARE)

Change to Supporting Information: Changed Description

A Care Home Stay (Nursing Care) is an ACTIVITY GROUP.

A Care Home Stay (Nursing Care) is a period of time that a PATIENT stays in one Care Home with care provided, during that time, during one or more Nursing Episodes.

~~Information recorded for a~~ ~~Care Home Stay (Nursing Care)~~ ~~includes:~~

~~ADMINISTRATIVE CATEGORY CODE~~
~~DISCHARGE DESTINATION~~ O
~~SOURCE OF ADMISSION~~

CARE HOME WITH NURSING

Change to Supporting Information: Changed Description

A ~~Care Home With Nursing~~ ~~is an~~ ~~Organisation Site~~.A Care Home With Nursing is an ORGANISATION SITE

A Care Home With Nursing is a Care Home where, in addition to personal care and accommodation, is a place where qualified nursing care is provided, to ensure that the full needs of the PERSON are met.

Examples of Care Homes With Nursing include:

Nursing home
Convalescent home with nursing
Respite care with nursing
Mental health crisis house with nursing.

Note: the Care Quality Commission definition of nursing care is:

"Nursing care means any SERVICE provided by a NURSE and involves:
The provision of care, or
The planning, supervision or delegation of the provision of care, other than any SERVICES which, by their nature and the circumstances in which they are provided, do not need to be provided by a NURSE."

For further information on Care Homes, see the Care Quality Commission website at: Care homes.

CARE HOME WITHOUT NURSING

Change to Supporting Information: Changed Description

A ~~Care Home Without Nursing~~ ~~is an~~ ~~Organisation Site~~.A Care Home Without Nursing is an ORGANISATION SITE.

A Care Home Without Nursing is a Care Home.

Examples of Care Homes Without Nursing include:

Residential home
Rest home
Convalescent home
Respite care
Mental health crisis house
Therapeutic communities.

For further information on Care Homes, see the Care Quality Commission website at: Care homes.

CARE PERSONNEL

Change to Supporting Information: Changed Description

~~Care Personnel~~ ~~are~~ ~~PEOPLE~~.A Care Personnel is a PERSON.

A ~~Care Personnel~~ ~~is a~~ ~~PERSON~~ ~~employed by or on behalf of a healthcare~~ ~~Organisation, for example,~~ ~~CARE PROFESSIONAL, Health Care Assistant, porter, cleaner etc.~~A Care Personnel is a PERSON employed by or on behalf of a healthcare ORGANISATION, for example, CARE PROFESSIONAL, Health Care Assistant, porter, cleaner etc.

CARE QUALITY COMMISSION

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~~The~~ ~~Care Quality Commission~~ ~~is an~~ ~~Organisation~~.The Care Quality Commission is an ORGANISATION.

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

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

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

The Care Quality Commission’s main activities are:

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

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

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

CARE TRUST

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A ~~Care Trust~~ ~~is an~~ ~~Organisation~~ ~~in England and Wales.~~A Care Trust is an ORGANISATION in England and Wales.

Care Trusts were introduced in 2002 to provide better-integrated health and social care.

Care Trusts are set up when the NHS and Local Authorities formally agree to work closely together, usually where it is felt that a closer relationship between health and social care is needed or would benefit local care services.

Care Trusts may carry out a range of SERVICES, including social care, mental health services or community services.

For further information on Care Trusts, see the legislation.gov.uk website.

CDS TYPE

Change to Supporting Information: Changed Description

~~CDS Type~~ ~~is a code to identify the specific type of Commissioning Data Set (CDS).~~A CDS Type forms part of an ELECTRONIC HEALTH RECORD EXTRACT.

A CDS Type is a code to identify the specific type of Commissioning Data Set (CDS).

The CDS Types are:

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

CDS V6-2 TYPE 060 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (ADD) CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 060 - Elective Admission List - Event During Period (Add) Commissioning Data Set is used to make an initial report that an ELECTIVE ADMISSION LIST ENTRY has been added to the Health Care Provider's ELECTIVE ADMISSION LIST.

It covers ELECTIVE ADMISSION LIST ENTRIES under the care of a CONSULTANT, MIDWIFE or NURSE, where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists.

ACTIVITY taking place under the care of Allied Health Professionals, other Biomedical Scientists and Clinical Scientists may also be carried (where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists) if required although this is not a Commissioning Data Set Mandated Data Flow.

~~Elective Admission List Event During Period~~ ~~CDS Types~~ ~~are intended for those~~ ~~Organisations~~ ~~who have the capability to implement transaction-based processing, and are transmitted using Net Change~~ ~~Commissioning Data Set Submission Protocol~~.Elective Admission List Event During Period CDS Types are intended for those ORGANISATIONS who have the capability to implement transaction-based processing, and are transmitted using Net Change Commissioning Data Set Submission Protocol. They should be supplemented where required by an annual (or other agreed time-cycle) submission of the CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set.

Where the Care Activity data relates to a Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement, the CDS DATA GROUP : PATIENT PATHWAY data elements must be completed where appropriate.

Note: for Elective Admission List Event During Period CDS Types, the CDS UNIQUE IDENTIFIER, as held in the Commissioning Data Set Transaction Header Group, must be completed in order to provide the ELECTIVE ADMISSION LIST identity.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 060 - Elective Admission List - Event During Period (Add) Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

Notation		DATA GROUP OVERVIEW: CDS V6-2 TYPE 060 - ELECTIVE ADMISSION LIST EVENT DURING PERIOD (ADD) COMMISSIONING DATA SET
Group Status	Group Repeats	FUNCTION: To be used to make an initial report that the Elective Admission List Entry has been added to the Provider's Elective Admission List.

1..1

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

1..*

DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.

1..1

DATA GROUP: CDS TRANSACTION HEADER GROUP
Dependent upon the Commissioning Data Set Submission Protocol being used, one of the following must be used per Commissioning Data Set Message submitted to the Secondary Uses Service:
CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
Or
CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

0..1

DATA GROUP: PATIENT PATHWAY

M	1..1	DATA GROUP: PERSON GROUP (PATIENT)
		M	1..1	DATA GROUP: PATIENT IDENTITY
		R	0..1	DATA GROUP: EAL PATIENT CHARACTERISTICS

1..1

DATA GROUP: EAL SERVICE AGREEMENT DETAILS

M	1..1	DATA GROUP: EAL ENTRY
		M	1..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		R	0..1	DATA GROUP: PERSON GROUP (CONSULTANT)
		R	0..1	DATA GROUP: INTENDED PROCEDURES (OPCS)
		O	0..1	DATA GROUP: INTENDED PROCEDURES (READ)
		O	0..1	DATA GROUP: INTENDED PROCEDURES - LOCATION GROUP

0..1

DATA GROUP: GP REGISTRATION

0..1

DATA GROUP: REFERRER

0..1

DATA GROUP: REFERRAL

0..1

DATA GROUP: OFFER OF ADMISSION

0..1

DATA GROUP: ORIGINAL EAL ENTRY

1..*

DATA GROUP: CDS V6-2 Type 004 - Commissioning Data Set Message Trailer
One per Commissioning Data Set Message submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

1..1

DATA GROUP: CDS V6-2 Type 002 - Commissioning Data Set Interchange Trailer
One per Interchange submitted to the Secondary Uses Service.
Multiple Commissioning Data Set Messages may be submitted in a single Commissioning Data Set Interchange.

CDS V6-2 TYPE 070 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (REMOVE) CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 070 - Elective Admission List - Event During Period (Remove) Commissioning Data Set is used to report that the ELECTIVE ADMISSION LIST ENTRY has been removed from the Health Care Provider's ELECTIVE ADMISSION LIST.

It covers ELECTIVE ADMISSION LIST ENTRIES under the care of a CONSULTANT, MIDWIFE or NURSE, where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 070 - Elective Admission List - Event During Period (Remove) Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

Notation		DATA GROUP OVERVIEW: CDS V6-2 TYPE 070 - ELECTIVE ADMISSION LIST EVENT DURING PERIOD (REMOVE) COMMISSIONING DATA SET
Group Status	Group Repeats	FUNCTION: To be used to report that the EAL entry has been removed from the Provider's Elective Admission List.

1..1

1..*

DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.

1..1

0..1

DATA GROUP: PATIENT PATHWAY

1..1

DATA GROUP: EAL ENTRY REMOVAL

1..*

1..1

CDS V6-2 TYPE 080 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (OFFER) CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 080 - Elective Admission List - Event During Period (Offer) Commissioning Data Set is used to report that an OFFER OF ADMISSION has been made to the PATIENT.

It covers ELECTIVE ADMISSION LIST ENTRIES under the care of a CONSULTANT, MIDWIFE or NURSE, where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 080 - Elective Admission List - Event During Period (Offer) Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

Notation		DATA GROUP OVERVIEW: CDS V6-2 TYPE 080 - ELECTIVE ADMISSION LIST- EVENT DURING PERIOD (OFFER) COMMISSIONING DATA SET
Group Status	Group Repeats	FUNCTION: To be used to report that an offer of admission has been made to the patient.

1..1

1..*

DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service

1..1

0..1

DATA GROUP: PATIENT PATHWAY

1..1

DATA GROUP: EAL OFFER OF ADMISSION

1..*

1..1

CDS V6-2 TYPE 090 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (AVAILABLE OR UNAVAILABLE) CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 090 - Elective Admission List - Event During Period (Available or Unavailable) Commissioning Data Set is used to report changes in the PATIENT's availability for treatment.

It covers ELECTIVE ADMISSION LIST ENTRIES under the care of a CONSULTANT, MIDWIFE or NURSE, where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 090 - Elective Admission List - Event During Period (Available or Unavailable) Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

Notation		DATA GROUP OVERVIEW: CDS V6-2 TYPE 090 - ELECTIVE ADMISSION LIST- EVENT DURING PERIOD (AVAILABLE/UNAVAILABLE ) COMMISSIONING DATA SET
Group Status	Group Repeats	FUNCTION: To be used to report changes in the patient's availability for treatment.

1..1

1..*

DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.

1..1

0..1

DATA GROUP: PATIENT PATHWAY

1..1

DATA GROUP: EAL PATIENT SUSPENSION

1..*

1..1

CDS V6-2 TYPE 100 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (OLD SERVICE AGREEMENT) CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) Commissioning Data Set is used to report to the previous Commissioner that the ELECTIVE ADMISSION LIST ENTRY is now the responsibility of a new Commissioner.

It covers ELECTIVE ADMISSION LIST ENTRIES under the care of a CONSULTANT, MIDWIFE or NURSE, where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

Notation		DATA GROUP OVERVIEW: CDS V6-2 TYPE 100 - ELECTIVE ADMISSION LIST- EVENT DURING PERIOD (OLD SERVICE AGREEMENT)) COMMISSIONING DATA SET
Group Status	Group Repeats	FUNCTION: To be used to report to the previous (OLD) Commissioner that the EAL Entry is now the responsibility of a new Commissioner.

1..1

1..*

DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.

1..1

0..1

DATA GROUP: PATIENT PATHWAY

1..1

DATA GROUP: EAL SERVICE AGREEMENT

1..*

1..1

CDS V6-2 TYPE 110 - ELECTIVE ADMISSION LIST - EVENT DURING PERIOD (NEW SERVICE AGREEMENT) CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 110 - Elective Admission List - Event During Period (New Service Agreement) Commissioning Data Set used to make an initial report to a new Commissioner of an ELECTIVE ADMISSION LIST ENTRY that had previously been the responsibility of another Commissioner.

It covers ELECTIVE ADMISSION LIST ENTRIES under the care of a CONSULTANT, MIDWIFE or NURSE, where an appropriate MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE exists.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 110 - Elective Admission List - Event During Period (New Service Agreement) Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

Notation		DATA GROUP OVERVIEW: CDS V6-2 TYPE 110 - ELECTIVE ADMISSION LIST- EVENT DURING PERIOD (NEW SERVICE AGREEMENT) COMMISSIONING DATA SET
Group Status	Group Repeats	FUNCTION: To be used to make an initial report to a new Commissioner of an EAL entry that had previously been the responsibility of another Commissioner.

1..1

1..*

DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.

1..1

0..1

DATA GROUP: PATIENT PATHWAY

M	1..1	DATA GROUP: PERSON GROUP (PATIENT)
		M	1..1	DATA GROUP: PATIENT IDENTITY
		R	0..1	DATA GROUP: EAL PATIENT CHARACTERISTICS

1..1

DATA GROUP: EAL SERVICE AGREEMENT DETAILS

R	0..1	DATA GROUP: EAL ENTRY
		R	0..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		R	0..1	DATA GROUP: PERSON GROUP (CONSULTANT)
		R	0..1	DATA GROUP: INTENDED PROCEDURES (OPCS)
		O	0..1	DATA GROUP: INTENDED PROCEDURES (READ)
		O	0..1	DATA GROUP: INTENDED PROCEDURES - LOCATION GROUP

0..1

DATA GROUP: GP REGISTRATION

0..1

DATA GROUP: REFERRER

0..1

DATA GROUP: REFERRAL

0..1

DATA GROUP: OFFER OF ADMISSION

0..1

DATA GROUP: ORIGINAL EAL ENTRY

1..*

1..1

CDS V6-2 TYPE 120 - ADMITTED PATIENT CARE - FINISHED BIRTH EPISODE CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set carries the data for a Finished Birth Episode.

~~This is required when a delivery has resulted in a~~ ~~REGISTRABLE BIRTH~~ ~~which has taken place in either an NHS Hospital or in an non-NHS~~ ~~Organisation~~ ~~funded by the NHS.~~This is required when a delivery has resulted in a REGISTRABLE BIRTH which has taken place in either an NHS Hospital or in an non-NHS ORGANISATION funded by the NHS.

The information is taken from the birth notification for each baby born.

In addition to Finished Birth Episodes, Unfinished Birth Episode Commissioning Data Set records are required for all Unfinished Birth Episodes as at midnight on 31st March each year.

CDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode Commissioning Data Set should be used for the submission of this Unfinished Birth Episode Commissioning Data Set.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

Notation		DATA GROUP OVERVIEW: CDS V6-2 TYPE 120 - APC-FINISHED BIRTH EPISODE COMMISSIONING DATA SET
Group Status	Group Repeats	FUNCTION: To support the details of a Finished Birth Episode.

1..1

1..*

DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.

1..1

0..1

DATA GROUP: PATIENT PATHWAY

M	1..1	DATA GROUP: PERSON GROUP (PATIENT)
		M	1..1	DATA GROUP: PATIENT IDENTITY
		R	0..1	DATA GROUP: PATIENT CHARACTERISTICS

M	1..1	DATA GROUP: HOSPITAL PROVIDER SPELL
		M	1..1	DATA GROUP: ADMISSION CHARACTERISTICS
		R	0..1	DATA GROUP: DISCHARGE CHARACTERISTICS

M	1..1	DATA GROUP: BIRTH EPISODE
		M	1..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		O	0..5	DATA GROUP: OVERSEAS VISITOR STATUS
		M	1..1	DATA GROUP: SERVICE AGREEMENT DETAILS
		R	0..1	DATA GROUP: PERSON GROUP (CONSULTANT)
		R	0..1	DATA GROUP: CLINICAL DIAGNOSIS GROUP (ICD)
		O	0..1	DATA GROUP: CLINICAL DIAGNOSIS GROUP (READ)
		R	0..1	DATA GROUP: CLINICAL ACTIVITY GROUP (OPCS)
		O	0..1	DATA GROUP: CLINICAL ACTIVITY GROUP (READ)
		R	0..1	DATA GROUP: LOCATION GROUP (AT START OF EPISODE)
		O	0..97	DATA GROUP: LOCATION GROUP (AT WARD STAY)
		O	0..1	DATA GROUP: LOCATION GROUP (AT END OF EPISODE)

R	0..1	DATA GROUP: CRITICAL CARE PERIOD
		R	0..9	DATA GROUP: NEONATAL CRITICAL CARE PERIOD
		R	0..9	DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD
		R	0..9	DATA GROUP: ADULT CRITICAL CARE PERIOD

0.1

DATA GROUP: GP REGISTRATION

0.1

DATA GROUP: REFERRER

0.1

DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS

R	0..1	DATA GROUP: ANTENATAL CARE
		R	0..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		R	0..1	DATA GROUP: PERSON GROUP (RESPONSIBLE CLINICIAN)
		R	0..1	DATA GROUP: LOCATION GROUP (DELIVERY PLACE INTENDED)

0..1

DATA GROUP: LABOUR/DELIVERY - ACTIVITY CHARACTERISTICS

R	0..1	DATA GROUP: DELIVERY OCCURRENCE
		R	0..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		R	0..1	DATA GROUP: PERSON IDENTITY (MOTHER)
		R	0..1	DATA GROUP: PERSON CHARACTERISTICS (MOTHER)
		R	0..1	DATA GROUP: LOCATION GROUP (DELIVERY PLACE ACTUAL)

1..*

1..1

CDS V6-2 TYPE 140 - ADMITTED PATIENT CARE - FINISHED DELIVERY EPISODE CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set carries the data for a Finished Delivery Episode which is required when a delivery has resulted in a REGISTRABLE BIRTH.

~~This may take place in either NHS Hospitals or in non-NHS~~ ~~Organisations~~ ~~funded by the NHS.~~This may take place in either NHS Hospitals or in non-NHS ORGANISATIONS funded by the NHS. The information is taken from the birth notification for each baby born.

In addition to Finished Delivery Episodes, Unfinished Delivery Episode Commissioning Data Set records are required for all Unfinished Delivery Episodes as at midnight on 31 March each year.

CDS V6-2 Type 200 - Admitted Patient Care - Unfinished Delivery Episode Commissioning Data Set should be used for the submission of this Unfinished Delivery Episode Commissioning Data Set.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

Notation		DATA GROUP OVERVIEW: CDS V6-2 TYPE 140 - APC-FINISHED DELIVERY EPISODE COMMISSIONING DATA SET
Group Status	Group Repeats	FUNCTION: To support the details of a Finished Delivery Episode.

1..1

1..*

DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.

1..1

0..1

DATA GROUP: PATIENT PATHWAY

M	1..1	DATA GROUP: PERSON GROUP (PATIENT)
		M	1..1	DATA GROUP: PATIENT IDENTITY
		R	0..1	DATA GROUP: PATIENT CHARACTERISTICS
		R	0..1	DATA GROUP: DELIVERY CHARACTERISTICS

M	1..1	DATA GROUP: HOSPITAL PROVIDER SPELL
		M	1..1	DATA GROUP: ADMISSION CHARACTERISTICS
		R	0..1	DATA GROUP: DISCHARGE CHARACTERISTICS

M	1..1	DATA GROUP: CONSULTANT EPISODE
		M	1..1	DATA GROUP: CHARACTERISTICS
		O	0..5	DATA GROUP: OVERSEAS VISITOR STATUS
		M	1..1	DATA GROUP: SERVICE AGREEMENT DETAILS
		R	0..1	DATA GROUP: PERSON GROUP (CONSULTANT)
		R	0..1	DATA GROUP: CLINICAL DIAGNOSIS GROUP (ICD)
		O	0..1	DATA GROUP: CLINICAL DIAGNOSIS GROUP (READ)
		R	0..1	DATA GROUP: CLINICAL ACTIVITY GROUP (OPCS)
		O	0..1	DATA GROUP: CLINICAL ACTIVITY GROUP (READ)
		R	0..1	DATA GROUP: LOCATION GROUP (AT START OF EPISODE)
		R	0..97	DATA GROUP: LOCATION GROUP (AT WARD STAY)
		R	0..1	DATA GROUP: LOCATION GROUP (AT END OF EPISODE)

R	0..1	DATA GROUP: CRITICAL CARE PERIOD
		R	0..9	DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD
		R	0..9	DATA GROUP: ADULT CRITICAL CARE PERIOD

0..1

DATA GROUP: GP REGISTRATION

0..1

DATA GROUP: REFERRER

0..1

DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS

R	0..1	DATA GROUP: ANTENATAL CARE
		R	0..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		R	0..1	DATA GROUP: PERSON GROUP (RESPONSIBLE CLINICIAN)
		R	0..1	DATA GROUP: LOCATION GROUP (DELIVERY PLACE INTENDED)

0..1

DATA GROUP: LABOUR/DELIVERY - ACTIVITY CHARACTERISTICS

R	0..9	DATA GROUP: BIRTH OCCURRENCE (one for each Baby in the delivery)
		R	0..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		R	0..1	DATA GROUP: PERSON IDENTITY (BABY)
		R	0..1	DATA GROUP: PERSON CHARACTERISTICS (BABY)
		R	0..1	DATA GROUP: LOCATION GROUP (DELIVERY PLACE ACTUAL)

1..*

1..1

CDS V6-2 TYPE 150 - ADMITTED PATIENT CARE - OTHER BIRTH EVENT CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 150 - Admitted Patient Care - Other Birth Event Commissioning Data Set carries the data for an Other Birth.

This CDS Type applies to:

NHS funded home births and
all other birth events which are not NHS-funded, either directly or under an NHS SERVICE AGREEMENT.

The data in these records originates from birth notification records and requires only a limited data set to be completed.

~~Maternity events, taking place in either NHS hospitals or in non-NHS~~ ~~Organisations~~ ~~funded by the NHS, will be recorded using~~ ~~CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set~~ ~~and~~ ~~CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set~~.Maternity events, taking place in either NHS hospitals or in non-NHS ORGANISATIONS funded by the NHS, will be recorded using CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set and CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 150 - Admitted Patient Care - Other Birth Event Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

Notation		DATA GROUP OVERVIEW: CDS V6-2 TYPE 150 - OTHER BIRTH EVENT COMMISSIONING DATA SET
Group Status	Group Repeats	FUNCTION: To support the details of a Finished General Episode.

1..1

1..*

DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.

1..1

0..1

DATA GROUP: PATIENT PATHWAY

M	1..1	DATA GROUP: PERSON GROUP (PATIENT)
		M	1..1	DATA GROUP: PATIENT IDENTITY
		R	0..1	DATA GROUP: PATIENT CHARACTERISTICS

0..1

DATA GROUP: GP REGISTRATION

0..1

DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS

R	0..1	DATA GROUP: ANTENATAL CARE
		R	0..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		R	0..1	DATA GROUP: PERSON GROUP (RESPONSIBLE CLINICIAN)
		R	0..1	DATA GROUP: LOCATION GROUP - DELIVERY PLACE INTENDED

M	1..1	DATA GROUP: LABOUR/DELIVERY
		M	1..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		M	1..1	DATA GROUP: SERVICE AGREEMENT DETAILS

R	0..1	DATA GROUP: BIRTH OCCURRENCE
		R	0..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		R	0..1	DATA GROUP: PERSON IDENTITY (MOTHER)
		O	0..1	DATA GROUP: OVERSEAS VISITOR STATUS AT CDS ACTIVITY DATE
		R	0..1	DATA GROUP: LOCATION GROUP - DELIVERY PLACE ACTUAL

1..*

1..1

CDS V6-2 TYPE 160 - ADMITTED PATIENT CARE - OTHER DELIVERY EVENT CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 160 - Admitted Patient Care - Other Delivery Event Commissioning Data Set carries the data for an Other Delivery.

This CDS Type applies to:

NHS funded home deliveries and
all other delivery events which are not NHS-funded, either directly or under an NHS SERVICE AGREEMENT.

The data in these records originates from birth notification records and requires only a limited data set to be completed.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 160 - Admitted Patient Care - Other Delivery Event Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

Notation		DATA GROUP OVERVIEW: CDS V6-2 TYPE 160 - OTHER DELIVERY EVENT COMMISSIONING DATA SET
Group Status	Group Repeats	FUNCTION: To support the details of a Finished General Episode.

1..1

1..*

DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.

1..1

0..1

DATA GROUP: PATIENT PATHWAY

M	1..1	DATA GROUP: PERSON GROUP (PATIENT)
		M	1..1	DATA GROUP: PATIENT IDENTITY
		R	0..1	DATA GROUP: PATIENT CHARACTERISTICS
		R	0..1	DATA GROUP: DELIVERY CHARACTERISTICS

0..1

DATA GROUP: GP REGISTRATION

0..1

DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS

R	0..1	DATA GROUP: ANTENATAL CARE
		R	0..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		R	0..1	DATA GROUP: PERSON GROUP (RESPONSIBLE CLINICIAN)
		R	0..1	DATA GROUP: LOCATION GROUP - DELIVERY PLACE INTENDED

M	1..1	DATA GROUP: LABOUR/DELIVERY
		M	1..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		M	1..1	DATA GROUP: SERVICE AGREEMENT DETAILS

R	0..9	DATA GROUP: BIRTH OCCURRENCE (One for each Baby in the delivery)
		R	0..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		R	0..1	DATA GROUP: PERSON IDENTITY (BABY)
		R	0..1	DATA GROUP: PERSON CHARACTERISTICS (BABY)
		R	0..1	DATA GROUP: LOCATION GROUP - DELIVERY PLACE ACTUAL

1..*

1..1

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

Change to Supporting Information: Changed Description

CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set carries the data for the Psychiatric Census.

The NHS Digital require a record for every PATIENT admitted as at 31 March each year for which the PATIENT is detained or the Episode is part of a Hospital Provider Spell which has lasted longer than one year and for which the majority of time has been spent under the care of a CONSULTANT in one of the psychiatric specialties.

In the case of Organisation Mergers and demergers occurring, where the Hospital Provider Spell would have lasted longer than one year except for the merger / demerger, PATIENTS should be included. ~~The~~ ~~ORGANISATION CODE (CODE OF PROVIDER)~~ ~~will be that of the~~ ~~Organisation~~ ~~in existence as at the 31 March Census Date.~~ The ORGANISATION CODE (CODE OF PROVIDER) will be that of the ORGANISATION in existence as at the 31 March Census Date.

~~Organisations~~ ~~may, by local agreement, make submissions of the Psychiatric Census other than at 31st March each year.~~ORGANISATIONS may, by local agreement, make submissions of the Psychiatric Census other than at 31st March each year. Care must be taken to ensure that the CDS ACTIVITY DATE chosen is compatible with the Commissioning Data Set Submission Protocol used.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

Notation		DATA GROUP OVERVIEW: CDS V6-2 TYPE 170 - APC-DETAINED AND/OR LONG TERM PSYCHIATRIC CENSUS COMMISSIONING DATA SET
Group Status	Group Repeats	FUNCTION: To support the details of a Finished General Episode.

1..1

1..*

DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.

1..1

0..1

DATA GROUP: PATIENT PATHWAY

M	1..1	DATA GROUP: PERSON GROUP (PATIENT)
		M	1..1	DATA GROUP: PATIENT IDENTITY
		R	0..1	DATA GROUP: PATIENT CHARACTERISTICS
		R	0..1	DATA GROUP: PATIENT CHARACTERISTICS (PSYCHIATRIC CENSUS)

M	1..1	DATA GROUP: HOSPITAL PROVIDER SPELL
		M	1..1	DATA GROUP: ADMISSION CHARACTERISTICS

M	1..1	DATA GROUP: CONSULTANT EPISODE
		M	1..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		O	0..1	DATA GROUP: OVERSEAS VISITOR STATUS
		M	1..1	DATA GROUP: SERVICE AGREEMENT DETAILS
		R	0..1	DATA GROUP: PERSON GROUP (CONSULTANT)
		R	0..1	DATA GROUP: CLINICAL DIAGNOSIS GROUP (ICD)
		O	0..1	DATA GROUP: CLINICAL DIAGNOSIS GROUP (READ)
		R	0..1	DATA GROUP: LOCATION GROUP (AT START OF EPISODE)
		R	0..1	DATA GROUP: LOCATION GROUP (WARD STAY AT PSYCHIATRIC CENSUS DATE)

0..1

DATA GROUP: GP REGISTRATION

0..1

DATA GROUP: REFERRER

0..1

DATA GROUP: ELECTIVE ADMISSION LIST ENTRY

1..*

1..1

CDS V6-2 TYPE 180 - ADMITTED PATIENT CARE - UNFINISHED BIRTH EPISODE CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode Commissioning Data Set carries the data for an Unfinished Birth Episode.

The information is taken from the birth notification for each baby born.

Unfinished Birth Episode Commissioning Data Set records are required for all Unfinished Birth Episodes as at midnight on 31st March each year.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

Notation		DATA GROUP OVERVIEW: CDS V6-2 TYPE 180 - APC-UNFINISHED BIRTH EPISODE COMMISSIONING DATA SET
Group Status	Group Repeats	FUNCTION: To support the details of an Unfinished Birth Episode.

1..1

1..*

DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.

1..1

0..1

DATA GROUP: PATIENT PATHWAY

M	1..1	DATA GROUP: PERSON GROUP (PATIENT)
		M	1..1	DATA GROUP: PATIENT IDENTITY
		R	0..1	DATA GROUP: PATIENT CHARACTERISTICS

M	1..1	DATA GROUP: HOSPITAL PROVIDER SPELL
		M	1..1	DATA GROUP: ADMISSION CHARACTERISTICS
		R	0..1	DATA GROUP: DISCHARGE CHARACTERISTICS

M	1..1	DATA GROUP: CONSULTANT EPISODE
		M	1..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		O	0..5	DATA GROUP: OVERSEAS VISITOR STATUS
		M	1..1	DATA GROUP: SERVICE AGREEMENT DETAILS
		R	0..1	DATA GROUP: PERSON GROUP (CONSULTANT)
		R	0..1	DATA GROUP: CLINICAL DIAGNOSIS GROUP (ICD)
		O	0..1	DATA GROUP: CLINICAL DIAGNOSIS GROUP (READ)
		R	0..1	DATA GROUP: CLINICAL ACTIVITY GROUP (OPCS)
		O	0..1	DATA GROUP: CLINICAL ACTIVITY GROUP (READ)
		R	0..1	DATA GROUP: LOCATION GROUP (AT START OF EPISODE)
		R	0..97	DATA GROUP: LOCATION GROUP (AT WARD STAY)
		R	0..1	DATA GROUP: LOCATION GROUP (AT END OF EPISODE)

R	0..1	DATA GROUP: CRITICAL CARE PERIOD
		R	0..9	DATA GROUP: NEONATAL CRITICAL CARE PERIOD
		R	0..9	DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD
		R	0..9	DATA GROUP: ADULT CRITICAL CARE PERIOD

0.1

DATA GROUP: GP REGISTRATION

0.1

DATA GROUP: REFERRER

0.1

DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS

R	0..1	DATA GROUP: ANTENATAL CARE
		R	0..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		R	0..1	DATA GROUP: PERSON GROUP (RESPONSIBLE CLINICIAN)
		R	0..1	DATA GROUP: LOCATION GROUP (DELIVERY PLACE INTENDED)

R	0..1	DATA GROUP: LABOUR/DELIVERY
		R	0..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		R	0..1	DATA GROUP: PERSON IDENTITY (MOTHER)
		O	0..1	DATA GROUP: OVERSEAS VISITOR STATUS AT CDS ACTIVITY DATE
		R	0..1	DATA GROUP: LOCATION GROUP (DELIVERY PLACE ACTUAL)

1..*

1..1

CDS V6-2 TYPE 200 - ADMITTED PATIENT CARE - UNFINISHED DELIVERY EPISODE CDS OVERVIEW

Change to Supporting Information: Changed Description

CDS V6-2 Type 200 - Admitted Patient Care - Unfinished Delivery Episode Commissioning Data Set carries the data for an Unfinished Delivery Episode.

Unfinished Birth and Delivery Episode Commissioning Data Set records are required for all Unfinished Birth and Delivery Episodes as at midnight on 31 March each year.

To access more detailed information on the Commissioning Data Sets, see the Commissioning Data Sets Introduction.

Data Group Overview

A high-level view of the Data Groups carried in the CDS V6-2 Type 200 - Admitted Patient Care - Unfinished Delivery Episode Commissioning Data Set is shown below.

See Commissioning Data Set Notation for an explanation of Group Status and Group Repeats.

Notation		DATA GROUP OVERVIEW CDS V6-2 TYPE 200 - APC UNFINISHED DELIVERY EPISODE COMMISSIONING DATA SET
Group Status	Group Repeats	FUNCTION: To support the details of an Unfinished Delivery Episode.

1..1

1..*

DATA GROUP: CDS V6-2 Type 003 - Commissioning Data Set Message Header
One per Commissioning Data Set Message submitted to the Secondary Uses Service.

1..1

0..1

DATA GROUP: PATIENT PATHWAY

M	1..1	DATA GROUP: PERSON GROUP (PATIENT)
		M	1..1	DATA GROUP: PATIENT IDENTITY
		R	0..1	DATA GROUP: PATIENT CHARACTERISTICS
		R	0..1	DATA GROUP: DELIVERY CHARACTERISTICS

M	1..1	DATA GROUP: HOSPITAL PROVIDER SPELL
		M	1..1	DATA GROUP: ADMISSION CHARACTERISTICS
		R	0..1	DATA GROUP: DISCHARGE CHARACTERISTICS

M	1..1	DATA GROUP: CONSULTANT EPISODE
		M	1..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		O	0..5	DATA GROUP: OVERSEAS VISITOR STATUS
		M	1..1	DATA GROUP: SERVICE AGREEMENT DETAILS
		R	0..1	DATA GROUP: PERSON GROUP (CONSULTANT)
		R	0..1	DATA GROUP: CLINICAL DIAGNOSIS GROUP (ICD)
		O	0..1	DATA GROUP: CLINICAL DIAGNOSIS GROUP (READ)
		R	0..1	DATA GROUP: CLINICAL ACTIVITY GROUP (OPCS)
		O	0..1	DATA GROUP: CLINICAL ACTIVITY GROUP (READ)
		R	0..1	DATA GROUP: LOCATION GROUP (AT START OF EPISODE)
		R	0..97	DATA GROUP: LOCATION GROUP (AT WARD STAY)
		R	0..1	DATA GROUP: LOCATION GROUP (AT END OF EPISODE)

R	0..1	DATA GROUP: CRITICAL CARE PERIOD
		R	0..9	DATA GROUP: PAEDIATRIC CRITICAL CARE PERIOD
		R	0..9	DATA GROUP: ADULT CRITICAL CARE PERIOD

0..1

DATA GROUP: GP REGISTRATION

0..1

DATA GROUP: REFERRER

0..1

DATA GROUP: PREGNANCY - ACTIVITY CHARACTERISTICS

R	0..1	DATA GROUP: ANTENATAL CARE
		R	0..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		R	0..1	DATA GROUP: PERSON GROUP (RESPONSIBLE CLINICIAN)
		R	0..1	DATA GROUP: LOCATION GROUP (DELIVERY PLACE INTENDED)

0..1

DATA GROUP: LABOUR/DELIVERY - ACTIVITY CHARACTERISTICS

R	0..9	DATA GROUP: BIRTH OCCURRENCE (one for each Baby in the delivery)
		R	0..1	DATA GROUP: ACTIVITY CHARACTERISTICS
		R	0..1	DATA GROUP: PERSON IDENTITY (BABY)
		R	0..1	DATA GROUP: PERSON CHARACTERISTICS (BABY)
		R	0..1	DATA GROUP: LOCATION GROUP (DELIVERY PLACE ACTUAL)

1..*

1..1

CHILDREN'S CANCER AND LEUKAEMIA GROUP

Change to Supporting Information: Changed Description

~~The~~ ~~Children's Cancer and Leukaemia Group~~ ~~is an~~ ~~Organisation~~.The Children's Cancer and Leukaemia Group is an ORGANISATION.

The Children's Cancer and Leukaemia Group is a leading children’s cancer charity and is the United Kingdom and Ireland’s professional association for those involved in the treatment and care of children with cancer.

For further information on the Children's Cancer and Leukaemia Group, see the Children's Cancer and Leukaemia Group website at: About Us.

CHILDREN'S HOME

Change to Supporting Information: Changed Description

A ~~Children's Home~~ ~~is an~~ ~~Organisation Site~~.A Children's Home is an ORGANISATION SITE.

A Children's Home is an establishment registered with Ofsted as a Children's Home which provides care and accommodation wholly or mainly for children.

An establishment is not a Children's Home merely because a child is cared for and accommodated there by a parent or relative or by a foster parent.

A School may be registered as a Children's Home if accommodation is provided for children at the School for more than 295 days during a twelve month period.

CHIROPODIST

Change to Supporting Information: Changed Description

A Chiropodist is a CARE PROFESSIONAL.

A Chiropodist, also known as a Podiatrist, is a CARE PROFESSIONAL who is registered with the Health and Care Professions Council.

A Chiropodist diagnoses and treats disorders, diseases and deformities of the feet.

CLINICAL COMMISSIONING GROUP

Change to Supporting Information: Changed Description

A ~~Clinical Commissioning Group~~ (~~CCG) is an~~ ~~Organisation~~.A Clinical Commissioning Group is an ORGANISATION.

~~Clinical Commissioning Groups~~ ~~are responsible for implementing the commissioning roles as set out in the Health and Social Care Act 2012.~~Clinical Commissioning Groups (CCG) are responsible for implementing the commissioning roles as set out in the Health and Social Care Act 2012.

Clinical Commissioning Groups are groups of GP Practices that are responsible for commissioning most health and care SERVICES for PATIENTS.

These groups of GP Practices, working with other healthcare professionals and in partnership with local communities and Local Authorities are responsible for commissioning the majority of NHS SERVICES for PATIENTS within their local communities. They have a duty to work with Local Authorities in relation to health and adult social care, early years services, public health etc.

The Clinical Commissioning Groups are not responsible for commissioning all SERVICES. ~~They have the flexibility to decide which commissioning activities they undertake themselves or choose to buy in commissioning support from external~~ ~~Organisations~~. They have the flexibility to decide which commissioning activities they undertake themselves or choose to buy in commissioning support from external ORGANISATIONS.

NHS England:

has established a system of Clinical Commissioning Groups with the power to assign GP Practices to Clinical Commissioning Groups if necessary
has allocated budgets directly to Clinical Commissioning Groups
holds Clinical Commissioning Groups to account.

Clinical Commissioning Groups hold their constituent GP Practices to account for stewardship of resources and the outcomes they achieve.

For further information on Clinical Commissioning Groups, see the NHS England website at Clinical Commissioning Groups (CCGs).

CLINICAL DATA SETS INTRODUCTION

Change to Supporting Information: Changed Description

~~Clinical Data Sets~~ ~~define a standard set of information that is generated from care records, from any~~ ~~Organisation~~ ~~or system that captures the data.~~Clinical Data Sets define a standard set of information that is generated from care records, from any ORGANISATION or system that captures the data.

Clinical Data Sets generally relate to a specific area of care, disease, or SERVICE and are at PATIENT level.

CLINICAL DENTAL TECHNICIAN

Change to Supporting Information: Changed Description

A ~~Clinical Dental Technician~~ (~~CDT) is a registered~~ ~~Dental Care Professional~~ ~~who provides complete dentures directly to~~ ~~PATIENTS~~ ~~and other dental devices on prescription from a dentist.~~A Clinical Dental Technician is a CARE PROFESSIONAL.

A Clinical Dental Technician (CDT) is a registered Dental Care Professional who provides complete dentures directly to PATIENTS and other dental devices on prescription from a dentist

Clinical Dental Technicians are also qualified Dental Technicians.

CLINICAL FRAILTY SCALE

Change to Supporting Information: Changed Description

~~The~~ ~~Clinical Frailty Scale~~ (~~CFS) is an~~ ~~ASSESSMENT TOOL~~.The Clinical Frailty Scale is an ASSESSMENT TOOL.

~~The~~ ~~Clinical Frailty Scale~~ ~~is an~~ ~~ASSESSMENT TOOL~~ ~~for assessing frailty.~~The Clinical Frailty Scale (CFS) is an ASSESSMENT TOOL for assessing frailty.

For further information on the Clinical Frailty Scale, see the NHS England website at: Toolkit for general practice in supporting older people living with frailty.

CLINICAL NURSE SPECIALIST

Change to Supporting Information: Changed Description

A ~~Clinical Nurse Specialist~~ (~~CNS) is a~~ ~~NURSE~~.A Clinical Nurse Specialist is a NURSE.

A ~~Clinical Nurse Specialist~~ ~~provides direct care to~~ ~~PATIENTS~~ ~~in one of a range of specialties, such as paediatrics, geriatrics, emergency care and oncology.~~A Clinical Nurse Specialist (CNS) provides direct care to PATIENTS in one of a range of specialties, such as paediatrics, geriatrics, emergency care and oncology.

CLINICAL PSYCHOLOGIST

Change to Supporting Information: Changed Description

A Clinical Psychologist is a PERSON.

A Clinical Psychologist is recognised by the British Psychological Society.

Clinical Psychologists use their knowledge of human emotions, thinking and behaviour to assess mental health and social needs, plan care and deliver a range of psychological therapies including Cognitive Behavioural Therapy (CBT).

Clinical Psychologists work across the age range and deliver SERVICES both in hospital and community settings.

CLINICAL SENATE

Change to Supporting Information: Changed Description

A ~~Clinical Senate~~ ~~is an~~ ~~Organisation~~.A Clinical Senate is an ORGANISATION.

Clinical Senates aid Clinical Commissioning Groups (CCG), Health and Wellbeing Boards (HWB) and NHS England to make the best decisions about healthcare for the populations they represent by providing advice and leadership at a strategic level.

For further information on Clinical Senates, see the NHS England website at Clinical Senates.

COMMISSIONING DATA SET ADDRESSING GRID

Change to Supporting Information: Changed Description

This page has been updated in DDCN 1645 (Specialised Commissioning: Removal of Default Code YDD82) to remove the National Commissioning Group, as NHS England became responsible for commissioning all specialised services in April 2013.
The page will be updated as part of an Information Standard to reflect the current arrangements for the Commissioning Data Sets.

The Commissioning Data Set Addressing Grid below illustrates which ORGANISATION CODES should be used to populate the CDS PRIME RECIPIENT IDENTITY and CDS COPY RECIPIENT IDENTITY for each PATIENT / NHS SERVICE AGREEMENT. See the specific ORGANISATION CODE Data Elements for further information on their usage and Organisation Data Service Default Codes etc.

~~Health Care Providers~~ ~~need to specify the~~ ~~Organisations~~ ~~that have a right to the commissioning data set data as a~~ ~~CDS PRIME RECIPIENT IDENTITY~~ or ~~CDS COPY RECIPIENT IDENTITY~~.Health Care Providers need to specify the ORGANISATIONS that have a right to the commissioning data set data as a CDS PRIME RECIPIENT IDENTITY or CDS COPY RECIPIENT IDENTITY. This is so that they can access the data once it has been stored in the Secondary Uses Service.

Please note that payment via the National Tariff Payment System is not determined by the CDS PRIME RECIPIENT IDENTITY or CDS COPY RECIPIENT IDENTITY.

Important Notes:

~~The~~ ~~CDS PRIME RECIPIENT IDENTITY~~ ~~must be allocated on the first creation and submission of a~~ ~~CDS Type~~ ~~for a~~ ~~PATIENT~~ ~~and~~ ~~must not change even if the~~ ~~ADDRESS~~ or ~~ORGANISATION CODE (RESIDENCE RESPONSIBILITY)~~ ~~of the~~ ~~PATIENT~~ ~~changes during the lifetime of the Commissioning Data Set record~~ ~~otherwise duplicate Commissioning Data Set data may be lodged in the~~ ~~Secondary Uses Service~~ ~~database.~~
~~See the supporting information in~~ ~~Commissioning Data Set Submission Protocol~~ ~~for a detailed explanation.~~
~~Note that if two recipients are identical for example, the~~ ~~ORGANISATION CODE (RESIDENCE RESPONSIBILITY)~~ ~~may be the same as the~~ ~~ORGANISATION CODE (CODE OF COMMISSIONER), only one entry for that~~ ~~Organisation~~ ~~should be made for that recipient.~~
~~Specialised service~~ ~~ACTIVITY~~ ~~commissioned by a regional Specialised Commissioning Group should include their~~ ~~ORGANISATION CODE~~ ~~as a~~ ~~CDS COPY RECIPIENT IDENTITY~~. ~~ACTIVITY~~ ~~commissioned by a shared service~~ ~~Organisation~~ ~~or other consortium of~~ ~~Primary Care Trusts, should similarly include the~~ ~~ORGANISATION CODE~~ ~~of the shared service or the lead~~ ~~Primary Care Trust, if this does not already appear as a~~ ~~CDS COPY RECIPIENT IDENTITY~~ or ~~CDS PRIME RECIPIENT IDENTITY~~.
The CDS PRIME RECIPIENT IDENTITY must be allocated on the first creation and submission of a CDS Type for a PATIENT and must not change even if the ADDRESS or ORGANISATION CODE (RESIDENCE RESPONSIBILITY) of the PATIENT changes during the lifetime of the Commissioning Data Set record otherwise duplicate Commissioning Data Set data may be lodged in the Secondary Uses Service database.
See the supporting information in Commissioning Data Set Submission Protocol for a detailed explanation.
Note that if two recipients are identical for example, the ORGANISATION CODE (RESIDENCE RESPONSIBILITY) may be the same as the ORGANISATION CODE (CODE OF COMMISSIONER), only one entry for that ORGANISATION should be made for that recipient.
Specialised service ACTIVITY commissioned by a regional Specialised Commissioning Group should include their ORGANISATION CODE as a CDS COPY RECIPIENT IDENTITY. ACTIVITY commissioned by a shared service ORGANISATION or other consortium of Primary Care Trusts, should similarly include the ORGANISATION CODE of the shared service or the lead Primary Care Trust, if this does not already appear as a CDS COPY RECIPIENT IDENTITY or CDS PRIME RECIPIENT IDENTITY.

Commissioning Data Set Addressing Grid for users of Commissioning Data Set version 6-2 onwards

PATIENT / NHS SERVICE AGREEMENT	Data Elements in the Commissioning Data Sets Version 6-2 onwards
PATIENT / NHS SERVICE AGREEMENT	CDS PRIME RECIPIENT IDENTITY M*	CDS COPY RECIPIENT IDENTITY O*
Private PATIENT	ORGANISATION CODE (RESIDENCE RESPONSIBILITY)	VPP00	ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Clinical Commissioning Group
Overseas Visitor liable for NHS charges and not registered with a General Medical Practitioner Practice	ORGANISATION CODE (RESIDENCE RESPONSIBILITY)	VPP00
Overseas Visitor liable for NHS charges and registered with a General Medical Practitioner Practice	ORGANISATION CODE (RESIDENCE RESPONSIBILITY)	VPP00	ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Clinical Commissioning Group
Overseas Visitor exempt from charges, current permanent residence overseas and not registered with a General Medical Practitioner Practice	TDH00	ORGANISATION CODE (CODE OF COMMISSIONER)
Overseas Visitor exempt from charges, current permanent overseas and registered with a General Medical Practitioner Practice	TDH00	ORGANISATION CODE (CODE OF COMMISSIONER)	ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Clinical Commissioning Group
Overseas Visitor exempt from charges, current permanent residence is the UK and not registered with a General Medical Practitioner Practice	ORGANISATION CODE (RESIDENCE RESPONSIBILITY)	ORGANISATION CODE (CODE OF COMMISSIONER)
Overseas Visitor exempt from charges, current permanent residence is the UK and registered with a General Medical Practitioner Practice	ORGANISATION CODE (RESIDENCE RESPONSIBILITY)	ORGANISATION CODE (CODE OF COMMISSIONER)	ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Clinical Commissioning Group
PATIENT registered with a General Medical Practitioner Practice treated as a Non-Contract Activity	ORGANISATION CODE (RESIDENCE RESPONSIBILITY)	ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Clinical Commissioning Group	ORGANISATION CODE (CODE OF COMMISSIONER)
PATIENT not registered with a General Medical Practitioner Practice treated as a Non-Contract Activity	ORGANISATION CODE (RESIDENCE RESPONSIBILITY)	ORGANISATION CODE (CODE OF COMMISSIONER)
** ~~PATIENT~~ ~~registered with~~ ~~General Medical Practitioner Practice~~ ~~with a Specialised Services and Other Commissioning Consortia Service Agreement~~	~~ORGANISATION CODE (RESIDENCE RESPONSIBILITY)~~	~~ORGANISATION CODE (RESPONSIBLE PCT)~~ or ~~ORGANISATION CODE~~ ~~of the responsible~~ ~~Clinical Commissioning Group~~	~~ORGANISATION CODE~~ of ~~Organisation~~ ~~to which costs of treatment accrue~~
** ~~PATIENT~~ ~~not registered with~~ ~~General Medical Practitioner Practice~~ ~~with a Specialised Services and Other Commissioning Consortia Service Agreement~~	~~ORGANISATION CODE (RESIDENCE RESPONSIBILITY)~~	~~ORGANISATION CODE~~ of ~~Organisation~~ ~~to which costs of treatment accrue~~
** PATIENT registered with General Medical Practitioner Practice with a Specialised Services and Other Commissioning Consortia Service Agreement	ORGANISATION CODE (RESIDENCE RESPONSIBILITY)	ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Clinical Commissioning Group	ORGANISATION CODE of ORGANISATION to which costs of treatment accrue
** PATIENT not registered with General Medical Practitioner Practice with a Specialised Services and Other Commissioning Consortia Service Agreement	ORGANISATION CODE (RESIDENCE RESPONSIBILITY)	ORGANISATION CODE of ORGANISATION to which costs of treatment accrue
PATIENT registered with General Medical Practitioner Practice with Primary Care Trust NHS SERVICE AGREEMENT (excluding Overseas Visitors)	ORGANISATION CODE (RESIDENCE RESPONSIBILITY)	ORGANISATION CODE (RESPONSIBLE PCT) or ORGANISATION CODE of the responsible Clinical Commissioning Group
PATIENT not registered with a General Medical Practitioner Practice but resident in an area covered by a Primary Care Trust with a Primary Care Trust NHS SERVICE AGREEMENT (excluding Overseas Visitors)	ORGANISATION CODE (RESIDENCE RESPONSIBILITY)

Notes:

Key to population codes:

* M - This Data Element is mandatory in the CDS-XML schema. Submissions will not flow if this Data Element is absent
O - This Data Element is optional.
** Specialised Services and Other Commissioning Consortia Service Agreements include ~~SERVICES~~ ~~that are commissioned by regional Specialised Commissioning Groups and local arrangements for commissioning~~ ~~ACTIVITY~~ ~~through shared service~~ ~~Organisations~~.** Specialised Services and Other Commissioning Consortia Service Agreements include SERVICES that are commissioned by regional Specialised Commissioning Groups and local arrangements for commissioning ACTIVITY through shared service ORGANISATIONS.

COMMISSIONING DATA SET DATA DUPLICATION

Change to Supporting Information: Changed Description

It is acknowledged that the Secondary Uses Service processes can be directed to create duplicate Commissioning Data Set records and on occasion to wrongly delete records. This may occur if data senders do not correctly apply the rules associated with the Commissioning Data Set Submission Protocol such as the protocol dates and the sender and recipient codes applicable to interchanges.

~~It is not advisable to mix the use of Bulk and Net protocol for Commissioning Data Set submissions for the same sender~~ ~~Organisation~~ ~~and site code as duplication or wrongful record deletion can occur.~~It is not advisable to mix the use of Bulk and Net protocol for Commissioning Data Set submissions for the same sender ORGANISATION and ORGANISATION SITE as duplication or wrongful record deletion can occur.

Anticipating possible causes of duplication
Data senders can take steps to avoid Commissioning Data Set duplication in the Secondary Uses Service by anticipating situations which could result in changes to the data applied in the Commissioning Data Set Submission Protocols and by taking action to ensure that key data items that need to be retained consistently in the lifetime of the Commissioning Data Set record are not changed.

Data senders should note the following guidance on situations where extra vigilance is needed and action to ensure consistent and correct application of data elements used in net or bulk protocols:

Changes of address in patient demographic data
A change of POSTCODE following a change of PATIENT USUAL ADDRESS can change the CDS PRIME RECIPIENT IDENTITY in bulk update submissions. Where possible, data senders should monitor changes to postcodes when preparing Commissioning Data Set data for submission in order to help prepare to minimise its impact on the integrity of the Commissioning Data Set data.

New Patient Care or other local systems used in Commissioning Data Set processing
When a new PATIENT care system or other system is implemented or used for preparing the Commissioning Data Set output data, it must be ensured that the Commissioning Data Set is generated to the appropriate specification required. The sender must ensure that any data events that may impact on key fields in the Commissioning Data Set are managed correctly.

For example, if the CDS SENDER IDENTITY is sourced from the new system it is important to check that its format will not be changed (eg from 5 to 3 characters, or inserting site codes in the 4th and 5th characters instead of zeros).

Sub-contracting
If a provider sub-contracts healthcare services and associated Commissioning Data Set submissions to a second provider, both parties need to actively engage in coordinating their arrangements for Commissioning Data Set submissions, ensuring that Commissioning Data Set Submission Protocol rules are applied appropriately to maintain the Commissioning Data Set data integrity in the Secondary Uses Service database.

New XML Schema translation supplier
If a provider changes supplier arrangements for XML Schema translation, it is important that the new supplier is provided with the information required about the Commissioning Data Set Submission Protocols that have been used in previous Commissioning Data Set submissions in order to ensure that data integrity is maintained in the ongoing Commissioning Data Set XML Schema processes and in the Secondary Uses Service database.

COMMISSIONING DATA SET NOTATION

Change to Supporting Information: Changed Description

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

The Commissioning Data Sets have been defined in specific components known as a CDS Type.

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

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

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

Status Column Notation

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

STATUS	MEANING	DESCRIPTION
M	MANDATORY	This signifies that the collection and submission of this Commissioning Data Set data is deemed MANDATORY and its presence is necessary for the CDS Type to be correctly validated and accepted for processing by the Secondary Uses Service. If a data item is shown as MANDATORY, this should also be regarded as REQUIRED by the Department of Health and Social Care. In most instances, data marked as MANDATORY in a Sub Group will result in its parent Data Group also being marked as mandatory, but this is not always the case. For instance, although the Consultant Episode - Clinical Diagnosis Group (ICD) is marked as R=REQUIRED (and therefore need not actually be populated), if it is used then both the DIAGNOSIS SCHEME IN USE and the PRIMARY DIAGNOSIS (ICD) are marked as M=MANDATORY and must both be present.
R	~~REQUIRED~~	~~This signifies that the collection and submission of this Commissioning Data Set data is deemed~~ ~~REQUIRED~~ ~~by the~~ ~~Department of Health and Social Care~~ ~~to comply with authorised NHS Standards, Policies and Directives. Therefore whenever a Commissioning Data Set is collected and subsequently submitted to the~~ ~~Secondary Uses Service, this data must be supported and populated into the relevant data sets if the data is available.~~ ~~Note that "temporal" conditions may mean that there are instances where this directive cannot be fulfilled.~~ ~~For instance in a~~ ~~CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set, ICD and OPCS data elements are marked as "Required" indicating that this data should be included. However, if at the time of submission to the~~ ~~Secondary Uses Service~~ ~~this data remains incomplete (perhaps awaiting coding in the~~ ~~Organisation), the remaining data in the CDS record should still be submitted. Once the~~ ~~Organisation~~ ~~has updated its systems with the data, the~~ ~~CDS Type~~ ~~relating to that~~ ~~ACTIVITY~~ ~~should then be resubmitted to the~~ ~~Secondary Uses Service~~.
O	~~OPTIONAL~~	~~This signifies that the collection and submission of this Commissioning Data Set data is~~ ~~OPTIONAL~~~~. Its inclusion in the Commissioning Data Set is therefore determined by "local agreement" between the~~ ~~Organisations~~ ~~exchanging the data.~~ ~~Note that even if marked~~ ~~O=OPTIONAL~~~~, any data included in a Commissioning Data Set submission to the~~ ~~Secondary Uses Service~~ ~~must comply with its specification published in the NHS Data Model and Dictionary otherwise the data may be deemed invalid and rejected.~~
R	REQUIRED	This signifies that the collection and submission of this Commissioning Data Set data is deemed REQUIRED by the Department of Health and Social Care to comply with authorised NHS Standards, Policies and Directives. Therefore whenever a Commissioning Data Set is collected and subsequently submitted to the Secondary Uses Service, this data must be supported and populated into the relevant data sets if the data is available. Note that "temporal" conditions may mean that there are instances where this directive cannot be fulfilled. For instance in a CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set, ICD and OPCS data elements are marked as "Required" indicating that this data should be included. However, if at the time of submission to the Secondary Uses Service this data remains incomplete (perhaps awaiting coding in the ORGANISATION), the remaining data in the CDS record should still be submitted. Once the ORGANISATION has updated its systems with the data, the CDS Type relating to that ACTIVITY should then be resubmitted to the Secondary Uses Service.
O	OPTIONAL	This signifies that the collection and submission of this Commissioning Data Set data is OPTIONAL. Its inclusion in the Commissioning Data Set is therefore determined by "local agreement" between the ORGANISATIONS exchanging the data. Note that even if marked O=OPTIONAL, any data included in a Commissioning Data Set submission to the Secondary Uses Service must comply with its specification published in the NHS Data Model and Dictionary otherwise the data may be deemed invalid and rejected.
X	X	This is used where the Data Element name has been included in the Commissioning Data Set design, usually for pilot use, but is not yet authorised for transmission by the wider NHS. The Data Element will be in italics and not linked to the Data Element where one exists.

Repeats Column Notation

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

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

Rules Column Notation

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

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

Notation Examples

The following are examples of some common scenarios.

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

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

When a Data Group is used:

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

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

1..1	DATA GROUP: VERIFIED IDENTITY STRUCTURE Must be used where the NHS NUMBER STATUS INDICATOR CODE National Code Value = 01 = Verified				Rules
R	0..1	DATA GROUP: LOCAL IDENTIFIER STRUCTURE
		M	1..1	LOCAL PATIENT IDENTIFIER	F
		M	1..1	ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)	F
M	1..1	Data Element Components			Rules
		M	1..1	NHS NUMBER	F
		M	1..1	NHS NUMBER STATUS INDICATOR CODE	V
		M	1..1	POSTCODE OF USUAL ADDRESS	S3
		R	0..1	ORGANISATION CODE (RESIDENCE RESPONSIBILITY)	F
		R	0..1	PERSON BIRTH DATE	F S3 S12

EXPLANATION:

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

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

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

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

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

When the Data Group is used:

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

Notation		DATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD)
Group Status R	Group Repeats 0..1	FUNCTION: To carry the details of the ICD coded Clinical Diagnoses.

M	1..1	Data Element Components			Rules
M	1..1	M	1..1	DIAGNOSIS SCHEME IN USE	V
M	1..1	DATA GROUP: PRIMARY DIAGNOSIS			Rules
		M	1..1	PRIMARY DIAGNOSIS (ICD)	F H4
		O	0..1	PRESENT ON ADMISSION INDICATOR	F
O	0..*	DATA GROUP: SECONDARY DIAGNOSIS			Rules
		M	1..1	SECONDARY DIAGNOSIS (ICD)	F H4
		O	0..1	PRESENT ON ADMISSION INDICATOR	F

EXPLANATION:

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

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

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

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

EXAMPLE 3:
An OPTIONAL Data Group with differing component data status conditions.

~~The following example shows an~~ ~~OPTIONAL~~ ~~Data Group. Its inclusion in the Commissioning Data Sets is therefore determined by "local agreement" between~~ ~~Organisations~~ ~~exchanging the data.~~

~~When the Data Group is used:~~

~~All~~ ~~MANDATORY~~ ~~Sub Groups and/or Data Elements must be utilised~~
~~Any~~ ~~REQUIRED~~ ~~Sub Groups and/or Data Elements must be present if the data is available~~
~~Any~~ ~~OPTIONAL~~ ~~Sub Groups and/or Data Elements may be omitted~~

The following example shows an OPTIONAL Data Group. Its inclusion in the Commissioning Data Sets is therefore determined by "local agreement" between ORGANISATIONS exchanging the data.

When the Data Group is used:

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

Notation		DATA GROUP: CONSULTANT EPISODE - CLINICAL DIAGNOSIS GROUP (ICD)
Group Status O	Group Repeats 0..1	FUNCTION: To carry the details of the ICD coded Clinical Diagnoses.

M	1..1	Data Element Components			Rules
M	1..1	M	1..1	DIAGNOSIS SCHEME IN USE	V
M	1..1	DATA GROUP: PRIMARY DIAGNOSIS			Rules
		M	1..1	PRIMARY DIAGNOSIS (ICD)	F H4
		O	0..1	PRESENT ON ADMISSION INDICATOR	F
O	0..*	DATA GROUP: SECONDARY DIAGNOSIS			Rules
		M	1..1	SECONDARY DIAGNOSIS (ICD)	F H4
		O	0..1	PRESENT ON ADMISSION INDICATOR	F

~~EXPLANATION:~~

~~The Data Group~~ ~~"Status"~~ of ~~O=OPTIONAL~~ ~~indicates that this Data Group may be omitted at its inclusion in the Commissioning Data Set is determined by "local agreement" between the~~ ~~Organisations~~ ~~exchanging the data.~~

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

~~The Data Group~~ ~~"Repeats" = 0..1~~ ~~indicates that population of this Data Group is not necessary to enable the Commissioning Data Set to be sent to the~~ ~~Secondary Uses Service. If it is sent, then only one occurrence of this Data Group may flow in this particular Commissioning Data Set record.~~

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

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

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

EXPLANATION:

The Data Group "Status" of O=OPTIONAL indicates that this Data Group may be omitted at its inclusion in the Commissioning Data Set is determined by "local agreement" between the ORGANISATIONS exchanging the data.

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

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

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

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

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

COMMISSIONING DATA SETS INTRODUCTION

Change to Supporting Information: Changed Description

The Commissioning Data Sets (CDS) are maintained and developed by the NHS Digital, in accordance with the needs of the NHS and the Department of Health and Social Care.

~~Commissioning Data Sets~~ ~~form the basis of data on~~ ~~ACTIVITY~~ ~~carried out by~~ ~~Organisations~~ ~~reported centrally for monitoring and payment purposes.~~Commissioning Data Sets form the basis of data on ACTIVITY carried out by ORGANISATIONS reported centrally for monitoring and payment purposes. They support the current Healthcare Resource Group (HRG) version for calculation of payment to trusts and monitoring of other initiatives.

Requests for changes to the Commissioning Data Sets should be submitted via email to enquiries@nhsdigital.nhs.uk, stating "Commissioning Data Sets" in the subject line.

Current versions of the Commissioning Data Sets can be found at Commissioning Data Set Versions.

For further information on Commissioning Data Sets, see the Commissioning Data Sets Overview.

COMMISSIONING DATA SETS OVERVIEW

Change to Supporting Information: Changed Description

~~The purpose of the~~ ~~Commissioning Data Sets~~ ~~is to enable conformant health~~ ~~ACTIVITY~~ ~~information to be generated, independent of the~~ ~~Organisation~~ ~~or system that maintains it.~~ ~~This enables health~~ ~~CARE PROFESSIONALS~~ ~~to measure and compare the delivery and quality of care provided and to support them in sharing information with other health professionals and~~ ~~Organisations~~.The purpose of the Commissioning Data Sets is to enable conformant health ACTIVITY information to be generated, independent of the ORGANISATION or system that maintains it. This enables health CARE PROFESSIONALS to measure and compare the delivery and quality of care provided and to support them in sharing information with other health professionals and ORGANISATIONS.

Commissioning Data Sets currently support the following ACTIVITIES:

monitoring and managing NHS SERVICE AGREEMENTS
developing commissioning plans
supporting the National Tariff Payment System
underpinning clinical governance
understanding the health needs of the population
reporting waiting time measurement

Information on care provided for all PATIENTS by Health Care Providers (both NHS and Independent Sector Healthcare Providers for NHS PATIENTS only) must be submitted to the Secondary Uses Service according to the Commissioning Data Set Mandated Data Flows guidelines.

~~Commissioning~~ ~~Organisations~~ ~~need access to data to monitor~~ ~~Non-Contract Activity~~ ~~as part of the management of their~~ ~~NHS SERVICE AGREEMENTS, and to monitor in-year~~ ~~REFERRAL REQUESTS~~ ~~to investigate the sources and reasons for~~ ~~Non-Contract Activity~~.Commissioning ORGANISATIONS need access to data to monitor Non-Contract Activity as part of the management of their NHS SERVICE AGREEMENTS, and to monitor in-year REFERRAL REQUESTS to investigate the sources and reasons for Non-Contract Activity.

The Department of Health and Social Care requires accurate data for all PATIENTS admitted treated as out-patients or treated as an Accident and Emergency Attendance by Health Care Providers, including PATIENTS receiving private treatment. The Commissioning Data Sets also includes NHS PATIENTS treated electively in the independent sector and overseas.

Referral To Treatment Clock Stop Administrative Events may also flow using the CDS V6-2 Type 020 - Outpatient Commissioning Data Set. This allows the Secondary Uses Service to build accurate PATIENT PATHWAYS for the reporting of waiting time measurement.

CDS Types

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

COMMISSIONING DATA SET SUBMISSION AND ORGANISATION MERGERS

Change to Supporting Information: Changed Description

~~Organisations~~ ~~can function as independent senders of~~ ~~Commissioning Data Sets~~ ~~and have service level agreements with Acute, Community or Mental Health~~ ~~Organisations~~ ~~for the submission of this data.~~ORGANISATIONS can function as independent senders of Commissioning Data Sets and have service level agreements with Acute, Community or Mental Health ORGANISATIONS for the submission of this data. These agreements usually relate to clinical services that are subcontracted to that provider or where clinical services are facilitated on that site but owned by the commissioner of the agreement.

~~Organisation~~ ~~mergers do not always result in an immediate merger of IT facilities and their often disparate systems to enable a single flow of commissioning data to the~~ ~~Secondary Uses Service~~.ORGANISATION mergers do not always result in an immediate merger of IT facilities and their often disparate systems to enable a single flow of commissioning data to the Secondary Uses Service. In this case, data flows to the Secondary Uses Service for multiple sites from multiple senders must be very carefully managed in order to avoid inadvertent deletion or duplication of records in the Secondary Uses Service.

In these cases, Senders are strongly advised to only use the Net Change Update Mechanism of the Commissioning Data Set Submission Protocol as data integrity is more manageable using the Net Change process rather than the Bulk Replacement process.

CDS Net Change
When using the Net Change process, multiple data flows from different sites or systems using the same CDS INTERCHANGE SENDER IDENTITY must ensure that each Commissioning Data Set record has a properly maintained CDS UNIQUE IDENTIFIER.

If not, these submissions will most likely conflict and overwrite each other causing substantial data corruption in the Secondary Uses Service data base. It is recommended that wherever possible, individual sites or systems use a uniquely allocated CDS INTERCHANGE SENDER IDENTITY for submissions to the Secondary Uses Service.

CDS Bulk Replacement
~~When using the Bulk Replacement process, a sender must not make multiple data flows from different~~ ~~Organisation Sites~~ ~~or systems using the same~~ ~~CDS SENDER IDENTITY~~ ~~and provider site code or the interchanges will conflict and overwrite each other causing substantial data corruption in the~~ ~~Secondary Uses Service~~ ~~data base.~~When using the Bulk Replacement process, a sender must not make multiple data flows from different ORGANISATION SITES or systems using the same CDS SENDER IDENTITY and provider site code or the interchanges will conflict and overwrite each other causing substantial data corruption in the Secondary Uses Service data base.

~~To prevent this happening, individual sites and systems within an organisation must use a unique~~ ~~CDS SENDER IDENTITY~~ ~~and provider site code combination for Commissioning Data Set submissions to the~~ ~~Secondary Uses Service~~.To prevent this happening, individual sites and systems within an ORGANISATION must use a unique CDS SENDER IDENTITY and provider site code combination for Commissioning Data Set submissions to the Secondary Uses Service. This can be achieved by utilising Provider and Site Codes already registered with the Organisation Data Service which will then differentiate multiple Commissioning Data Set flows for the same provider by using the last 2 digits of the ORGANISATION CODE.

End Of Year Considerations
~~It may be necessary to avoid changes to systems processes for multiple flows at the end of the financial year, and retain the ability to use the previously used~~ ~~Commissioning Data Set Submission Protocol~~ ~~for data submitted earlier in the year, until the organisation has completed any refresh of data for that year.~~It may be necessary to avoid changes to systems processes for multiple flows at the end of the financial year, and retain the ability to use the previously used Commissioning Data Set Submission Protocol for data submitted earlier in the year, until the ORGANISATION has completed any refresh of data for that year. This would then ensure a complete set of commissioning data for that year for the National Tariff Payment System and Hospital Episode Statistics purposes.

COMMISSIONING DATA SET SUBMISSION PROTOCOL

Change to Supporting Information: Changed Description

The Commissioning Data Sets submitted by providers carry information to determine the update method to be used by the Secondary Uses Service in order to update the national database.

These update rules are known as the Commissioning Data Set Submission Protocol and the set of data controls used to indicate this are carried in the Commissioning Data Set Transaction Header Group which must be present and correct in every CDS Type submitted to the Secondary Uses Service.

Two Update Mechanisms are available:

Net Change - to support the management of an individual CDS Type in the Secondary Uses Service database and enables Commissioning data to be inserted/ updated or deleted.
CDS Senders are expected to use the Net Change Update Mechanism wherever possible.
Bulk Replacement - to support the management of bulk commissioning data for an identified CDS BULK REPLACEMENT GROUP CODE of data for a specified time period and for a specified CDS PRIME RECIPIENT IDENTITY.
CDS Senders should only use the Bulk Replacement Update Mechanism in exceptional circumstances.

Net Change:
Net Change processes are managed by specific data settings as defined in the CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol option of the CDS Transaction Header Group. The Secondary Uses Service uses the following data to manage the database:

Each CDS Type must have a CDS UNIQUE IDENTIFIER which must be uniquely maintained for the life of that Commissioning Data Set record. This is a particular consideration where mergers and/or healthcare systems are changed or upgraded, see Commissioning Data Set Submission and Organisation Mergers. Any change to the CDS UNIQUE IDENTIFIER during the "lifetime" of a Commissioning Data Set record will almost certainly result in a duplicate record being lodged in the Secondary Uses Service database.

A Commissioning Data Set record delete transaction must be sent to the Secondary Uses Service database when any previously sent Commissioning Data Set record requires deletion/removal, for example to reflect Commissioner changes etc.

Where CDS UPDATE TYPE 1 is required (delete/cancellation), an empty XML element called 'Delete Transaction' can be used instead of submitting he original CDS Type record, after the CDS V6-2 Type 005N - CDS Transaction Header Group - Net Change Protocol. See the CDS V6-2- XML Schema Release Notes which can be downloaded via the XML Schema TRUD Download page.

The CDS APPLICABLE DATE and CDS APPLICABLE TIME must be used to ensure that all Commissioning data is updated in the Secondary Uses Service database in the correct chronological order.

The CDS SENDER IDENTITY must not change during the lifetime of the CDS data.
~~This is particularly significant for multiple and/or merged~~ ~~Organisations, and for those services who submit data on behalf of another~~ ~~NHS Trust~~, ~~NHS Foundation Trust~~ or ~~Independent Sector Healthcare Provider~~.This is particularly significant for multiple and/or merged ORGANISATIONS, and for those services who submit data on behalf of another NHS Trust, NHS Foundation Trust or Independent Sector Healthcare Provider.

Bulk Replacement
Bulk Replacement processes are managed by specific data settings as defined in the CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol option of the CDS Transaction Header Group. The Secondary Uses Service uses the following data to manage the database:

Every CDS Type must be submitted using the correct CDS BULK REPLACEMENT GROUP CODE.

The CDS REPORT PERIOD START DATE and the CDS REPORT PERIOD END DATE, (i.e. the effective date period), must be valid and consistent, and reflect the dates relevant to the Commissioning data contained in the interchange.

The CDS SENDER IDENTITY must not change during the lifetime of the Commissioning Data Set record. ~~This is particularly significant for multiple and/or merged~~ ~~Organisations, and for those services who submit data on behalf of another~~ ~~Organisation~~. This is particularly significant for multiple and/or merged ORGANISATIONS, and for those services who submit data on behalf of another ORGANISATION.

The CDS PRIME RECIPIENT IDENTITY must be identified in each Commissioning Data Set and must not be changed during the lifetime of the Commissioning Data Set record otherwise the data stored in the Secondary Uses Service database may lose its integrity (e.g. duplicate Commissioning data may be stored).

For this reason it is advised that the ORGANISATION CODE (RESIDENCE RESPONSIBILITY) should always be used to determine the CDS PRIME RECIPIENT IDENTITY as detailed in the Commissioning Data Set Addressing Grid. Senders must also be aware that if the ORGANISATION CODE (RESIDENCE RESPONSIBILITY) is itself derived from the PATIENT's POSTCODE OF USUAL ADDRESS then great care must be taken to manage all elements of this relationship.

If it is necessary to change any of this data during the lifetime of a Commissioning Data Set record, then the Secondary Uses Service (SUS) Service Desk should be contacted for advice. See the NHS Digital website at: SUS Guidance.

It is strongly advised that users of the Bulk Replacement Mechanism maintain a correctly generated CDS UNIQUE IDENTIFIER within the Commissioning data. This will establish a migration path towards the use of the Net Change Mechanism and will also then minimise the risk of creating duplicate Commissioning Data Set data.

Sub contracting
~~If a~~ ~~Health Care Provider~~ ~~sub-contracts healthcare provision and its associated Commissioning Data Set submission to a second~~ ~~Organisation~~ ~~(eg a different~~ ~~Health Care Provider~~ ~~or a Shared Services Organisation), arrangements to submit the Commissioning Data Set data must be made locally to ensure that only one~~ ~~Organisation~~ ~~sends the Commissioning Data Set data to the~~ ~~Secondary Uses Service~~.If a Health Care Provider sub-contracts healthcare provision and its associated Commissioning Data Set submission to a second ORGANISATION (eg a different Health Care Provider or a Shared Services Organisation), arrangements to submit the Commissioning Data Set data must be made locally to ensure that only one ORGANISATION sends the Commissioning Data Set data to the Secondary Uses Service.

~~If the second~~ ~~Organisation~~ ~~wishes to add other Commissioning data to the~~ ~~Secondary Uses Service~~ ~~database to that already submitted by the first~~ ~~Organisation, both parties need to ensure that a different~~ ~~CDS SENDER IDENTITY~~ ~~is used.~~If the second ORGANISATION wishes to add other Commissioning data to the Secondary Uses Service database to that already submitted by the first ORGANISATION, both parties need to ensure that a different CDS SENDER IDENTITY is used. Often this is done by changing the last 2 digits of the 5 digit code (the Site element of the ORGANISATION CODE).

Note: Data sent using the same CDS SENDER IDENTITY by two different parties will most likely overwrite each other's data in the Secondary Uses Service database. Further advice can be obtained from the Secondary Uses Service (SUS) Service Desk, see the NHS Digital website at: SUS Guidance.

Users should be aware of how the 15 character code of their CDS INTERCHANGE SENDER IDENTITY (also known as the EDI Address) is created. This may depend on how their XML interface solution has been set up. It may not be possible to rely on a change to the ORGANISATION CODE (CODE OF PROVIDER) in order to change the CDS INTERCHANGE SENDER IDENTITY should this become necessary.

COMMISSIONING SUPPORT UNIT

Change to Supporting Information: Changed Description

A ~~Commissioning Support Unit~~ (~~CSU) is an~~ ~~Organisation~~.A Commissioning Support Unit is an ORGANISATION.

~~Commissioning Support Units~~ ~~provide~~ ~~Clinical Commissioning Groups~~ ~~with external support, specialist skills and knowledge to support them in their role as commissioners, for example by providing:~~

Commissioning Support Units (CSU) provide Clinical Commissioning Groups with external support, specialist skills and knowledge to support them in their role as commissioners, for example by providing:

Business intelligence services
Clinical procurement services
Business support services such as Human Resources (HR), payroll, procurement of goods and services and some aspects of informatics.

For further information on the Commissioning Support Units, see the NHS England website at Resources for CSUs.

COMMUNITY HEALTH INDEX (SCOTLAND)

Change to Supporting Information: Changed Description

The Community Health Index (Scotland) is a REGISTER.

The Community Health Index (Scotland) is a population register used for healthcare purposes in Scotland.

For further information on the Community Health Index (Scotland), see the ISD Scotland website.

COMMUNITY HEALTH PARTNERSHIP (SCOTLAND)

Change to Supporting Information: Changed Description

A ~~Community Health Partnership~~ ~~is an~~ ~~Organisation~~ ~~in Scotland.~~A Community Health Partnership is an ORGANISATION in Scotland.

Community Health Partnerships have been established in Scotland as key building blocks in the modernisation of the NHS and joint services in Scotland. They have a vital role in partnership, integration and service redesign and are the key mechanism through which all primary and community based services are planned and delivered. They provide an opportunity for partners to work together to improve the lives of the local communities which they serve.

Community Health Partnerships provide a focus for the integration between primary care and specialist services and with social care and ensure that local population health improvement is placed at the heart of service planning and delivery.

For further information on Community Health Partnerships, see the Community Health Partnerships website.

COMMUNITY SAFETY PARTNERSHIP

Change to Supporting Information: Changed Description

A ~~Community Safety Partnership~~ (~~CSP) is an~~ ~~Organisation~~.A Community Safety Partnership is an ORGANISATION.

Community Safety Partnerships (CSP) were set up under Sections 5-7 of the Crime and Disorder Act 1998.

~~Community Safety Partnerships~~ ~~were set up under Sections 5-7 of the Crime and Disorder Act 1998.~~

Community Safety Partnerships are made up of representatives from the police, Local Authorities, fire and rescue authorities, health and probation services (the 'responsible authorities').

The responsible authorities work together to protect their local communities from crime and to help people feel safer. They work out how to deal with local issues including antisocial behaviour, drug or alcohol misuse and re-offending. They annually assess local crime priorities and consult partners and the local community about how to deal with them.

Further information on Community Safety Partnerships can be found on the goc.uk website at: Appendix 4: community safety partnerships.

COUNSELLING PSYCHOLOGIST

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A Counselling Psychologist is a PERSON.

A Counselling Psychologist is recognised by the British Psychological Society.

Counselling Psychologists apply psychological theories to working collaboratively and relationally with individuals across a diverse range. They work with the individual's unique subjective psychological experience to empower their recovery and alleviate distress.

Counselling Psychologists deliver SERVICES in a wide range of health settings and private practice. They also work within research, teaching, supervision and consultancy roles.

CT SCAN

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A ~~CT Scan~~ (~~Computerised Tomography Scan) is a~~ ~~Clinical Investigation~~.A CT Scan is a Clinical Investigation.

A ~~CT Scan~~ ~~uses X-rays and a computer to create detailed images of the inside of the body.~~A CT Scan (Computerised Tomography Scan) uses X-rays and a computer to create detailed images of the inside of the body.

A CT Scan can be used to diagnose or monitor many different health conditions, including cancer and bone disease. It is often used to provide views of the body before another procedure takes place, such as a Biopsy or Radiotherapy treatment.

For further information on CT Scans, see the NHS website at: CT scan.

DA1 (RETIRED) renamed from DA1

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~~The~~ ~~DA1~~ ~~form is presented to the social security institution in the state of residence or stay to gain entitlement to healthcare benefits.~~This item has been retired from the NHS Data Model and Dictionary.

~~The~~ ~~DA1~~ ~~entitles people to receive medical treatment under special conditions reserved for accidents at work and occupational diseases in another European Union country.~~The last live version of this item is available in the June 2020 release of the NHS Data Model and Dictionary.

~~Note: prior to 1 May 2010, the~~ ~~DA1~~ ~~was known as the~~ ~~E123~~.Access to this version can be obtained by emailing information.standards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

~~For further information on the~~ ~~DA1, see the European Union website at:~~ ~~Useful forms for social security rights~~.

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DA1 (RETIRED) renamed from DA1

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Changed Description
Retired DA1
Changed Name from Data_Dictionary.NHS_Business_Definitions.D.DA1 to Retired.Data_Dictionary.NHS_Business_Definitions.D.DA1
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DATA COLLECTIONS HELP

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~~A Data Set is a group of~~ ~~Data Elements~~ ~~that are required to support business analysis, for example, data associated with an~~ ~~Accident and Emergency Attendance~~ ~~is transmitted in the~~ ~~CDS V6-2 Type 010 - Accident and Emergency Commissioning Data Set~~.
~~The primary purpose of national data sets is to enable the same health information to be generated across the country independent of the~~ ~~Organisation~~ ~~or system that captures it.~~
~~Note: The NHS Data Model and Dictionary does not contain all national data collections.~~
~~Data Sets are grouped together on the front page of the NHS Data Model and Dictionary under Data Collections. A description of each type of data set can be found by hovering over the item name.~~
~~The Commissioning Data Sets section also contains supplementary information, see the~~ ~~Commissioning Data Sets Help~~ ~~page for further information.~~
~~Each Data Collection name is in Title Case.~~
~~Where the name of a:~~
~~Data Set in text is~~ ~~Aqua Blue~~~~, it indicates that it is a hyperlink and if clicked on will display the Data Set and~~
~~Central Return Form is~~ ~~Pink~~~~, it indicates that it is a hyperlink and if clicked on will display the Central Return Form.~~
~~There are three frames to each Data Set:~~
~~"Left Hand Frame"~~~~: shows the appropriate Data Set menu.~~

~~"Middle Frame"~~:
~~For Data Sets:~~
~~This displays the Data Set and may also contain information relating to the data set.~~
~~The Data Set is split into Data Groups which contain Data Elements grouped into logical sections.~~
~~If you click on any item in the Data Set, the definition will be displayed in the "Right Hand Frame".~~
~~For Central Return Forms, this provides a picture of the form. There is a tab for each page of the form.~~

~~"Right Hand Frame"~~:
~~Initially shows an "Introduction" or "Overview" page, which provides information relating to the type of Data Set.~~
~~It displays Data Element definitions viewed from the "Middle Frame".~~

~~Where information is displayed in frames, the width of the frames can be adjusted by clicking on the “vertical” scroll bar and dragging it left or right as appropriate.~~

~~What would you like to do next?~~
~~NHS Data Model and Dictionary Content~~
~~View~~ ~~Data Collections~~ ~~in the NHS Data Model and Dictionary.~~
  ~~Demonstrations~~
~~For a demonstration on Data Collections, see the~~ ~~Data Collections Demonstration~~.
~~Please note that you will need flash player to view these demonstrations. If you do not have flash player, contact your organisation's technical support for further information.~~
A Data Set is a group of Data Elements that are required to support business analysis, for example, data associated with an Accident and Emergency Attendance is transmitted in the CDS V6-2 Type 010 - Accident and Emergency Commissioning Data Set.
The primary purpose of national data sets is to enable the same health information to be generated across the country independent of the ORGANISATION or system that captures it.
Note: The NHS Data Model and Dictionary does not contain all national data collections.
Data Sets are grouped together on the front page of the NHS Data Model and Dictionary under Data Collections. A description of each type of data set can be found by hovering over the item name.
The Commissioning Data Sets section also contains supplementary information, see the Commissioning Data Sets Help page for further information.
Each Data Collection name is in Title Case.
Where the name of a:
Data Set in text is Aqua Blue, it indicates that it is a hyperlink and if clicked on will display the Data Set and
Central Return Form is Pink, it indicates that it is a hyperlink and if clicked on will display the Central Return Form.
There are three frames to each Data Set:
"Left Hand Frame": shows the appropriate Data Set menu.

"Middle Frame":
For Data Sets:
This displays the Data Set and may also contain information relating to the data set.
The Data Set is split into Data Groups which contain Data Elements grouped into logical sections.
If you click on any item in the Data Set, the definition will be displayed in the "Right Hand Frame".
For Central Return Forms, this provides a picture of the form. There is a tab for each page of the form.

"Right Hand Frame":
Initially shows an "Introduction" or "Overview" page, which provides information relating to the type of Data Set.
It displays Data Element definitions viewed from the "Middle Frame".

Where information is displayed in frames, the width of the frames can be adjusted by clicking on the “vertical” scroll bar and dragging it left or right as appropriate.

What would you like to do next?
NHS Data Model and Dictionary Content
View Data Collections in the NHS Data Model and Dictionary.
  Demonstrations
For a demonstration on Data Collections, see the Data Collections Demonstration.
Please note that you will need flash player to view these demonstrations. If you do not have flash player, contact your organisation's technical support for further information.

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DATA COORDINATION BOARD

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~~The~~ ~~Data Coordination Board~~ (~~DCB) is an~~ ~~Organisation~~.The Data Coordination Board is an ORGANISATION.
The Data Coordination Board (DCB) replaced the Standardisation Committee for Care Information (SCCI) on 1 April 2017.

~~The~~ ~~Data Coordination Board~~ ~~replaced the~~ ~~Standardisation Committee for Care Information~~ (~~SCCI) on 1 April 2017.~~
The Data Coordination Board is one of three sub-groups of the Digital Delivery Board, the other two being the Enterprise Architecture Board and the Technology and Data Investment Board.
The Data Coordination Board:
has delegated authority from the Secretary of State to approve Information Standards and Collections (including Extractions) (ISCEs) for health and social care
provides the authority to publish Information Standards Notices (ISN) under section 250 of the Health and Social Care Act 2012
has responsibility for the approval of requests to change, deprecate and retire existing Information Standards and Collections (including Extractions)
prioritises the progression of Information Standards and Collections (including Extractions)
works to minimise the burden from Data Collections, and maximise the benefit received from available data
~~takes its membership from a wide range of national bodies and~~ ~~Organisations~~ ~~involved in the provision and management of health and social care services in England. This ensures a system-wide, joined-up approach to decision-making.~~
takes its membership from a wide range of national bodies and ORGANISATIONS involved in the provision and management of health and social care services in England. This ensures a system-wide, joined-up approach to decision-making.
For further information on the Data Coordination Board, see the NHS Digital website at: Data Coordination Board.

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DATA SERVICES FOR COMMISSIONERS

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The Data Services for Commissioners (DSfC) is provided by NHS Digital under direction from NHS England.
The Data Services for Commissioners is delivered by staff seconded into NHS Digital from Commissioning Support Units. The seconded staff are based in Data Services for Commissioners Regional Offices.
The Data Services for Commissioners:
processes data to support local commissioning whilst protecting confidentiality
~~receive and process personal confidential data (PCD) on behalf of~~ ~~Commissioning Support Units~~, ~~Clinical Commissioning Groups~~ ~~and Public Health~~ ~~Organisations~~.
receive and process personal confidential data (PCD) on behalf of Commissioning Support Units, Clinical Commissioning Groups and Public Health ORGANISATIONS.
For further information on the Data Services for Commissioners, see the NHS Digital website at: Data Services for Commissioners.

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DATA SERVICES FOR COMMISSIONERS REGIONAL OFFICE

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A ~~Data Services for Commissioners Regional Office~~ (~~DSCRO) is an~~ ~~Organisation~~ ~~within~~ ~~NHS Digital~~.A Data Services for Commissioners Regional Office is an ORGANISATION.
A Data Services for Commissioners Regional Office (DSCRO) is an ORGANISATION within NHS Digital.
A Data Services for Commissioners Regional Office is a local office of the Data Services for Commissioners.
For further information on the Data Services for Commissioners Regional Offices, see the NHS Digital website at: Data Services for Commissioners.

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DAY CARE FACILITY

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A Day Care Facility is a CLINIC OR FACILITY.
Day Care Facilities may be called Day Hospitals, Centres, Facilities or Units.
A Day Care Facility provided for the clinical treatment, assessment and maintenance of function of PATIENTS, in particular, though not exclusively, those who are elderly, mentally ill or have Learning Difficulties.
~~Day Care Facilities~~ ~~may be financed, planned and run solely by NHS~~ ~~Organisations~~ ~~or solely by non-NHS~~ ~~Organisations~~ ~~or jointly between NHS and non-NHS~~ ~~Organisations~~. ~~Jointly run facilities should still be managed by only one~~ ~~Organisation~~.Day Care Facilities may be financed, planned and run solely by NHS ORGANISATIONS or solely by non-NHS ORGANISATIONS or jointly between NHS and non-NHS ORGANISATIONS. Jointly run facilities should still be managed by only one ORGANISATION.
The facilities specifically do not have Hospital Beds and function separately from any WARD.
A Day Care Facility is usually open during the five week days. In some places a SERVICE may be provided only once or twice a week and the SERVICE may take the form of evening or weekend sessions.

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DECISION SUPPORT TOOL FOR NHS CONTINUING HEALTHCARE

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A ~~Decision Support Tool for NHS Continuing Healthcare~~ (~~DST) is an~~ ~~ASSESSMENT TOOL~~.A Decision Support Tool for NHS Continuing Healthcare is an ASSESSMENT TOOL.
~~The~~ ~~Decision Support Tool for NHS Continuing Healthcare~~ ~~is a document which helps to record evidence of an individual’s care needs to determine if they qualify for~~ ~~NHS Continuing Healthcare~~ ~~funding.~~The Decision Support Tool for NHS Continuing Healthcare (DST) is a document which helps to record evidence of an individual’s care needs to determine if they qualify for NHS Continuing Healthcare funding.
For further information on the Decision Support Tool for NHS Continuing Healthcare, see the Department of Health and Social Care part of the gov.uk website at: National framework for NHS continuing healthcare and NHS funded nursing care.

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DECISION TO TREAT

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A ~~Decision To Treat~~ ~~is related to a~~ ~~PLANNED ACTIVITY~~.A Decision To Treat is an ACTIVITY.
A Decision To Treat is made when it is decided that the PATIENT requires a specific treatment.

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DENTAL PRACTICE

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A Dental Practice is a type of GP Practice.
A ~~Dental Practice~~ ~~is an~~ ~~Organisation~~ ~~acting as~~ ~~Health Care Provider~~ ~~and constituted for the delivery of General Dental Services.~~A Dental Practice is an ORGANISATION acting as Health Care Provider and constituted for the delivery of General Dental Services.
A Dental Practice comprises a set of posts approved for the delivery of SERVICES in a specified GEOGRAPHIC AREA.
All Dental Practices belong to a Sustainability and Transformation Partnership whose partners commission SERVICES on behalf of PATIENTS.

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DENTAL THERAPIST

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A Dental Therapist is a CARE PROFESSIONAL.
A Dental Therapist is a registered Dental Care Professional who carries out certain items of dental treatment under prescription from a dentist.

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DENTIST WITH ENHANCED SKILLS

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A ~~Dentist with Enhanced Skills~~ (~~DES) is a~~ ~~GENERAL DENTAL PRACTITIONER~~.A Dentist with Enhanced Skills is a GENERAL DENTAL PRACTITIONER.
The NHS England website at: Dental publications defines complexity levels that reflect the competency required to deliver care of each complexity.
A ~~Dentist with Enhanced Skills~~ ~~can be accredited as a Performer of Level 2 Complexity Care.~~A Dentist with Enhanced Skills (DES) can be accredited as a Performer of Level 2 Complexity Care.

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DEPARTMENT FOR EDUCATION

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~~The~~ ~~Department for Education~~ ~~(formerly the~~ ~~Department for Children, Schools and Families) is an~~ ~~Organisation~~.The Department for Education is an ORGANISATION.
The Department for Education (formerly the Department for Children, Schools and Families) was formed on 12 May 2010 and is responsible for education and children's services.

~~The~~ ~~Department for Education~~ ~~was formed on 12 May 2010 and is responsible for education and children's services.~~
For further information on the Department for Education, see the Department for Education part of the gov.uk website at: Services and guidance.

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DEPARTMENT FOR WORK AND PENSIONS

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~~The~~ ~~Department for Work and Pensions~~ (~~DWP) is an~~ ~~Organisation~~.The Department for Work and Pensions is an ORGANISATION.
~~The~~ ~~Department for Work and Pensions~~ ~~supports Ministers in developing and implementing policies and strategies aimed at:~~
The Department for Work and Pensions (DWP) supports Ministers in developing and implementing policies and strategies aimed at:

people who receive benefit;
people who need help to find work;
disabled people;
older people;
people who receive the State Pension.
For further information on the Department for Work and Pensions, see the Department for Work and Pensions part of the gov.uk website at: Department for Work & Pensions.

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DEPARTMENT OF HEALTH AND SOCIAL CARE

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~~The~~ ~~Department of Health and Social Care~~ (~~DHSC) is an~~ ~~Organisation~~.The Department of Health and Social Care is an ORGANISATION.
~~The~~ ~~Department of Health and Social Care~~ ~~helps people to live more independent, healthier lives for longer.~~The Department of Health and Social Care (DHSC) helps people to live more independent, healthier lives for longer. It leads, shapes and funds health and social care in England, making sure people have the support, care and treatment they need, with the compassion, respect and dignity they deserve.

For further information on the Department of Health and Social Care, see the Department of Health and Social Care part of the gov.uk website at:
About us and
What we do.
A new health and care system became fully operational from 1 April 2013 to deliver the ambitions set out in the Health and Social Care Act 2012.
To achieve this, the Department of Health and Social Care is supported by a number of agencies and public bodies, including:
Care Quality Commission
Health Education England
Health Research Authority
National Institute for Health and Care Excellence
NHS Digital
NHS England
NHS Business Services Authority
NHS Improvement
Public Health England.
For further information on the role of the Department of Health and Social Care in the new system, see the Department of Health and Social Care part of the gov.uk website at: The health and care system explained.

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DEVICES PATIENT LEVEL CONTRACT MONITORING DATA SET OVERVIEW

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Introduction
The purpose of the Devices Patient Level Contract Monitoring Data Set (DePLCM) is to enable the interchange, in a uniform format, of monthly PATIENT level device Contract Monitoring data between all purchasers and Health Care Providers. ~~This will ensure that device~~ ~~Contract Monitoring~~ ~~and reporting is consistent, comparable and fit for purpose across all commissioning~~ ~~Organisations~~. This will ensure that device Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.
The Devices Patient Level Contract Monitoring Data Set is a PATIENT level report containing PATIENT identifiers relating to High Cost Tariff Excluded Devices. Its purpose is to substantiate and provide detail to the information contained within the Aggregate Contract Monitoring Data Set (ACM).
Scope
The scope of the Devices Patient Level Contract Monitoring Data Set is all NHS-funded MEDICAL DEVICES not reimbursed through the National Tariff Payment System, as defined in the NHS Improvement National Tariff Payment System High Cost Devices list and any high cost devices not associated with a National Tariff, provided to PATIENTS for all NHS commissioners.
This covers:
All acute and community NHS and Independent Sector Healthcare Provider secondary Health Care Providers, but not primary care, from whom the NHS commissions healthcare;
All NHS commissioners (Clinical Commissioning Groups or their equivalents and NHS England).
Note that the totality of expenditure in the Devices Patient Level Contract Monitoring Data Set must be equivalent to the aggregate monetary value shown relating to High Cost Tariff Excluded Devices in the Aggregate Contract Monitoring Data Set.
Submission
The Devices Patient Level Contract Monitoring Data Set is submitted on a monthly basis to the respective Data Services for Commissioners Regional Office (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.
The completed monthly Devices Patient Level Contract Monitoring Data Set should be transmitted using the NHS Digital Data Landing Portal (DLP).
For further information on the Devices Patient Level Contract Monitoring Data Set, see the NHS England website at: Specialised Services Reporting Requirements.

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DIAGNOSTIC IMAGING DATA SET OVERVIEW

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The Diagnostic Imaging Data Set was introduced by ISB 1577 Diagnostic Imaging Data Set, in response to the lack of detailed data on national data on Diagnostic Imaging tests for NHS PATIENTS. The original requirement came from the cancer strategy to improve GP direct access to certain Diagnostic Imaging tests, as a method was required to monitor implementation of this policy.
The Diagnostic Imaging Data Set, however, has many benefits for example, to:
Provide NHS data on GPs’ direct access to tests, as well as tests requested via other referral sources. Benchmarking data will be fed back to GPs and, where appropriate, used to encourage increased use of tests, leading to earlier diagnosis and hence improved outcomes
Provide more detailed NHS data than is currently available on test type (modality), body site of test and PATIENT demographics
Enable analysis of turnaround times for tests
Enable better analysis of cancer pathways by linking the National Cancer Registration and Analysis Service data to Diagnostic Imaging test data for cancer PATIENTS
Allow Public Health England (PHE) to calculate more accurate estimates of the distribution of individual radiation dose estimates from medical exposures.
From April 2012 it became a mandatory requirement that all providers of NHS-funded Diagnostic Imaging tests for NHS PATIENTS in England submit the central Diagnostic Imaging Data Set on a monthly basis.
The Diagnostic Imaging Data Set facilitates the collection of clinical data and the sharing of such data to underpin the delivery of effective Diagnostic Imaging. It is structured around the clinical processes of local Radiology Information Systems (RISs) used by NHS Trusts and NHS Foundation Trusts. It records administrative data relating to Diagnostic Imaging test ACTIVITY.
Information is collected relating exclusively to Diagnostic Imaging test ACTIVITY. The Diagnostic Imaging Data Set describes Diagnostic Imaging tests that have taken place as part of a broader PATIENT PATHWAY. ~~This includes~~ ~~PATIENTS~~ ~~referred from within the~~ ~~Organisation, either as an out-patient, in-patient or from~~ ~~Accident and Emergency Departments, or referred directly from their~~ GP ~~or another~~ ~~Health Care Provider~~. This includes PATIENTS referred from within the ORGANISATION, either as an out-patient, in-patient or from Accident and Emergency Departments, or referred directly from their GP or another Health Care Provider.
The Diagnostic Imaging Data Set is collected from NHS funded providers of Diagnostic Imaging test SERVICES and submitted via a portal on the NHS Digital website. ~~The submissions are processed and aggregate extracts are produced for provider and commissioner~~ ~~Organisations~~ ~~and national groups such as the~~ ~~Department of Health and Social Care~~ ~~and~~ ~~Public Health England~~. The submissions are processed and aggregate extracts are produced for provider and commissioner ORGANISATIONS and national groups such as the Department of Health and Social Care and Public Health England. This also allows linkage to the National Cancer Registration and Analysis Service.
Please note that the collection of the Diagnostic Imaging Data Set does not replace any other collection of diagnostic data such as the Diagnostics Waiting Times and Activity Data Set (DM01), which should continue to be collected.
Data Set Order:
The transmission order of the Diagnostic Imaging Data Set is different to the order of the items in the NHS Data Model and Dictionary and XML Schema.
Please see the "Guidance Notes" at: Diagnostic Imaging Dataset: Guidance for Data Submitters, which contains a full list of Diagnostic Imaging Data Set fields in the order they are submitted.
Work is planned to amend some of the Diagnostic Imaging Data Set items and when this is approved by the Data Coordination Board (DCB), the NHS Data Model and Dictionary will be updated to match.

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DIEPOXYBUTANE TEST

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A ~~Diepoxybutane Test~~ (~~DEB Test) is a~~ ~~Clinical Investigation~~.A Diepoxybutane Test is a Clinical Investigation.
A ~~Diepoxybutane Test~~ ~~is used to screen for Fanconi Anemia (FA) among~~ ~~PATIENTS~~ ~~with bone marrow failure syndromes (BMFS).~~A Diepoxybutane Test (DEB Test) is used to screen for Fanconi Anemia (FA) among PATIENTS with bone marrow failure syndromes (BMFS).

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DRUGS PATIENT LEVEL CONTRACT MONITORING DATA SET OVERVIEW

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Introduction
The purpose of the Drugs Patient Level Contract Monitoring Data Set (DrPLCM) is to enable the interchange, in a uniform format, of monthly PATIENT level drug Contract Monitoring data between all purchasers and Health Care Providers. ~~This will ensure that drug~~ ~~Contract Monitoring~~ ~~and reporting is consistent, comparable and fit for purpose across all commissioning~~ ~~Organisations~~. This will ensure that drug Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.
The Drugs Patient Level Contract Monitoring Data Set is a PATIENT level report containing PATIENT identifiers relating to high cost (National Tariff-excluded) drugs. Its purpose is to substantiate and provide detail to the aggregate information contained within the Aggregate Contract Monitoring Data Set (ACM).
Scope
The scope of the Drugs Patient Level Contract Monitoring Data Set is all NHS-funded PRESCRIBED ITEMS not reimbursed through National Tariff Payment System, as defined by the NHS Improvement National Tariff Payment System High Cost Tariff Excluded Drugs list, provided to PATIENTS for all NHS commissioners.
This covers:
All acute and community NHS and Independent Sector Healthcare Provider secondary Health Care Providers, but not primary care, from whom the NHS commissions healthcare;
All NHS commissioners (Clinical Commissioning Groups or their equivalents and NHS England).
Note that the totality of expenditure in the Drugs Patient Level Contract Monitoring Data Set must be equivalent to the aggregate monetary value shown relating to High Cost Tariff Excluded Drugs in the Aggregate Contract Monitoring Data Set.
Submission
The Drugs Patient Level Contract Monitoring Data Set is required to be submitted on a monthly basis to the respective Data Services for Commissioners Regional Office (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.
The completed monthly Drugs Patient Level Contract Monitoring Data Set should be transmitted using the NHS Digital Data Landing Portal (DLP).
For further information on the Drugs Patient Level Contract Monitoring Data Set, see the NHS England website at: Directly Commissioned Services Reporting Requirements.

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DUCTAL CARCINOMA IN SITU

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A ~~Ductal Carcinoma In Situ~~ (~~DCIS) is a~~ ~~PATIENT DIAGNOSIS~~.A Ductal Carcinoma In Situ is a PATIENT DIAGNOSIS.
A ~~Ductal Carcinoma In Situ~~ ~~is a non-invasive breast cancer.~~A Ductal Carcinoma In Situ (DCIS) is a non-invasive breast cancer.
Ductal means that the cancer starts inside the milk ducts
Carcinoma refers to any cancer that begins in the skin or other TISSUES (including breast TISSUE) that cover or line the internal organs
In situ means "in its original place".
For further information on Ductal Carcinomas In Situ, see:
Ductal Carcinoma In Situ (DCIS)
Breast cancer in women.

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EARLY PREGNANCY UNIT

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An ~~Early Pregnancy Unit~~ (~~EPU) is an~~ ~~Organisation~~.An Early Pregnancy Unit is a SERVICE.
An Early Pregnancy Unit (EPU) is a specialist unit that provides care for women with problems in early pregnancy.

An ~~Early Pregnancy Unit~~ ~~is a specialist unit that provides care for women with problems in early pregnancy.~~
Early Pregnancy Units:
Often centre around the provision of an Ultrasound Scan In Pregnancy to confirm the LOCATION and viability of a pregnancy
Can also provide treatment for women diagnosed with complications such as a miscarriage or ectopic pregnancy
Are staffed by specialist NURSES, MIDWIVES, Sonographers, GENERAL PRACTITIONERS and other CARE PROFESSIONALS.
For further information on Early Pregnancy Units, see the Association of Early Pregnancy Units website at: What is an Early Pregnancy Unit?.

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EDUCATIONAL ESTABLISHMENT

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An ~~Educational Establishment~~ ~~is an~~ ~~Organisation~~.An Educational Establishment is an ORGANISATION.
An Educational Establishment's main purpose is education. These may be Schools, Colleges or Universities.
An up-to-date list of Educational Establishments in England can be found on the Department for Education part of the gov.uk website at: Get information about schools.

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EDUCATIONAL PSYCHOLOGIST

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An Educational Psychologist is a PERSON.
An Educational Psychologist is recognised by the British Psychological Society.
Educational Psychologists are applied psychologists who work within the educational system, in the community and with individuals and families. They are concerned with children's' learning and achievement, well-being and development at individual, class, school and Local Authority-wide levels. They use a range of approaches including, consultation, assessment, direct and indirect interventions, training and research.

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EDUCATION HEALTH AND CARE PLAN

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An ~~Education, Health and Care Plan~~ (~~EHC) is a~~ ~~CARE PLAN~~.An Education, Health and Care Plan is a CARE PLAN.
An ~~Education, Health and Care Plan~~ ~~is the document which replaces Statements of Need and Learning Difficulties Assessments for~~ ~~Children or Young People~~ ~~with Special Educational Needs.~~An Education, Health and Care Plan (EHC) is the document which replaces Statements of Need and Learning Difficulties Assessments for Children or Young People with Special Educational Needs.
An Education, Health and Care Plan can only be issued after a Child or Young Person has gone through the process of an Education, Health and Care needs assessment.
At the end of that process, the Local Authority has to make a decision whether to issue an Education, Health and Care Plan.

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ELECTROCARDIOGRAM

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An ~~Electrocardiogram~~ (~~ECG) is a~~ ~~Clinical Investigation~~.An Electrocardiogram is a Clinical Investigation.
An ~~Electrocardiogram~~ ~~records the rhythm and electrical activity of the heart.~~An Electrocardiogram (ECG) records the rhythm and electrical activity of the heart.
For further information on Electrocardiograms, see the NHS website at: Coronary heart disease.

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ELECTROENCEPHALOGRAM

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An ~~Electroencephalogram~~ (~~EEG) is a~~ ~~Clinical Investigation~~.An Electroencephalogram is a Clinical Investigation.
An ~~Electroencephalogram~~ ~~is a scan which records brain activity.~~An Electroencephalogram EEG Electroencephalogram is a scan which records brain activity.
For further information on Electroencephalograms, see the NHS website at: Electroencephalogram (EEG).

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EMPLOYMENT SUPPORT

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Employment Support is a SERVICE.
Employment Support may be offered as part of an Improving Access to Psychological Therapies Contact.
Employment Support denotes the service available within an Improving Access to Psychological Therapies Service which exists to provide employment advice and/or relevant signposting for PATIENTS who are unemployed and seeking work, at work and experiencing difficulty or on statutory or employer sick pay.

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ENHANCED SUPPORTIVE CARE

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~~Enhanced Supportive Care~~ (~~ESC) is a~~ ~~CLINICAL INTERVENTION~~.Enhanced Supportive Care is a CLINICAL INTERVENTION.
~~Enhanced Supportive Care~~ ~~is the prevention and management of the adverse effects of cancer and its treatment.~~Enhanced Supportive Care (ESC) is the prevention and management of the adverse effects of cancer and its treatment.
Enhanced Supportive Care includes management of physical and psychological symptoms and side effects across the continuum of the cancer experience from diagnosis, through anti-cancer treatment, to post-treatment care.
For further information on Enhanced Supportive Care, see the NHS England website at: Enhanced Supportive Care.

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ENUMERATION DISTRICT

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An ~~Enumeration District~~ (ED~~) is a~~ ~~GEOGRAPHIC AREA~~.An Enumeration District is a GEOGRAPHIC AREA.
An ~~Enumeration District~~ ~~(also known as a~~ ~~Census Enumeration District) is used across the United Kingdom for the purposes of census data collection.~~An Enumeration District (ED), also known as a Census Enumeration District, is used across the United Kingdom for the purposes of census data collection.
For further information on Enumeration Districts, see the Office for National Statistics website at: Glossary.

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ESOPHAGEAL COMPLICATIONS CONSENSUS GROUP

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~~The~~ ~~Esophageal Complications Consensus Group~~ (~~ECCG) is part of an~~ ~~Organisation~~.The Esophageal Complications Consensus Group is an ORGANISATION.
~~The~~ ~~Esophageal Complications Consensus Group~~ ~~provides a standardised format for documenting complications associated with esophagectomy.~~The Esophageal Complications Consensus Group (ECCG) provides a standardised format for documenting complications associated with esophagectomy.
For further information on the Esophageal Complications Consensus Group, see The European Society for Diseases of the Esophagus.

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EUROPEAN CENTRE FOR DISEASE PREVENTION AND CONTROL

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~~The~~ ~~European Centre for Disease Prevention and Control~~ ~~is an~~ ~~Organisation~~.The European Centre for Disease Prevention and Control is an ORGANISATION.
The European Centre for Disease Prevention and Control is an agency of the European Union that is aimed at strengthening Europe's defences against infectious diseases.
The European Centre for Disease Prevention and Control works in three key strategic areas:
provides evidence for effective and efficient decision-making
strengthens public health systems
supports the response to public health threats.
For further information on the European Centre for Disease Prevention and Control, see the European Centre for Disease Prevention and Control website at: About the ECDC.

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EUROPEAN GROUP FOR THE IMMUNOLOGICAL CLASSIFICATION OF LEUKAEMIA SCORING SYSTEM

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~~The~~ ~~European Group for the Immunological Classification of Leukaemia Scoring System~~ (~~EGIL Scoring System) is an~~ ~~ASSESSMENT TOOL~~.The European Group for the Immunological Classification of Leukaemia Scoring System is an ASSESSMENT TOOL.
~~The~~ ~~European Group for the Immunological Classification of Leukaemia Scoring System~~ ~~is a scoring system for defining biphenotypic leukaemias where points are assigned to a lymphoid or myeloid antigen based on its degree of lineage specificity.~~The European Group for the Immunological Classification of Leukaemia Scoring System (EGIL Scoring System) is a scoring system for defining biphenotypic leukaemias where points are assigned to a lymphoid or myeloid antigen based on its degree of lineage specificity.

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EUROPEAN HEALTH INSURANCE CARD (RETIRED) renamed from EUROPEAN HEALTH INSURANCE CARD

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~~The~~ ~~European Health Insurance Card~~ (~~EHIC) was introduced in 2005 and allows people to access state-provided healthcare (for clinically necessary treatment) in all~~ ~~European Economic Area~~ (~~EEA) countries and Switzerland at a reduced cost or free of charge.~~This item has been retired from the NHS Data Model and Dictionary.
~~For further information on the~~ ~~European Health Insurance Card, see the:~~The last live version of this item is available in the June 2020 release of the NHS Data Model and Dictionary.
~~NHS England~~ ~~website at:~~ ~~European cross-border healthcare: Information for commissioners~~
~~NHS website at:~~ ~~Apply for a free EHIC (European Health Insurance Card)~~.
~~Note: the~~ ~~European Health Insurance Card~~ ~~and the~~ ~~Provisional Replacement Certificate~~ ~~are for medical treatment that is or becomes clinically necessary whilst in another~~ ~~European Economic Area~~ (~~EEA) country and the~~ S2 ~~is for planned treatment.~~Access to this version can be obtained by emailing information.standards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

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EUROPEAN HEALTH INSURANCE CARD (RETIRED) renamed from EUROPEAN HEALTH INSURANCE CARD

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Changed Description
Retired European Health Insurance Card
Changed Name from Data_Dictionary.NHS_Business_Definitions.E.European_Health_Insurance_Card to Retired.Data_Dictionary.NHS_Business_Definitions.E.European_Health_Insurance_Card
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EUROPEAN LEUKEMIANET

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~~The~~ ~~European LeukemiaNet~~ (~~ELN) is an~~ ~~Organisation~~.The European LeukemiaNet is an ORGANISATION.
~~The objective of the~~ ~~European LeukemiaNet~~ is to integrate the leading leukemia trial groups, their interdisciplinary partners, industry and Subject Matter Experts across Europe to form a co-operative network for advancements in leukemia-related research, health care and cures.The objective of the European LeukemiaNet (ELN) is to integrate the leading leukemia trial groups, their interdisciplinary partners, industry and Subject Matter Experts across Europe to form a co-operative network for advancements in leukemia-related research, health care and cures.
For further information on the European LeukemiaNet, see the European LeukemiaNet website at: European LeukemiaNet - Network info and goals.

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EUROPEAN NEUROENDOCRINE TUMOR SOCIETY

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~~The~~ ~~European Neuroendocrine Tumor Society~~ (~~ENETS) is an~~ ~~Organisation~~.The European Neuroendocrine Tumor Society is an ORGANISATION.

The European Neuroendocrine Tumor Society (ENETS) has members from fields such as oncology, pathology, radiology, nuclear medicine, endocrinology, surgery and gastroenterology to study Neuroendocrine Tumours (NETs).
~~The~~ ~~European Neuroendocrine Tumor Society~~ ~~has members from fields such as oncology, pathology, radiology, nuclear medicine, endocrinology, surgery and gastroenterology to study Neuroendocrine~~ ~~Tumours~~ ~~(NETs).~~
For further information on the European Neuroendocrine Tumor Society, see the European Neuroendocrine Tumor Society website at: ENETS Aims.

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FACULTY OF GENERAL DENTAL PRACTICE (UK)

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~~The~~ ~~Faculty of General Dental Practice (UK)~~ (~~FGDP(UK)) is an~~ ~~Organisation~~.The Faculty of General Dental Practice (UK) is an ORGANISATION.
The Faculty of General Dental Practice (UK) (FGDP(UK)) was formed in 1992 and is the academic home for all members of the dental team (including Dentists and Dental Care Professionals).

~~The~~ ~~Faculty of General Dental Practice (UK)~~ ~~was formed in 1992 and is the academic home for all members of the dental team (including~~ ~~Dentists and~~ ~~Dental Care Professionals~~).
The aim of the Faculty of General Dental Practice (UK) is to improve the standard of care delivered to PATIENTS through standard setting, postgraduate training and assessment, education and research.
For further information on the Faculty of General Dental Practice (UK), see the Faculty of General Dental Practice (UK) website at: About the FGDP(UK).

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FEMALE GENITAL MUTILATION DATA SET OVERVIEW

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Contextual Overview
The Female Genital Mutilation Data Set provides essential information in relation to the female genital mutilation population across England.
The Female Genital Mutilation Data Set is used:
To publish Official Statistics which will inform the Department of Health and Social Care, NHS England, other Government Agencies and the public, about female genital mutilation when it has been identified
To identify the potential risk of female genital mutilation to young girls and vulnerable women
For better planning and management of female genital mutilation SERVICES at a local level and across England
~~Data may be input immediately using an input screen via the~~ ~~NHS Digital~~ ~~Clinical Audit Platform when female genital mutilation is identified, or data extracts for Patients, can be submitted as a bulk upload on a monthly basis for each~~ ~~Organisation~~.Data may be input immediately using an input screen via the NHS Digital Clinical Audit Platform when female genital mutilation is identified, or data extracts for Patients, can be submitted as a bulk upload on a monthly basis for each ORGANISATION.
CARE CONTACT activities undertaken for female genital mutilation PATIENTS during the REPORTING PERIOD are reported in the data upload. This includes any attendances at an Out-Patient Clinic led by any type of CARE PROFESSIONAL, Hospital Provider Spells, Accident and Emergency Attendances, Group Therapy, Ward Attendances; or any other type of direct PATIENT-facing CARE CONTACT, with an exception to Sexual and Reproductive Health Clinics and Genitourinary Medicine (GUM) clinics, who are not required to submit the Female Genital Mutilation Data Set to the NHS Digital.
SNOMED CT Refset Metadata:
Female genital mutilation related findings:
Refset FSN: Female genital mutilation related findings simple reference set (foundation metadata concept)
Refset Id: 999002041000000103
For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related findings.
Female genital mutilation related procedures:
Refset FSN: Female genital mutilation related procedures simple reference set (foundation metadata concept)
Refset Id: 999002031000000107
For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related procedures.
DATA EXTRACT SPECIFICATION
Description:
The Department of Health and Social Care requires all NHS Trusts, NHS Foundation Trusts and GENERAL MEDICAL PRACTITIONERS to generate and provide a data extract in accordance with the Female Genital Mutilation Data Set. ~~This requirement is applicable to all~~ ~~CARE PROFESSIONALS~~ ~~in these~~ ~~Organisations~~ ~~whenever it has been identified that a woman or young girl has undergone female genital mutilation.~~ This requirement is applicable to all CARE PROFESSIONALS in these ORGANISATIONS whenever it has been identified that a woman or young girl has undergone female genital mutilation.
Further information is available on the NHS Digital website at: Female Genital Mutilation Datasets.
Time period:
~~Data extracted from systems can be submitted as a bulk upload on a quarterly basis for each~~ ~~Organisation~~.Data extracted from systems can be submitted as a bulk upload on a quarterly basis for each ORGANISATION.
Format:
Data submitted by the bulk upload facility must be formatted in 3 separate comma separated variable (csv) files (i.e. Patient, Attendance or Female Genital Mutilation), which are used to populate the NHS Digital Clinical Audit Platform. The data elements should be transmitted in the order specified in the Female Genital Mutilation Data Set.
Transmission
Electronic files must be transmitted to NHS Digital via the Clinical Audit Platform which is a secure web portal.
Connection to the web portal requires registration to the Clinical Audit Platform, which will include the provision of a login account name and password.
Further information about the Clinical Audit Platform and the data upload facility can be found on the NHS Digital website: at Clinical Audit Platform.
Further guidance on the Female Genital Mutilation Data Set can be found on the on the NHS Digital website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.

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FETAL ANOMALY ULTRASOUND SCAN

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A Fetal Anomaly Ultrasound Scan is a Clinical Investigation performed during a Maternity Episode.
~~The~~ ~~Fetal Anomaly Ultrasound Scan~~ ~~is an~~ ~~Ultrasound Scan In Pregnancy~~ ~~that assesses for structural abnormalities in the~~ ~~Fetus~~. ~~The~~ ~~Fetal Anomaly Ultrasound Scan~~ ~~should be performed between 18 weeks and 0 days, and 20 weeks and 6 days, in accordance with the~~ ~~National Institute for Health and Care Excellence~~ ~~guideline 'CG62 Antenatal Care'.~~The Fetal Anomaly Ultrasound Scan is an Ultrasound Scan In Pregnancy that assesses for structural abnormalities in the Fetus (unborn baby).
The Fetal Anomaly Ultrasound Scan should be performed between 18 weeks and 0 days, and 20 weeks and 6 days, in accordance with the National Institute for Health and Care Excellence guideline 'CG62 Antenatal Care'.
Further information about the 'CG62 Antenatal Care' guideline can be found online at the National Institute for Health and Care Excellence website.

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FETUS (RETIRED) renamed from FETUS

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A ~~Fetus~~ ~~is an unborn baby.~~This item has been retired from the NHS Data Model and Dictionary.
The last live version of this item is available in the June 2020 release of the NHS Data Model and Dictionary.
Access to this version can be obtained by emailing information.standards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

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FETUS (RETIRED) renamed from FETUS

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Changed Description
Retired Fetus
Changed Name from Data_Dictionary.NHS_Business_Definitions.F.Fetus to Retired.Data_Dictionary.NHS_Business_Definitions.F.Fetus
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FORENSIC PSYCHOLOGIST

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A Forensic Psychologist is a PERSON.
A Forensic Psychologist is recognised by the British Psychological Society.
Forensic Psychologists apply psychological principles within criminal and civil legal contexts across the domains of assessment, treatment, research, consultancy, training, management and supervision. Client groups can include the Courts, offenders, victims, and criminal justice personnel such as the police, Prison and probation staff.
Forensic Psychologists work across a wide range of settings that include custody, community, health, academic institutions, and the courts, in both public and private practice.

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GENERAL DENTAL COUNCIL DENTAL CARE PROFESSIONALS REGISTER

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The General Dental Council Dental Care Professionals Register is a REGISTER.
The General Dental Council Dental Care Professionals Register lists all Dental Care Professionals registered with the General Dental Council.
Only an individual on the General Dental Council Dental Care Professionals Register is legally able to call themselves a Dental Care Professional in the United Kingdom.
The following details are included on the General Dental Council Dental Care Professionals Register:
names
registered address
date of registration
qualifications
registration number
status (registered, suspended, etc.)
registration type (dentist, dental nurse, etc.)
For further information on the General Dental Council Dental Care Professionals Register, see the General Dental Council website at:
Registers and
Search the Registers.

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GENERAL DENTAL COUNCIL DENTISTS REGISTER

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The General Dental Council Dentists Register is a REGISTER.
The General Dental Council Dentists Register lists all dentists registered with the General Dental Council.
Only an individual on the register is legally able to work as a dentist in the United Kingdom.
The following details are included on the General Dental Council Dentists Register:
names
registered address
date of registration
qualifications and inclusion into the Specialist list
registration number
status (registered, suspended, etc.)
registration type (dentist, dental nurse, etc.)
For further information on the General Dental Council Dentists Register, see the General Dental Council website at:
Registers and
Search the Registers.

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GENERAL DENTAL COUNCIL SPECIALIST LISTS IN DISTINCTIVE BRANCHES OF DENTISTRY

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The General Dental Council Specialist Lists in Distinctive Branches of Dentistry is a REGISTER.
The General Dental Council Specialist Lists in Distinctive Branches of Dentistry lists the details of dentists who have applied to join a specialist list and meet certain conditions allowing them membership of the list. Being on the list entitles them to use a specialist title (e.g. Orthodontics). However, any Dentist can carry out the practice of any particular specialty, but they cannot use the title "specialist".
The following details are included on the General Dental Council Specialist Lists in Distinctive Branches of Dentistry:
names
registered address
date of registration
qualifications and inclusion into the Specialist List
registration number
status (registered, suspended, etc.)
registration type (dentist, dental nurse, etc.)
For further information on the General Dental Council Specialist Lists in Distinctive Branches of Dentistry, see the General Dental Council website at:
Registers and
Search the Registers.

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GENERAL MEDICAL COUNCIL GP REGISTER

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The General Medical Council GP Register is a REGISTER.
The General Medical Council GP Register was introduced on 31 March 2006 by the General Medical Council. ~~It is a register of doctors who are eligible to work in general practice in the health service in the UK.~~ It is a REGISTER of doctors who are eligible to work in general practice in the health service in the UK.
From 1 April 2006, all doctors working in general practice in the health service in the UK, other than doctors in training, such as GP Registrars, are required to be on the General Medical Council GP Register.
For further information on the General Medical Council GP Register, see the General Medical Council website at:
Registration and licensing and
The medical register.

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GENERAL MEDICAL COUNCIL LIST OF REGISTERED MEDICAL PRACTITIONERS

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The General Medical Council List of Registered Medical Practitioners is a REGISTER.
The General Medical Council List of Registered Medical Practitioners (LRMP) is a list of all doctors who are registered to practise in the UK (including GENERAL MEDICAL PRACTITIONERS).
When a doctor is registered to practise medicine in the United Kingdom, their details will appear on the General Medical Council List of Registered Medical Practitioners.
For further information on doctor registration, see the General Medical Council website..
The General Medical Council List of Registered Medical Practitioners provides details of:
the doctor's reference number, name, any former name, gender
year and place of primary medical degree
registration status
date of registration
entry in the GP/Specialist Register
any publicly available fitness to practise history since 20 October 2005
For further information on the General Medical Council List of Registered Medical Practitioners, see the General Medical Council website at: The medical register.

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GENERAL MEDICAL PRACTITIONER PRACTICE

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A General Medical Practitioner Practice is a type of GP Practice.
A ~~General Medical Practitioner Practice~~ ~~is an~~ ~~Organisation~~ ~~acting as~~ ~~Health Care Provider~~ ~~and constituted for the delivery of General Medical Services.~~A General Medical Practitioner Practice is an ORGANISATION acting as Health Care Provider and constituted for the delivery of General Medical Services.
A General Medical Practitioner Practice comprises a set of posts approved for the delivery of SERVICES in a specified GEOGRAPHIC AREA.
All General Medical Practitioner Practices belong to a Clinical Commissioning Group which commission SERVICES on behalf of PATIENTS.

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GENERAL PHARMACEUTICAL COUNCIL

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~~The~~ ~~General Pharmaceutical Council~~ (~~GPhC) is a~~ ~~Regulatory Body~~.The General Pharmaceutical Council is a Regulatory Body.
~~The~~ ~~General Pharmaceutical Council~~ ~~is responsible for the regulation of~~ ~~Pharmacists~~, ~~Pharmacy Technicians~~ ~~and~~ ~~Pharmacy Premises~~ ~~in Great Britain.~~The General Pharmaceutical Council (GPhC) is responsible for the regulation of Pharmacists, Pharmacy Technicians and Pharmacy Premises in Great Britain.
The remit of the General Pharmaceutical Council is to protect, promote and maintain the health, safety and wellbeing of PATIENTS, the public and of all those who use pharmaceutical services.
An independent Regulatory Body, the vision of the General Pharmaceutical Council is the provision of proportionate, risk based, efficient and fair regulation of the pharmacy professions and of registered Pharmacy Premises.
For further information on the General Pharmaceutical Council, see the General Pharmaceutical Council website.

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GENERAL PHARMACEUTICAL COUNCIL REGISTER

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~~The~~ ~~General Pharmaceutical Council Register~~ (~~GPhC Register) is a~~ ~~REGISTER~~ ~~maintained by the~~ ~~General Pharmaceutical Council~~.The General Pharmaceutical Council Register is a REGISTER maintained by the General Pharmaceutical Council.
~~The~~ ~~General Pharmaceutical Council Register~~ ~~is divided into three parts:~~The General Pharmaceutical Council Register (GPhC Register) is divided into three parts:
Pharmacists
Pharmacy Technicians
Pharmacy Premises.
For further information on the General Pharmaceutical Council Register, see the General Pharmaceutical Council website.

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GENERAL PRACTITIONER WITH AN EXTENDED ROLE

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A ~~General Practitioner with an Extended Role~~ (~~GPwER) is a~~ ~~GENERAL MEDICAL PRACTITIONER~~.A General Practitioner with an Extended Role is a GENERAL MEDICAL PRACTITIONER.
A ~~General Practitioner with an Extended Role~~ ~~is a~~ ~~GENERAL MEDICAL PRACTITIONER~~ ~~who undertakes, in addition to their core general practice, a role that is beyond the scope of~~ ~~GENERAL MEDICAL PRACTITIONER~~ ~~training and membership of the~~ ~~Royal College of General Practitioners~~ ~~and requires further training.~~A General Practitioner with an Extended Role (GPwER) is a GENERAL MEDICAL PRACTITIONER who undertakes, in addition to their core general practice, a role that is beyond the scope of GENERAL MEDICAL PRACTITIONER training and membership of the Royal College of General Practitioners and requires further training.
There is no national standard accreditation for General Practitioners with Extended Roles (as at Autumn 2019) with the exception for those working in dermatology.
For further information on General Practitioners with Extended Roles, see the Royal College of General Practitioners website at: General Practitioners with Extended Roles.

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GET INFORMATION ABOUT SCHOOLS

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Get Information about Schools is a REGISTER.
Get Information about Schools (GIAS) is a REGISTER of all Educational Establishments in England and is maintained by the Department for Education.
Get Information about Schools allows a search of all Educational Establishments, Educational Establishment Groups and Governors.
For further information on Get Information about Schools, see the Department for Education part of the gov.uk website at: Get information about schools.

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GP PRACTICE

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A ~~GP Practice~~ ~~is an~~ ~~Organisation~~.A GP Practice is an ORGANISATION.
A GP Practice may be either:
a single GENERAL PRACTITIONER not practising in partnership, or
two or more GENERAL PRACTITIONERS practising in partnership.
~~GP Practices~~ ~~may operate from multiple~~ ~~Organisation Sites~~.GP Practices may operate from multiple ORGANISATION SITES.
A GP Practice could be a:
General Dental Practitioner Practice
General Medical Practitioner Practice.

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GRIFFITHS MENTAL DEVELOPMENT SCALES

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~~The~~ ~~Griffiths Mental Development Scales~~ (~~Griffiths) is a type of~~ ~~ASSESSMENT TOOL~~.The Griffiths Mental Development Scales is a type of ASSESSMENT TOOL.
~~The~~ ~~Griffiths Mental Development Scales~~ ~~measure the rate of infant development, and cover ages from birth to 8 years.~~The Griffiths Mental Development Scales (Griffiths) measure the rate of infant development, and cover ages from birth to 8 years.
The Griffiths Mental Development Scales consists of six sub-scales:
Sub-scale A: Griffiths Locomotor Scale Score
Sub-scale B: Griffiths Personal-Social Scale Score
Sub-scale C: Griffiths Language Scale Score
Sub-scale D: Griffiths Eye and Hand Co-ordination Scale Score
Sub-scale E: Griffiths Performance Scale Score
Sub-scale F: Griffiths Practical Reasoning Scale Score

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GS1

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~~GS1~~ ~~is an~~ ~~Organisation~~.GS1 is an ORGANISATION.
~~GS1~~ ~~is a not-for-profit global standards~~ ~~Organisation~~ ~~that develops and maintains open standards to support industry.~~GS1 is a not-for-profit global standards ORGANISATION that develops and maintains open standards to support industry. Using GS1 standards enables the universal unique identification throughout patient pathways and healthcare supply chains. Also, helping to facilitate Automatic Identification and Data Capture (AIDC), through the use of unique device identification (UDI).
For further information on GS1, see the GS1 website at: About us.

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GUMCAD SEXUALLY TRANSMITTED INFECTION SURVEILLANCE SYSTEM DATA SET OVERVIEW

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Contextual Overview
The GUMCAD Sexually Transmitted Infection Surveillance System Data Set provides essential public health information about Sexually Transmitted Infection (STI) diagnoses, treatments and SERVICES provided by Level 3 Genitourinary Medicine Services and commissioned Level 2 Sexual Health Services.
The GUMCAD Sexually Transmitted Infection Surveillance System Data Set is used:
To inform public health response and policy formulation for England
To monitor the effectiveness of the policies introduced as part of the National Strategy for Sexual Health and Human Immunodeficiency Virus (HIV)
For performance management at local and national level to ensure delivery of the national Public Service Agreement target on Sexual Health Services
For better planning and management of Sexual Health Services at local level
To adapt and refine clinical interventions, as appropriate
DATA EXTRACT SPECIFICATION
Description:
Public Health England require Sexual Health Services to generate and provide a data extract in accordance with the GUMCAD Sexually Transmitted Infection Surveillance System Data Set. These SERVICES include:
NHS providers of specialised Level 3 Genitourinary Medicine Services, where the primary function of the specialist clinical multidisciplinary team is concerned with the provision of screening, diagnosis and management of Sexually Transmitted Infections and related genital medical conditions.
All Level 2 Sexual Health Services commissioned by the NHS who offer testing, diagnostic and/or treatment of Sexually Transmitted Infections.

It should be noted that General Practitioners with Extended Roles (GPwERs) will only be included if they operate from a General Medical Practitioner Practice that has been commissioned to provide a Level 2 Sexual Health Service.
Time period: The extract must cover one calendar quarter.
Frequency: Reports must be run quarterly, 6 weeks after the end of the quarter.
Format: Data returned must be formatted into a single comma separated variable (csv) file. The data elements should be transmitted in the order specified in the GUMCAD Sexually Transmitted Infection Surveillance System Data Set.
Transmission: Electronic files must be transmitted to Public Health England through a secure web portal on the Public Health England website. ~~This web portal enables~~ ~~Organisations~~ ~~to submit data files in a secure manner to the HIV and STI Department of~~ ~~Public Health England~~. This web portal enables ORGANISATIONS to submit data files in a secure manner to the HIV and STI Department of Public Health England. The web portal can be found at HIV & STI web portal.
Connection to the web portal requires a login account name and password at Public Health England. Please contact gumcad@phe.org.uk for access or more information.
Further guidance on the GUMCAD Sexually Transmitted Infection Surveillance System Data Set can be found on the Public Health England part of the gov.uk website at: STI Surveillance, data, screening and management.

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HBA1C

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~~HbA1c~~ (~~Hemoglobin A1c), also known as~~ ~~Glycated Hemoglobin, is a~~ ~~CLINICAL INVESTIGATION RESULT ITEM~~.HbA1c is a CLINICAL INVESTIGATION RESULT ITEM.
~~The~~ ~~HbA1c~~ ~~test measures the amount of plasma glucose concentration that is being carried by the red blood cells in the body, over a prolonged period of time.~~The HbA1c (Hemoglobin A1c), also known as Glycated Hemoglobin test measures the amount of plasma glucose concentration that is being carried by the red blood cells in the body, over a prolonged period of time.
This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information.

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HEALTH AND CARE PROFESSIONS COUNCIL

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~~The~~ ~~Health and Care Professions Council~~ (~~HCPC) is a~~ ~~Regulatory Body~~.The Health and Care Professions Council is a Regulatory Body.
~~The~~ ~~Health and Care Professions Council~~ ~~is an independent, United Kingdom wide professional regulator, which sets standards of professional training, skills, behaviour and health of the professions they regulate.~~The Health and Care Professions Council (HCPC) is an independent, United Kingdom wide professional regulator, which sets standards of professional training, skills, behaviour and health of the professions they regulate.
The Health and Care Professions Council works to protect the health and well-being of people using the services of the health, social work and psychological professionals registered with them.
The Health and Care Professions Council regulates the following professions:
Arts Therapists (Art Therapists, Music Therapists and Dramatherapists)
Biomedical Scientists
Chiropodists / Podiatrists
Clinical Scientists
Dietitians
Hearing Aid Dispensers
Occupational Therapists
Operating Department Practitioners
Orthoptists
Paramedics
Physiotherapists
Practitioner Psychologists
Prosthetists and Orthotists
Radiographers
Social Workers in England
Speech and Language Therapists
For further information on the Health and Care Professions Council, see the Health and Care Professions Council website at: Regulating health, psychological and social work professionals.

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HEALTH AND WELLBEING BOARD

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A ~~Health and Wellbeing Board~~ ~~is an~~ ~~Organisation~~.A Health and Wellbeing Board is an ORGANISATION.
A Health and Wellbeing Board (HWB) is a forum where key leaders from the health and care system work together to improve the health and wellbeing of their local population and reduce health inequalities.
Each Local Authority in England has a fully operational Health and Wellbeing Board.
For further information on Health and Wellbeing Boards, see the Health and Social Care Act 2012: fact sheets.

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HEALTH CARE PROVIDER

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A ~~Health Care Provider~~ ~~is an~~ ~~Organisation~~.A Health Care Provider is an ORGANISATION.
A ~~Health Care Provider~~ ~~is an~~ ~~Organisation~~ ~~acting as a direct provider of health care~~ ~~SERVICES~~.A Health Care Provider is an ORGANISATION acting as a direct provider of health care SERVICES.
A Health Care Provider is a legal entity, or a sub-set of a legal entity, which may provide health care under NHS SERVICE AGREEMENTS; it may operate on one or more sites within and outside hospitals.
This definition covers Local Authorities with social care responsibilities working in cooperation with an NHS Health Care Provider on nationally targeted and prioritised care as delivered within Care Spells. Lead responsibility for such care may be solely led by one Health Care Provider or jointly shared by two or more Health Care Providers each of which must share equal responsibility.
~~The following~~ ~~Organisations~~ ~~may act as~~ ~~Health Care Providers~~:The following ORGANISATIONS may act as Health Care Providers:
GP Practice
NHS Trust
NHS Foundation Trust
Registered non-NHS Provider (e.g. Independent Provider, Independent Sector Healthcare Provider etc)
Unregistered non-NHS Provider
Care Trust
Local Authorities with social care responsibilities
Other agencies

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HEALTHCARE QUALITY IMPROVEMENT PARTNERSHIP

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~~The~~ ~~Healthcare Quality Improvement Partnership~~ (~~HQIP) is an~~ ~~Organisation~~.The Healthcare Quality Improvement Partnership is an ORGANISATION.
~~The~~ ~~Healthcare Quality Improvement Partnership~~ ~~was established in April 2008 to promote quality in healthcare, and in particular to increase the impact that clinical audit has on healthcare quality in England and Wales.~~The Healthcare Quality Improvement Partnership (HQIP) was established in April 2008 to promote quality in healthcare, and in particular to increase the impact that clinical audit has on healthcare quality in England and Wales.
For further information on the Healthcare Quality Improvement Partnership, see the Healthcare Quality Improvement Partnership website at: About Us.

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HEALTHCARE RESOURCE GROUP

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Developed by the National Casemix Office, Healthcare Resource Groups (HRGs) are standard groupings of clinically similar treatments which use common levels of healthcare resource.
~~Healthcare Resource Groups~~ ~~offer~~ ~~Organisations~~ ~~the ability to understand their~~ ~~ACTIVITY~~ ~~in terms of the types of~~ ~~PATIENTS~~ ~~they care for and the treatments they undertake.~~Healthcare Resource Groups offer ORGANISATIONS the ability to understand their ACTIVITY in terms of the types of PATIENTS they care for and the treatments they undertake. They enable the comparison of ACTIVITY within and between different ORGANISATIONS and provide an opportunity to benchmark treatments and services to support trend analysis over time.
Healthcare Resource Groups are currently used as a means of determining fair and equitable reimbursement for care services delivered by Health Care Providers. Their use as consistent 'units of currency' supports standardised healthcare commissioning across the NHS. They improve the flow of finances within - and sometimes beyond - the NHS.
For further information on Healthcare Resource Groups, see the NHS Digital website at: Downloads - Groupers and Tools.

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HEALTH EDUCATION ENGLAND

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~~Health Education England~~ ~~is an~~ ~~Organisation~~.Health Education England is an ORGANISATION.
Health Education England (HEE) was established as a Special Health Authority, before assuming full operational responsibilities from April 2013.
Health Education England:
provides leadership for the new education and training system
ensures that the shape and skills of the future health and public health workforce evolve to sustain high quality outcomes for PATIENTS in the face of demographic and technological change
ensures that the workforce has the right skills, behaviours and training, and is available in the right numbers, to support the delivery of excellent healthcare and drive improvements
supports healthcare providers and clinicians to take greater responsibility for planning and commissioning education and training.
For further information on Health Education England, see the Health Education England website at: About.

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HEALTH OF THE NATION OUTCOME SCALE (WORKING AGE ADULTS)

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~~The~~ ~~Health of the Nation Outcome Scale (Working Age Adults)~~ (~~HoNOS (Working Age Adults)) is a type of~~ ~~ASSESSMENT TOOL~~.The Health of the Nation Outcome Scale (Working Age Adults) is an ASSESSMENT TOOL.
~~The~~ ~~Health of the Nation Outcome Scale (Working Age Adults)~~ ~~is a means of measuring the health and social functioning of people of working age with severe mental illness.~~The Health of the Nation Outcome Scale (Working Age Adults) (HoNOS (Working Age Adults)) is a means of measuring the health and social functioning of people of working age with severe mental illness. It is assessed by a CARE PROFESSIONAL.
The allowed responses for each of the 12 ratings in the Health of the Nation Outcome Scale (Working Age Adults) are as follows:
0 - No problem
1 - Minor problem requiring no action
2 - Mild problem but definitely present
3 - Moderately severe problem
4 - Severe to very severe problem
9 - Not known
For further information on Health of the Nation Outcome Scale (Working Age Adults), see the Royal College of Psychiatrists website at: Health of the Nation Outcome Scales (HoNOS): HoNOS (Working age adults).

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HEALTH PSYCHOLOGIST

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A Health Psychologist is a PERSON.
A Health Psychologist is recognised by the British Psychological Society.
Health Psychologists use psychological principles to understand and promote changes in people's attitudes, behaviour and beliefs about health and illness. They deal with topics such as quitting smoking, improving nutrition and physical activity, skin care in the sun and promoting safer sex, as well as helping people to cope with and manage health conditions.

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HEALTH RESEARCH AUTHORITY

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~~The~~ ~~Health Research Authority~~ ~~is an~~ ~~Organisation~~.The Health Research Authority is an ORGANISATION.
The Health Research Authority (HRA) is a Special Health Authority.
The purpose of the Health Research Authority is to protect and promote the interests of PATIENTS and the public in health research.
For further information on the Health Research Authority, see the Health Research Authority website at: About us.

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HEALTHWATCH ENGLAND

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~~Healthwatch England~~ ~~is an~~ ~~Organisation~~.Healthwatch England is an ORGANISATION.
Healthwatch England is the independent consumer champion for health and social care in England.
Healthwatch England works with Local Healthwatch and:
advises NHS England, English Local Authorities, NHS Improvement and the Secretary of State for health.
has the power to recommend that action is taken by the Care Quality Commission (CQC) when there are concerns about health and social care services.
For further information on Healthwatch England, see the Healthwatch England website at: What we do.

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HIGH COST TARIFF EXCLUDED DEVICE

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A ~~High Cost Tariff Excluded Device~~ ~~ia a~~ ~~MEDICAL DEVICE~~.A High Cost Tariff Excluded Device is a MEDICAL DEVICE.
A High Cost Tariff Excluded Device is an expensive MEDICAL DEVICE that is excluded from the National Tariff Payment System.
For a complete list of High Cost Tariff Excluded Devices, see the annual National Prices and National Tariff Workbook in the National Tariff Payment System section on the NHS Improvement website at Developing the national tariff.

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HIGH COST TARIFF EXCLUDED DRUG

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A High Cost Tariff Excluded Drug is a PRESCRIBED ITEM.
A High Cost Tariff Excluded Drug is excluded from the National Tariff Payment System.
For a complete list of High Cost Tariff Excluded Drugs, see the annual National Prices and National Tariff Workbook in the National Tariff Payment System section on the NHS Improvement website at Developing the national tariff.

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HIV AND AIDS REPORTING DATA SET OVERVIEW

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Background:
The scope of the HIV and AIDS Reporting Data Set is all PATIENTS who are diagnosed with Human Immunodeficiency Virus (HIV) and receive HIV care from Health Care Providers.
NHS Health Care Providers are required to generate the HIV and AIDS Reporting Data Set.
The HIV and AIDS Reporting Data Set is used to:
Identify the groups at risk of HIV infection in England
Monitor the short and long term clinical outcomes of people living with HIV infection
Monitor the effectiveness of the national policies and guidance
Adapt and refine interventions, as appropriate.
Secondary analyses of aggregate outputs from the HIV and AIDS Reporting Data Set will be used to:
Support the commissioning of HIV Services through collation of data to inform the national HIV outpatient tariff for the National Tariff Payment System
Conduct performance management at the Local Authority and national level.
For further information on Acquired Immune Deficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV), see the Public Health England part of the gov.uk website.
Time period:
The extract covers one calendar quarter.
Frequency:
The HIV and AIDS Reporting Data Set is attendance based and should be submitted quarterly, 2 weeks after the end of the quarter.
Format:
Data for submission will be formatted into an xml file as per the HIV and AIDS Reporting Data Set XML Schema.
Transmission:
Submissions should be transmitted to Public Health England through a secure web portal on the Public Health England (PHE) website, using the HARS Data Set XML Schema.
~~The web portal enables~~ ~~Organisations~~ ~~to submit data files in a secure manner to the HIV and STI Department of~~ ~~Public Health England~~ ~~across the internet and can be found at~~ ~~HIV & STI web portal~~.The web portal enables ORGANISATIONS to submit data files in a secure manner to the HIV and STI Department of Public Health England across the internet and can be found at HIV & STI web portal.
For further information on the HIV and AIDS Reporting Data Set, see the Public Health England part of the gov.uk website at: HIV surveillance systems.

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HOSPICE

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A ~~Hospice~~ ~~is an~~ ~~Organisation~~.A Hospice is an ORGANISATION.
A Hospice:
provides a range of SERVICES for conditions where curative treatment is no longer an option, and people are approaching the end of their life
provides care, treatment and support for people and their families and carers, including respite care for people who live with friends or family at home
will generally employ or work with a broad range of health and social CARE PROFESSIONALS to meet the needs of people using the SERVICE.
Care, treatment and support can be provided in accommodation or in the community. It can be long or short-term care, on an inpatient basis or provided through day care, day therapy or outreach services.
Examples of Hospices include:
Adult Hospice
Children’s Hospice
Day Hospice
End of life care teams
Hospice at home.
For further information on Hospices, see the NHS website at: Finding a Hospice.

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HOSPITAL PROVIDER

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A ~~Hospital Provider~~ ~~is an~~ ~~Organisation~~.A Hospital Provider is an ORGANISATION.
A Hospital Provider is a Health Care Provider providing SERVICES from a:
Care Home
separately managed unit (including NHS Trusts and NHS Foundation Trusts).

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HOSPITAL SITE

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A ~~Hospital Site~~ ~~is an~~ ~~Organisation Site~~.A Hospital Site is an ORGANISATION SITE.
A ~~Hospital Site~~ ~~is an~~ ~~Organisation Site~~ ~~that is a hospital.~~A Hospital Site is an ORGANISATION SITE that is a hospital.
A Hospital Site should contain at least one Hospital Bed routinely used by PATIENTS overnight. However, a dental hospital which does not have Hospital Beds routinely used by PATIENTS overnight may be classified as a Hospital Site if it includes at least one Hospital Bed routinely used by PATIENTS by day. A hospital is an establishment for which the main purpose is to provide medical or psychiatric treatment for illness or mental disorder or Palliative Care. PATIENTS may have a Hospital Stay at a Hospital Site, as a result of one or more ELECTIVE ADMISSION LIST ENTRIES.
A hospital which provides high security psychiatric services in high security accommodation for PATIENTS liable to be detained in hospital under provisions of the Mental Health Act 1983, who require treatment under conditions of special security on account of their dangerous, violent or criminal propensities, must be part of an NHS Trust approved by the Secretary of State for the purpose of providing such services.
Any establishment in which treatment or nursing (or both) are provided for PERSONS liable to be detained under the Mental Health Act 1983 is a Hospital Site.
The Hospital Site may or may not be classed as an NHS site.

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HUMAN TISSUE AUTHORITY

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~~The~~ ~~Human Tissue Authority~~ (~~HTA) is an~~ ~~Organisation~~.The Human Tissue Authority is an ORGANISATION.
The Human Tissue Authority (HTA) is an executive agency of the Department of Health and Social Care.
The Human Tissue Authority is the regulator for human TISSUE and organs.
For further information on the Human Tissue Authority, see the Human Tissue Authority website at: About Us.

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HYPERBARIC OXYGEN THERAPY

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~~Hyperbaric Oxygen Therapy~~ (~~HBOT) is a~~ ~~CLINICAL INTERVENTION~~.Hyperbaric Oxygen Therapy is a CLINICAL INTERVENTION.
~~Hyperbaric Oxygen Therapy~~ ~~(also known as~~ ~~Hyperbaric Medicine) involves breathing pure oxygen at higher than atmospheric pressures in an enclosed chamber.~~Hyperbaric Oxygen Therapy (HBOT), also known as Hyperbaric Medicine, involves breathing pure oxygen at higher than atmospheric pressures in an enclosed chamber.
For further information on Hyperbaric Oxygen Therapy, see the National Cancer Institute website.

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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES OPT-IN MODEL (RETIRED) renamed from IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES OPT-IN MODEL

Change to Supporting Information: Changed Description, status to Retired, Name
~~The~~ ~~Improving Access to Psychological Therapies Opt-In Model~~ ~~is used by~~ ~~Improving Access to Psychological Therapies Services~~ ~~where on receipt of a~~ ~~SERVICE REQUEST, other than from the~~ ~~PATIENT, the~~ ~~PATIENT~~ ~~is contacted and asked to confirm they would like to be considered for treatment.~~This item has been retired from the NHS Data Model and Dictionary.
~~For further guidance on the~~ ~~Improving Access to Psychological Therapies Opt-In Model, see the~~ ~~Adult Improving Access to Psychological Therapies Programme~~ ~~website at:~~ ~~Adult Improving Access to Psychological Therapies programme~~.The last live version of this item is available in the June 2020 release of the NHS Data Model and Dictionary.
Access to this version can be obtained by emailing information.standards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

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IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES OPT-IN MODEL (RETIRED) renamed from IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES OPT-IN MODEL

Change to Supporting Information: Changed Description, status to Retired, Name
Changed Description
Retired Improving Access to Psychological Therapies Opt-In Model
Changed Name from Data_Dictionary.NHS_Business_Definitions.I.Improving_Access_to_Psychological_Therapies_Opt-In_Model to Retired.Data_Dictionary.NHS_Business_Definitions.I.Improving_Access_to_Psychological_Therapies_Opt-In_Model
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INDEPENDENT MENTAL CAPACITY ADVOCATE

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An ~~Independent Mental Capacity Advocate~~ (~~IMCA) is a~~ ~~PERSON~~.An Independent Mental Capacity Advocate is a PERSON.
An ~~Independent Mental Capacity Advocate~~ ~~assists people who lack mental capacity to express their views.~~An Independent Mental Capacity Advocate (IMCA) assists people who lack mental capacity to express their views.
For further information on Independent Mental Capacity Advocates, see the Office of Public Guardian and Department of Health and Social Care part of the gov.uk website.

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INDEPENDENT MENTAL HEALTH ADVOCATE

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An ~~Independent Mental Health Advocate~~ (~~IMHA) is a~~ ~~PERSON~~.An Independent Mental Health Advocate is a PERSON.
An ~~Independent Mental Health Advocate~~ ~~is a specialist mental health advocate, who helps~~ ~~PATIENTS~~ ~~understand the legal provisions to which they are subject under the Mental Health Act.~~An Independent Mental Health Advocate (IMHA) is a specialist mental health advocate, who helps PATIENTS understand the legal provisions to which they are subject under the Mental Health Act.
For further information on Independent Mental Health Advocates, see the Department of Health and Social Care part of the gov.uk website.

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INDEPENDENT PROVIDER

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An ~~Independent Provider~~ (IP~~) is an~~ ~~Organisation~~An Independent Provider is an ORGANISATION.
An ~~Independent Provider~~ ~~is a private sector~~ ~~Health Care Provider~~ ~~that is contracted by the NHS in the provision of healthcare or in the support of the provision of healthcare.~~An Independent Provider (IP) is a private sector Health Care Provider that is contracted by the NHS in the provision of healthcare or in the support of the provision of healthcare.
Independent Providers are typically the smaller providers of healthcare such as hypnotherapists, medical CONSULTANTS working privately outside of the NHS, nursing homes, private practices and clinics etc.
~~Note: the structure of~~ ~~Independent Provider~~ ~~Organisations~~ ~~is such that they can’t have related sites.~~Note: the structure of Independent Provider ORGANISATIONS is such that they can’t have related sites.

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INDEPENDENT SECTOR HEALTHCARE PROVIDER

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An ~~Independent Sector Healthcare Provider~~ (~~ISHP) is an~~ ~~Organisation~~.An Independent Sector Healthcare Provider is an ORGANISATION.
An ~~Independent Sector Healthcare Provider~~ ~~is a private sector healthcare company that is contracted by the NHS in the provision of healthcare or in the support of the provision of healthcare.~~An Independent Sector Healthcare Provider (ISHP) is a private sector healthcare company that is contracted by the NHS in the provision of healthcare or in the support of the provision of healthcare.
Note: the hierarchical structure of Independent Sector Healthcare Providers is such that the parent or owning Independent Sector Healthcare Provider can have any number of related sites.

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INTEGRATED IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES LONG TERM CONDITION SERVICE

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An ~~Integrated Improving Access to Psychological Therapies Long Term Condition Service~~ (~~Integrated IAPT-LTC Service) is a~~ ~~SERVICE~~.An Integrated Improving Access to Psychological Therapies Long Term Condition Service is a SERVICE.
An ~~Integrated Improving Access to Psychological Therapies Long Term Condition Service~~ ~~is an~~ ~~Improving Access to Psychological Therapies Service~~ ~~that provides evidence-based (National Institute for Health and Care Excellence~~ ~~recommended) psychological therapies for~~ ~~PATIENTS~~ ~~with~~ ~~Long Term Physical Health Conditions~~ ~~who also have depression and anxiety disorders, or who have medically unexplained symptoms.~~An Integrated Improving Access to Psychological Therapies Long Term Condition Service (Integrated IAPT-LTC Service) is an Improving Access to Psychological Therapies Service that provides evidence-based (National Institute for Health and Care Excellence recommended) psychological therapies for PATIENTS with Long Term Physical Health Conditions who also have depression and anxiety disorders, or who have medically unexplained symptoms.
Integrated Improving Access to Psychological Therapies Long Term Condition Services will be co-located with existing primary and secondary Health Care Providers.
For further information on Integrated Improving Access to Psychological Therapies Long Term Condition Services, see the NHS England website at: Long Term Conditions and Medically Unexplained Symptoms.

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INTERGROUP RHABDOMYOSARCOMA STUDY POST SURGICAL GROUPING SYSTEM

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~~The~~ ~~Intergroup Rhabdomyosarcoma Study Post Surgical Grouping System~~ (~~IRS Post Surgical Grouping System) is a system for~~ ~~CANCER STAGING~~.The Intergroup Rhabdomyosarcoma Study Post Surgical Grouping System is a system for CANCER STAGING.
~~The~~ ~~Intergroup Rhabdomyosarcoma Study Post Surgical Grouping System~~ ~~is a system is based on the degree of surgical resection.~~The Intergroup Rhabdomyosarcoma Study Post Surgical Grouping System (IRS Post Surgical Grouping System) is a system is based on the degree of surgical resection.

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INTERNATIONAL CLASSIFICATION FOR INTRAOCULAR RETINOBLASTOMA

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The International Classification for Intraocular Retinoblastoma is a system for CANCER STAGING.
The International Classification for Intraocular Retinoblastoma is the staging system for PATIENTS with intraocular retinoblastoma.
For further information on the International Classification for Intraocular Retinoblastoma, see the National Cancer Institute website.

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INTERNATIONAL COMMISSION ON RADIATION UNITS AND MEASUREMENTS

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~~The~~ ~~International Commission on Radiation Units and Measurements~~ (~~ICRU) is an~~ ~~Organisation~~.The International Commission on Radiation Units and Measurements is an ORGANISATION.
The International Commission on Radiation Units and Measurements (ICRU) establishes international standards for radiation units and measurement.

~~The~~ ~~International Commission on Radiation Units and Measurements~~ ~~establishes international standards for radiation units and measurement.~~
For further information on the International Commission on Radiation Units and Measurements, see the International Commission on Radiation Units and Measurements website.

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INTERNATIONAL FEDERATION OF GYNECOLOGY AND OBSTETRICS

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~~The~~ ~~International Federation of Gynecology and Obstetrics~~ (~~FIGO) is an~~ ~~Organisation~~.The International Federation of Gynecology and Obstetrics is an ORGANISATION.
~~The~~ ~~International Federation of Gynecology and Obstetrics~~ ~~is the only worldwide~~ ~~Organisation~~ ~~that groups obstetricians and gynaecologists.~~The International Federation of Gynecology and Obstetrics (FIGO) is the only worldwide ORGANISATION that groups obstetricians and gynaecologists.
The International Federation of Gynecology and Obstetrics' mission is to promote the wellbeing of women and to raise the standards of practice in obstetrics and gynaecology.
For further information on the International Federation of Gynecology and Obstetrics, see the International Federation of Gynecology and Obstetrics website.

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INTERNATIONAL NEUROBLASTOMA RISK GROUP STAGING SYSTEM

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~~The~~ ~~International Neuroblastoma Risk Group Staging System~~ (~~INRGSS) is a system for~~ ~~CANCER STAGING~~.The International Neuroblastoma Risk Group Staging System is a system for CANCER STAGING.
~~The~~ ~~International Neuroblastoma Risk Group Staging System~~ ~~is a preoperative staging system.~~The International Neuroblastoma Risk Group Staging System (INRGSS) is a preoperative staging system.
The extent of disease is determined by the presence or absence of image-defined risk factors (IDRFs) and/or metastatic Tumour at the time of PATIENT DIAGNOSIS, before any treatment or surgery
For further information on the International Neuroblastoma Risk Group Staging System, see the National Cancer Institute website.

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INTERNATIONAL SOCIETY OF PAEDIATRIC ONCOLOGY

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~~The~~ ~~International Society of Paediatric Oncology~~ (~~SIOP) is an~~ ~~Organisation~~.The International Society of Paediatric Oncology is an ORGANISATION.
The International Society of Paediatric Oncology's vision is that "No child should die of cancer".
~~The mission of the~~ ~~International Society of Paediatric Oncology~~ ~~is to:~~The mission of the International Society of Paediatric Oncology (SIOP) is to:
ensure that each child and young adult with cancer has access to state of the art treatment and care
ensure that all involved in childhood cancer worldwide, have access to the latest progress through meetings, networking, and continuing professional development
support those caring for children and young adults with cancer to provide the best curative and palliative therapies
advocate for appropriate long term follow up for children and young adults after treatment for cancer.
For further information on the International Society of Paediatric Oncology, see the International Society of Paediatric Oncology website.

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INTER-PROVIDER TRANSFER ADMINISTRATIVE MINIMUM DATA SET OVERVIEW

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Contextual Overview
The NHS need to measure and monitor the REFERRAL TO TREATMENT PERIOD within PATIENT PATHWAYS to ensure that they are progressing as planned to achieve the 18 weeks target.
In an estimated 10% to 20% of cases, responsibility for the PATIENT PATHWAY will be transferred between Health Care Providers. The receiving Health Care Provider would be unable to report on the 18 weeks target for these cases unless the referring Health Care Provider supplied the PATIENT PATHWAY information at the time of transfer.
This data set specifies the data necessary to permit the receiving Health Care Provider to be able to report the PATIENT's progress along their PATIENT PATHWAY and, in particular, their REFERRAL TO TREATMENT PERIOD.
Scope and Collection
Completion is mandatory for all PATIENTS with a REFERRAL TO TREATMENT PERIOD where there has been a transfer of care to an alternative Health Care Provider.
Completion is advisable for PATIENTS without a REFERRAL TO TREATMENT PERIOD, where there has been a transfer of care to an alternative Health Care Provider, but this is voluntary.
~~The referring~~ ~~Organisation~~ ~~should send the data set within 48 hours of~~ ~~DECISION TO REFER DATE (INTER-PROVIDER TRANSFER)~~.
The referring ORGANISATION should send the data set within 48 hours of DECISION TO REFER DATE (INTER-PROVIDER TRANSFER).
Inter-provider transfer SERVICE REQUESTS for clinical opinion or diagnostics, where the care of the PATIENT remains with the referring Health Care Provider, are voluntary.
SERVICE REQUESTS associated with the following PATIENT PATHWAYS are also not currently included:
Non-elective PATIENTS
Planned admissions (usually part of a planned sequence of clinical care determined mainly on social or clinical criteria, for example, a check cystoscopy).
Where the Inter-Provider Transfer Administrative Minimum Data Set is sent WITH the clinical referral letter it is considered to be complete if the following key data items are included:
NHS NUMBER
PATIENT PATHWAY IDENTIFIER
ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)
REFERRING ORGANISATION CODE
REFERRAL TO TREATMENT PERIOD START DATE
REFERRAL TO TREATMENT PERIOD STATUS (INTER-PROVIDER TRANSFER)
Where the Inter-Provider Transfer Administrative Minimum Data Set is sent independently of the clinical referral letter, ALL mandated Inter-Provider Transfer Administrative Minimum Data Set data items must be completed.
Further Guidance
Further guidance on the data set can be found in 'The Inter-Provider Transfer Administrative Data Set Operational Information Standard' and in DSCN 30/2007.
Further guidance and definitions on REFERRAL TO TREATMENT PERIODS and those PATIENT PATHWAYS included within the Consultant-Led Referral to Treatment Waiting Times can be found on the NHS England website at: Consultant-led Referral to Treatment Waiting Times.

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INTRAOPERATIVE ULTRASOUND

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An ~~Intraoperative Ultrasound~~ (~~IOUS) is a~~ ~~Clinical Investigation~~.An Intraoperative Ultrasound is a Clinical Investigation.
An ~~Intraoperative Ultrasound~~ ~~is a procedure that uses ultrasound (high-energy sound waves that are bounced off internal~~ ~~TISSUES~~ ~~and organs) during surgery.~~An Intraoperative Ultrasound (IOUS) is a procedure that uses ultrasound (high-energy sound waves that are bounced off internal TISSUES and organs) during surgery. Sonograms (pictures made by ultrasound) of the inside of the body are viewed on a computer to help a surgeon find Tumours or other problems during the operation.
For further information on Intraoperative Ultrasounds, see the National Cancer Institute website.

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JUSTICE ORGANISATION

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A ~~Justice Organisation~~ ~~is an~~ ~~Organisation~~.A Justice Organisation is an ORGANISATION.
A Justice Organisation provides SERVICES or facilities for persons who are detained for any period of more than 6 hours.
Justice Organisations were under the jurisdiction of the Home Office or the Justice Department. The responsibility for care delivered in Justice Organisation has been transferred to the NHS.
For the purposes of the Organisation Data Service code set, Justice Organisations include:
Courts
Immigration Removal Centres
Police Constabularies
Police Custody Suites
Secure Children's Homes
Secure Training Centres
Sexual Assault Referral Centres **
Young Offender Institutions
** Note: People are not detained in Sexual Assault Referral Centres (SARCs), but SARCs are included with the other Justice Organisations for the purpose of the Organisation Data Service file publication.
For further information on Justice Organisations, see the NHS England website at: Health and Justice.

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LOCAL AUTHORITY

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A ~~Local Authority~~ ~~is an~~ ~~Organisation~~.A Local Authority is an ORGANISATION.
The structure of local government varies from area to area in England. In some areas there are two layers or tiers:
a County or Shire Council as the upper tier and
a District, Borough or City Council as the lower tier.
In other areas there is just a single tier made up of a ‘Unitary Authority’. Unitary Authorities may have adopted any of these names. In London each borough is a Unitary Administration with a status similar to that of Metropolitan Districts, with the London Assembly providing strategic, city-wide government.
A Local Authority is responsible for a range of services for both individuals and business which include:
Health Services
Social Services
Education
Planning
Waste disposal, recycling and collection
Trading standards
Roads, highways and transportation
Housing
Environmental Health
Approving planning applications
Enforcing health, safety, environment and trading standards requirements etc
From April 2013:
each Local Authority in England has a fully operational Health and Wellbeing Board
Local Authorities in partnership with Clinical Commissioning Groups are responsible for commissioning the majority of NHS SERVICES for PATIENTS within their local communities
Local Authorities are responsible for protecting and improving health and wellbeing.
~~For the purposes of the~~ ~~Organisation Data Service, the definition for a ‘Local Authority~~' ~~Organisation~~ ~~is based on (but is not exactly the same as) the definition given within the Local Government Act, as follows:~~For the purposes of the Organisation Data Service, the definition for a ‘Local Authority' ORGANISATION  is based on (but is not exactly the same as) the definition given within the Local Government Act, as follows:
A “Local Authority”, in relation to England is:
a County Council
a District Council
a London Borough Council
the Common Council of the City of London in its capacity as a Local Authority
the Council of the Isles of Scilly
a Unitary Authority
Across Wales, there is a single tier system of Unitary Authorities (Councils).
Note that the Scotland Councils and Northern Ireland Councils are not included within the Organisation Data Service data set.

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LOCAL HEALTH BOARD (WALES)

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A ~~Local Health Board (Wales)~~ ~~(formerly known as~~ ~~Welsh Local Health Board) is an~~ ~~Organisation~~.A Local Health Board (Wales) is an ORGANISATION.
~~Local Health Boards (Wales)~~ ~~are bodies corporate established by the Welsh Ministers under s.~~Local Health Boards (Wales) (formerly known as a Welsh Local Health Board) are bodies corporate established by the Welsh Ministers under s.11 of the National Health Service (Wales) Act 2006.
A Local Health Board (Wales) will be responsible for:
Those functions undertaken by the twenty-two Welsh Local Health Boards up to 30 September 2009 (including securing the provision of health care services for the PERSONS resident within their respective areas);
The provision of health care services within their areas;
The planning and provision of specialised and tertiary services that were commissioned by Health Commission Wales up to 30 September 2009. The planning of some of those specialised and tertiary services may be executed via joint committees such as that envisaged for the Welsh Health Specialised Services Committee (WHSSC).
This model will ensure the emphasis remains on co-operation and engagement with local partners, particularly in relation to the Health, Social Care and Well-being Strategies and Children and Young People’s Plans.

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LOCAL HEALTHWATCH

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A ~~Local Healthwatch~~ ~~is an~~ ~~Organisation~~.A Local Healthwatch is an ORGANISATION.
A Local Healthwatch covers every Local Authority area in England.
A Local Healthwatch:
represents the views of:
people who use SERVICES
carers and
the public
on the Health and Wellbeing Boards set up by Local Authorities
provides a complaints advocacy service to support people who make a complaint about SERVICES
reports concerns about the quality of health care to Healthwatch England, which can then recommend that the Care Quality Commission take action.
For further information on Local Healthwatch, see the Healthwatch England website at: What we do.

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LONG TERM PHYSICAL HEALTH CONDITION

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A ~~Long Term Physical Health Condition~~ ~~(also known as a~~ ~~Chronic Condition) is a health problem that requires ongoing management over a period of years or decades.~~A Long Term Physical Health Condition is a PATIENT DIAGNOSIS.
A ~~Long Term Physical Health Condition~~ ~~is one that cannot currently be cured but can be controlled with the use of medication and/or other therapies.~~A Long Term Physical Health Condition (also known as a Chronic Condition) is:
A health problem that requires ongoing management over a period of years or decades
One that cannot currently be cured but can be controlled with the use of medication and/or other therapies.
This includes a wide range of health conditions including:
~~Non-communicable diseases (e.g. cancer and cardiovascular disease);~~
~~Communicable diseases (e.g. Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS));~~
Non-communicable diseases (e.g. cancer and cardiovascular disease)
Communicable diseases (e.g. Human Immunodeficiency Virus (HIV) / Acquired Immunodeficiency Syndrome (AIDS))
Certain mental disorders (e.g. schizophrenia, depression) and
Ongoing impairments in structure (e.g. blindness, joint disorders).
Examples of Long Term Physical Health Conditions include:
Diabetes
Cardiovascular (e.g. Hypertension, Angina)
Chronic Respiratory (e.g. Asthma, Chronic Obstructive Pulmonary Disease (COPD))
Chronic Neurological (e.g. Multiple Sclerosis)
Chronic Pain (e.g. Arthritis)
Other Long Term Conditions (e.g. Chronic Fatigue Syndrome, Irritable Bowel Syndrome (IBS), Cancer) etc.


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LOOKED AFTER CHILD

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A ~~Looked After Child~~ ~~(also referred to as a~~ ~~Child Looked After) is a~~ ~~PERSON~~.A Looked After Child is a PERSON.
A ~~Looked After Child~~ ~~is a child in the care of a~~ ~~Local Authority~~ ~~either:~~A Looked After Child (also referred to as a Child Looked After) is a child in the care of a Local Authority either:
through a Care Order made by a Court or
voluntary agreement with their parent(s) to accommodate them.
They may be looked after:
in a Children's Home,
by foster carers, or
other family members.
All Unaccompanied Asylum Seeking Children are also Looked After Children.

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LOWER LAYER SUPER OUTPUT AREA

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A ~~Lower Layer Super Output Area~~ (~~LSOA) is a~~ ~~GEOGRAPHIC AREA~~.A Lower Layer Super Output Area is a GEOGRAPHIC AREA.
~~Lower Layer Super Output Areas~~ ~~are a geographic hierarchy designed to improve the reporting of small area statistics in England and Wales.~~Lower Layer Super Output Areas (LSOA) are a geographic hierarchy designed to improve the reporting of small area statistics in England and Wales.
Lower Layer Super Output Areas are built from groups of contiguous Output Areas and have been automatically generated to be as consistent in population size as possible, and typically contain from four to six Output Areas. The Minimum population is 1000 and the mean is 1500.
There is a Lower Layer Super Output Area for each POSTCODE in England and Wales. A pseudo code is available for Scotland, Northern Ireland, Channel Islands and the Isle of Man.
The Organisation Data Service publish files created on their behalf by the Office for National Statistics, which link POSTCODES to the Lower Layer Super Output Area.
See the Organisation Data Service pages on the NHS Digital website at: Gridlink NHS Postcode for the NHS Postcode Directory User Guide.

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MAIN SPECIALTY AND TREATMENT FUNCTION CODES TABLE

Change to Supporting Information: Changed Description
For further information regarding the definition and use of MAIN SPECIALTY see the attribute MAIN SPECIALTY CODE.
For further information regarding the definition and use of TREATMENT FUNCTION see the attribute TREATMENT FUNCTION CODE.
For additional queries contact the NHS Digital by email at: enquiries@nhsdigital.nhs.uk with the subject "Main Specialty and Treatment Function Codes".
Note:
~~New National Codes for~~ ~~MAIN SPECIALTY CODE~~ ~~and~~ ~~TREATMENT FUNCTION CODE~~ ~~were introduced from 2 April 2020 as part of the update to the~~ ~~DCB0028: Treatment Function and Main Specialty Standard~~.
~~Page 8 of the "Change Specification" provides a list of the new~~ ~~TREATMENT FUNCTION CODES~~.
~~Note that new codes should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets and any associated XML Schemas.~~
~~Prior to these updates, health and care~~ ~~Organisations~~ ~~must review the impact of this information standard and make appropriate changes to local health IT systems from 2 April 2020 and before 1 April 2021.~~
~~Where new National Codes are recorded locally, these will need to be mapped to an appropriate existing code for transmission and reporting purposes.~~
New National Codes for MAIN SPECIALTY CODE and TREATMENT FUNCTION CODE were introduced from 2 April 2020 as part of the update to the DCB0028: Treatment Function and Main Specialty Standard.
Page 8 of the "Change Specification" provides a list of the new TREATMENT FUNCTION CODES.
Note that new codes should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets and any associated XML Schemas.
Prior to these updates, health and care ORGANISATIONS must review the impact of this information standard and make appropriate changes to local health IT systems from 2 April 2020 and before 1 April 2021.
Where new National Codes are recorded locally, these will need to be mapped to an appropriate existing code for transmission and reporting purposes.
Table 1 Main Specialty codes
Code Main Specialty Title Comments
Surgical Specialties
100 General Surgery For further information, see: Royal College of Surgeons - General Surgery
101 Urology For further information, see: Royal College of Surgeons - Urology
107 Vascular Surgery For further information, see: Royal College of Surgeons - Vascular Surgery
110 Trauma and Orthopaedics For further information, see: Royal College of Surgeons - Orthopaedic Surgery
120 Ear Nose and Throat Formerly known as ENT.
For further information, see: Royal College of Surgeons - Ear, Nose and Throat (ENT)
130 Ophthalmology For further information, see: The Royal College of Ophthalmologists
140 Oral Surgery For further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery
141 Restorative Dentistry For further information, see: The British Society for Restorative Dentistry (BSRD)
142 Paediatric Dentistry For further information, see: The British Society of Paediatric Dentistry
143 Orthodontics For further information, see: British Orthodontic Society
145 Oral and Maxillofacial Surgery For further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery
146 Endodontics For further information, see: British Endodontic Society
147 Periodontics For further information, see: British Society of Periodontology
148 Prosthodontics For further information, see: The British Society of Prosthodontics (BSSPD)
149 Surgical Dentistry For further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
150 Neurosurgery For further information, see: Royal College of Surgeons - Neurosurgery
160 Plastic Surgery For further information, see: Royal College of Surgeons - Plastic and Reconstructive
170 Cardiothoracic Surgery For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
171 Paediatric Surgery For further information, see: Royal College of Surgeons - Paediatric Surgery
191 Pain Management (Retired 1 April 2004)
Medical Specialties
180 Emergency Medicine Formerly known as Accident and Emergency.
For further information, see: The Royal College of Emergency Medicine
190 Anaesthetics For further information, see: Royal College of Anaesthetists
192 Intensive Care Medicine Formerly known as Critical Care Medicine.
For further information, see: The Faculty of Intensive Care Medicine
200 Aviation and Space Medicine For further information, see: Joint Royal Colleges of Physicians Training Board - Aviation and Space Medicine
300 General Internal Medicine Formerly known as General Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - General Internal Medicine (GIM)
301 Gastroenterology For further information, see: Joint Royal Colleges of Physicians Training Board - Gastroenterology
302 Endocrinology and Diabetes Formerly known as Endocrinology.
For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
303 Clinical Haematology For further information, see: Joint Royal Colleges of Physicians Training Board - Haematology
304 Clinical Physiology For further information, see: The Registration Council for Clinical Physiologists
305 Clinical Pharmacology For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Pharmacology and Therapeutics (CPT)
310 Audio Vestibular Medicine Formerly known as Audiological Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - Audio vestibular Medicine
311 Clinical Genetics For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Genetics
* 312 Clinical Cytogenetics and Molecular Genetics (Retired 1 April 2010)
313 Clinical Immunology Formerly known as Clinical Immunology and Allergy.
For further information, see: Joint Royal Colleges of Physicians Training Board - Immunology
314 Rehabilitation Medicine Formerly known as Rehabilitation.
For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation Medicine
315 Palliative Medicine For further information, see: Joint Royal Colleges of Physicians Training Board - Palliative Medicine
317 Allergy For further information, see: Joint Royal Colleges of Physicians Training Board - Allergy
320 Cardiology For further information, see: Joint Royal Colleges of Physicians Training Board - Cardiology
321 Paediatric Cardiology For further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric Cardiology
325 Sport and Exercise Medicine For further information, see: Faculty of Sport and Exercise Medicine
326 Acute Internal Medicine For further information, see: Joint Royal Colleges of Physicians Training Board - Acute Internal Medicine
330 Dermatology For further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology
340 Respiratory Medicine Also known as Thoracic Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - Respiratory Medicine
350 Infectious Diseases For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and Tropical Medicine
352 Tropical Medicine For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and tropical Medicine
360 Genitourinary Medicine For further information, see: Joint Royal Colleges of Physicians Training Board - Genitourinary Medicine
361 Renal Medicine Formerly known as Nephrology.
For further information, see: Joint Royal Colleges of Physicians Training Board - Renal Medicine
370 Medical Oncology For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Oncology
371 Nuclear Medicine For further information, see: Joint Royal Colleges of Physicians Training Board - Nuclear Medicine
400 Neurology For further information, see: Joint Royal Colleges of Physicians Training Board - Neurology
401 Clinical Neurophysiology For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Neurophysiology
410 Rheumatology For further information, see: British Society for Rheumatology
420 Paediatrics For further information, see: Royal College of Paediatrics and Child Health - General Paediatrics
421 Paediatric Neurology For further information, see: Royal College of Paediatrics and Child Health - Neurology
430 Geriatric Medicine For further information, see: Joint Royal Colleges of Physicians Training Board - Geriatric Medicine
450 Dental Medicine Formerly known as Dental Medicine Specialties.
For further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
451 Special Care Dentistry For further information, see: Special Care Dentistry Association (SCDA)
460 Medical Ophthalmology For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Ophthalmology
† 500 Obstetrics and Gynaecology For further information, see: Royal College of Obstetricians and Gynaecologists
501 Obstetrics For further information, see: Royal College of Obstetricians and Gynaecologists
502 Gynaecology For further information, see: Royal College of Obstetricians and Gynaecologists
504 Community Sexual and Reproductive Health For further information, see: Faculty of Sexual & Reproductive Healthcare of the Royal College of Obstetricians & Gynaecologists
510 Antenatal Clinic (Retired 1 April 2004)
520 Postnatal Clinic (Retired 1 April 2004)
600 General Medical Practice For further information, see: Royal College of General Practitioners
601 General Dental Practice For further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
610 Maternity Function (Retired 1 April 2004)
620 Other Than Maternity (Retired 1 April 2004)
831 Medical Microbiology and Virology For further information, see: The Royal College of Pathologists - Medical Microbiology and The Royal College of Pathologists - Virology
833 Medical Microbiology Also known as Microbiology and Bacteriology.
For further information, see: The Royal College of Pathologists - Medical Microbiology
834 Medical Virology For further information, See: The Royal College of Pathologists - Medical Virology
Psychiatry
700 Intellectual Disability Formerly known as Learning Disability.
For further information, see: Royal College of Psychiatrists - Faculty of the Psychiatry of Intellectual Disability
710 Adult Mental Illness For further information, see: NHS England - Adult and older adult mental health
711 Child and Adolescent Psychiatry For further information, see: Royal College of Psychiatrists - Faculty of Child and Adolescent Psychiatry
712 Forensic Psychiatry For further information, see: Royal College of Psychiatrists - Faculty of Forensic Psychiatry
713 Medical Psychotherapy For further information, see: Royal College of Psychiatrists - Faculty of Medical Psychotherapy
715 Old Age Psychiatry For further information, see: Royal College of Psychiatrists - Faculty of Old Age Psychiatry
Other
560 Midwifery Formerly known as Midwife Episode.
For further information, see: Royal College of Midwives
800 Clinical Oncology Formerly known as Radiotherapy.
For further information, see: The Royal College of Radiologists - Clinical Oncology
810 Radiology For further information, see: The Royal College of Radiologists (RCR)
820 General Pathology For further information, see: The Royal College of Pathologists
821 Blood Transfusion For further information, see: The Royal College of Pathologists - Blood Transfusion
822 Chemical Pathology For further information, see: The Royal College of Pathologists
823 Haematology For further information, see: The Royal College of Pathologists - Haematology
824 Histopathology For further information, see: The Royal College of Pathologists - Histopathology
830 Immunopathology For further information, see: The Royal College of Pathologists - Immunology
832 Neuropathology (Retired 1 April 2004)
900 Community Medicine For further information, see: Faculty of Public Health
901 Occupational Medicine For further information, see: Royal College of Physicians - Faculty of Occupational Medicine
902 Community Health Services Dental For further information, see: Faculty of Public Health
903 Public Health Medicine For further information, see: Faculty of Public Health
904 Public Health Dental For further information, see: GOV.uk - Oral Health
950 Nursing Formerly known as Nursing Episode.
For further information, see: Nursing & Midwifery Council
960 Allied Health Professional Formerly known as Allied Health Professional Episode.
For further information, see: Health and Care Professions Council
990 Joint Consultant Clinics (Retired 1 April 2004)

Notes:
† Code 500 is not acceptable for data sets/collections including Hospital Episode Statistics
* Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010.
Table 2 Treatment Function codes
Code Treatment Function Title Comments
Surgical Specialties
100 General Surgery Service SERVICES delivering surgical ACTIVITY not covered by other subspecialty areas. The majority of elective procedures, about 80 per cent, fall outside subspecialty areas.
For further information, see: Royal College of Surgeons - Surgical Specialties
101 Urology Service Surgical SERVICES for the treatment of disorders of the urinary system and male reproductive system. This includes surgery for gender dysphoria.
For further information, see: Royal College of Surgeons - Urology
102 Transplant Surgery Service SERVICES for pre- and post-operative care for major organ transplants except heart and lung. Excludes Cardiothoracic Transplantation Service - see TREATMENT FUNCTION CODE 174, corneal grafts carried out by Ophthalmology Service - see TREATMENT FUNCTION CODE 130 and Blood and Bone Marrow Transplantation Service - see TREATMENT FUNCTION CODE 308.
For further information, see: Royal College of Surgeons - General Surgery
103 Breast Surgery Service SERVICES which include surgical treatment for cancer, suspected neoplasms, indeterminate breast lesions, benign breast lumps, disorders of the nipple-areolar complex, cysts and post-cancer reconstructive, revision and symmetrising surgery. Includes breast surgery for gender dysphoria. Excludes cosmetic surgery.
For further information, see: Association of Breast Surgery
104 Colorectal Surgery Service SERVICES for the surgical treatment of disorders of the lower intestine (colon, anus and rectum)
105 Hepatobiliary and Pancreatic Surgery Service Specialist surgical SERVICES for hepatobiliary and pancreatic (HPB) disorders. To be used by recognised specialist units and associated outreach SERVICES only. Excludes Transplant Surgery Service - see TREATMENT FUNCTION CODE 102.
For further information, see: NHS England - A02. Hepatobiliary and Pancreas
106 Upper Gastrointestinal Surgery Service SERVICES for surgical treatment of disorders of the upper parts of the gastrointestinal tract.
For further information, see: Royal College of Surgeons - General Surgery
107 Vascular Surgery Service SERVICES for the surgical treatment of diseases of the vascular system.
For further information, see: Royal College of Surgeons - Vascular Surgery
108 Spinal Surgery Service Surgery concentrating on specialised and complex treatment of issues of the back and spine. To be used by recognised specialist units and associated outreach SERVICES only. Excludes Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110, Orthopaedic Service - see TREATMENT FUNCTION CODE 111, Trauma Surgery Service - see TREATMENT FUNCTION CODE 115 and Spinal Injuries Service - see TREATMENT FUNCTION CODE 323.
For further information, see: British Association of Spine Surgeons
109 Bariatric Surgery Service SERVICES assessing, managing and treating obesity, and specifically consideration of bariatric (weight loss) surgery. It includes PATIENTS who are obese and have, or are at risk of, other medical conditions. It does not cover preventing a PERSON from becoming overweight or obese, or lifestyle weight management programmes for a PERSON who is overweight or obese.
For further information, see: National Institute for Health and Care Excellence - Obesity
110 Trauma and Orthopaedic Service SERVICES to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Orthopaedic Surgery Service - TREATMENT FUNCTION CODE 111 and Spinal Surgery Service - see TREATMENT FUNCTION CODE 108. For major trauma centres use Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
For further information, see: Royal College of Surgeons - Major Trauma Surgery and Royal College of Surgeons - Orthopaedic Surgery
111 Orthopaedic Service SERVICES for the elective or planned surgical assessment or treatment of the musculoskeletal system. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115. Where there is no dedicated Orthopaedic Service use Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110.
For further information, see: Royal College of Surgeons - Orthopaedic Surgery
113 Endocrine Surgery Service SERVICES for the surgical treatment of diseases of the thyroid and/or other endocrine glands.
For further information, see: Royal College of Surgeons - General Surgery
115 Trauma Surgery Service Major trauma specialist SERVICES at a designated unit, with the specific exclusion of Spinal Surgery Service - see TREATMENT FUNCTION CODE 108.
Excludes elective or planned Orthopaedic Surgery Service - see TREATMENT FUNCTION CODE 111. Where there is no major trauma centre use Trauma and Orthopaedics Service - see TREATMENT FUNCTION CODE 110.
For further information, see: Royal College of Surgeons - Major Trauma Surgery
120 Ear Nose and Throat Service Formerly known as ENT.
Surgical SERVICES for the assessment, diagnosis, management and treatment of ear, nose and/or throat issues. Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
For further information, see: Royal College of Surgeons - Ear, Nose & Throat (ENT)
130 Ophthalmology Service The surgical treatment of disorders and diseases of the eye. Excludes Medical Ophthalmology Service - see TREATMENT FUNCTION CODE 460 and Ophthalmic and Vision Science Service - see TREATMENT FUNCTION CODE 461.
For further information, see: Royal College of Ophthalmologists
140 Oral Surgery Service Retained for existing SERVICES but professional recommendation is to use Oral and Maxillofacial Surgery Service - see TREATMENT FUNCTION CODE 145
141 Restorative Dentistry Service SERVICES providing examination and treatment of diseases of the oral cavity, the teeth and their supporting structures. Restorative Dentistry includes the dental specialties of Endodontics, Periodontics and Prosthodontics (including implantology), and its foundation is based upon how these interact in the management of cases requiring multifaceted care.
For further information, see: British Society for Restorative Dentistry
143 Orthodontic Service SERVICES for the treatment of malocclusions (improper bites). Orthodontic treatment can focus on dental displacement only, or can deal with the control and modification of facial growth.
For further information, see: British Orthodontic Society
144 Maxillofacial Surgery Service Retained for existing SERVICES but professional recommendation is to use Oral and Maxillofacial Surgery Service - see TREATMENT FUNCTION CODE 145
145 Oral and Maxillofacial Surgery Service SERVICES for the diagnosis, management and treatment of diseases affecting the mouth, jaws, face and neck.
Formerly categorised as TREATMENT FUNCTION CODE 140 (Oral Surgery) and TREATMENT FUNCTION CODE 144 (Maxillofacial Surgery); however, professional recommendation is to use this TREATMENT FUNCTION CODE.
For further information, see: British Association of Oral & Maxillofacial Surgeons
149 not a Treatment Function
150 Neurosurgical Service Surgical SERVICES for the treatment of disorders of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system. Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108. For major trauma centres use Trauma Surgery Service – see TREATMENT FUNCTION CODE 115.
For further information, see: Royal College of Surgeons - Neurosurgery
160 Plastic Surgery Service SERVICES to correct or restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns. For care given within specialist burn services, use Burns Care Service - see TREATMENT FUNCTION CODE 161. Excludes breast surgery for gender dysphoria, use Breast Surgery Service - see TREATMENT FUNCTION CODE 103.
For further information, see: Royal College of Surgeons - Plastic and Reconstructive
161 Burns Care Service SERVICES for the surgical and non-surgical treatment of burns within recognised specialist burns units and associated outreach SERVICES only. Whilst this does not signify the CRITICAL CARE LEVEL, many PATIENTS will also come within the scope of the Critical Care Minimum Data Set.
For further information, see: British Burn Association
170 Cardiothoracic Surgery Service SERVICES delivering surgical treatment of diseases affecting the heart and organs inside the thorax (the chest). Should only be used where there are no separate SERVICES for Cardiac Surgery and Thoracic Surgery.
For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
172 Cardiac Surgery Service SERVICES delivering surgical treatment of diseases affecting the heart. Procedures are often lengthy and complex, requiring support from advanced forms of technology during surgery and CRITICAL CARE LEVEL 2 and 3 for the PATIENT after surgery.
For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
173 Thoracic Surgery Service SERVICES providing surgical treatment of diseases affecting organs inside the thorax (the chest). Generally, treatment of conditions of the lungs, chest wall, and diaphragm. Predominantly this is surgical treatment of malignant disease or its effects.
For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
174 Cardiothoracic Transplantation Service SERVICES for pre- and post-operative care for heart and lung transplants. To be used by recognised specialist units and associated outreach services only.
For further information, see: Royal College of Surgeons - Cardiothoracic Surgery
Other Children's Specialist Services - The Paediatric TREATMENT FUNCTION CODES represent CLINICS OR FACILITIES intended to provide dedicated SERVICES to children with appropriate facilities and support staff, i.e. they are designed for children only. If a CLINIC OR FACILITY provides this but also treats adult PATIENTS as part of the SERVICE then a Paediatric TREATMENT FUNCTION CODE may not be appropriate. The age of the PATIENT attending does not initiate a change to the TREATMENT FUNCTION CODE for the ACTIVITY.
142 Paediatric Dentistry Service Dedicated children's SERVICES for dentistry with appropriate facilities and support staff.
For further information, see: The British Society of Paediatric Dentistry
171 Paediatric Surgery Service Dedicated children's SERVICES for general surgery.
For further information, see: Royal College of Surgeons - Paediatric Surgery
211 Paediatric Urology Service Dedicated children's SERVICES for surgical treatment of disorders of the urinary system and male reproductive system.
For further information, see: British Association of Paediatric Surgeons - Urology
212 Paediatric Transplantation Surgery Service Dedicated children's SERVICES for pre- and post-operative care for major organ transplants except heart and lung. Excludes Paediatric Cardiac Surgery Service - see TREATMENT FUNCTION CODE 221, Paediatric Thoracic Surgery Service - see TREATMENT FUNCTION CODE 222, corneal grafts carried out by Paediatric Ophthalmology Service - see TREATMENT FUNCTION CODE 216 and Blood and Bone Marrow Transplantation Service - see TREATMENT FUNCTION CODE 308.
For further information, see: Royal College of Surgeons - General Surgery
213 Paediatric Gastrointestinal Surgery Service Dedicated children's SERVICES for surgical treatment of disorders of the gastrointestinal tract.
For further information, see: British Association of Paediatric Surgeons - Gastrointestinal
214 Paediatric Trauma and Orthopaedic Service Dedicated children's SERVICES to treat injuries, congenital and acquired disorders of the bones, joints, and their associated soft tissues, including ligaments, nerves and muscles. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115 and Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
For further information, see: British Society for Children's Orthopaedic Surgery (BSCOS)
215 Paediatric Ear Nose and Throat Service Dedicated children's surgical SERVICES for the assessment, diagnosis, management and treatment of ear, nose and/or throat issues. Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
For further information, see: British Association for Paediatric Otolaryngology
216 Paediatric Ophthalmology Service Dedicated children's SERVICES for the surgical treatment of disorders and diseases of the eye.
For further information, see: British & Irish Paediatric Ophthalmology and Strabismus Association
217 Paediatric Oral and Maxillofacial Surgery Service Dedicated children's SERVICES for the diagnosis, management and treatment of diseases affecting the mouth, jaws, face and neck.
For further information, see: British Association of Oral & Maxillofacial Surgeons
218 Paediatric Neurosurgery Service Dedicated children's SERVICES for the surgical treatment of disorders which affect any portion of the nervous system including the brain, spinal cord, peripheral nerves, and extra-cranial cerebrovascular system.
For further information, see: Royal College of Surgeons - Neurosurgery
219 Paediatric Plastic Surgery Service Dedicated children's SERVICES for correction or to restore form and function. In addition to cosmetic or aesthetic surgery, plastic surgery includes many types of reconstructive surgery, and the treatment of burns. For care given within specialist paediatric burn services, use Paediatric Burns Care Service - see TREATMENT FUNCTION CODE 220.
For further information, see: NHS England: E02. Specialised Surgery in Children
220 Paediatric Burns Care Service Dedicated children's SERVICES for the surgical and non-surgical treatment of burns within recognised specialist burns units and associated outreach SERVICES only. Whilst this does not signify the CRITICAL CARE LEVEL, many PATIENTS will also come within the scope of the Critical Care Minimum Data Set.
For further information, see: British Burn Association
221 Paediatric Cardiac Surgery Service Dedicated children's SERVICES for the surgical treatment of the heart or great vessels.
For further information, see: NHS England: E05. Congenital Heart Services
222 Paediatric Thoracic Surgery Service Dedicated children's SERVICES for the surgical treatment of diseases affecting organs inside the thorax (the chest). Generally, treatment of conditions of the lungs, chest wall, and diaphragm.
For further information, see: British Association of Paediatric Surgeons - Thoracic
223 Paediatric Epilepsy Service Dedicated children's SERVICES by CONSULTANT paediatrician with expertise in epilepsy supported by specialist staff.
For further information, see: Royal College of Paediatrics and Child Health - Epilepsy
230 Paediatric Clinical Pharmacology Service Dedicated children's SERVICES providing advice and support locally and nationally regarding the introduction of new medicines, adverse drug reactions, poisoning and toxicity, and prescribing policies.
For further information, see: Royal College of Paediatrics and Child Health - Drugs and medicines
240 Paediatric Palliative Medicine Service Dedicated children's SERVICES improving the quality of life of PATIENTS and their families facing the problems associated with life-limiting illness. Prevention and relief of suffering by means of early identification, assessment and treatment of pain and other problems, physical, psychosocial and spiritual.
For further information, see: Royal College of Paediatrics and Child Health - Palliative care
241 Paediatric Pain Management Service Dedicated children's SERVICES for complex pain disorders requiring diagnosis and treatment by a specialist Multidisciplinary Team.
For further information, see: Royal College of Paediatrics and Child Health - Pain management
242 Paediatric Intensive Care Service Dedicated children's SERVICES only to be used by designated Paediatric Intensive Care Units.
For further information, see: Royal College of Paediatrics and Child Health - Intensive care medicine
250 Paediatric Hepatology Service Dedicated children's SERVICES for the treatment of disease of the liver.
For further information, see: Royal College of Paediatrics and Child Health - Hepatology
251 Paediatric Gastroenterology Service Dedicated children's SERVICES for the treatment of disorders of the digestive system.
For further information, see: Royal College of Paediatrics and Child Health - Gastroenterology
252 Paediatric Endocrinology Service Dedicated children's SERVICES for the treatment of disorders of the endocrine system. Excludes Paediatric Diabetes Service - see TREATMENT FUNCTION CODES 263.
For further information, see: British Society for Paediatric Endocrinology and Diabetes
253 Paediatric Clinical Haematology Service Dedicated children's SERVICES contributing to the diagnosis and management of diseases of the blood and bone marrow. May be consultative in other specialties including intensive care. Excludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324.
For further information, see: NHS England: E03. Paediatric Medicine
254 Paediatric Audio Vestibular Medicine Service Dedicated children's SERVICES for the investigation, diagnosis and management of patients with disorders of balance, hearing, tinnitus and auditory communication. Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
For further information, see: British Association of Paediatricians in Audiology
255 Paediatric Clinical Immunology and Allergy Service Dedicated children's SERVICES for the treatment of disorders of the immune system and allergic disease.
For further information, see: Royal College of Paediatrics and Child Health - Paediatric allergy, immunology and infectious diseases - sub-specialty
256 Paediatric Infectious Diseases Service Dedicated children's SERVICES for the diagnosis and treatment of contagious or communicable diseases.
For further information, see: Royal College of Paediatrics and Child Health - Paediatric allergy, immunology and infectious diseases - sub-specialty
257 Paediatric Dermatology Service Dedicated children's SERVICES for the treatment of diseases of the skin.
For further information, see: The British Society for Paediatric Dermatology (BSPD)
258 Paediatric Respiratory Medicine Service Dedicated children's SERVICES for the diagnosis and treatment of respiratory conditions.
Also known as Thoracic Medicine and Pulmonary Medicine.
For further information, see: Royal College of Paediatrics and Child Health - Paediatric respiratory medicine - sub-specialty
259 Paediatric Nephrology Service Dedicated children's SERVICES for the diagnosis and treatment of kidney conditions and abnormalities.
Also known as Renal Medicine.
For further information, see: Royal College of Paediatrics and Child Health - Nephrology
260 Paediatric Medical Oncology Service Dedicated children's SERVICES for the diagnosis and treatment, typically with Chemotherapy, of PATIENTS with cancer.
For further information, see: Royal College of Paediatrics and Child Health - Oncology
261 Paediatric Inherited Metabolic Medicine Service Formerly known as Paediatric Metabolic Disease.
Dedicated children's SERVICES for the diagnosis and management of inherited metabolic conditions utilising biochemistry and metabolic characteristics requiring the expertise of both the physician and chemical pathologist.
For further information, see: Royal College of Paediatrics and Child Health - Inherited metabolic medicine
262 Paediatric Rheumatology Service Dedicated children's SERVICES incorporating the investigation, multidisciplinary holistic management and rehabilitation of PATIENTS with a wide spectrum of disorders of the musculoskeletal system encompassing the locomotor apparatus, bone and connective tissues and blood vessels.
For further information, see: Royal College of Paediatrics and Child Health - Rheumatology
263 Paediatric Diabetes Service Formerly known as Paediatric Diabetes Medicine.
Dedicated children's SERVICES for the diagnosis, treatment and support of PATIENTS with diabetes.
For further information, see: Royal College of Paediatrics and Child Health - Diabetes
264 Paediatric Cystic Fibrosis Service Dedicated multidisciplinary children's SERVICES concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by recognised specialist centres only.
For further information, see: NHS England: A01. Specialised Respiratory
270 Paediatric Emergency Medicine Service Dedicated children's SERVICES to care for PATIENTS with urgent problems delivered as part of an Emergency Care Attendance. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
For further information, see: Royal College of Paediatrics and Child Health - Emergency Medicine
280 Paediatric Interventional Radiology Service Dedicated children's SERVICES for the diagnosis and treatment of diseases utilising minimally invasive image-guided procedures. Not to be used for Diagnostic Imaging Service - see TREATMENT FUNCTION CODE 812.
For further information, see: British Society of Interventional Radiology - What is Interventional Radiology
290 Community Paediatric Service SERVICES providing assessment and care to vulnerable children, including those with developmental disorders and disabilities, complex behavioural presentations, and those at risk of abuse or are being abused. Excludes Paediatric Neurodisability Service - see TREATMENT FUNCTION CODE 291.
For further information, see: Royal College of Paediatrics and Child Health - Community child health - sub-specialty
291 Paediatric Neurodisability Service Dedicated children's SERVICES for the diagnosis and treatment of Cerebral Palsy and non-progressive handicapping neurological conditions, with or without Intellectual Disability.
For further information, see: Royal College of Paediatrics and Child Health - Neurodisability
321 Paediatric Cardiology Service Dedicated children's SERVICES for diseases and abnormalities of the heart. Excludes Congenital Heart Disease Service - see TREATMENT FUNCTION CODE 331.
For further information, see: Joint Royal Colleges of Physicians Training Board – Paediatric Cardiology
421 Paediatric Neurology Service Dedicated children's SERVICES for diagnosis, management and medical treatment of conditions and diseases of the central nervous system, with appropriate facilities and support staff. Excludes Paediatric Epilepsy Service - see TREATMENT FUNCTION CODE 223.
For further information, see: Royal College of Paediatrics and Child Health - Neurology
Medical Specialties
180 Emergency Medicine Service Formerly known as Accident & Emergency.
SERVICES to care for PATIENTS with urgent problems delivered as part of an Emergency Care Attendance. Excludes Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
For further information, see: The Royal College of Emergency Medicine
190 Anaesthetic Service SERVICES for PATIENTS being assessed for anaesthesia, as well as the provision of sedation and anaesthesia for patients undergoing interventional radiology and radiotherapy.
This can be used in out-patients only. Pain Management Service should be recorded in TREATMENT FUNCTION CODE 191. Intensive Care Medicine Service should be recorded in TREATMENT FUNCTION CODE 192.
For further information, see: Royal college of Anaesthetists - Anaesthetists
191 Pain Management Service SERVICES for complex pain disorders requiring diagnosis and treatment by a specialist Multidisciplinary Team
192 Intensive Care Medicine Service Formerly known as Critical Care Medicine.
SERVICES using a body of specialist knowledge and practice concerned with the treatment of PATIENTS, with, at risk of, or recovering from potentially life-threatening failure of one or more of the body’s organ systems. It includes the provision of organ system support, the investigation, diagnosis, and treatment of acute illness, systems management and PATIENT safety, ethics, end-of-life care, and the support of families. Typically, this will refer to CRITICAL CARE LEVEL 2 and 3 beds within the scope of the Critical Care Minimum Data Set.
For further information, see: Faculty of Intensive Care Medicine
200 Aviation and Space Medicine Service Also known as Aerospace Medicine Services.
Aviation and Space Medicine SERVICES study all factors affecting the PERSON in flight. This may include pre-flight preparation and checks as well as inflight care to minimise the potentially harmful effects of their abnormal environment.
For further information, see: Royal College of Physicians - Aviation and Space Medicine
300 General Internal Medicine Service Formerly known as General Medicine.
SERVICES include adults admitted as emergencies with acute medical problems, including multiple disorders. PATIENTS with problems that are not clearly within the remit of a particular medical specialty are referred for the opinion of a general physician.
For further information, see: Joint Royal Colleges of Physicians Training Board - General Internal Medicine (GIM)
301 Gastroenterology Service Screening, diagnostic and therapeutic endoscopy SERVICES including upper and lower gastrointestinal (GI) endoscopy and hepatobiliary endoscopy. Excludes Hepatology Service - see TREATMENT FUNCTION CODE 306.
302 Endocrinology Service The treatment of disorders of the endocrine system, excluding specific Diabetes Services - see TREATMENT FUNCTION CODE 307.
For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
303 Clinical Haematology Service SERVICES contributing to the diagnosis and management of diseases of the blood and bone marrow. May be consultative in other specialties including intensive care. Excludes Anticoagulant Service - see TREATMENT FUNCTION CODE 324.
For further information, see: Joint Royal Colleges of Physicians Training Board - Haematology
304 Clinical Physiology Service Physiological measurement. Excludes Clinical Neurophysiology Service - see TREATMENT FUNCTION CODE 401, Audiology Service - see TREATMENT FUNCTION CODE 840, Respiratory Physiology Service - see TREATMENT FUNCTION CODE 341, Cardiac Physiology Service - see TREATMENT FUNCTION CODE 675, Gastrointestinal Physiology Service - see TREATMENT FUNCTION CODE 677, Urological Physiology Service - see TREATMENT FUNCTION CODE 670, Vascular Physiology Service - see TREATMENT FUNCTION CODE 673 and Ophthalmic and Vision Science - see TREATMENT FUNCTION CODE 461.
For further information, see: The Registration Council for Clinical Physiologists
305 Clinical Pharmacology Service SERVICES undertaking and interpreting clinical investigations including clinical trials; optimising the therapeutic use of drugs; detection and analysis of adverse drug effects; contribution to medicines evaluation and management of poisoning.
For further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Pharmacology and Therapeutics (CPT)
306 Hepatology Service Medical SERVICES for the diagnosis and treatment of liver disease. Also known as liver medicine. For hepatobiliary endoscopy, use Gastroenterology Service - see TREATMENT FUNCTION CODE 301
307 Diabetes Service Formerly known as Diabetes Medicine.
SERVICES to diagnose, treat and support PATIENTS with diabetes.
For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
308 Blood and Marrow Transplantation Service SERVICES recognised as specialist units and associated outreach services only. Includes pre- and post-operative specialised services for autologous, allogeneic or syngeneic Blood and Marrow Transplantation.
For further information, see: British Society of Blood and Marrow Transplantation
309 Haemophilia Service Specialist SERVICES for the diagnosis, treatment and management of haemophilia.
For further information, see: NHS England - F02. Specialised Blood Disorders
310 Audio Vestibular Medicine Service Formerly known as Audiological Medicine.
SERVICES concerned with the diagnosis and management of hearing and balance disorders, for example tinnitus, dysacusis and communication disorders. Rehabilitative/habilitative care is delivered by Multidisciplinary Teams and is aimed at improving the well-being and quality of life of the PATIENT concerned.
Excludes Audiology Service - see TREATMENT FUNCTION CODE 840.
For further information, see: Joint Royal College of Physicians Training Board - Audio vestibular Medicine
311 Clinical Genetics Service SERVICES for the diagnosis and management of genetic disorders affecting individuals and their families.
For further information, see: Clinical Genetics
312 not a Treatment Function
313 Clinical Immunology and Allergy Service SERVICES for the diagnosis and management of PATIENTS with diseases resulting from disordered immunological mechanisms, and allergic disease (abnormal immune responses to external substances). Should only be used where there are no separate SERVICES for Clinical Immunology and Allergy.
For separate services - See Clinical Immunology Service - TREATMENT FUNCTION CODE 316 and Allergy Service - TREATMENT FUNCTION CODE 317.
For further information, see: Welcome to the British Society for Allergy & Clinical Immunology (BSACI)
314 Rehabilitation Medicine Service Formerly known as Rehabilitation Service.
SERVICES for the prevention, diagnosis, treatment and rehabilitation management of disabling conditions. Rehabilitation medicine is broadly divided into neurological rehabilitation, spinal cord injury, limb loss and prosthetics and/or musculoskeletal rehabilitation.
Excludes Mental Health Recovery and Rehabilitation Service - see TREATMENT FUNCTION CODE 725, Cardiac Rehabilitation Service - see TREATMENT FUNCTION CODE 327, Pulmonary Rehabilitation Service - see TREATMENT FUNCTION CODE 342, Orthotics Service - See TREATMENT FUNCTION CODE 658 or Prosthetics Service - see TREATMENT FUNCTION CODE 657.
For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation medicine
315 Palliative Medicine Service SERVICES improving the quality of life of PATIENTS and their families facing the problems associated with life-limiting illness and end of life care. Prevention and relief of suffering by means of early identification, assessment and treatment of pain and other physical, psychosocial and spiritual problems.
For further information, see: Joint Royal College of Physicians - Specialty spotlight – palliative medicine
316 Clinical Immunology Service SERVICES for the diagnosis and management of PATIENTS with diseases resulting from disordered immunological mechanisms, and conditions in which immunological manipulations form an important part of therapy.
Allergy SERVICES should be recorded against Allergy Service - see TREATMENT FUNCTION CODE 317.
For further information, see: Joint Royal College of Physicians Training Board - Immunology
317 Allergy Service SERVICES for the diagnosis and management of allergic disease (abnormal immune responses to external substances) and the exclusion of allergic causes in other conditions.
For further information, see: Joint Royal College of Physicians Training Board - Allergy
318 Intermediate Care Service SERVICES encompassing a range of multidisciplinary approaches, designed to safeguard independence by maximising rehabilitation and recovery after illness or injury.
For further information, see: National Institute for Health and Care Excellence - Understanding intermediate care, including reablement
319 Respite Care Service SERVICES providing temporary care of a dependant PERSON, providing relief for their usual caregivers
320 Cardiology Service SERVICES for PATIENTS with heart disease covering a wide range of clinical activities. Management can involve interventional treatment, cardiac imaging, preventative and therapeutic options. This includes both diagnostic and interventional procedures in the cardiac catheterisation laboratory.
For further information, see: Royal College of Physicians - Cardiology
322 Clinical Microbiology Service SERVICES for the diagnosis, management and treatment of PATIENTS with diseases caused by bacteria, viruses, fungi and parasites.
323 Spinal Injuries Service SERVICES for non-surgical management of issues of the back and spine. To be used by recognised specialist units and associated outreach SERVICES only.
Excludes Spinal Surgery Service - see TREATMENT FUNCTION CODE 108
324 Anticoagulant Service SERVICES providing the monitoring and control of anticoagulant therapy, including the initiation and/or supervision of oral anticoagulant therapy and the determination of anticoagulant dosage.
This can be used in out-patients only
325 Sport and Exercise Medicine Service Specific SERVICES providing diagnosis and management of medical problems caused by physical activity, the prevention of related injury and disease and the role of exercise in disease treatment. Excludes Trauma and Orthopaedic Service - see TREATMENT FUNCTION CODE 110, Orthopaedic Surgery Service - see TREATMENT FUNCTION CODE 111, and Trauma Surgery Service - see TREATMENT FUNCTION CODE 115.
For further information, see: Joint Royal Colleges of Physicians Training Board - Sport and Exercise Medicine
326 Acute Internal Medicine Service SERVICES concerned with the assessment, diagnosis and management of adults presenting to secondary care with acute medical illness.
For further information, see: Acute Internal Medicine
327 Cardiac Rehabilitation Service SERVICES for PATIENTS recovering from heart-related conditions such as heart attacks or procedures such as coronary artery bypass surgery to ensure that they achieve their full potential in terms of physical and psychological health
328 Stroke Medicine Service SERVICES for diagnosis, investigation, treatment and care of stroke PATIENTS. Excludes out-patients for Transient Ischaemic Attack Service - see TREATMENT FUNCTION CODE 329.
For further information, see: Joint Royal Colleges of Physicians Training Board - Stroke Medicine (sub-specialty)
329 Transient Ischaemic Attack Service A multidisciplinary out-patient SERVICE for rapid diagnosis and treatment of PATIENTS presenting with suspected Transient Ischaemic Attack and mini-strokes to minimise the chance of a full stroke occurring and maximise the chances of independent living after a stroke.
For further information, see: National Institute for Health and Care Excellence - Stroke and transient ischaemic attack
330 Dermatology Service SERVICES for the treatment of diseases of the skin.
For further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology
331 Congenital Heart Disease Service The management and treatment of congenital heart disease, including the ongoing care of children into adulthood.
For further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric cardiology
333 Rare Disease Service SERVICES for rare diseases, many of which are present at birth and are either caused by a genetic problem or deficiencies or exposures to substances around the time of conception or during pregnancy. This TREATMENT FUNCTION CODE should be used by designated specialist centres only.
For further information, see: National Congenital Anomaly and Rare Disease Registration Service
335 Inherited Metabolic Medicine Service SERVICES for the diagnosis and management of inherited metabolic conditions utilising biochemistry and metabolic characteristics requiring the expertise of both the physician and chemical pathologist.
For further information, see: Joint Royal Colleges of Physicians Training Board - Metabolic Medicine
340 Respiratory Medicine Service Respiratory Medicine is also known as Thoracic Medicine and Pulmonary Medicine.
SERVICES for the investigation, diagnosis, management and treatment of PATIENTS with respiratory complaints. Excludes acute respiratory failure and adult respiratory distress syndrome (ARDS) - see Intensive Care Medicine Service TREATMENT FUNCTION CODE 192 and Respiratory Physiology Service - see TREATMENT FUNCTION CODE 341.
For further information, see: Joint Royal Colleges of Physicians Training Board - Respiratory Medicine
341 Respiratory Physiology Service SERVICES for the physiological measurement of the function of the respiratory system. Excludes Sleep Medicine Service - see TREATMENT FUNCTION CODE 347.
For further information, see: Association for Respiratory Technology & Physiology
342 Pulmonary Rehabilitation Service Formerly known as Programmed Pulmonary Rehabilitation.
A multidisciplinary SERVICE for PATIENTS with chronic respiratory impairment.
For further information, see: NHS England: Pulmonary rehabilitation
343 Adult Cystic Fibrosis Service Multidisciplinary SERVICE concerned with the diagnosis, assessment and management of PATIENTS with cystic fibrosis. This TREATMENT FUNCTION CODE should be used by designated specialist centres only.
For further information, see: NHS England: A01. Specialised Respiratory
344 Complex Specialised Rehabilitation Service This TREATMENT FUNCTION CODE will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference:

Complex specialised rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 1 service
345 Specialist Rehabilitation Service This TREATMENT FUNCTION CODE will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference:

Specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2a service.
346 Local Specialist Rehabilitation Service This TREATMENT FUNCTION CODE will be removed from use from April 2022. No new services should use this code in submissions. However, the previous definition has been retained below for reference:

Local specialist rehabilitation SERVICE which meets the NHS Specialised Services Rehabilitation Services' criteria and is registered as a Level 2b service.
347 Sleep Medicine Service SERVICES providing diagnosis and management of sleep disorders including parasomnias, excessive daytime sleepiness and sleep apnoea.
For further information, see: Royal Society of Medicine - Sleep Medicine Section
350 Infectious Diseases Service SERVICES for the diagnosis, management and treatment of infectious diseases. Excludes Tropical Medicine Service - see TREATMENT FUNCTION CODE 352.
For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases
352 Tropical Medicine Service SERVICES for the diagnosis, management and treatment of diseases that are found most often in tropical or sub-tropical regions. This TREATMENT FUNCTION CODE should be used by designated specialist centres only. Excludes Infectious Diseases Service - see TREATMENT FUNCTION CODE 350.
For further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and Tropical Medicine
360 Genitourinary Medicine Service SERVICES for the investigation and management of sexually transmitted infections and HIV.
For further information, see: Joint Royal Colleges of Physicians Training Board - Genitourinary Medicine (GUM)
361 Renal Medicine Service Formerly known as Nephrology.
SERVICES for PATIENTS with acute renal failure and chronic kidney disease requiring long term care with the help of a Multidisciplinary Team. Most general medical problems in PATIENTS with kidney disease are managed by the Renal Medicine Service.
Excludes acute renal replacement therapy in the critical care setting, see Intensive Care Medicine Service - TREATMENT FUNCTION CODE 192.
For further information, see: Joint Royal Colleges of Physicians Training Board - Renal Medicine
370 Medical Oncology Service SERVICES for the specialised assessment and management of PATIENTS with cancer using chemotherapy. Includes treatment option discussions with PATIENTS, supervision of therapy and management of any complications of disease and/or treatment that may arise.
For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Oncology
371 Nuclear Medicine Service SERVICES responsible for administration of unsealed radioactive substances to PATIENTS for the purposes of diagnosis, therapy or research.
For further information, see: Joint Royal Colleges of Physicians Training Board - Nuclear Medicine
400 Neurology Service SERVICES for the diagnosis, management and medical treatment of neurological conditions. Excludes Stroke Medicine Service - TREATMENT FUNCTION CODE 328, out-patients for Transient Ischaemic Attack Service – see TREATMENT FUNCTION CODE 329.
For further information, see: Joint Royal Colleges of Physicians Training Board - Neurology
401 Clinical Neurophysiology Service Primarily diagnostic SERVICE concerned with recording electrical activity from the nervous system to aid diagnosis, classification and management of neurological disease. Includes Electroencephalogram (EEG) and Electromyography (EMG).
For further information, see: Joint Royal College of Physicians - Clinical Neurophysiology
410 Rheumatology Service SERVICES incorporating the investigation, holistic management and rehabilitation of PATIENTS with a wide spectrum of disorders of the musculoskeletal system encompassing the locomotor apparatus, bone and connective tissues and blood vessels.
For further information, see: Joint Royal College of Physicians - Rheumatology
420 Paediatric Service Dedicated children's SERVICES for the treatment of patients typically aged 0 to 18 for medical conditions, however the environments and other members of the multidisciplinary service are likely to care for surgical PATIENTS too.
For further information, see: Royal College of Paediatrics and Child Health - General paediatrics - level 3 training
422 Neonatal Critical Care Service Formerly known as Neonatology.
SERVICES providing care for all babies that require on-going, enhanced medical care following birth. Neonatal critical care SERVICES are provided in a variety of settings dependent upon the interventions required for the baby and with dedicated transport services to support babies being transferred to and from neonatal care units. Use when NEONATAL LEVEL OF CARE = 1, 2 or 3. Includes Special Care Baby Units (SCBU), Local Neonatal Units (LNU) and Neonatal Intensive Care Units (NICU).
Any readmission would be to Paediatric Service - see TREATMENT FUNCTION CODE 420, or Paediatric Intensive Care Service - see TREATMENT FUNCTION CODE 242.
For further information, see: Royal College of Paediatrics and Child Health - Neonatal medicine - sub-specialty and NHS England - E08. Neonatal Critical Care
424 Well Baby Service SERVICES for healthy infants born and referenced by the Maternity record who do not require any intervention other than health screening and prophylactic healthcare. General care given by the mother/substitute with healthcare education if needed.
Use when NEONATAL LEVEL OF CARE = 0 - Normal Care.
Excludes Neonatal Critical Care Service - see TREATMENT FUNCTION CODE 422
430 Elderly Medicine Service Formerly known as Geriatric Medicine.
SERVICES to treat diseases and disabilities in older adults, particularly those with multiple morbidities. There is no set age at which PATIENTS may be under the care of the Elderly Medicine Service, this decision should be determined by the individual PATIENT's needs.
For further information, see: Joint Royal Colleges of Physicians Training Board - Geriatric Medicine
431 Orthogeriatric Medicine Service Multidisciplinary SERVICES addressing clinical and social needs in the management of PATIENTS with fragility fractures, including hip fractures. The care provided aims to be holistic and to include secondary prevention of fractures as well as acute care.
For further information, see: GM - Orthogeriatrics
450 Dental Medicine Service SERVICES for dental treatment carried out in a hospital setting. Includes Oral Medicine.
For further information, see: British Dental Association
451 Special Care Dentistry Service SERVICES concerned with the improvement of the oral health of PATIENTS and groups in society who have a physical, sensory, intellectual, mental, medical, emotional or social impairment or DISABILITY or, more often, a combination of these factors. The specialty focuses on adolescents and adults only and includes the important period of transition as the adolescent moves into adulthood.
For further information, see: Special Care Dentistry Association (SCDA)
460 Medical Ophthalmology Service Medically-led SERVICES including assessment, investigation, diagnosis and management of inflammatory, vascular and neurological disorders affecting vision. May include public health screening, for example diabetic retinopathy screening.
For further information, see: Joint Royal Colleges of Physicians Training Board - Medical Ophthalmology
461 Ophthalmic and Vision Science Service SERVICES providing physiological measurement of the function of the eye and vision. Includes diagnostic electrophysiology of vision, imaging and biometry.
For further information, see: NHS Health Education England: Ophthalmic and vision science
500 not a Treatment Function
501 Obstetrics Service SERVICES managing high risk pregnancy and childbirth including miscarriages and stillbirths but specifically excluding planned terminations. Excludes Midwifery Service - see TREATMENT FUNCTION CODE 560.
For further information, see: Royal College of Obstetricians & Gynaecologists - Obstetrics and Gynaecology
502 Gynaecology Service SERVICES for the diagnosis, management and treatment of disorders of the female reproductive system. Includes planned terminations of pregnancy.
For further information, see: Royal College of Obstetricians & Gynaecologists - Obstetrics and Gynaecology
503 Gynaecological Oncology Service SERVICES to treat cancers of the female reproductive system, principally involving surgical members of the Multidisciplinary Team.
For further information, see: British Gynaecological Cancer Society
504 Community Sexual and Reproductive Health Service SERVICES supporting people to have a positive and respectful approach to sexuality and sexual relationships and to have pleasurable and safe sexual experiences, free of infection, coercion, discrimination and violence. The SERVICE also provides access to contraception and signposts Maternity Services to support pregnancy and childbirth.
Excludes Genitourinary Medicine Service - see TREATMENT FUNCTION CODE 360 and Midwifery Service - see TREATMENT FUNCTION CODE 560.
For further information, see: Faculty of Sexual and Reproductive Healthcare (FSRH)
505 Fetal Medicine Service SERVICES providing specialist care at a designated centre for the fetus or fetuses and mother. This includes assessment of fetal growth and wellbeing; the diagnosis and management of identified fetal disorders (including fetal abnormalities); prenatal fetal intervention and surgery; and counselling and support for parents. Excludes routine maternity screening activities - see Midwifery Service TREATMENT FUNCTION CODE 560.
510 Retired Record as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
520 Retired Record as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
600 not a Treatment Function
610 Retired Record as Obstetrics
620 Retired Use the appropriate function under which the patient is treated
834 Medical Virology Service Clinical SERVICES for the diagnosis, management and prevention of blood-borne and/or airborne viral infections. For further information, see: Royal College of Pathologists - MEDICAL VIROLOGY
Mental Health Services
656 Clinical Psychology Service Mental Health Services for the assessment, management and treatment of problems including addiction, anxiety, depression, behavioural difficulties and relationship issues. Methods of assessment include psychometric tests, interviews and direct observation of behaviour. Assessment may lead to advice, counselling or therapy.
For further information, see: The British Psychological Society
700 Intellectual Disability Service Formerly known as Learning Disability.
Mental Health Services provided to PATIENTS with an Intellectual Disability.
For further information, see: Royal College of Psychiatrists - Faculty of the Psychiatry of Intellectual Disability
710 Adult Mental Health Service Mental Health Services provided to adult PATIENTS for the assessment, diagnosis and treatment of mental illness and maintenance of mental health.
For further information, see: Royal College of Psychiatrists - Faculty of General Adult Psychiatry
711 Child and Adolescent Psychiatry Service Mental Health Services for children and young people with somatisation and complex presentations, behavioural challenges, eating disorders, mood disorders, anxiety, and other mental health presentations. Excludes Paediatric Neurodisability Service - see TREATMENT FUNCTION CODE 291 and specialist Eating Disorders Service - see TREATMENT FUNCTION CODE 720.
For further information, see: Royal College of Psychiatrists - Faculty of Child and Adolescent Psychiatry
712 Forensic Psychiatry Service Mental Health Services for the assessment, management and treatment of PATIENTS who are being held in high, medium and low secure units or prisons. This includes prevention of further harm in the community or to the individual themselves.
For further information, see: Royal College of Psychiatrists - Faculty of Forensic Psychiatry
713 Medical Psychotherapy Service Formerly known as Psychotherapy.
Multidisciplinary Mental Health Services to assess, manage and treat children and adults with mental health problems using talking therapies and other psychotherapeutic techniques.
For further information, see: Faculty of Medical Psychotherapy
715 Old Age Psychiatry Service Mental Health Services providing the specialised assessment, treatment and continuing care for older adults suffering a range of mental illnesses, including dementia, depression or schizophrenia. Excludes specific Dementia Assessment Service - see TREATMENT FUNCTION CODE 727.
For further information, see: Royal College of Psychiatrists - Faculty of Old Age Psychiatry
720 Eating Disorders Service A specialist SERVICE for the diagnosis and treatment of eating disorders including anorexia, bulimia and compulsive overeating. This is usually a multidisciplinary service which needs to consider both physical and mental health aspects of the PATIENT's care.
For further information, see: Royal College of Psychiatrists - Faculty of Eating Disorders Psychiatry
721 Addiction Service Mental Health Services for the treatment of addictive behaviour, including substance misuse, drugs, alcohol, tobacco and gambling. Excludes PATIENTS with both severe mental illness and problematic substance misuse, see Mental Health Dual Diagnosis Service - TREATMENT FUNCTION CODE 726.
For further information, see: Royal College of Psychiatrists - Faculty of Addictions Psychiatry
722 Liaison Psychiatry Service Mental Health Services for the provision of psychiatric treatment to PATIENTS attending acute hospitals including Out-Patient Clinics, Emergency Care Departments and admission to WARDS. Deals with the interface between physical and psychological health.
For further information, see: Royal College of Psychiatrists - Faculty of Liaison Psychiatry
723 Psychiatric Intensive Care Service Mental Health Services provided to vulnerable individuals with severe disturbances who are admitted to Psychiatric Intensive Care Units from mental health acute wards and forensic settings.
For further information, see: Royal College of Psychiatrists - Quality Network for Psychiatric Intensive Care Units
724 Perinatal Mental Health Service Formerly known as Perinatal Psychiatry.
Specialist Mental Health Services for the assessment, management and treatment of pre-existing or new mental health issues during pregnancy or after delivery.
For further information, see: Royal College of Psychiatrists - Faculty of Perinatal Psychiatry
725 Mental Health Recovery and Rehabilitation Service Mental Health Services provided to support recovery from mental illness that maximises the PATIENTS' quality of life and social inclusion by encouraging their skills, promoting independence and autonomy.
For further information, see: Faculty of Rehabilitation and Social Psychiatry
726 Mental Health Dual Diagnosis Service Mental Health Services to provide support to PATIENTS with both severe mental illness and substance misuse problems.
For further information, see: Mind: Recreational drugs and alcohol
727 Dementia Assessment Service Designated Mental Health Services for the assessment of PATIENTS who have or are suspected to have dementia. Dementia complicates care giving and can occur at any stage of the illness and at any age. In addition to memory impairment, dementia may include behavioural and psychological problems. For non-specific Old Age Psychiatry Service - see TREATMENT FUNCTION CODE 715.
For further information, see: Royal College of Psychiatrists - Dementia pathway
730 Neuropsychiatry Service Mental Health Services for brain disorders and integration of psychiatry within clinical neurosciences.
For further information, see: Royal College of Psychiatrists - Faculty of Neuropsychiatry
Other Services
560 Midwifery Service SERVICES for managing antenatal and perinatal care during pregnancy, and postnatal care following delivery, provided under the direct care of a MIDWIFE. Excludes Obstetrics Service - see TREATMENT FUNCTION CODE 501.
For further information, see: Royal College of Midwives
650 Physiotherapy Service SERVICES helping PATIENTS affected by injury, illness or DISABILITY through movement and exercise, manual therapy, education and advice to manage pain and prevent disease. To encourage development and facilitate recovery, enabling maintenance of work and independence for as long as possible.
For further information, see: Chartered Society of Physiotherapy (CSP) - Physiotherapy
651 Occupational Therapy Service SERVICES using specific activities to limit the effects of DISABILITY and promote independence in all aspects of daily life
652 Speech and Language Therapy Service SERVICES providing assessment, management and treatment of speech, language, communication and swallowing issues in PATIENTS of all ages.
For further information, see: Royal College of Speech & Language Therapists - Speech and language therapy
653 Podiatry Service Also known as Chiropody.
SERVICES for the diagnosis and treatment of disorders, diseases and deformities of the feet. Excludes Podiatric Surgery Service - see TREATMENT FUNCTION CODE 663.
For further information, see: The College of Podiatry
654 Dietetics Service SERVICES applying the science of nutrition to improve health and treat diseases/conditions by educating and giving practical, personalised advice to PATIENTS, Patient Proxies and other members of the Multidisciplinary Team. They advise on and help to maintain nutritional status during dietary interventions such as exclusion diets and to recommend nutritional supplements.
For further information, see: British Dietetic Association
655 Orthoptics Service SERVICES providing the diagnosis and treatment of visual problems involving eye movement and alignment.
For further information, see: British and Irish Orthoptic Society
657 Prosthetics Service SERVICES providing gait analysis and engineering solutions to patients with limb loss. They design and provide prostheses that replicate the structural or functional characteristics of the PATIENTS absent limb. They often work autonomously or part of Multidisciplinary Teams working closely with Physiotherapists and Occupational Therapists as part of multidisciplinary amputee rehabilitation teams.
For further information, see: British Association of Prosthetists and Orthotists (BAPO) - Prosthetists
658 Orthotics Service SERVICES providing gait analysis and engineering solutions to PATIENTS with needs of the neuro, muscular and skeletal systems. They design and provide orthoses that modify the structural or functional characteristics of the PATIENTS neuro-muscular and skeletal systems enabling patients to mobilise, eliminate gait deviations, reduce falls, reduce pain, prevent and facilitate healing of ulcers. They often work autonomously or part of Multidisciplinary Teams such as within the diabetic foot team or neuro-rehabilitation team.
For further information, see: The British Association of Prosthetists and Orthotists (BAPO) - Orthotists
659 Dramatherapy Service SERVICES providing dramatherapy which is a form of psychological therapy focussing on the use of performance arts within the therapeutic relationship.
For further information, see: British Association of Dramatherapists
660 Art Therapy Service SERVICES delivering a form of psychotherapy that uses art media as its primary mode of expression and communication. Within this context, art is not used as diagnostic tool but as a medium to address emotional issues which may be confusing and distressing.
For further information, see: British Association of Art Therapists
661 Music Therapy Service SERVICES delivering a form of psychotherapy that uses music to support psychological, emotional, cognitive, physical, communicative and/or social needs.
For further information, see: British Association for Music Therapy
662 Optometry Service SERVICES providing the diagnosis and non-surgical treatment of disorders of the eye and vision care
663 Podiatric Surgery Service SERVICES involved in the complex management of the foot and ankle involving surgery under both local and general anaesthetic. Excludes Podiatry Service - see TREATMENT FUNCTION CODE - 653.
For further information, see: The College of Podiatry
670 Urological Physiology Service Diagnostic SERVICES for the study of erectile, upper and lower urinary tract function, including urodynamics.
For further information, see: The British Association of Urological Surgeons
673 Vascular Physiology Service Diagnostic SERVICES for the study of arterial and venous circulation primarily using Doppler ultrasound but including tests such as pressure measurement and plethysmography. Excludes Cardiac Physiology Service - see TREATMENT FUNCTION CODE 675.
For further information, see: The Society for Vascular Technology
675 Cardiac Physiology Service SERVICES providing physiological measurements of the heart structure/function and response to therapeutic/surgical intervention through the means of a wide spectrum of non-invasive and invasive cardiac diagnostic testing. Examples include echocardiography, cardiac device management.
For further information, see: Society for Cardiological Science and Technology (SCST)
677 Gastrointestinal Physiology Service SERVICES providing physiological measurement of the gastrointestinal tract. This includes standard catheter based oesophageal pH studies, oesophageal pH impedance, oesophageal manometry, ano-rectal manometry, wireless capsule studies. Excludes Gastroenterology Service - see TREATMENT FUNCTION CODE 301.
For further information, see: Association of Gastro-Intestinal Physiologists (AGIP)
800 Clinical Oncology Service Formerly known as Radiotherapy.
The diagnosis and treatment, typically with Radiotherapy, of PATIENTS with cancer.
For further information, see: Royal College of Radiologists - Clinical oncology
810 not a Treatment Function
811 Interventional Radiology Service SERVICES delivering a range of techniques using radiological image guidance including X-ray fluoroscopy, ultrasound, Computerised Tomography Scan, or Magnetic Resonance Imaging Scan (MRI) to precisely target therapy. Excludes Interventional Cardiology - see Cardiology Service TREATMENT FUNCTION CODE 320, and Diagnostic Imaging Service - see TREATMENT FUNCTION CODE 812.
For further information, see: British Society of Interventional Radiology - What is Interventional Radiology
812 Diagnostic Imaging Service SERVICES providing medical imaging, especially X-ray based examinations, Ultrasound scan, MRI Scan, PET Scan or CT Scan. Diagnostic imaging is used to confirm, assess and document diseases, as well as to assess responses to treatment.
For further information, see: WHO: Diagnostic imaging
820 not a Treatment Function
821 not a Treatment Function
822 Chemical Pathology Service SERVICES interpreting biochemical investigation results to assess, diagnose and treat diseases. To be used for the clinical management of PATIENTS by chemical pathology only.
For further information, see: Royal College of Pathologists - CHEMICAL PATHOLOGY
823 not a Treatment Function See Clinical Haematology
824 not a Treatment Function
830 not a Treatment Function See Clinical Immunology
831 not a Treatment Function See Clinical Microbiology
832 Retired
840 Audiology Service SERVICES providing physiological measurement and diagnosis of hearing disorders, and the rehabilitation of PATIENTS with hearing loss. Include hearing services activity, such as hearing tests and the fitting of hearing aids.
For further information, see: British Society of Audiology
900 not a Treatment Function
901 not a Treatment Function
902 not a Treatment Function
903 not a Treatment Function
904 not a Treatment Function
920 Diabetic Education Service SERVICES providing dedicated small group education courses regarding self-management for diabetic PATIENTS
950 not a Treatment Function Use the appropriate function under which the patient is treated
960 not a Treatment Function Use the appropriate function under which the patient is treated
990 Retired
Notes:
† Code 500 is not acceptable for data sets/collections including Hospital Episode Statistics
TREATMENT FUNCTION CODES should be used for all data sets/collections unless otherwise stated e.g. National Workforce Data Set uses MAIN SPECIALTY CODES
GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated
Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service

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MEDICINES AND HEALTHCARE PRODUCTS REGULATORY AGENCY

Change to Supporting Information: Changed Description
~~The~~ ~~Medicines and Healthcare Products Regulatory Agency~~ (~~MHRA) is an~~ ~~Organisation~~.The Medicines and Healthcare Products Regulatory Agency is an ORGANISATION.
~~The~~ ~~Medicines and Healthcare Products Regulatory Agency~~ ~~is responsible for protecting and improving the health of millions of people every day through the effective regulation of medicines and medical devices, underpinned by science and research.~~The Medicines and Healthcare Products Regulatory Agency (MHRA) is responsible for protecting and improving the health of millions of people every day through the effective regulation of medicines and medical devices, underpinned by science and research. The Agency consists of three centres: the Clinical Practice Research Datalink (CPRD), the National Institute for Biological Standards and Control (NIBSC) and the Medicines and Healthcare Products Regulatory Agency.
For further information on the Medicines and Healthcare Products Regulatory Agency, see the gov.uk website at: Medicines and Healthcare products Regulatory Agency.

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MENTAL HEALTH SERVICE

Change to Supporting Information: Changed Description
A Mental Health Service is a SERVICE.
A Mental Health Service is a SERVICE that provides specialist secondary mental health and/or Learning Disabilities and/or Autistic Spectrum Disorder SERVICES (irrespective of funding arrangements). ~~This could be provided by~~ ~~Organisations~~ ~~including:~~ This could be provided by ORGANISATIONS including:
NHS Mental Health Trusts
NHS Learning Disabilities Trusts
NHS Acute Trusts
NHS Care Trusts
Independent Sector Healthcare Providers offering a service model that includes NHS funded and non-NHS funded PATIENTS
Any qualified providers offering specialist secondary adult mental health, Learning Disabilities or Autistic Spectrum Disorder SERVICES.
SERVICES may be provided in various LOCATIONS and settings.

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MENTAL HEALTH SERVICES DATA SET OVERVIEW

Change to Supporting Information: Changed Description
Contextual Overview
The Mental Health Services Data Set (MHSDS) is a PATIENT level, output based, secondary uses data set which aims to deliver robust, comprehensive, nationally consistent and comparable person-based information for children, young people and adults (including elderly people) who are in contact with specialist secondary Mental Health Services located in England, or located outside England but treating PATIENTS commissioned by an English Clinical Commissioning Group (CCG) or NHS England specialised commissioner.
As a secondary uses data set, the Mental Health Services Data Set re-uses clinical and operational data for purposes other than direct PATIENT care and defines the data items, definitions and associated value sets to be extracted or derived from local information systems.
All ACTIVITY relating to PATIENTS who receive specialist secondary Mental Health Services and have, or are thought to have:
A mental illness
A Learning Disability
An Autistic Spectrum Disorder
Any combination of mental health, Learning Disability or Autistic Spectrum Disorder needs
is within scope of the Mental Health Services Data Set.
The scope of the Mental Health Services Data Set requires PATIENT record level data submission from SERVICES as follows:
For each PATIENT attending a SERVICE located in England:
If the care is wholly funded by the NHS: the data submission for that PATIENT is mandatory
If the care is partially funded by the NHS: the data submission for that PATIENT is mandatory
If the care is wholly funded by any means that is not NHS: the data submission for that PATIENT is optional.
For each PATIENT attending a SERVICE located outside England, but commissioned by an English Clinical Commissioning Group or NHS England specialised commissioner:
The data submission is optional.
~~The~~ ~~Mental Health Services Data Set~~ ~~is used across the range of~~ ~~Health Care Providers~~ ~~and~~ ~~Organisations~~ ~~that provide specialist secondary mental health and/or~~ ~~Learning Disabilities~~ ~~and/or~~ ~~Autistic Spectrum Disorder~~ ~~SERVICES~~ ~~(irrespective of funding arrangements) including:~~The Mental Health Services Data Set is used across the range of Health Care Providers and ORGANISATIONS that provide specialist secondary mental health and/or Learning Disabilities and/or Autistic Spectrum Disorder SERVICES (irrespective of funding arrangements) including:
NHS Mental Health Trusts
NHS Learning Disabilities Trusts
NHS Acute Trusts
NHS Care Trusts
Independent Sector Healthcare Providers offering a service model that includes NHS funded and non-NHS funded PATIENTS
Any qualified provider offering specialist secondary mental health, Learning Disability or Autistic Spectrum Disorder SERVICES
Community SERVICES offering secondary care to children.
Submission information
The Mental Health Services Data Set is submitted centrally via the Strategic Data Collection Service in the Cloud (SDCS Cloud) maintained by NHS Digital.
The Mental Health Services Data Set has historically been submitted using two submission windows, primary and refresh. This has changed to a multiple submission window model which gives submitters the opportunity to resubmit throughout the submission year. Guidance on the new submission model can be found on the NHS Digital website at: How to submit to the MHSDS.
Further guidance
Further information regarding the structure and submission of the Mental Health Services Data Set can be found on the NHS Digital website at: Mental Health Services Data Set (MHSDS).

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META MODEL INTRODUCTION

Change to Supporting Information: Changed Description

The purpose of the meta model is to cohesively support the development and maintenance of NHS data standards in a consistent and integrated manner, which also supports the business process within and across the NHS, and with other non-NHS ~~Organisations~~ ~~involved with the care of~~ ~~PATIENTS~~.The purpose of the meta model is to cohesively support the development and maintenance of NHS data standards in a consistent and integrated manner, which also supports the business process within and across the NHS, and with other non-NHS ORGANISATIONS involved with the care of PATIENTS.
The meta data model will form the underpinning common structure which can be used by all future data sets related to PATIENTS and CARE ACTIVITY whether they be 'administrative', 'clinical', 'management' etc.

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MICROWAVE ABLATION

Change to Supporting Information: Changed Description
~~Microwave Ablation~~ (~~MWA) is a~~ ~~CLINICAL INTERVENTION~~.Microwave Ablation is a CLINICAL INTERVENTION.
~~Microwave Ablation~~ ~~is a form of thermal ablation used in interventional radiology to treat cancer.~~Microwave Ablation (MWA) is a form of thermal ablation used in interventional radiology to treat cancer.
Microwave Ablation uses electromagnetic waves in the microwave energy spectrum to produce tissue-heating effects.
For further information on Ablative Therapy, see the National Cancer Institute website.

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MIDDLE LAYER SUPER OUTPUT AREA

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A ~~Middle Layer Super Output Area~~ (~~MSOA) is a~~ ~~GEOGRAPHIC AREA~~.A Middle Layer Super Output Area is a GEOGRAPHIC AREA.
~~Middle Layer Super Output Areas~~ ~~are a geographic hierarchy designed to improve the reporting of small area statistics in England and Wales.~~Middle Layer Super Output Areas (MSOA) are a geographic hierarchy designed to improve the reporting of small area statistics in England and Wales.
Middle Layer Super Output Areas are built from groups of contiguous Lower Layer Super Output Areas. The minimum population is 5000 and the mean is 7200.
The Organisation Data Service publish files created on their behalf by the Office for National Statistics, which link POSTCODES to the Middle Layer Super Output Area.
See the Organisation Data Service pages on the NHS Digital website at: Gridlink NHS Postcode for the NHS Postcode Directory User Guide.

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MRI SCAN

Change to Supporting Information: Changed Description
A ~~MRI Scan~~ (~~Magnetic Resonance Imaging Scan) is a~~ ~~Clinical Investigation~~.A MRI Scan is a Clinical Investigation.
A ~~MRI Scan~~ ~~is a type of scan that is often used to diagnose health conditions that affect organs,~~ ~~TISSUES~~ ~~and bone.~~A MRI Scan (Magnetic Resonance Imaging Scan) is a type of scan that is often used to diagnose health conditions that affect organs, TISSUES and bone.
A MRI Scan uses strong magnetic fields and radio waves to produce a detailed image of the inside of the body.
For further information on MRI Scans, see the NHS website at: MRI scan.

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NATIONAL CANCER REGISTRATION AND ANALYSIS SERVICE

Change to Supporting Information: Changed Description
~~The~~ ~~National Cancer Registration and Analysis Service~~ (~~NCRAS) is an~~ ~~Organisation~~.The National Cancer Registration and Analysis Service is an ORGANISATION.
~~The~~ ~~National Cancer Registration and Analysis Service~~ ~~is a function within~~ ~~Public Health England~~.The National Cancer Registration and Analysis Service (NCRAS) is a function within Public Health England.
The National Cancer Registration and Analysis Service collects cancer data from all NHS Health Care Providers of cancer care in England.
For further information on the National Cancer Registration and Analysis Service, see the Public Health England part of the gov.uk website at: National Cancer Registration and Analysis Service (NCRAS).

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NATIONAL CANCER WAITING TIMES MONITORING DATA SET SCENARIOS

Change to Supporting Information: Changed Description
National Cancer Waiting Times Monitoring Data Set
Concept of Operation and Patient Pathway Scenarios:
The National Cancer Waiting Times Monitoring Data Set is a generic data set designed to support the monitoring of waiting times for a variety of different pathways of cancer care. For the purpose of this data collection cancer is defined using the International Classification of Diseases (ICD) codes. The full list of International Classification of Diseases (ICD) diagnosis codes is available on the NHS Digital website at: Cancer Waiting Times.
Collection and submission of the National Cancer Waiting Times Monitoring Data Set is to be managed according to the maximum waiting time and information requirements of the pathway of care for each individual PATIENT. These requirements for providers of cancer SERVICES to return data to the Cancer Waiting Times Database are defined using different scenarios.
Scenario 1a:
The Health Care Provider where the PATIENT is first seen following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme, and where the PATIENT has not had a Decision To Treat, has not had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway. No inter-provider transfers are in progress.
Scenario 1b:
The Health Care Provider where the PATIENT is first seen following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme, and where the PATIENT has not had a Decision To Treat, has had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway. No inter-provider transfers are in progress.
Scenario 1c:
The Health Care Provider where the PATIENT receives First Definitive Treatment for cancer following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme
Scenario 1d:
The Health Care Provider where the PATIENT is first seen following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme, and where the PATIENT has had the Decision To Treat, has had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway. No inter-provider transfers are in progress.
Scenario 1e:
The Health Care Provider where the PATIENT is first seen following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme, and where the PATIENT has not had a Decision To Treat, has not had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway. The Health Care Provider sends the PATIENT to another Health Care Provider, that is, makes an inter-provider transfer.
Scenario 1f:
The Health Care Provider receiving an inter-provider transfer of a PATIENT, where the PATIENT is first seen at a different Health Care Provider, and where the PATIENT has not had a Decision To Treat, has not had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway. The Health Care Provider then subsequently sends the PATIENT to another Health Care Provider, that is, makes a further inter-provider transfer.
Scenario 1g:
The Health Care Provider where the PATIENT is first seen following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme, and where the PATIENT has not had a Decision To Treat, has not had the diagnosis outcome communicated, and the PATIENT has been excluded from the Cancer Faster Diagnosis Pathway. No inter-provider transfers are in progress.
Scenario 2a:
The Health Care Provider where the PATIENT receives First Definitive Treatment for cancer following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme, and where the PATIENT has had the Decision To Treat, has had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway. No inter-provider transfers are in progress.
Scenario 2b:
The Health Care Provider where the PATIENT receives First Definitive Treatment for cancer following an inter-provider transfer, and where the PATIENT has had the Decision To Treat, and has had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway.
Scenario 2c:
The Health Care Provider where the PATIENT receives First Definitive Treatment for cancer following an inter-provider transfer, and where the PATIENT has had the Decision To Treat, and has not had the diagnosis outcome communicated, and the PATIENT has not been excluded from the Cancer Faster Diagnosis Pathway.
Scenario 3:
The Health Care Provider where the PATIENT receives second or subsequent treatment for cancer following a REFERRAL REQUEST with PRIORITY TYPE 'Two Week Wait', or where an urgent referral is from an NHS Cancer Screening Programme. No inter-provider transfers are in progress.
Scenario 4:
The Health Care Provider where the PATIENT receives First Definitive Treatment for cancer following a consultant upgrade onto a 62 day PATIENT PATHWAY. No inter-provider transfers are in progress.
Scenario 5:
The Health Care Provider where the PATIENT receives second or subsequent treatment for cancer following a consultant upgrade onto a 62 day PATIENT PATHWAY. No inter-provider transfers are in progress.
Scenario 6:
The Health Care Provider where the PATIENT receives First Definitive Treatment for cancer following a REFERRAL REQUEST from another SOURCE OF REFERRAL FOR OUT-PATIENTS or a different PRIORITY TYPE. No inter-provider transfers are in progress.
Scenario 7:
The Health Care Provider where the PATIENT receives second or subsequent treatment for cancer following a REFERRAL REQUEST from another SOURCE OF REFERRAL FOR OUT-PATIENTS or a different PRIORITY TYPE. No inter-provider transfers are in progress.
The columns in the table below show which data items are required for a range of health care scenarios:
Data Set Notation:
~~M = Mandatory:~~ ~~the Standard Contract Schedule 5 requires NHS provider~~ ~~Organisations~~ ~~to submit this information on a monthly basis.~~ ~~NHS England~~ ~~require the data to be submitted 25 working days after the end of each month or quarter.~~
~~M* = Mandatory if applicable:~~ ~~the Standard Contract Schedule 5 requires NHS provider~~ ~~Organisations~~ ~~to submit this information on a monthly basis, where collection of the item was applicable to them.~~ ~~NHS England~~ ~~require the data to be submitted 25 working days after the end of each month or quarter.~~
M = Mandatory: the Standard Contract Schedule 5 requires NHS provider ORGANISATIONS to submit this information on a monthly basis. NHS England require the data to be submitted 25 working days after the end of each month or quarter.
M* = Mandatory if applicable: the Standard Contract Schedule 5 requires NHS provider ORGANISATIONS to submit this information on a monthly basis, where collection of the item was applicable to them. NHS England require the data to be submitted 25 working days after the end of each month or quarter.
O = Optional
O* = Optional if applicable: These optional fields should only be populated if they relate to the PATIENT PATHWAY identified in the scenarios and the conditions required for their use are met.
N/A = Not Applicable
Note: Inter-Provider Transfers:
# First transfer involving the Health Care Provider
~~## Second transfer involving the~~ ~~Health Care Provider. There can be up to ten inter-provider transfers involving many~~ ~~Organisations, but an individual~~ ~~Organisation~~ ~~can only be involved in two transfers of a~~ ~~PATIENT~~.
## Second transfer involving the Health Care Provider. There can be up to ten inter-provider transfers involving many ORGANISATIONS, but an individual ORGANISATION can only be involved in two transfers of a PATIENT.
Data Item Scenario 1a Scenario 1b Scenario 1c Scenario 1d Scenario 1e Scenario 1f Scenario 1g Scenario 2a Scenario 2b Scenario 2c Scenario 3 Scenario 4 Scenario 5 Scenario 6 Scenario 7
NHS NUMBER M M M M M M M M M M M M M M M
NHS NUMBER STATUS INDICATOR CODE M M M M M M M M M M M M M M M
PATIENT PATHWAY IDENTIFIER M M M M M M M M* M* M* M* M* M* M* M*
ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER) M M M M M M M M* M* M* M* M* M* M* M*
SOURCE OF REFERRAL FOR OUT-PATIENTS M M M M M N/A M N/A N/A N/A N/A M N/A O N/A
PRIORITY TYPE CODE M M M M M N/A M N/A N/A N/A N/A M N/A O N/A
DECISION TO REFER DATE (CANCER OR BREAST SYMPTOMS) M* M* M* M* M* N/A M* N/A N/A N/A N/A N/A N/A O N/A
CANCER REFERRAL TO TREATMENT PERIOD START DATE M M M M M N/A M M N/A N/A N/A O N/A O N/A
TWO WEEK WAIT CANCER OR SYMPTOMATIC BREAST REFERRAL TYPE M M M M M N/A M N/A N/A N/A N/A N/A N/A O N/A
CONSULTANT UPGRADE DATE N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A M N/A O N/A
ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A M N/A O N/A
DATE FIRST SEEN M M M M M N/A M N/A N/A N/A N/A M N/A O N/A
ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN) M M M M M N/A M N/A N/A N/A N/A M N/A N/A N/A
WAITING TIME ADJUSTMENT (FIRST SEEN) M* M* M* M* M* N/A M* N/A N/A N/A N/A O* N/A N/A N/A
WAITING TIME ADJUSTMENT REASON (FIRST SEEN) M* M* M* M* M* N/A M* N/A N/A N/A N/A O* N/A N/A N/A
CANCER CARE SPELL DELAY REASON (FIRST SEEN) M* M* M* M* M* N/A M* N/A N/A N/A N/A N/A N/A N/A N/A
CANCER CARE SPELL DELAY REASON COMMENT (FIRST SEEN) O* O* O* O* O* N/A O* N/A N/A N/A N/A N/A N/A N/A N/A
MULTIDISCIPLINARY TEAM CANCER CARE PLAN DISCUSSED INDICATOR M* M* M* M* M* M* M* M* M* M* M* M* M* M* M*
MULTIDISCIPLINARY TEAM DISCUSSION DATE (CANCER) M* M* M* M* M* M* M* M* M* M* M* M* M* M* M*
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS M M M M M M M M M M M M M M M
PRIMARY DIAGNOSIS (ICD) N/A M* M* M* N/A N/A N/A M M M M M M M M
TUMOUR LATERALITY N/A M* M* M* N/A N/A N/A M M M M M M M M
CANCER TREATMENT PERIOD START DATE N/A N/A M M N/A N/A N/A M M M M M M M M
ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER DECISION TO TREAT) N/A N/A M M N/A N/A N/A M M M M M M M M
SERVICE REQUESTED DATE (INTER-PROVIDER TRANSFER) # N/A N/A N/A N/A M N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
REFERRAL REQUEST RECEIVED DATE (INTER-PROVIDER TRANSFER) # N/A N/A N/A N/A N/A M N/A N/A M M N/A N/A N/A N/A N/A
ORGANISATION IDENTIFIER (REFERRING) # N/A N/A N/A N/A M M N/A N/A M M N/A N/A N/A N/A N/A
ORGANISATION IDENTIFIER (RECEIVING) # N/A N/A N/A N/A M M N/A N/A M M N/A N/A N/A N/A N/A
CANCER TRANSFER REFERRING REASON (INTER-PROVIDER TRANSFER) # N/A N/A N/A N/A M N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
CANCER TRANSFER RECEIVING REASON (INTER-PROVIDER TRANSFER) # N/A N/A N/A N/A N/A M N/A N/A M M N/A N/A N/A N/A N/A
SERVICE REQUESTED DATE (INTER-PROVIDER TRANSFER) ## N/A N/A N/A N/A N/A M N/A N/A N/A N/A N/A N/A N/A N/A N/A
REFERRAL REQUEST RECEIVED DATE (INTER-PROVIDER TRANSFER) ## N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
ORGANISATION IDENTIFIER (REFERRING) ## N/A N/A N/A N/A N/A M N/A N/A N/A N/A N/A N/A N/A N/A N/A
ORGANISATION IDENTIFIER (RECEIVING) ## N/A N/A N/A N/A N/A M N/A N/A N/A N/A N/A N/A N/A N/A N/A
CANCER TRANSFER REFERRING REASON (INTER-PROVIDER TRANSFER) ## N/A N/A N/A N/A N/A M N/A N/A N/A N/A N/A N/A N/A N/A N/A
CANCER TRANSFER RECEIVING REASON (INTER-PROVIDER TRANSFER) ## N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A
CANCER FASTER DIAGNOSIS PATHWAY END REASON N/A M N/A M N/A N/A M M M N/A M* N/A N/A N/A N/A
PRIMARY CANCER SITE (CANCER FASTER DIAGNOSIS PATHWAY) N/A M N/A M N/A N/A N/A M M N/A N/A N/A N/A N/A N/A
CANCER FASTER DIAGNOSIS PATHWAY END DATE N/A M N/A M N/A N/A M M M N/A M* N/A N/A N/A N/A
CANCER CARE SPELL DELAY REASON (OUTCOME COMMUNICATION CANCER FASTER DIAGNOSIS PATHWAY) N/A M* N/A M* N/A N/A N/A M* M* N/A N/A N/A N/A N/A N/A
CANCER CARE SPELL DELAY REASON COMMENT (OUTCOME COMMUNICATION CANCER FASTER DIAGNOSIS PATHWAY) N/A O* N/A O* N/A N/A N/A O* O* N/A N/A N/A N/A N/A N/A
CANCER FASTER DIAGNOSIS PATHWAY EXCLUSION REASON N/A N/A N/A N/A N/A N/A M N/A N/A N/A M* N/A N/A N/A N/A
CARE PROFESSIONAL TYPE CODE (OUTCOME COMMUNICATION CANCER FASTER DIAGNOSIS PATHWAY) N/A O* N/A O* N/A N/A N/A O* O* N/A N/A N/A N/A N/A N/A
METHOD OF COMMUNICATION (END OF CANCER FASTER DIAGNOSIS PATHWAY) N/A O* N/A O* N/A N/A N/A O* O* N/A N/A N/A N/A N/A N/A
ORGANISATION SITE IDENTIFIER (OF CANCER FASTER DIAGNOSIS PATHWAY END DATE) N/A M N/A M N/A N/A M M M N/A M* N/A N/A N/A N/A
TREATMENT START DATE (CANCER) N/A N/A N/A N/A N/A N/A N/A M M M M M M M M
ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE) N/A N/A N/A N/A N/A N/A N/A M M M M M M M M
CANCER TREATMENT EVENT TYPE N/A N/A N/A N/A N/A N/A N/A M M M M M M M M
CANCER TREATMENT MODALITY N/A N/A N/A N/A N/A N/A N/A M M M M M M M M
CLINICAL TRIAL INDICATOR N/A N/A N/A N/A N/A N/A N/A M M M M M M M M
CANCER CARE SETTING (TREATMENT) N/A N/A N/A N/A N/A N/A N/A M M M M M M M M
RADIOTHERAPY PRIORITY N/A N/A N/A N/A N/A N/A N/A M* M* M* M* M* M* M* M*
CANCER CARE SPELL DELAY REASON (DECISION TO TREATMENT) N/A N/A N/A N/A N/A N/A N/A M* M* M* M* M* M* M* M*
CANCER CARE SPELL DELAY REASON COMMENT (DECISION TO TREATMENT) N/A N/A N/A N/A N/A N/A N/A O* O* O* O* O* O* O* O*
WAITING TIME ADJUSTMENT (TREATMENT) N/A N/A N/A N/A N/A N/A N/A M* M* M* M* M* M* M* M*
WAITING TIME ADJUSTMENT REASON (TREATMENT) N/A N/A N/A N/A N/A N/A N/A M* M* M* M* M* M* M* M*
CANCER CARE SPELL DELAY REASON (REFERRAL TO TREATMENT) N/A N/A N/A N/A N/A N/A N/A M* M* M* N/A M* N/A O* N/A
CANCER CARE SPELL DELAY REASON COMMENT (REFERRAL TO TREATMENT) N/A N/A N/A N/A N/A N/A N/A O* O* O* N/A O*
O*
O* N/A
CANCER CARE SPELL DELAY REASON (CONSULTANT UPGRADE) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A M* N/A O* N/A
CANCER CARE SPELL DELAY REASON COMMENT (CONSULTANT UPGRADE) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A O* N/A O* N/A
Full details of the validation rules and processes are available on the NHS Digital website at: Cancer Waiting Times.

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NATIONAL CENTRE FOR SMOKING CESSATION AND TRAINING

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~~The~~ ~~National Centre for Smoking Cessation and Training~~ (~~NCSCT) is an~~ ~~Organisation~~.The National Centre for Smoking Cessation and Training is an ORGANISATION.
~~The~~ ~~National Centre for Smoking Cessation and Training~~ ~~supports the delivery of effective evidence-based tobacco control programmes and smoking cessation interventions provided by local~~ ~~Stop Smoking Services~~.The National Centre for Smoking Cessation and Training (NCSCT) supports the delivery of effective evidence-based tobacco control programmes and smoking cessation interventions provided by local Stop Smoking Services.
The National Centre for Smoking Cessation and Training works with and for the field to deliver training and assessment programmes, support SERVICES for local and national providers and conducts research into behavioural support for smoking cessation.
For further information on the National Centre for Smoking Cessation and Training, please visit the National Centre for Smoking Cessation and Training website.

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NATIONAL CONTACT POINT

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~~The~~ ~~National Contact Point~~ (~~NCP) is an~~ ~~Organisation~~.The National Contact Point is an ORGANISATION.
~~The~~ ~~National Contact Point~~ ~~is run by~~ ~~NHS England~~.The National Contact Point (NCP) is run by NHS England.
The primary role of the National Contact Point is the provision of information to prospective European PATIENTS travelling to England for treatment (‘incoming PATIENTS’) and English residents seeking funding for healthcare in the European Economic Area (‘outgoing PATIENTS’).
For further information on the role of the National Contact Point, see the NHS website at: National Contact Points for the United Kingdom.

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NATIONAL INFORMATION BOARD

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~~The~~ ~~National Information Board~~ (~~NIB) is an~~ ~~Organisation~~.The National Information Board is an ORGANISATION.
~~The role of the~~ ~~National Information Board~~ ~~is to put data and technology safely to work for~~ ~~PATIENTS, service users, citizens and the professionals who serve them.~~The role of the National Information Board (NIB) is to put data and technology safely to work for PATIENTS, service users, citizens and the professionals who serve them.
~~The~~ ~~National Information Board~~ ~~brings together national health and care~~ ~~Organisations~~ ~~from the NHS, public health, clinical science, social care and local government, along with appointed independent representatives to develop the strategic priorities for data and technology.~~The National Information Board brings together national health and care ORGANISATIONS from the NHS, public health, clinical science, social care and local government, along with appointed independent representatives to develop the strategic priorities for data and technology.
For further information on the National Information Board, see the gov.uk website at: About us.

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NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE

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~~The~~ ~~National Institute for Health and Care Excellence~~ (~~NICE) is an~~ ~~Organisation~~.The National Institute for Health and Care Excellence is an ORGANISATION.
~~The~~ ~~National Institute for Health and Care Excellence~~ ~~provides national guidance and advice to improve health and social care.~~The National Institute for Health and Care Excellence (NICE) provides national guidance and advice to improve health and social care.
The National Institute for Health and Care Excellence's role is to improve outcomes for people using the NHS and other public health and social care services. This is achieved by:
Producing evidence-based guidance and advice for health, public health and social care practitioners
Developing quality standards and performance metrics for those providing and commissioning health, public health and social care services
Providing a range of information services for commissioners, practitioners and managers across the spectrum of health and social care.
Further information on the National Institute for Health and Care Excellence, see the National Institute for Health and Care Excellence website.

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NATIONAL JOINT REGISTRY

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~~The~~ ~~National Joint Registry~~ (~~NJR) is an~~ ~~Organisation~~.The National Joint Registry is an ORGANISATION.
~~The~~ ~~National Joint Registry~~ ~~is managed by the~~ ~~Healthcare Quality Improvement Partnership~~ (~~HQIP~~).The National Joint Registry (NJR) is managed by the Healthcare Quality Improvement Partnership (HQIP).
The National Joint Registry for England, Wales and Northern Ireland collects information on Joint Replacement Surgery and monitors the performance of joint replacement Implants.
For further information on the National Joint Registry, see the National Joint Registry website at: About the NJR.

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NATIONAL KIDNEY FEDERATION

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~~The~~ ~~National Kidney Federation~~ ~~is an~~ ~~Organisation~~.The National Kidney Federation is an ORGANISATION.
~~The~~ ~~National Kidney Federation~~ ~~is the national charity~~ ~~Organisation~~ ~~in the United Kingdom which is run by kidney~~ ~~PATIENTS~~ ~~for kidney~~ ~~PATIENTS~~.The National Kidney Federation is the national charity ORGANISATION in the United Kingdom which is run by kidney PATIENTS for kidney PATIENTS.
The federation's aim is to promote both the best renal medical practice and treatment and the health of PERSONS suffering from Chronic Kidney Disease (CKD) or Established Renal Failure (ERF). The National Kidney Federation also supports the related needs of the relatives and friends who care for kidney PATIENTS.
For further information on the National Kidney Federation see the National Kidney Federation website.

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NATIONAL NEONATAL DATA SET OVERVIEW

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Contextual Overview
The National Neonatal Data Set consists of a defined list of data items that are extracted from electronic clinical records created by clinical staff on all admissions to Neonatal Critical Care Units in England.
The National Neonatal Data Set is in two parts:
The National Neonatal Data Set - Episodic and Daily Care covers the period of time a baby is cared for in Neonatal Critical Care, Transitional Care, or other non-standard critical care settings
~~The~~ ~~National Neonatal Data Set - Two Year Neonatal Outcomes Assessment, carries data relating to a~~ ~~Two Year Neonatal Outcomes Assessment~~ ~~carried out on the same child approximately two years after their treatment. The~~ ~~Two Year Neonatal Outcomes Assessment~~ ~~may be carried out by the same~~ ~~Organisation~~ ~~who was responsible for the neonatal~~ ~~CRITICAL CARE PERIOD, or by a different~~ ~~Organisation~~.
The National Neonatal Data Set - Two Year Neonatal Outcomes Assessment, carries data relating to a Two Year Neonatal Outcomes Assessment carried out on the same child approximately two years after their treatment. The Two Year Neonatal Outcomes Assessment may be carried out by the same ORGANISATION who was responsible for the neonatal CRITICAL CARE PERIOD, or by a different ORGANISATION.
The two neonatal data sets comprise data items relating to PATIENT demographics, CLINICAL INTERVENTIONS, outcomes, and PATIENT DIAGNOSES. Each data item is mapped where possible to existing ISB / SCCI / DCB Information Standards and Collections (including Extractions) (such as the Neonatal Critical Care Minimum Data Set and Maternity Services Data Set Version 1) as well as to SNOMED CT and ICD codes.
The aim of the National Neonatal Data Set is to extract data items from electronic clinical records, create a database of these items, and make this available as a national resource to serve a variety of needs, so avoiding duplicate data collections for different purposes, minimising the burden placed upon clinical teams, and promoting data quality and completeness.
~~Organisations~~ ~~involved in the collection may choose whether to allow identifiable or unidentifiable (anonymised) information to flow to the~~ ~~Neonatal Data Analysis Unit~~.ORGANISATIONS involved in the collection may choose whether to allow identifiable or unidentifiable (anonymised) information to flow to the Neonatal Data Analysis Unit. Where anonymised data is to flow, the appropriate 'withheld' patient and parents demographic structures should be used (i.e. those with no PERSON IDENTIFIERS, such as NHS NUMBER or PERSON BIRTH DATE).
In addition, where anonymisation is required, the dates and times of events carried throughout the data set (such as SAMPLE COLLECTION DATE AND TIME, PROCEDURE DATE AND TIME (ABDOMINAL X-RAY)) should be replaced with the specific relevant year and month of the event and the NUMBER OF MINUTES (BIRTH TO EVENT).  The National Neonatal Data Set structure allows an either/or choice for these event items throughout the data set.
Data Collection
The National Neonatal Data Set consists of a defined list of data items that are extracted from electronic clinical records created by clinical staff relating to all neonatal critical care delivered in England. The Neonatal Data Analysis Unit has established a database, the National Neonatal Research Database (NNRD) to hold data comprising the National Neonatal Data Set, as a national resource.
Submission Information
For submission information, see the NDAU website. Note that all date and time fields in the National Neonatal Data Set should be in Co-ordinated Universal Time (UTC) for submission purposes.
Further Guidance
Further guidance has been produced by the Neonatal Data Analysis Unit and is available on their website at: NDAU website.

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NATIONAL WORKFORCE DATA SET OVERVIEW

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The National Workforce Data Set (NWD) is a reference Data Set comprising standardised definitions to facilitate the capture of nationally consistent information relating to the NHS and wider healthcare workforce.  National Workforce data items and definitions support a variety of workforce based collections. They are also embedded within operational HR/workforce systems including Electronic Staff Record (ESR), and the NHS Jobs web system.
The National Workforce Data Set provides common definitions for those data items that are needed to support workforce planning for the NHS workforce and is intended as a reference with an agreed set of data definitions for people who plan workforce at strategic, national and local level.
The changing nature of the provision of NHS funded care is leading to plurality of supply, and therefore a National Workforce Data Set ensures that all suppliers of NHS care provide workforce information in an agreed and pre-determined format. This provides a practical means for the consistent collection of this information from all providers of NHS funded care to enable comprehensive Healthcare Workforce planning going forwards.
~~The information captured using the values defined in the~~ ~~National Workforce Data Set~~ ~~will also be used locally within~~ ~~Organisations~~ ~~by a range of people in addition to those mentioned above, such as in Training and Development, Workforce Information and Planning and Equality and Diversity.~~The information captured using the values defined in the National Workforce Data Set will also be used locally within ORGANISATIONS by a range of people in addition to those mentioned above, such as in Training and Development, Workforce Information and Planning and Equality and Diversity. The accuracy and relevance of the data captured using the National Workforce Data Set values will therefore impact on a number of issues at local level and beyond.
Further guidance has been produced by NHS Digital and is available on their website at: National Workforce Data Set (NWD) and NHS occupation codes.

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NEONATAL DATA ANALYSIS UNIT

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~~The~~ ~~Neonatal Data Analysis Unit~~ ~~is an~~ ~~Organisation~~.The Neonatal Data Analysis Unit is an ORGANISATION.
The Neonatal Data Analysis Unit (NDAU) is an academic unit based at Imperial College London. The Neonatal Data Analysis Unit has established a database, the National Neonatal Research Database (NNRD) to hold data comprising the National Neonatal Data Set - Episodic and Daily Care and National Neonatal Data Set - Two Year Neonatal Outcomes Assessment, as a national resource.
For further information on the Neonatal Data Analysis Unit, see the NDAU website.

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NEONATE

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A Neonate is a PATIENT.
A Neonate is a baby.
A neonatal period commences on the PERSON BIRTH DATE (BABY) and ends 28 completed days after birth.
Note: When a baby is born prematurely the delivery of care in a neonatal setting may continue beyond 28 days after the PERSON BIRTH DATE (BABY).

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NEUROPSYCHOLOGIST

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A Neuropsychologist is a PERSON.
A Neuropsychologist is recognised by the British Psychological Society.
A Neuropsychologist looks at the relationship between the brain and neuropsychological function. This means that a Neuropsychologist deals with things related to the brain, such as vision, memory, smell, and taste, or on the biological basis for conditions like depression. Psychologists within this field also help with assessment and rehabilitation of people with brain injury or other neurological disease such as strokes, dementia, tumours and degenerative brain diseases.

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NHS ALLIED HEALTH PROFESSIONAL SERVICE (REFERRAL TO TREATMENT MEASUREMENT)

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An NHS Allied Health Professional Service (Referral To Treatment Measurement) is a SERVICE.
An NHS Allied Health Professional Service (Referral To Treatment Measurement) is a SERVICE involving the treatment of a PATIENT by one of the following types of Allied Health Professional:
Art Therapists, Music Therapists and Dramatherapists (Arts Therapists)
Chiropodists / Podiatrists
Dietitians
Occupational Therapists
Orthoptists
Physiotherapists
Prosthetists and Orthotists
Radiographers (Diagnostic and Therapeutic)
Speech and Language Therapists
Where the Allied Health Professional works in a Community Health Service, the Department of Health and Social Care requires their Allied Health Professional Referral To Treatment Measurement activity to be reported in the Community Services Data Set.
Where the Allied Health Professional activity took place at an Out-Patient Clinic, the Allied Health Professional Referral To Treatment Measurement activity must be reported in the CDS V6-2 Type 020 - Outpatient Commissioning Data Set. In addition to this, where an Allied Health Professional sees a PATIENT on a WARD but the ACTIVITY is not related to the Hospital Provider Spell the PATIENT is being treated under, this should be regarded as replacing an Out-Patient Appointment Non-Consultant, and a CDS V6-2 Type 020 - Outpatient Commissioning Data Set record should flow. ACTIVITY LOCATION TYPE CODE may be submitted to allow identification of this Allied Health Professional ACTIVITY. 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', and the relevant Referral To Treatment data items also completed.
Further guidance relating to Allied Health Professional Referral To Treatment initiative can be found on the Department of Health and Social Care part of the gov.uk website at: the Revised guide for referral to treatment for allied health professionals.

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NHS BLOOD AND TRANSPLANT

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~~NHS Blood and Transplant~~ (~~NHSBT) is an~~ ~~Organisation~~.NHS Blood and Transplant is an ORGANISATION.
~~NHS Blood and Transplant~~ ~~is a~~ ~~Special Health Authority, with the responsibility for optimising the supply of blood, organs, plasma and tissues and raising the quality, effectiveness and efficiency of blood and transplant services~~NHS Blood and Transplant (NHSBT) is a Special Health Authority, with the responsibility for optimising the supply of blood, organs, plasma and tissues and raising the quality, effectiveness and efficiency of blood and transplant services.
For further information see the NHS Blood and Transplant website at: What we do.

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NHS BUSINESS SERVICES AUTHORITY

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The NHS Business Services Authority is a Special Health Authority.
~~The~~ ~~NHS Business Services Authority~~ (~~NHSBSA) provides a range of critical central services to NHS~~ ~~Organisations, NHS contractors,~~ ~~PATIENTS~~ ~~and the public.~~The NHS Business Services Authority (NHSBSA) provides a range of critical central services to NHS ORGANISATIONS, NHS contractors, PATIENTS and the public.
For further information on the NHS Business Services Authority, see the NHS Business Services Authority website at: About us.

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NHS CONTINUING HEALTHCARE ELIGIBILITY START DATE FOLLOWING INDEPENDENT REVIEW

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An NHS Continuing Healthcare Eligibility Start Date Following Independent Review  is an ACTIVITY DATE TIME.
An NHS Continuing Healthcare Eligibility Start Date Following Independent Review is the eligibility Start Date for a PERSON found eligible for NHS Continuing Healthcare following an Independent Review.

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NHS CONTINUING HEALTHCARE PATIENT LEVEL DATA SET OVERVIEW

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Introduction
The NHS Continuing Healthcare Patient Level Data Set is PATIENT level, output based, secondary user data set. It delivers robust, comprehensive, nationally consistent and comparable PERSON centred information for people who are in receipt of, or whose eligibility is being assessed for, NHS Continuing Healthcare or NHS-funded Nursing Care. The data set does not include information about requests for an independent review of an NHS Continuing Healthcare eligibility decision.
As a secondary uses data set the NHS Continuing Healthcare Patient Level Data Set re-uses operational data for purposes other than direct PATIENT care. It defines the data items, definitions and associated value sets to be extracted or derived from local systems.
~~The data collected in the~~ ~~NHS Continuing Healthcare Patient Level Data Set~~ ~~covers all~~ ~~NHS Continuing Healthcare~~ ~~and~~ ~~NHS-funded Nursing Care~~ ~~ACTIVITY~~ ~~undertaken by~~ ~~Clinical Commissioning Groups~~ ~~(or other~~ ~~Organisations~~ ~~acting on their behalf), in line with the~~ ~~NHS Continuing Healthcare~~ ~~(National Framework) in England.~~The data collected in the NHS Continuing Healthcare Patient Level Data Set covers all NHS Continuing Healthcare and NHS-funded Nursing Care ACTIVITY undertaken by Clinical Commissioning Groups (or other ORGANISATIONS acting on their behalf), in line with the NHS Continuing Healthcare (National Framework) in England.
The NHS Continuing Healthcare Patient Level Data Set is used by the Department of Health and Social Care, NHS England and NHS Improvement, commissioners and PATIENTS, as the data set provides:
National, comparable, standardised data about NHS Continuing Healthcare and NHS-funded Nursing Care, which will support intelligent commissioning decisions and SERVICE provision
Information on the use of resources to improve the operational management of SERVICES
Support for current national performance indicators for NHS Continuing Healthcare
Information for the future development of NHS Continuing Healthcare and NHS-funded Nursing Care.
Data Collection
The NHS Continuing Healthcare Patient Level Data Set provides the definitions for data to:
be lodged in the data warehouse regularly and routinely,
be assembled, compiled and to flow into a secondary uses data warehouse,
provide timely, pseudonymised PATIENT based data and information for purposes other than direct clinical care, e.g. planning, commissioning, public health, performance improvement, research, clinical governance.
Data is expected to be extracted and collated from the NHS Continuing Healthcare management systems used by Clinical Commissioning Groups to manage their NHS Continuing Healthcare function.
Data will be reported monthly.
Submission Information
The NHS Continuing Healthcare Patient Level Data Set is submitted to NHS Digital  using the NHS Continuing Healthcare Patient Level Data Set XML Schema.
Format Information
Data for submission will be formatted into an XML file as per the Technology Reference Data Update Distribution (TRUD) page at: NHS Data Model and Dictionary: DD XML Schemas.
For enquiries regarding the XML Schema, please contact NHS Digital at enquiries@nhsdigital.nhs.uk.
Further Guidance
Further information and implementation guidance has been produced by NHS Digital and is available at: NHS Continuing Healthcare and NHS-funded Nursing Care (CHC).

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NHS CONTINUING HEALTHCARE PREVIOUSLY UNASSESSED PERIOD OF CARE

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An ~~NHS Continuing Healthcare Previously Unassessed Period of Care~~ (~~PUPoC) is a period of~~ ~~NHS Continuing Healthcare~~.An NHS Continuing Healthcare Previously Unassessed Period of Care is a period of NHS Continuing Healthcare.
An ~~NHS Continuing Healthcare Previously Unassessed Period of Care~~ ~~refers to a specific request to consider eligibility for a past period of~~ ~~NHS Continuing Healthcare~~.An NHS Continuing Healthcare Previously Unassessed Period of Care (PUPoC) refers to a specific request to consider eligibility for a past period of NHS Continuing Healthcare.
NHS Continuing Healthcare Previously Unassessed Periods of Care may relate to either deceased or ongoing eligible cases.
For example, an individual may be:
Deceased and their family may make a claim to consider eligibility for a past period of care in isolation or
Agreed eligible for Standard NHS Continuing Healthcare via the normal assessment route and also have a claim for a past period of care considered.
For further information on NHS Continuing Healthcare Previously Unassessed Periods of Care, see the:
Department of Health and Social Care part of the gov.uk website at: National framework for NHS continuing healthcare and NHS-funded nursing care
NHS England website at: NHS Continuing Healthcare.

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NHS DENTAL SERVICES

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~~NHS Dental Services~~ ~~(previously known as the NHS Business Services Authority Dental Services Division) is an operating division of the~~ ~~NHS Business Services Authority~~.NHS Dental Services is an operating division of the NHS Business Services Authority.
~~NHS Dental Services~~ ~~pay dentists promptly and accurately.~~NHS Dental Services (previously known as the NHS Business Services Authority Dental Services Division) pay dentists promptly and accurately. They also provide dental statistics and key information to national, regional and local NHS bodies.
For further information on NHS Dental Services, see the NHS Dental Services website at: NHS Dental Services.

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NHS DIGITAL

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~~NHS Digital~~ ~~is an~~ ~~Organisation~~.NHS Digital is an ORGANISATION.
NHS Digital, the new trading name for Health and Social Care Information Centre (HSCIC), was set up as an Executive Non Departmental Public Body (ENDPB) in April 2013.
The Health and Social Care Act 2012 sets out NHS Digital's responsibilities, which include:
Collecting, analysing and presenting national health and social care data
Setting up and managing national IT systems for transferring, collecting and analysing information
~~Publishing a set of rules to set out how the personal confidential information of~~ ~~PATIENTS~~ ~~should be handled and managed by health and care staff and~~ ~~Organisations~~
Publishing a set of rules to set out how the personal confidential information of PATIENTS should be handled and managed by health and care staff and ORGANISATIONS
Building up a library of 'indicators' that can be used to measure the quality of health and care services provided to the public
Acting to reduce how much paperwork doctors, nurses and care workers have to complete by ensuring that only essential data is collected
~~Helping health and care~~ ~~Organisations~~ ~~improve the quality of the data they collect and send to~~ ~~NHS Digital~~ ~~by setting standards and guidelines to help them assess how well they are doing~~
Helping health and care ORGANISATIONS improve the quality of the data they collect and send to NHS Digital by setting standards and guidelines to help them assess how well they are doing
Creating a register of all the information that NHS Digital collect and produce, and publishing that information in a range of different formats so that it will be useful to as many people as possible while safeguarding the personal confidential data of individuals.
Further information on NHS Digital can be found on the:
NHS Digital website at: About NHS Digital
NHS Digital part of the gov.uk website at: About us.

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NHS ENGLAND

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~~NHS England~~ ~~(known as the~~ ~~NHS Commissioning Board~~ ~~in the Health and Social Care Act 2012) is an~~ ~~Organisation~~.NHS England is an ORGANISATION.
~~The~~ ~~NHS Commissioning Board~~ ~~was established as an independent body, at arm's length to the Government, from October 2012 and took on its full range of responsibilities once it became established on 1 April 2013.~~The NHS Commissioning Board (known as the NHS Commissioning Board in the Health and Social Care Act 2012) was established as an independent body, at arm's length to the Government, from October 2012 and took on its full range of responsibilities once it became established on 1 April 2013.
The NHS Commissioning Board has adopted the name NHS England.
~~From 1 April 2019,~~ ~~NHS England~~ ~~and~~ ~~NHS Improvement~~ ~~are working together as a new single~~ ~~Organisation~~ ~~to better support the NHS to deliver improved care for~~ ~~PATIENTS~~.From 1 April 2019, NHS England and NHS Improvement are working together as a new single ORGANISATION to better support the NHS to deliver improved care for PATIENTS.
The main aim of NHS England is to improve the health outcomes for people in England.
NHS England empowers and supports clinical leaders at every level of the NHS through Clinical Commissioning Groups (CCGs), Clinical Networks and Clinical Senates and helps Health Care Providers make genuinely informed decisions to provide high quality SERVICES.
For further information on NHS England, see the NHS England website at: What does NHS England do?.

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NHS FOUNDATION TRUST

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An ~~NHS Foundation Trust~~ ~~is an~~ ~~Organisation~~.An NHS Foundation Trust is an ORGANISATION.
An NHS Foundation Trust is a not-for-profit, public benefit corporation.
NHS Foundation Trusts were established by section 30 of, and Schedule 7 to, the National Health Service Act 2006.
An NHS Foundation Trust provides goods and services for the purposes of the health service in England, in accordance with Chapter 5 of the National Health Service Act 2006.
NHS Foundation Trusts:
provide over half of all NHS hospital, mental health, Ambulance Services and community care SERVICES
were created to devolve decision making from central government to local communities
provide and develop healthcare according to core NHS principles - free care, based on need and not ability to pay.
NHS Improvement is responsible for overseeing NHS Foundation Trusts.
For further information on NHS Foundation Trusts, see the:
NHS Improvement part of the gov.uk website at: Better healthcare, transformed care delivery and sustainable finances
NHS website at: NHS authorities and trusts.

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NHS IMPROVEMENT

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~~NHS Improvement~~ ~~is an~~ ~~Organisation~~.NHS Improvement is an ORGANISATION.
~~From 1 April 2019,~~ ~~NHS England~~ ~~and~~ ~~NHS Improvement~~ ~~are working together as a new single~~ ~~Organisation~~ ~~to better support the NHS to deliver improved care for~~ ~~PATIENTS~~.From 1 April 2019, NHS England and NHS Improvement are working together as a new single ORGANISATION to better support the NHS to deliver improved care for PATIENTS.
~~NHS Improvement~~ ~~is the operational name for the~~ ~~Organisation~~ ~~that brings together:~~NHS Improvement is the operational name for the ORGANISATION that brings together:
Monitor
NHS Trust Development Authority
Patient Safety
The National Reporting and Learning System
The Advancing Change Team and
The Intensive Support Teams.
NHS Improvement:
is responsible for overseeing NHS Foundation Trusts, NHS Trusts and Independent Providers
offers the support these Health Care Providers need to give PATIENTS consistently safe, high quality, compassionate care within local health systems that are financially sustainable. By holding Health Care Providers to account and, where necessary, intervening, we help the NHS to meet its short-term challenges and secure its future
For further information on NHS Improvement, see the NHS Improvement website at: What we do.

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NHS NATIONAL CHLAMYDIA SCREENING PROGRAMME

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~~The~~ ~~NHS National Chlamydia Screening Programme~~ (~~NCSP) is a~~ ~~Screening Programme~~.The NHS National Chlamydia Screening Programme is a Screening Programme.
~~The aim of the~~ ~~NHS National Chlamydia Screening Programme~~ is to detect undiagnosed chlamydia infection through proactively offering screening to all sexually active young people aged under 25, in a variety of health and community settings, in order to reduce the population prevalence of Chlamydia and prevent the development of associated health problems.The aim of the NHS National Chlamydia Screening Programme (NCSP) is to detect undiagnosed chlamydia infection through proactively offering screening to all sexually active young people aged under 25, in a variety of health and community settings, in order to reduce the population prevalence of Chlamydia and prevent the development of associated health problems.
The NHS National Chlamydia Screening Programme offers opportunistic chlamydia screening to young people in England and recommends that they be screened annually or whenever they change partners.
For further information on the NHS National Chlamydia Screening Programme, see the gov.uk website at: National Chlamydia Screening Programme (NCSP).

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NHS NEWBORN AND INFANT PHYSICAL EXAMINATION PROGRAMME

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~~The~~ ~~NHS Newborn and Infant Physical Examination Programme~~ (~~NIPE) is a~~ ~~HEALTH PROGRAMME~~.The NHS Newborn and Infant Physical Examination Programme is a HEALTH PROGRAMME.
~~The~~ ~~NHS Newborn and Infant Physical Examination Programme~~ ~~offers parents of newborn babies in England the opportunity to have their child examined shortly after birth.~~The NHS Newborn and Infant Physical Examination Programme (NIPE) offers parents of newborn babies in England the opportunity to have their child examined shortly after birth.
For further information on the NHS Newborn and Infant Physical Examination Programme, see the Public Health England part of the gov.uk website at: Newborn and infant physical examination screening: programme overview .

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NHS PRESCRIPTION SERVICES

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NHS Prescription Services is an ORGANISATION.
NHS Prescription Services (previously known as the NHS Business Services Authority Prescription Pricing Division) is one of the services supplied by the NHS Business Services Authority (NHSBSA).
NHS Prescription Services processes over three million prescription items every working day.
NHS Prescription Services' primary responsibilities are:
Examination, checking, pricing and analysis of the NHS prescriptions for drugs, medicine and appliances in England;
Payments to pharmacy contractors, appliance contractors and authorisation of payments to dispensing doctors in England;
Provision of regular and prompt information on the costs and trends of prescribing in England;
Supplying England, Isle of Man and Channel Island GENERAL MEDICAL PRACTITIONER codes;
Supplying England, Isle of Man and Channel Island GP Practice codes;
Supplying codes for England, Isle of Man and Channel Island pharmacy and appliance dispensers.
Note: NHS Wales Informatics Service supply Welsh practitioner and practice details.
For further information on NHS Prescription Services, see the NHS Prescription Services website at: NHS Prescription Services.

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NHS SUPPLY CHAIN

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The NHS Supply Chain is an ORGANISATION.
The NHS Supply Chain provides patient-focused healthcare products and supply chain services to the National Health Service (NHS).
The NHS Supply Chain manages the sourcing, delivery and supply of healthcare products and food for NHS Trusts and Health Care Providers.
For further information on the NHS Supply Chain, see the NHS Supply Chain website.

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NHS TRUST

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An ~~NHS Trust~~ ~~is an~~ ~~Organisation~~.An NHS Trust is an ORGANISATION.
An NHS Trust is a legal entity, set up by order of the Secretary of State under section 25 of, and Schedule 4 to, the National Health Service Act 2006, to provide goods and services for the purposes of the health service.
NHS Trusts may act as Health Care Providers and provide hospital services, community services and/or other aspects of PATIENT care, such as PATIENT transport facilities.
They may also act as commissioners when sub-contracting PATIENT care SERVICES to other providers of health care.
NHS Improvement is responsible for overseeing NHS Trusts.

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NHS WALES INFORMATICS SERVICE

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~~NHS Wales Informatics Service~~ (~~NWIS) is an NHS Wales~~ ~~Organisation~~.NHS Wales Informatics Service is an ORGANISATION.
NHS Wales Informatics Service (NWIS) is an NHS Wales ORGANISATION.
The NHS Wales Informatics Service was established on 1 April, 2010, as part of the healthcare reform programme. It brings together the strategic development of Information Communications Technology (ICT), the delivery of operational ICT services and information management.
~~The new~~ ~~Organisation~~ ~~has a national remit to support the transformation of NHS Wales and make better use of scarce skills and resources.~~The new ORGANISATION has a national remit to support the transformation of NHS Wales and make better use of scarce skills and resources. It was formed by merging Informing Healthcare, Health Solutions Wales, the Business Services Centre IM&T element, the Corporate Health Information Programme and the Primary Care Informatics Programme.
The new arrangements will allow Information Communications Technology resources to work together more closely to support a consistent approach to health informatics and the implementation of common national systems. ~~The~~ ~~Organisation~~ ~~will also be an exemplar for health informatics professional development.~~ The ORGANISATION will also be an exemplar for health informatics professional development.
For further information on the NHS Wales Informatics Service, see the NHS Wales Informatics Service website at: About us.

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NON-CONSULTANT LED ACTIVITY

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A Non-Consultant Led Activity is an ACTIVITY.
A Non-Consultant Led Activity is an ACTIVITY where a CONSULTANT does not retain overall clinical responsibility for PATIENT care.
The MAIN SPECIALTY will be recorded using the appropriate default MAIN SPECIALTY CODE for the type of CARE PROFESSIONAL along with a default CONSULTANT CODE.
The MAIN SPECIALTY CODE is used by the Secondary Uses Service to identify Non-Consultant Led Activity.

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NORTHERN IRELAND LOCAL COMMISSIONING GROUP

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A ~~Northern Ireland Local Commissioning Group~~ ~~is a type of~~ ~~Organisation~~ ~~in Northern Ireland.~~A Northern Ireland Local Commissioning Group is an ORGANISATION in Northern Ireland.
Northern Ireland Local Commissioning Group carry out a range of functions with respect to the commissioning of health and social care for people within their area, including:
assessing health and social care needs
planning health and social care to meet current and emerging needs
securing the delivery of health and social care to meet assessed needs.
In exercising these functions, the Northern Ireland Local Commissioning Group have regard to improving the health and social well-being of people in the area within which they exercise their functions, and improving the availability and quality of health and social care in that area.
Further information relating to Northern Ireland Local Commissioning Group can be found at:
The Local Commissioning Groups (Number, Area and Functions) Regulations (Northern Ireland) 2009 and
Health and Social Care (Reform) Act (Northern Ireland) 2009.

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NOTTINGHAM PROGNOSTIC INDEX

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~~The~~ ~~Nottingham Prognostic Index~~ (~~NPI) is an~~ ~~ASSESSMENT TOOL~~.The Nottingham Prognostic Index is an ASSESSMENT TOOL.
~~The~~ ~~Nottingham Prognostic Index~~ ~~is a formula used by~~ ~~CARE PROFESSIONALS~~ ~~to give them a general idea of how well treatment may work for a~~ ~~PERSON~~ ~~with breast cancer and how long the~~ ~~PERSON~~ ~~may live.~~The Nottingham Prognostic Index is (NPI) a formula used by CARE PROFESSIONALS to give them a general idea of how well treatment may work for a PERSON with breast cancer and how long the PERSON may live.
The NOTTINGHAM PROGNOSTIC INDEX SCORE is calculated using:
Tumour size in centimetres
Histologic grade
Number of positive axillary lymph nodes.

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NURSE (LEVEL ONE)

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A Nurse (Level One) is a CARE PROFESSIONAL.
NURSES trained within the United Kingdom may initially join the Nursing and Midwifery Council Register as a Level One Nurse, also known as a Registered Nurse, after the Nursing and Midwifery Council receives course completion details and declaration of good character from the Higher Education Institution where they qualified.
This reflects a standard of proficiency considered necessary for safe and effective practice under Level 1 Nurses Sub-part 1 of the Nursing and Midwifery Council Register.
Note: NURSES trained within the European Union or Overseas can also join the Nursing and Midwifery Council Register as a Level One Nurse. See the Nursing and Midwifery Council website for the requirements.
Registration as a Level One Nurse (Registered Nurse) will be in one of four fields of practice:
Adult Nursing
Mental Health Nursing
Learning Disabilities Nursing
Children's Nursing.

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NURSE (LEVEL TWO)

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All Nurse (Level Two) is a CARE PROFESSIONAL.
All Level Two Nurses, previously known as Enrolled Nurses, must be registered on the Nursing and Midwifery Council Register. They are then entitled to call themselves a Registered Nurse and must be able to adjust their practice in response to changing circumstances and changing PATIENT/ client needs.
This reflects a standard of proficiency considered necessary for safe and effective practice under Level 2 Nurses Sub-part 2 of the Nursing and Midwifery Council Register. A second level registered nurse is one whose name is entered on Sub-part 2 of the nurses part of the Nursing and Midwifery Council Register. The Nursing and Midwifery Council no longer approves programmes for entry to the second level of the nurses’ part of the register and training for nursing at this level ceased in the United Kingdom in 1992. This level remains open only for those nurses in the United Kingdom are already qualified and working at that level, and also for European Nurses who may access it through their right to freedom of movement.'
Registration as Level Two Nurse will be in one of the following fields of practice:
Adult Nursing, also known as General Nursing
Mental Health Nursing
Learning Disabilities Nursing
Fever Nursing

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NURSING AND MIDWIFERY COUNCIL REGISTER

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The Nursing and Midwifery Council Register is a REGISTER.
The Nursing and Midwifery Council Register lists NURSES and MIDWIVES eligible to practice in the UK.
There are three parts to the Nursing and Midwifery Council Register:
NURSES
MIDWIVES
Specialist Community Public Health Nurses
1. NURSES
Level 1 Nurses
Sub-part 1
Level 2 Nurses
Sub-part 2
Field of Practice Registration Entry Code Field of Practice Registration Entry Code
Adult RN1, RNA
Adult
RN2
Mental Health RN3, RNMH Mental Health RN4
Learning Disabilities RN5 RNLD Learning Disabilities RN6
Children's Nursing RN8, RNC General RN7
Fever RN9
2. MIDWIVES
Field of Practice Registration Entry Code
Midwifery RM
3. Specialist Community Public Health Nurses
Field of Practice Registration Entry Code
Specialist Community Public Health Nurse - Health Visitor RHV
Specialist Community Public Health Nurse - School Nurse RSN
Specialist Community Public Health Nurse - Occupational Health Nurse ROH
Specialist Community Public Health Nurse - Family Health Nurse RFHN

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OCCUPATIONAL PSYCHOLOGIST

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An ~~Occupational Psychologist~~ ~~is recognised by the~~ ~~British Psychological Society~~.An Occupational Psychologist is a PERSON.
~~Occupational Psychologists~~ ~~are concerned with people, work and~~ ~~Organisations~~. ~~This includes the performance and welfare of people at work and in training, how~~ ~~Organisations~~ ~~function and how individuals, groups and teams behave at work.~~An Occupational Psychologist is recognised by the British Psychological Society.
~~Occupational Psychologists~~ ~~seek to increase the effectiveness of the~~ ~~Organisation, selecting and developing people and to improve the well being of the individual or team.~~Occupational Psychologists are concerned with people, work and ORGANISATIONS. This includes the performance and welfare of people at work and in training, how ORGANISATIONS function and how individuals, groups and teams behave at work.
Occupational Psychologists seek to increase the effectiveness of the ORGANISATION, selecting and developing people and to improve the well being of the individual or team.

The British Psychological Society are of the view that this group has traditionally been under-represented within the NHS. However, they possess specialist skills and knowledge that can be applied in a health setting. For example, apart from their familiar role in human resource departments and organisational development, Occupational Psychologists work in the areas of vocational and employment rehabilitation for people with complex needs, occupational health SERVICES, PATIENT and organisational safety initiatives.

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OFFICE FOR NATIONAL STATISTICS

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~~The~~ ~~Office for National Statistics~~ (~~ONS) is an~~ ~~Organisation~~.The Office for National Statistics is an ORGANISATION.
~~The~~ ~~Office for National Statistics~~ ~~is the executive office of the UK Statistics Authority, a non-ministerial department which reports directly to Parliament.~~The Office for National Statistics (ONS) is the executive office of the UK Statistics Authority, a non-ministerial department which reports directly to Parliament. The Office for National Statistics is the UK Government's single largest statistical producer. It functions as:
the office of the National Statistician, who is also the UK Statistics Authority's Chief Executive and principal statistical adviser
the UK's National Statistics Institute and
the 'Head Office' of the Government Statistical Service (GSS)
For further information on the Office for National Statistics, see the Office for National Statistics website at: Welcome to the Office for National Statistics.

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OFSTED

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~~Ofsted~~ ~~is an~~ ~~Organisation~~.Ofsted is an ORGANISATION.
Ofsted (Office for Standards in Education, Children's Services and Skills) inspects and regulates care for children and young people and inspects education and training for learners of all ages.
For further information on Ofsted, see the Ofsted part of the gov.uk website at: Ofsted.

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OPCS CLASSIFICATION OF INTERVENTIONS AND PROCEDURES

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The OPCS Classification of Interventions and Procedures (OPCS-4) is a Fundamental Information Standard which is revised periodically. ~~The classification is used by~~ ~~Health Care Providers~~ ~~and national and regional~~ ~~Organisations~~. The classification is used by Health Care Providers and national and regional ORGANISATIONS.
OPCS-4 is used to support operational and strategic planning, resource utilisation, performance management, reimbursement, research and epidemiology. It is used by NHS suppliers to build/update software to support NHS business functions and interoperability.
The classification is published in two volumes. The Tabular List and Alphabetical Index are available from The Stationery Office at www.tsoshop.co.uk
National information standards and data collections, such as Commissioning Data Sets requiring OPCS-4 coding should use the latest mandated version of the OPCS-4 as given in the table below:
Year Version of OPCS-4*
Up to 31 March 2006 OPCS-4.2
01-Apr-2006 to 31-Mar-2007 OPCS-4.3
01-Apr-2007 to 31-Mar-2009 OPCS-4.4
01-Apr-2009 to 31-Mar-2011 OPCS-4.5
01-Apr-2011 to 31-Mar-2014 OPCS-4.6
01-Apr-2014 to 31-Mar-2017 OPCS-4.7
01-Apr-2017 to 31-Mar-2020 OPCS-4.8
01-Apr-2020 until further notification OPCS-4.9

*Tables of Coding Equivalences are issued for mapping back to previous versions and are available from Technology Reference Data Update Distribution (TRUD).
For further information see the NHS Digital website at: Terminology and Classifications.
OPCS-4 Requests Portal
The OPCS-4 Requests Portal allows stakeholders to submit change requests to the Terminology and Classifications Delivery Service all year round. A cut-off date for receipt of change requests for consideration in the next release is published on the Requests Portal. Requests received after the cut-off date will be considered in a subsequent release.
For further information and access to the OPCS-4 Requests Portal, see the NHS Digital website at: Clinical Classifications.
High Cost Drugs and Chemotherapy Regimens
The listings of High Cost Drugs and Chemotherapy Regimens which are mapped to OPCS-4 codes are provided as look-up tables downloadable from Delen at Delen: Popular Publications.

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OPTICAL HEADQUARTERS

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An ~~Optical Headquarters~~ ~~is an~~ ~~Organisation~~.An Optical Headquarters is an ORGANISATION.
~~The headquarters of an owning~~ ~~Organisation~~ ~~of one or more~~ ~~Optical Sites, e.g. Specsavers etc.~~The headquarters of an owning ORGANISATION of one or more Optical Sites, e.g. Specsavers etc.

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OPTICAL SITE

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An ~~Optical Site~~ ~~is an~~ ~~Organisation Site~~.An Optical Site is an ORGANISATION SITE.
An Optical Site is a non-NHS premises which provides Ophthalmic Services.

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ORGANISATION (RETIRED) renamed from ORGANISATION

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An ~~Organisation~~ ~~is an~~ ~~ORGANISATION~~.This item has been retired from the NHS Data Model and Dictionary.
An ~~Organisation~~ ~~is a unique framework of authority within which a~~ ~~PERSON~~ or ~~PERSONS~~ ~~act, or are designated to act towards some purpose.~~The last live version of this item is available in the June 2020 release of the NHS Data Model and Dictionary.
Note: this definition is adopted from the ISO (the International Organisation for Standardisation) and IEC (the International Electrotechnical Commission) standard ISO/IEC 6523-1:1998 which defines a structure for a globally unique and unambiguous identification of ~~Organisations~~ ~~and~~ ~~Organisation~~ ~~parts.~~ ~~This is itself referenced by ISO 13940:2015 which defines the concepts needed to achieve continuity of care.~~Access to this version can be obtained by emailing information.standards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

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ORGANISATION (RETIRED) renamed from ORGANISATION

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Changed Description
Retired Organisation
Changed Name from Data_Dictionary.NHS_Business_Definitions.O.Organisation to Retired.Data_Dictionary.NHS_Business_Definitions.O.Organisation
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ORGANISATION DATA SERVICE

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The Organisation Data Service (ODS) is provided by NHS Digital.
NHS Digital is responsible for the day-to-day operation of the Organisation Data Service and for its overall development.
The Organisation Data Service is responsible for:
Health and Social Care Organisation Reference Data
Reference data for healthcare practitioners and
A range of associated data and supporting products.
NHS Digital is responsible for the day-to-day operation of the Organisation Data Service and for its overall development.
The Organisation Data Service provides:
~~Central allocation of new or revised~~ ~~ORGANISATION IDENTIFIERS~~
Central allocation of new or revised ORGANISATION IDENTIFIERS and ORGANISATION SITE IDENTIFIERS.
Help, advice and query resolution on the content and use of the national reference data
Development of the Information Standards in this area
Further development of the range of national reference data.
For further information on the Organisation Data Service, see the Organisation Data Service pages of the NHS Digital website at: Organisation Data Service.
For enquiries, email the Organisation Data Service Helpdesk at: exeter.helpdesk@nhs.net.

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ORGANISATION DATA SERVICE DEFAULT CODES

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Default (or pseudo) codes are maintained by the Organisation Data Service.
They may be used to indicate:
an ~~Organisation, such as Commissioner Code for Ministry of Defence (MoD) Healthcare;~~
~~that a code value is not known;~~
an ORGANISATION, such as Commissioner Code for Ministry of Defence (MoD) Healthcare
that a code value is not known
that a code cannot be supplied (e.g. no referring GENERAL MEDICAL PRACTITIONER or GENERAL DENTAL PRACTITIONER).
For further information on how these codes can be obtained, see the Organisation Data Service.
For enquiries, please email the Organisation Data Service Helpdesk: exeter.helpdesk@nhs.net.
Person Default Codes Code
CONSULTANT: GENERAL MEDICAL COUNCIL REFERENCE NUMBER not known C9999998
Dental CONSULTANT: GENERAL MEDICAL COUNCIL REFERENCE NUMBER / GENERAL DENTAL COUNCIL REGISTRATION NUMBER not known CD999998
Dentist code not applicable (dentist does not have GENERAL DENTAL PRACTITIONER CODE) D9999981
GENERAL DENTAL PRACTITIONER CODE not known D9999998
GENERAL MEDICAL PRACTITIONER PPD CODE not known G9999998
Locum refers Code of GP for whom locum is acting
MIDWIFE M9999998
Ministry of Defence Doctor A9999998
GENERAL MEDICAL PRACTITIONER PPD CODE not applicable G9999981
NURSE N9999998
Other health care professional H9999998
Overseas Visitor exempt from charges TDH00
Private PATIENTS/Overseas Visitor liable for charges VPP00
REFERRER CODE not applicable, e.g. PATIENT has self-presented or not known X9999998
Referrer other than GENERAL MEDICAL PRACTITIONER, GENERAL DENTAL PRACTITIONER or CONSULTANT R9999981
Organisation Default Codes Code
Commissioner Code for Ministry of Defence (MoD) Healthcare XMD00
GP Practice Code not applicable V81998
GP Practice Code not known V81999
No Registered GP Practice V81997
ORGANISATION CODE (CODE OF PROVIDER) / ORGANISATION IDENTIFIER (CODE OF PROVIDER) - non-NHS UK provider where no ORGANISATION CODE / ORGANISATION IDENTIFIER has been issued 89999
ORGANISATION CODE (CODE OF PROVIDER) / ORGANISATION IDENTIFIER (CODE OF PROVIDER) - non-UK provider where no ORGANISATION CODE / ORGANISATION IDENTIFIER has been issued 89997
~~Primary Care~~ ~~Organisation~~ ~~Not Applicable (Overseas Visitors~~)
~~Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.~~ ~~X98~~
~~High Level Health Geography/Primary Care~~ ~~Organisation~~ ~~of Residence Not Known~~
~~Note: This code must not be used in the Commissioning Data Set header. It is not a default commissioner code.~~ ~~Q99~~
Primary Care ORGANISATION Not Applicable (Overseas Visitors)
Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code. X98
High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
Note: This code must not be used in the Commissioning Data Set header. It is not a default commissioner code. Q99
Referring ORGANISATION CODE / ORGANISATION IDENTIFIER not applicable X99998
Referring ORGANISATION CODE / ORGANISATION IDENTIFIER not known X99999
Organisation Site Default Codes Code
SITE CODE (OF TREATMENT) / ORGANISATION SITE IDENTIFIER (OF TREATMENT) - not a hospital site R9998
~~SITE CODE (OF TREATMENT)~~ / ~~ORGANISATION SITE IDENTIFIER (OF TREATMENT)~~ ~~- non-NHS UK Provider where no~~ ~~ORGANISATION SITE CODE~~ / ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~ ~~89999~~
~~SITE CODE (OF TREATMENT)~~ / ~~ORGANISATION SITE IDENTIFIER (OF TREATMENT)~~ ~~- non-UK Provider where no~~ ~~ORGANISATION SITE CODE~~ / ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~ ~~89997~~
SITE CODE (OF TREATMENT) / ORGANISATION SITE IDENTIFIER (OF TREATMENT) - non-NHS UK Provider where no ORGANISATION SITE CODE / ORGANISATION SITE IDENTIFIER has been issued 89999
SITE CODE (OF TREATMENT) / ORGANISATION SITE IDENTIFIER (OF TREATMENT) - non-UK Provider where no ORGANISATION SITE CODE / ORGANISATION SITE IDENTIFIER has been issued 89997

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ORGANISATION MERGERS

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Introduction
This guidance explains the circumstances under which Hospital Provider Spells should close and reopen as a result of a merger or demerger, in terms of NHS Information Standards.
It specifies which ORGANISATION CODES / ORGANISATION IDENTIFIERS should be used for Hospital Provider Spells which must be closed and reopened for:

DISCHARGE DESTINATION etc, for the closing Hospital Provider Spell and
SOURCE OF ADMISSION etc, for the new Hospital Provider Spell.
When Hospital Provider Spells Should be Closed and Reopened
A ~~Hospital Provider Spell~~ ~~is provided by one~~ ~~Organisation~~ ~~acting as a~~ ~~Health Care Provider~~.
A Hospital Provider Spell is provided by one ORGANISATION acting as a Health Care Provider. This means that the Hospital Provider Spell is linked to the ORGANISATION CODE / ORGANISATION IDENTIFIER of the Health Care Provider.
If the ORGANISATION CODE / ORGANISATION IDENTIFIER changes, the spell must end and another begin with the new ORGANISATION CODE / ORGANISATION IDENTIFIER.
If the Hospital Provider Spell does end, the Consultant Episode (Hospital Provider) within the Hospital Provider Spell must also end.
~~The following scenarios explain what this means in terms of~~ ~~Organisation~~ ~~mergers or demergers.~~ ~~Note that these assume that nothing changes other than the fact that the~~ ~~Organisations~~ ~~merge or demerge, e.g. the~~ ~~CONSULTANT~~ ~~stays the same, etc.~~The following scenarios explain what this means in terms of ORGANISATION mergers or demergers. Note that these assume that nothing changes other than the fact that the ORGANISATIONS merge or demerge, e.g. the CONSULTANT stays the same, etc.
Mergers
Trust A merges with Trust B to produce Trust C, which has a new ORGANISATION CODE / ORGANISATION IDENTIFIER.
The ORGANISATION CODE / ORGANISATION IDENTIFIER will change for both Trust A and B.
Therefore Hospital Provider Spells in both Trust A and B should close, and new Hospital Provider Spells should be opened using the new ORGANISATION CODE / ORGANISATION IDENTIFIER for Trust C.
~~Trust A merges with Trust B to produce an~~ ~~Organisation~~ ~~which uses Trust A's~~ ~~ORGANISATION CODE~~ / ~~ORGANISATION IDENTIFIER~~.
Trust A merges with Trust B to produce an ORGANISATION which uses Trust A's ORGANISATION CODE / ORGANISATION IDENTIFIER.
For those Hospital Provider Spells in Trust A, the ORGANISATION CODE will not change. Therefore Trust A's Hospital Provider Spells should not be closed just as a result of the merger. However, for Trust B the ORGANISATION CODE / ORGANISATION IDENTIFIER will change.
Therefore Hospital Provider Spells in Trust B should close, and new Hospital Provider Spells should be opened using the new ORGANISATION CODE / ORGANISATION IDENTIFIER for Trust A.
Demergers
Trust A splits into Trust B and Trust C, both of which have a new ORGANISATION CODE / ORGANISATION IDENTIFIER.
The ORGANISATION CODE / ORGANISATION IDENTIFIER will change for both Trust B and C.
Therefore all Hospital Provider Spells in Trust A should close, and new Hospital Provider Spells should be opened in Trust B and C using the new ORGANISATION CODES / ORGANISATION IDENTIFIERS for each.
Trust A splits into Trust B and C. Trust B retains Trust A's ORGANISATION CODE / ORGANISATION IDENTIFIER and Trust C is issued with a new one.
The ORGANISATION CODE / ORGANISATION IDENTIFIER for Hospital Provider Spells in Trust A which are taken over by Trust B will not change.
Therefore they should not be closed just as a result of the merger.
However, Trust A's Hospital Provider Spells which are taken over by Trust C should close, and new Hospital Provider Spells should be opened using the new ORGANISATION CODE / ORGANISATION IDENTIFIER for Trust C.
The National Codes Used when Hospital Provider Spells are Closed and Reopened
If Hospital Provider Spells are to be closed and reopened only as a result of Organisation Mergers or demergers, for most cases the codes below should be used.
The CLOSED Hospital Provider Spell
DISCHARGE DESTINATION
This depends on the type of WARD the PATIENT is in, but will be either:
51     NHS other Hospital Provider - WARD for general PATIENTS or the younger physically disabled
52     NHS other Hospital Provider - WARD for maternity PATIENTS or Neonates
53     NHS other Hospital Provider - WARD for PATIENTS who are mentally ill or have Learning Disabilities
DISCHARGE METHOD
1   PATIENT discharged on clinical advice or with clinical consent
The REOPENED Hospital Provider Spell
ADMISSION METHOD
81     Transfer of any admitted PATIENT from other Hospital Provider other than in an emergency
Note that this ADMISSION METHOD is classed under "Other Admission". It is not elective and the PATIENT does therefore not have an entry on an Elective Admission List.
SOURCE OF ADMISSION
Again, this depends on the type of WARD the PATIENT is in, but will be either:
51     NHS other Hospital Provider - WARD for general PATIENTS or the younger physically disabled or Accident and Emergency Department
52     NHS other Hospital Provider - WARD for maternity PATIENTS or Neonates
53     NHS other Hospital Provider - WARD for PATIENTS who are mentally ill or have Learning Disabilities
REFERRER CODE
This will be the referrer to the Hospital Provider Spell within which the PATIENT was receiving care before the merger, i.e. the "original" Hospital Provider Spell.
Guidance for Merging Organisations to support Sending of Commissioning Data Sets to the Secondary Uses Service
The Secondary Uses Service have published information regarding issues that may affect the approach to submitting data to the Secondary Uses Service.
The guidance is available on the NHS Digital website at: SUS Guidance: "How do I send data to SUS?".

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ORGANISATIONS INTRODUCTION

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~~Organisations~~ ~~which are included in the NHS Data Model and Dictionary.~~ORGANISATIONS which are included in the NHS Data Model and Dictionary.

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ORGANISATION SITE (RETIRED) renamed from ORGANISATION SITE

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An ~~Organisation Site~~ ~~is an~~ ~~ORGANISATION~~.This item has been retired from the NHS Data Model and Dictionary.
An ~~Organisation Site~~ ~~is a single or conjoined piece of land, premises or part of the premises therein, on which facilities are operated and managed by one~~ ~~Organisation~~.The last live version of this item is available in the June 2020 release of the NHS Data Model and Dictionary.
~~Adjacent facilities separated only by a natural or man-made feature such as a stream or a road should still be considered as forming an~~ ~~Organisation Site~~ ~~provided they are operated or managed by the same~~ ~~Organisation~~ ~~and there is the capability of safe and quick transport between the facilities.~~Access to this version can be obtained by emailing information.standards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.
~~The~~ ~~Organisation Site~~ ~~must be owned or leased by the~~ ~~Organisation~~. ~~Where the~~ ~~Organisation~~ ~~is an NHS body then the~~ ~~Organisation Site~~ ~~can be classified as an NHS Site in which case documents, such as lease documents and deeds, will be supported by the estates terrier.~~ ~~Places which are used on a temporary or regular basis, such as school halls, but are not registered on the estates terrier cannot be classified as NHS Sites.~~
~~For the purposes of the~~ ~~Organisation Data Service~~:
~~The definition for an~~ ~~Organisation Site~~ ~~is:~~
~~The primary function of HSCSite is to identify an association between an HSCOrg and a place with which it is affiliated.~~ ~~All HSCSite entities have an association to an HSCOrg and the HSCSite record is generally real estate that the HSCOrg owns, provides a service at or has some staff based within.~~ ~~HSCSite does not provide unique identifiers for~~ ~~LOCATIONS~~. ~~Multiple HSCSite instances can point to the same physical place if more than one HSCOrg owns or provides~~ ~~PATIENT~~ ~~care at that place; in this instance each HSCOrg may have its own HSCSite to reflect its affiliation with the same physical place (e.g. a hospital).~~
~~Organisation~~ ~~is known as Health and Social Care Organisation (HSCOrg)~~

~~Organisation Site~~ ~~is known as Health and Social Care Organisation Site (HSCSite).~~

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ORGANISATION SITE (RETIRED) renamed from ORGANISATION SITE

Change to Supporting Information: Changed Description, status to Retired, Name
Changed Description
Retired Organisation Site
Changed Name from Data_Dictionary.NHS_Business_Definitions.O.Organisation_Site to Retired.Data_Dictionary.NHS_Business_Definitions.O.Organisation_Site
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ORTHODONTIC THERAPIST

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An ~~Orthodontic Therapist~~ ~~is a registered~~ ~~Dental Care Professional~~ ~~who carries out certain parts of orthodontic treatment under prescription from a dentist.~~An Orthodontic Therapist is a registered Dental Care Professional
An Orthodontic Therapist who carries out certain parts of orthodontic treatment under prescription from a dentist.

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OSTEOPATH

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An ~~Osteopath~~ ~~is a~~ ~~CARE PROFESSIONAL~~ ~~who is registered with the~~ ~~General Osteopathic Council~~ ~~and specialises in the diagnosis, treatment, prevention and rehabilitation of certain musculoskeletal conditions, including offering guidance on diet, lifestyle and exercise.~~An Osteopath is a CARE PROFESSIONAL who is registered with the General Osteopathic Council.
An Osteopath specialises in the diagnosis, treatment, prevention and rehabilitation of certain musculoskeletal conditions, including offering guidance on diet, lifestyle and exercise.

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OTHER STATUTORY AUTHORITY

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An ~~Other Statutory Authority~~ (~~OSA) is an~~ ~~Organisation~~.An Other Statutory Authority is an ORGANISATION.
An ~~Other Statutory Authority~~ ~~is directly controlled by Government and any changes or amendments to their name, organisational structure, establishment or dissolution requires ministerial approval and the publication of a~~ ~~Statutory Instrument~~.An Other Statutory Authority (OSA) is directly controlled by Government and any changes or amendments to their name, organisational structure, establishment or dissolution requires ministerial approval and the publication of a Statutory Instrument.

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OUTPUT AREA

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An ~~Output Area~~ (OA~~) is a~~ ~~GEOGRAPHIC AREA~~.An Output Area is a GEOGRAPHIC AREA.
~~Output Areas~~ ~~are built from clusters of adjacent unit~~ ~~POSTCODES~~ ~~in the United Kingdom and are the base unit for Census data releases.~~Output Areas (OA) are built from clusters of adjacent unit POSTCODES in the United Kingdom and are the base unit for Census data releases. Due to their smaller size, Output Areas allow for a finer resolution of data analysis.
For further information on Output Areas, see the Office for National Statistics website at: Glossary.

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OXFORD ORTHOPAEDIC QUESTIONNAIRE

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~~The~~ ~~Oxford Orthopaedic Questionnaire~~ ~~is a type of~~ ~~ASSESSMENT TOOL~~.The Oxford Orthopaedic Questionnaire is an ASSESSMENT TOOL.
The Oxford Orthopaedic Questionnaire is a 12 item questionnaire to measure outcomes before and after:
Primary Hip Replacement Surgery
Revision Hip Replacement Surgery
Primary Knee Replacement Surgery
Revision Knee Replacement Surgery
Primary Shoulder Replacement Surgery
Revision Shoulder Replacement Surgery
treatment for shoulder instability problems.
For further information on the Oxford Orthopaedic Questionnaires, see the Patient-Reported Outcomes Measurement Group website.

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PACKAGE OF CARE

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A ~~Package of Care~~ (~~POC) is an~~ ~~ACTIVITY GROUP~~.A Package of Care is an ACTIVITY GROUP.
A ~~Package of Care~~ ~~is a combination of~~ ~~SERVICES~~ ~~specific to an individual~~ ~~PATIENT~~.A Package of Care (POC) is a combination of SERVICES specific to an individual PATIENT.
A Package of Care is also a commissioning currency pre-determined at the beginning of a contract year that has been created to describe an ideal PATIENT PATHWAY which may comprise of a number of interventions with differing Points of Delivery.
An example of a Package of Care is that for renal transplantation where a Package of Care comprises a set number of new and review outpatient attendances, the surgical element and an associated stay in critical care.

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PATIENT LEVEL CONTRACT MONITORING DATA SET OVERVIEW

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Introduction
The purpose of the Patient Level Contract Monitoring Data Set (PLCM) is to enable the interchange, in a uniform format, of monthly PATIENT level Contract Monitoring data between all purchasers and Health Care Providers. ~~This will ensure that~~ ~~Contract Monitoring~~ ~~and reporting is consistent, comparable and fit for purpose across all commissioning~~ ~~Organisations~~. This will ensure that Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.
The Patient Level Contract Monitoring Data Set is a PATIENT level report containing PATIENT identifiers. Its purpose is to substantiate and provide detail to the information contained within the Aggregate Contract Monitoring Data Set (ACM). It will contain details of PATIENT level clinical activities that are not found in flows of standard Commissioning Data Sets (CDS) submitted to the Secondary Uses Service.
Scope
The scope of the Patient Level Contract Monitoring Data Set Information Standard is all NHS-funded acute and community clinical care (excluding drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) provided to PATIENTS, as well as financial adjustments not attributed directly to clinical care, for all commissioners.
This covers:
All acute and community NHS and secondary care Independent Sector Healthcare Providers, but not primary care, from whom the NHS commissions healthcare
All NHS commissioners (Clinical Commissioning Groups (CCG) or their equivalents and NHS England).
Note that the totality of expenditure in the Patient Level Contract Monitoring Data Set must be equivalent to the monetary value (excluding drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) shown in the Aggregate Contract Monitoring Data Set.
Submission
The Patient Level Contract Monitoring Data Set is submitted on a monthly basis to the respective Data Services for Commissioners Regional Office (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.
The completed monthly Patient Level Contract Monitoring Data Set should be transmitted using the NHS Digital Data Landing Portal (DLP).
For further information on the Patient Level Contract Monitoring Data Set, see the NHS England website at: Directly Commissioned Services Reporting Requirements.

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PET SCAN

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A ~~PET Scan~~ (~~Positron Emission Tomography Scan) is a~~ ~~Clinical Investigation~~.A PET Scan is a Clinical Investigation.
A ~~PET Scan~~ ~~produces three-dimensional, colour images that show how~~ ~~TISSUES~~ ~~work.~~A PET Scan (Positron Emission Tomography Scan) produces three-dimensional, colour images that show how TISSUES work.
A PET Scan can be used to diagnose a condition or to see how a condition is developing.
For further information on PET Scans, see the NHS website at: PET scan.

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PHARMACY PREMISES

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A ~~Pharmacy Premises~~ ~~can be an~~ ~~Organisation~~ ~~or an~~ ~~Organisation Site~~.A Pharmacy Premises can be an ORGANISATION or an ORGANISATION SITE.
A Pharmacy Premises is a location where medicinal drugs are dispensed and sold.
General Pharmaceutical Council Registration of Pharmacy Premises:
The General Pharmaceutical Council (GPhC) maintains a register of Pharmacy Premises if the principal activity at the premises is the retail sale or supply of Pharmacy (P) medicines and / or Prescription Only Medicines (POMs). They are not primarily concerned with NHS Prescriptions.
Once a Pharmacy Premises is registered with the General Pharmaceutical Council it is allocated a registration number which uniquely identifies each registered Pharmacy Premises. This registration number is a 7 digit number starting with the number 1.
All Pharmacy Premises that are currently registered with the General Pharmaceutical Council are listed on the General Pharmaceutical Council Register.
For further information on General Pharmaceutical Council Pharmacy Premises registration, see the General Pharmaceutical Council website.
Organisation Data Service (ODS) Codes:
To be able to dispense NHS Prescriptions, the Pharmacy Premises requires an Organisation Data Service code in addition to the General Pharmaceutical Council registration number.
The Organisation Data Service allocates the following codes:
Pharmacy
Pharmacy HQ.

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PHYSICAL ACTIVITY VITAL SIGN

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~~The~~ ~~Physical Activity Vital Sign~~ (~~PAVS) is an~~ ~~ASSESSMENT TOOL~~.The Physical Activity Vital Sign is an ASSESSMENT TOOL.
~~The~~ ~~Physical Activity Vital Sign~~ ~~is a tool designed to screen for physical activity in adult~~ ~~PATIENTS~~.The Physical Activity Vital Sign (PAVS) is a tool designed to screen for physical activity in adult PATIENTS.
For further information on the Physical Activity Vital Sign, see Physical Activity Vital Sign.

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POINT OF DELIVERY

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A Point of Delivery is a means of classification for a commissioned health care ACTIVITY, event or item.
A ~~Point of Delivery~~ ~~describes, for the purposes of reporting, one of a uniform set of commissioned~~ ~~ACTIVITY, event or item types and their associated standard unit of volume (measure) for use by all commissioning functions regardless of~~ ~~Organisation~~. A ~~Point of Delivery~~ ~~may relate to an event or item that cannot be described by a specific~~ ~~ACTIVITY GROUP~~ or ~~CARE ACTIVITY~~.A Point of Delivery describes, for the purposes of reporting, one of a uniform set of commissioned ACTIVITY, event or item types and their associated standard unit of volume (measure) for use by all commissioning functions regardless of ORGANISATION.
A Point of Delivery may relate to an event or item that cannot be described by a specific ACTIVITY GROUP or CARE ACTIVITY. In cases such as this a Point of Delivery may relate to physical resource e.g. WARD capacity, a block contract payment or a contract adjustment.
The NHS Standard Contract with Health Care Providers stipulates that it is important to provide a mechanism to validate requests for payment. Service Level Agreement Monitoring systems in widespread use by Health Care Providers and commissioners use the concept of Point of Delivery and the standard measures by which each is counted.
The concept of a standard Point of Delivery is recognised contractually as the means by which differing commissioned health care ACTIVITIES, events or items are reported in the monthly reconciliation statement and is expected to mirror the financial value of the monthly Health Care Provider invoice.
For further information on Points of Delivery, see the NHS England website at: Specialised Services Reporting Requirements.

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POSTNATAL

Change to Supporting Information: Changed Description
Postnatal is an ACTIVITY GROUP.
Postnatal is the period of time immediately after childbirth, and is defined for the baby.
For the Maternity Services Data Set the Postnatal period will end either following the baby's discharge from Maternity Services or discharge from a Neonatal Unit, whichever is later.
Note: Postpartum is for the mother.

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POSTPARTUM

Change to Supporting Information: Changed Description
Postpartum is an ACTIVITY GROUP.
Postpartum is the period of time immediately after childbirth, and is defined for the mother.
For the Maternity Services Data Set, the Postpartum period will end following the mother's discharge from maternity services.
Note: Postnatal is for the child.

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PRACTITIONER PSYCHOLOGIST

Change to Supporting Information: Changed Description
A Practitioner Psychologist is a PERSON.
A Practitioner Psychologist is recognised by the British Psychological Society.
A Practitioner Psychologist (also known as a Registered Psychologist) is the general title given to a:
Clinical Psychologist
Forensic Psychologist
Counselling Psychologist
Educational Psychologist
Sport and Exercise Psychologist
Health Psychologist
Occupational Psychologist
All of these groups of Psychologists are registered by the Health and Care Professions Council.
Practitioner Psychologists use psychological theories to understand the role of mental functions in individual and social behaviour and apply these theories in their everyday practice.

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PRIMARY CARE TRUST

Change to Supporting Information: Changed Description
All Primary Care Trusts closed 31 March 2013
~~Primary Care Trust's functions have been taken over by other~~ ~~Organisations~~.Primary Care Trust's functions have been taken over by other ORGANISATIONS.
The definition has been retained for historical reporting.
A Primary Care Trust is an ORGANISATION.
A Primary Care Trust (PCT) is a legal entity, set up by order of the Secretary of State. It is a free-standing NHS body, performance managed by a Strategic Health Authority.
Primary Care Trusts work with Local Authorities and other agencies that provide health and social care locally to make sure that local community's needs are being met.
The Primary Care Trust's responsible population comprises:
all PERSONS registered with a General Medical Practitioner Practice whose practice forms part of the Primary Care Trust, regardless of where the PERSON is resident, plus
any PERSONS not registered with a General Medical Practitioner Practice who are resident within the Primary Care Trust's statutory GEOGRAPHIC AREA.
Note: PERSONS resident within the Primary Care Trust GEOGRAPHIC AREA, but registered with a General Medical Practitioner Practice belonging to another Primary Care Trust, are the responsibility of the second Primary Care Trust.

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PRIMARY HEALTHCARE DIRECTORATE (ISLE OF MAN)

Change to Supporting Information: Changed Description
~~The~~ ~~Primary Healthcare Directorate (Isle of Man)~~ ~~is an~~ ~~Organisation~~ ~~in the Isle of Man.~~The Primary Healthcare Directorate (Isle of Man) is an ORGANISATION in the Isle of Man.
The Primary Healthcare Directorate (Isle of Man) is a part of the Isle of Man Health Services Division, itself a Division of the Isle of Man Department of Health and Social Security.
The Primary Healthcare Directorate (Isle of Man) aims to provide, in the community setting: health advice, referral and treatment, and to use resources effectively to meet health needs.
Further information on the Primary Healthcare Directorate (Isle of Man) can be found at the Isle of Man Government website.

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PRINCIPAL TREATMENT CENTRE (CHILDREN TEENAGERS AND YOUNG ADULTS)

Change to Supporting Information: Changed Description
A ~~Principal Treatment Centre (Children Teenagers and Young Adults)~~ (~~PTC) is an~~ ~~Organisation~~.A Principal Treatment Centre (Children Teenagers and Young Adults) is an ORGANISATION.
A ~~Principal Treatment Centre (Children Teenagers and Young Adults)~~ ~~is a specialist centre where children and young people diagnosed with cancer are treated during a~~ ~~Children Teenagers and Young Adults Cancer Care Spell~~.A Principal Treatment Centre (Children Teenagers and Young Adults) (PTC) is a specialist centre where children and young people diagnosed with cancer are treated during a Children Teenagers and Young Adults Cancer Care Spell.
For further information on Principal Treatment Centres (Children Teenagers and Young Adults) see the Children's Cancer and Leukaemia Group website at: Principal Treatment Centre and shared care unit information.

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PRISON

Change to Supporting Information: Changed Description
A ~~Prison~~ ~~is an~~ ~~Organisation Site~~.A Prison is an ORGANISATION SITE.
A Prison is a building used for the confinement of convicted criminals or those awaiting trial.

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PROVISIONAL REPLACEMENT CERTIFICATE (RETIRED) renamed from PROVISIONAL REPLACEMENT CERTIFICATE

Change to Supporting Information: Changed Description, status to Retired, Name
A ~~Provisional Replacement Certificate~~ (~~PRC) provides the same access to free healthcare as a~~ ~~European Health Insurance Card~~ (~~EHIC~~).This item has been retired from the NHS Data Model and Dictionary.
~~Overseas Visitors~~ ~~receiving clinically necessary treatment, who fail to provide a~~ ~~European Health Insurance Card, have to obtain a~~ ~~Provisional Replacement Certificate~~ ~~from the appropriate liaison body in the competent member state country.~~The last live version of this item is available in the June 2020 release of the NHS Data Model and Dictionary.
~~Note: if a~~ ~~European Health Insurance Card~~ (~~EHIC) is lost or stolen while the~~ ~~PERSON~~ ~~is abroad, they will apply for a~~ ~~Provisional Replacement Certificate~~. ~~The~~ ~~Provisional Replacement Certificate~~ ~~provides the same cover as the~~ ~~European Health Insurance Card~~ ~~until the~~ ~~PERSON~~ ~~returns home.~~Access to this version can be obtained by emailing information.standards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.
~~For further information on~~ ~~Provisional Replacement Certificates, see the NHS website at:~~ ~~What do I do if I lose my EHIC or it gets stolen?~~.

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PROVISIONAL REPLACEMENT CERTIFICATE (RETIRED) renamed from PROVISIONAL REPLACEMENT CERTIFICATE

Change to Supporting Information: Changed Description, status to Retired, Name
Changed Description
Retired Provisional Replacement Certificate
Changed Name from Web_Site_Content.Supporting_Definitions.Provisional_Replacement_Certificate to Web_Site_Content.Supporting_Definitions.Provisional_Replacement_Certificate
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PSYCHOTROPIC MEDICATION

Change to Supporting Information: Changed Description
Psychotropic Medication is a PRESCRIBED ITEM.
Psychotropic Medication is drugs that have effects on psychological function. They include anti-depressive agents, hallucinogens and tranquilizing agents (including antipsychotics and anti-anxiety agents).

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PUBLIC HEALTH ENGLAND

Change to Supporting Information: Changed Description
~~Public Health England~~ (~~PHE) is an~~ ~~Organisation~~.Public Health England is an ORGANISATION.
~~Public Health England~~ ~~is an executive agency of the~~ ~~Department of Health and Social Care~~Public Health England (PHE) is an executive agency of the Department of Health and Social Care.
Public Health England is responsible for protecting and improving the nation’s health and wellbeing, and reducing inequalities.
~~Note: from 1 April 2013~~ ~~Public Health England~~ ~~took on the responsibilities previously undertaken by the Health Protection Agency (HPA), Public Health Observatories (PHOs), the National Treatment Agency (NTA) and a number of other~~ ~~Organisations~~.Note: from 1 April 2013 Public Health England took on the responsibilities previously undertaken by the Health Protection Agency (HPA), Public Health Observatories (PHOs), the National Treatment Agency (NTA) and a number of other ORGANISATIONS.
For further information on Public Health England, see the Public Health England website.

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RADIOFREQUENCY ABLATION

Change to Supporting Information: Changed Description
~~Radiofrequency Ablation~~ (~~RFA) is a~~ ~~CLINICAL INTERVENTION~~.Radiofrequency Ablation is a CLINICAL INTERVENTION.
~~Radiofrequency Ablation~~ ~~is a procedure that uses radio waves to heat and destroy abnormal~~ ~~CELLS~~.Radiofrequency Ablation (RFA) is a procedure that uses radio waves to heat and destroy abnormal CELLS. The radio waves travel through electrodes (small devices that carry electricity). Radiofrequency Ablation may be used to treat cancer and other conditions.
For further information on Radiofrequency Ablation, see the National Cancer Institute website.

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RADIOTHERAPY TREATMENT COURSE

Change to Supporting Information: Changed Description
A Radiotherapy Treatment Course is a CLINICAL INTERVENTION.
A Radiotherapy Treatment Course is a set of Fractions for an individual PATIENT which have been planned and prescribed as a whole. It should be noted that the following all constitute one course of treatment:
Set of Fractions planned and prescribed as a whole and using one or more different MACHINES
Set of Fractions planned and prescribed as a whole with a period of no treatment during them (split course)
~~Set of~~ ~~Fractions~~ ~~planned and prescribed as a whole involving~~ ~~MACHINES~~ ~~located on two or more~~ ~~Organisation Sites. (exceptionally a~~ ~~PATIENT~~ ~~may be transferred between sites possibly due to~~ ~~MACHINE~~ ~~failure)~~
Set of Fractions planned and prescribed as a whole involving MACHINES located on two or more ORGANISATION SITES. (exceptionally a PATIENT may be transferred between sites possibly due to MACHINE failure)
If a PATIENT has two unrelated diseases both of which require Radiotherapy, each course of treatment should be recorded as a primary course.
Similarly if a PATIENT has two primary lesions of the same disease, eg two rodent ulcers, the treatment of these comprises two primary courses, unless the lesions are in such close proximity that they are to be treated together.
If during a course of treatment, a PATIENT starts a further course, the second course should be separately identified.

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REFERENCED ORGANISATIONS INTRODUCTION

Change to Supporting Information: Changed Description
~~Organisations~~ ~~which are referenced in the NHS Data Model and Dictionary.~~ORGANISATIONS which are referenced in the NHS Data Model and Dictionary.

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REFERRAL TO TREATMENT CLOCK STOP ADMINISTRATIVE EVENT

Change to Supporting Information: Changed Description
DSCN 18/2006 published in December 2006, defined essential new data items required to support the measurement of 18 week REFERRAL TO TREATMENT PERIODS (monitoring of DH PSA target 13 - "By 2008, no one will have to wait longer than 18 weeks from GP referral to hospital treatment").
In particular, DSCN 18/2006 introduced the following new data items.
PATIENT PATHWAY IDENTIFIER
REFERRAL TO TREATMENT PERIOD START DATE
REFERRAL TO TREATMENT PERIOD END DATE
Strategic reporting of 18 weeks will be undertaken by the Secondary Uses Service using data obtained via the Commissioning Data Sets. The data items defined in DSCN 18/2006 are enabled to flow in Commissioning Data Set.
However, an event which results in an update to the REFERRAL TO TREATMENT PERIOD STATUS may occur outside the events that are defined in the Commissioning Data Sets (typically Outpatient or Inpatient encounters) and will therefore not flow to the Secondary Uses Service. These types of events have been termed as "administrative events". They can be defined as any communication event between the Health Care Provider and the PATIENT that occurs outside of an outpatient attendance or inpatient admission and that results in the PATIENT's REFERRAL TO TREATMENT PERIOD STATUS being changed to stop the 18 week clock. These events are not face to face consultations and do not necessarily involve clinical staff.
These Referral To Treatment Clock Stop Administrative Events may be carried using the Commissioning Data Set Type 020 Outpatient record type. They are differentiated from PATIENT contact ACTIVITY by the FIRST ATTENDANCE value carried within them. FIRST ATTENDANCE national code 5 "Referral to treatment clock stop administrative event" signifies that an ACTIVITY has taken place which has ended the REFERRAL TO TREATMENT PERIOD and changed the REFERRAL TO TREATMENT PERIOD STATUS to one of the following:
30 Start of First Definitive Treatment
31 Start of Active Monitoring initiated by the PATIENT
32 Start of Active Monitoring initiated by the CARE PROFESSIONAL
34 Decision not to treat - decision not to treat made or no further contact required
35 PATIENT declined offered treatment
36 PATIENT died before treatment
When to Use Referral To Treatment Clock Stop Administrative Events
These events may happen because:
The ACTIVITY ending the event does not qualify as a "patient contact" between a clinician and PATIENT, or
The ACTIVITY occurred in a setting where IT systems cannot produce REFERRAL TO TREATMENT PERIOD data items, or
The ACTIVITY would be carried in a Commissioning Data Set record type not currently processed by the Secondary Uses Service
Secondary Uses Service Processing
The Secondary Uses Service currently processes the following Commissioning Data Set record types in order to build Referral To Treatment pathways.
CDS V6-2 Type 020 - Outpatient Commissioning Data Set
CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set
CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set
All other types are not currently processed and so if they carry the REFERRAL TO TREATMENT PERIOD END DATE for a REFERRAL TO TREATMENT PERIOD, a Referral To Treatment Clock Stop Administrative Event must also be sent in order to inform the Secondary Uses Service of the clock stop.
Note that future versions of the Secondary Uses Service will also process:
CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set
CDS V6-2 Type 060 - Elective Admission List - Event During Period (Add) Commissioning Data Set
CDS V6-2 Type 070 - Elective Admission List - Event During Period (Remove) Commissioning Data Set
CDS V6-2 Type 080 - Elective Admission List - Event During Period (Offer) Commissioning Data Set
~~The dates when~~ ~~Organisations~~ ~~submitting~~ ~~REFERRAL TO TREATMENT PERIOD~~ ~~data to the~~ ~~Secondary Uses Service~~ ~~can cease having to also send a~~ ~~Referral To Treatment Clock Stop Administrative Event~~ ~~when a clock stop is carried in one of the Elective Admission List Commissioning Data Set Types, will be notified as part of the~~ ~~Secondary Uses Service~~ ~~release documentation.~~The dates when ORGANISATIONS submitting REFERRAL TO TREATMENT PERIOD data to the Secondary Uses Service can cease having to also send a Referral To Treatment Clock Stop Administrative Event when a clock stop is carried in one of the Elective Admission List Commissioning Data Set Types, will be notified as part of the Secondary Uses Service release documentation. It is also anticipated that CDS V6-2 Type 021 - Future Outpatient CDS will be accepted as a standard by the Data Coordination Board. A cancelled future APPOINTMENT record could carry a REFERRAL TO TREATMENT PERIOD Clock Stop. Again the timescales will be notified as part of the Secondary Uses Service release documentation.
There are no current plans for the Secondary Uses Service to process the remaining Commissioning Data Set Types:
CDS V6-2 Type 010 - Accident and Emergency Commissioning Data Set
CDS V6-2 Type 040 - Elective Admission List - End of Period Census (Old) Commissioning Data Set
CDS V6-2 Type 050 - Elective Admission List - End of Period Census (New) Commissioning Data Set
CDS V6-2 Type 090 - Elective Admission List - Event During Period (Available or Unavailable) Commissioning Data Set
CDS V6-2 Type 100 - Elective Admission List - Event During Period (Old Service Agreement) Commissioning Data Set
CDS V6-2 Type 110 - Elective Admission List - Event During Period (New Service Agreement) Commissioning Data Set
CDS V6-2 Type 120 - Admitted Patient Care - Finished Birth Episode Commissioning Data Set
CDS V6-2 Type 140 - Admitted Patient Care - Finished Delivery Episode Commissioning Data Set
CDS V6-2 Type 150 - Admitted Patient Care - Other Birth Event Commissioning Data Set
CDS V6-2 Type 160 - Admitted Patient Care - Other Delivery Event Commissioning Data Set
CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set
CDS V6-2 Type 180 - Admitted Patient Care - Unfinished Birth Episode Commissioning Data Set
CDS V6-2 Type 200 - Admitted Patient Care - Unfinished Delivery Episode Commissioning Data Set
This is because a Referral To Treatment Clock Stop Administrative Event occurring in the scenarios where these record types are generated, would be rare. However this will be reviewed as part of the ongoing maintenance of the Referral To Treatment Clock Stop Administrative Event, and the requirements for the Secondary Uses Service.
When NOT to Use a Referral To Treatment Clock Stop Administrative Event
The Referral To Treatment Clock Stop Administrative Event should NOT be used to correct previously submitted records where a REFERRAL TO TREATMENT PERIOD END DATE was submitted incorrectly to the Secondary Uses Service.
For example, if an Out-Patient Appointment took place where First Definitive Treatment was started, but the REFERRAL TO TREATMENT PERIOD END DATE was not sent in the corresponding CDS V6-2 Type 020 - Outpatient Commissioning Data Set record as it was not entered on the Patient Administration System until later; then the CDS V6-2 Type 020 - Outpatient Commissioning Data Set record should be resubmitted with the correct data. A Referral To Treatment Clock Stop Administrative Event should NOT be used.
~~Where an~~ ~~Organisation's Patient Administration System supports the submission of cancelled and Did Not Attend appointments in the~~ ~~CDS V6-2 Type 020 - Outpatient Commissioning Data Set, the~~ ~~Referral To Treatment Clock Stop Administrative Event~~ ~~should NOT be used when a~~ ~~PATIENT~~ ~~has a booked~~ ~~Out-Patient Appointment, which is then cancelled because, for example, the~~ ~~PATIENT~~ ~~dies.~~Where an ORGANISATION's Patient Administration System supports the submission of cancelled and Did Not Attend appointments in the CDS V6-2 Type 020 - Outpatient Commissioning Data Set, the Referral To Treatment Clock Stop Administrative Event should NOT be used when a PATIENT has a booked Out-Patient Appointment, which is then cancelled because, for example, the PATIENT dies. In these cases the CDS V6-2 Type 020 - Outpatient Commissioning Data Set can carry the details of a cancelled CARE ACTIVITY, including the REFERRAL TO TREATMENT PERIOD END DATE and update to the REFERRAL TO TREATMENT PERIOD STATUS. (Note - not all Patient Administration Systems provide functionality to create and submit Commissioning Data Set records for cancellations/Did Not Attend's as this is not yet mandated - you should contact your Patient Administration System support team to ascertain whether your Patient Administration System supports this. If not, then it is permissible to send a Referral To Treatment Clock Stop Administrative Event in order to stop the clock in the Secondary Uses Service instead).
Referral To Treatment Clock Stop Administrative Events only require a sub-set of the data elements contained in the CDS V6-2 Type 020 - Outpatient Commissioning Data Set record, to be submitted to the Secondary Uses Service. All other data elements not listed should be omitted from the XML submission of the CDS V6-2 Type 020 - Outpatient Commissioning Data Set record to the Secondary Uses Service. The submission of a Referral To Treatment Clock Stop Administrative Event is not reliant on the use of the Net Change Commissioning Data Set Submission Protocol to the Secondary Uses Service
The required data elements making up a Referral To Treatment Clock Stop Administrative Event are:
Data Element Required
Notes
UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) or PATIENT PATHWAY IDENTIFIER The Commissioning Data Set Schema version 6-2 requires EITHER the PATIENT PATHWAY IDENTIFIER, or the UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) to be populated.
ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) If the UNIQUE BOOKING REFERENCE NUMBER (CONVERTED) is used, the ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) should contain X09 (which relates to the Choose and Book system)
REFERRAL TO TREATMENT PERIOD STATUS This should contain only one of the following codes to signify that the REFERRAL TO TREATMENT PERIOD has ended:
30 Start of First Definitive Treatment
31 Start of Active Monitoring initiated by the PATIENT
32 Start of Active Monitoring initiated CARE PROFESSIONAL
34 Decision not to treat - decision not to treat made or no further contact required
35 PATIENT declined offered treatment
36 PATIENT died before treatment
WAITING TIME MEASUREMENT TYPE This item is XML mandatory in the CDS V6-2 schema.
REFERRAL TO TREATMENT PERIOD START DATE
REFERRAL TO TREATMENT PERIOD END DATE
NHS NUMBER
NHS NUMBER STATUS INDICATOR CODE

POSTCODE OF USUAL ADDRESS
ORGANISATION CODE (RESIDENCE RESPONSIBILITY)
FIRST ATTENDANCE CODE This should always hold the National code 5 - "Referral to Treatment Period Clock Stop Administrative Event"
APPOINTMENT DATE This field is XML mandatory in Commissioning Data Set Schema version 6-2 for Type 020 Outpatients, and for the purposes of the Referral To Treatment Clock Stop Administrative Event, should hold the same date as the REFERRAL TO TREATMENT PERIOD END DATE
AGE AT CDS ACTIVITY DATE This field is XML mandatory in the Commissioning Data Set Schema version 6-2 for Type 020 Outpatients, and should hold the PATIENTS age at REFERRAL TO TREATMENT PERIOD END DATE
ORGANISATION CODE (CODE OF PROVIDER) This field is mandatory in the CDS V6-2 schema
ORGANISATION CODE (CODE OF COMMISSIONER) This field is mandatory in the CDS V6-2 schema

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REFERRAL TO TREATMENT PERIOD EXCLUDED FROM TARGET

Change to Supporting Information: Changed Description
A ~~Referral To Treatment Period Excluded From Target~~ ~~is a~~ ~~REFERRAL TO TREATMENT PERIOD~~ ~~where~~A Referral To Treatment Period Excluded From Target is a REFERRAL TO TREATMENT PERIOD.
A Referral To Treatment Period Excluded From Target is where:
~~the referral was neither to a~~ ~~Consultant Led Service~~ ~~nor to an~~ ~~Interface Service~~.
or
~~the~~ ~~REFERRAL TO TREATMENT PERIOD~~ ~~is not commissioned by or on behalf of the English NHS~~
or
~~the~~ ~~REFERRAL TO TREATMENT PERIOD~~ ~~ended because the~~ ~~PATIENT~~ ~~did not attend their first~~ ~~APPOINTMENT~~.
the referral was neither to a Consultant Led Service nor to an Interface Service
or

the REFERRAL TO TREATMENT PERIOD is not commissioned by or on behalf of the English NHS
or
the REFERRAL TO TREATMENT PERIOD ended because the PATIENT did not attend their first APPOINTMENT.

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REFERRAL TO TREATMENT PERIOD INCLUDED IN REFERRAL TO TREATMENT CONSULTANT-LED WAITING TIMES MEASUREMENT

Change to Supporting Information: Changed Description
Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement is a REFERRAL TO TREATMENT PERIOD.
Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement is any REFERRAL TO TREATMENT PERIOD included in the reporting for Referral To Treatment Consultant-Led Waiting Times Measurement.
It includes all Cancer Referral To Treatment Periods.
It is all Measured Referral to Treatment Periods where the SERVICE REQUEST is to a Consultant Led Service or an Interface Service except:
any REFERRAL TO TREATMENT PERIODS where the PATIENT did not attend their first APPOINTMENT during a REFERRAL TO TREATMENT PERIOD (REFERRAL TO TREATMENT PERIOD STATUS is National Code 'Did not attend - the PATIENT did not attend the first CARE ACTIVITY after the referral')
any REFERRAL TO TREATMENT PERIODS which are not commissioned by or on behalf of the English NHS.

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REGULATORY BODY

Change to Supporting Information: Changed Description
A ~~Regulatory Body~~ ~~is an~~ ~~Organisation~~ ~~appointed by the Government to establish national standards for qualifications and to ensure consistent compliance with them.~~A Regulatory Body is an ORGANISATION.
A Regulatory Body is appointed by the Government to establish national standards for qualifications and to ensure consistent compliance with them.
The table below shows CARE PROFESSIONALS and the Regulatory Body they are regulated by.
CARE PROFESSIONAL TYPE REGULATORY BODY
Arts Therapist Health and Care Professions Council
Biomedical Scientist Health and Care Professions Council
Chiropodist Health and Care Professions Council
Chiropractor General Chiropractic Council
Clinical Dental Technician General Dental Council
Clinical Scientist Health and Care Professions Council
Dental Hygienist General Dental Council
Dental Nurse General Dental Council
Dental Technician General Dental Council
Dental Therapist General Dental Council
Dietitian Health and Care Professions Council
Dispensing Optician General Optical Council
GENERAL DENTAL PRACTITIONER General Dental Council
GENERAL MEDICAL PRACTITIONER General Medical Council
Hearing Aid Dispenser Health and Care Professions Council
MIDWIFE Nursing and Midwifery Council
NURSE Nursing and Midwifery Council
Occupational Therapist Health and Care Professions Council
Operating Department Practitioner Health and Care Professions Council
OPHTHALMIC MEDICAL PRACTITIONER General Optical Council
OPTOMETRIST General Optical Council
Orthodontic Therapist General Dental Council
Orthoptist Health and Care Professions Council
Orthotist Health and Care Professions Council
Osteopath General Osteopathic Council
Paramedic Health and Care Professions Council
Pharmacist General Pharmaceutical Council
Pharmacy Technician General Pharmaceutical Council
Physiotherapist Health and Care Professions Council
Prosthetist Health and Care Professions Council
Radiographer Health and Care Professions Council
Social Worker in England Health and Care Professions Council
Speech and Language Therapist Health and Care Professions Council
Specialist Community Public Health Nurse Nursing and Midwifery Council

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RELIGION

Change to Supporting Information: Changed Description
A Religion is a RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION.
Religion is a system of beliefs, including belief in the existence of at least one of the following: a human soul or spirit, a deity or higher being or self after the death of one’s body, for example, Methodism etc.

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RELIGIOUS AFFILIATION

Change to Supporting Information: Changed Description
A Religious Affiliation is a RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION.
Religious Affiliation is the self-identified association of a PERSON with a Religion, denomination or sub-denominational religious group, such as, the church an individual belongs to, for example Methodist.

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RENAL ASSOCIATION

Change to Supporting Information: Changed Description
~~The~~ ~~Renal Association~~ ~~is an~~ ~~Organisation~~.The Renal Association is an ORGANISATION.
The Renal Association is the professional body for nephrologists and renal scientists in the United Kingdom.
The Renal Association is:
active in the planning and development of renal services and nephrology in Britain
involved in the promotion and dissemination of research and education relating to the specialty.
For further information on the Renal Association, see the Renal Association website at: About the Renal Association.
This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information.

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RESPONSIBLE PRIMARY CARE TRUST (RETIRED) renamed from RESPONSIBLE PRIMARY CARE TRUST

Change to Supporting Information: Changed Description, status to Retired, Name
~~All~~ ~~Primary Care Trusts~~ ~~closed 31 March 2013~~This item has been retired from the NHS Data Model and Dictionary.
~~Primary Care Trust's functions have been taken over by other~~ ~~Organisations~~.The last live version of this item is available in the June 2020 release of the NHS Data Model and Dictionary.
~~The definition has been retained for historical reporting.~~Access to this version can be obtained by emailing information.standards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.
~~The Responsible Primary Care Trust is responsible for a population which comprises:~~
~~PERSONS registered with a GP Practice within the Primary Care Trust, irrespective of whether they reside within the boundary of the Primary Care Trust, plus~~
~~those PERSONS who are not registered with any GP Practice but who reside in the Primary Care Trust's geographic area.~~

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RESPONSIBLE PRIMARY CARE TRUST (RETIRED) renamed from RESPONSIBLE PRIMARY CARE TRUST

Change to Supporting Information: Changed Description, status to Retired, Name
Changed Description
Retired Responsible Primary Care Trust
Changed Name from Data_Dictionary.NHS_Business_Definitions.R.Responsible_Primary_Care_Trust to Retired.Data_Dictionary.NHS_Business_Definitions.R.Responsible_Primary_Care_Trust
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RESTRICTIVE INTERVENTION POST INCIDENT REVIEW

Change to Supporting Information: Changed Description
A Restrictive Intervention Post-Incident Review is a CARE ACTIVITY.
A ~~Restrictive Intervention Post-Incident Review~~ ~~is a meeting conducted by the healthcare~~ ~~Organisation~~ ~~following an incident of a~~ ~~Restrictive Intervention~~ ~~to identify and address any physical harm to the~~ ~~PATIENT~~ or ~~Care Personnel, ongoing risks, and the emotional impact on the~~ ~~PATIENT~~ or ~~Care Personnel~~.A Restrictive Intervention Post-Incident Review is a meeting conducted by the healthcare ORGANISATION following an incident of a Restrictive Intervention to identify and address any physical harm to the PATIENT or Care Personnel, ongoing risks, and the emotional impact on the PATIENT or Care Personnel.

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ROYAL COLLEGE OF ANAESTHETISTS

Change to Supporting Information: Changed Description
~~The~~ ~~Royal College of Anaesthetists~~ (~~RCoA) is an~~ ~~Organisation~~.The Royal College of Anaesthetists is an ORGANISATION.
~~The~~ ~~Royal College of Anaesthetists~~ ~~is the professional body responsible for the specialty of anaesthesia throughout the UK.~~The Royal College of Anaesthetists (RCoA) is the professional body responsible for the specialty of anaesthesia throughout the UK.
For further information on the Royal College of Anaesthetists, see the Royal College of Anaesthetists website at: About the College.

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ROYAL COLLEGE OF EMERGENCY MEDICINE

Change to Supporting Information: Changed Description
~~The~~ ~~Royal College of Emergency Medicine~~ (~~RCEM) is an~~ ~~Organisation~~.The Royal College of Emergency Medicine is an ORGANISATION.
~~The~~ ~~Royal College of Emergency Medicine~~ ~~works to ensure high quality care for~~ ~~PATIENTS~~ ~~by setting and monitoring standards of care in~~ ~~Emergency Care Departments, as well as providing expert guidance and advice on policy to relevant bodies on matters relating to Emergency Medicine.~~The Royal College of Emergency Medicine (RCEM) works to ensure high quality care for PATIENTS by setting and monitoring standards of care in Emergency Care Departments, as well as providing expert guidance and advice on policy to relevant bodies on matters relating to Emergency Medicine.
For further information on the Royal College of Emergency Medicine, see the Royal College of Emergency Medicine website at: The Royal College of Emergency Medicine.

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ROYAL COLLEGE OF GENERAL PRACTITIONERS

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~~The~~ ~~Royal College of General Practitioners~~ (~~RCGP) is an~~ ~~Organisation~~.The Royal College of General Practitioners is an ORGANISATION.
~~The~~ ~~Royal College of General Practitioners~~ ~~is the professional membership body for family doctors in the UK and abroad.~~The Royal College of General Practitioners (RCGP) is the professional membership body for family doctors in the UK and abroad.
The Royal College of General Practitioners is committed to improving PATIENT care, clinical standards and GENERAL PRACTITIONER training.
For further information on the Royal College of General Practitioners, see the Royal College of General Practitioners website at: About us.

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ROYAL COLLEGE OF OBSTETRICIANS AND GYNAECOLOGISTS

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~~The~~ ~~Royal College of Obstetricians and Gynaecologists~~ (~~RCOG) is an~~ ~~Organisation~~.The Royal College of Obstetricians and Gynaecologists is an ORGANISATION.
~~The~~ ~~Royal College of Obstetricians and Gynaecologists~~ ~~works to improve women’s health care across the world.~~The Royal College of Obstetricians and Gynaecologists (RCOG) works to improve women’s health care across the world. For further information on the Royal College of Obstetricians and Gynaecologists, see the Royal College of Obstetricians and Gynaecologists website at: What we do.
~~For further information on the~~ ~~Royal College of Obstetricians and Gynaecologists, see the~~ ~~Royal College of Obstetricians and Gynaecologists~~ ~~website at:~~ ~~What we do~~.

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ROYAL COLLEGE OF PATHOLOGISTS

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~~The~~ ~~Royal College of Pathologists~~ ~~is an~~ ~~Organisation~~.The Royal College of Pathologists is an ORGANISATION.
~~The~~ ~~Royal College of Pathologists~~ ~~is a professional member~~ ~~Organisation~~ ~~with charitable status, concerned with all matters relating to the science and practice of pathology.~~The Royal College of Pathologists is a professional member ORGANISATION with charitable status, concerned with all matters relating to the science and practice of pathology.
For further information on the Royal College of Pathologists, see the Royal College of Pathologists website at: About the College.

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ROYAL COLLEGE OF PSYCHIATRISTS

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~~The~~ ~~Royal College of Psychiatrists~~ ~~is an~~ ~~Organisation~~.The Royal College of Psychiatrists is an ORGANISATION.
The Royal College of Psychiatrists is the professional body responsible for education and training, and setting and raising standards in psychiatry.
For further information on the Royal College of Psychiatrists, see the Royal College of Psychiatrists website at: About us.

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ROYAL MARSDEN

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~~The Royal Marsden~~ ~~is an~~ ~~Organisation~~.The Royal Marsden is an ORGANISATION.
The Royal Marsden is a world-leading cancer centre specialising in cancer diagnosis, treatment, research and education.
~~For further information on~~ ~~The Royal Marsden, see the~~ ~~Royal Marsden website.~~ For further information on The Royal Marsden, see the Royal Marsden website.

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ROYAL PHARMACEUTICAL SOCIETY

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~~The~~ ~~Royal Pharmaceutical Society~~ ~~is an~~ ~~Organisation~~.The Royal Pharmaceutical Society is an ORGANISATION.
The Royal Pharmaceutical Society is the dedicated professional body for Pharmacists and pharmacy in England, Scotland and Wales providing leadership, support and development to its members.
The Royal Pharmaceutical Society ensures the voice of the profession is heard and actively promoted in the development and delivery of healthcare policy and works to raise the profile of the profession. It is the only body which represents all sectors of pharmacy in Great Britain.
For further information on the Royal Pharmaceutical Society, see the Royal Pharmaceutical Society website at: Who We Are.
Note: the General Pharmaceutical Council is now the regulatory body for Pharmacists, pharmacy technicians and pharmacy premises in England, Scotland and Wales.

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SCOTTISH HEALTH BOARD

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A Scottish Health Board is a an ORGANISATION.
A Scottish Health Board is a regional authority in Scotland with responsibility for the delivery of health services.
There are 14 Scottish Health Boards.
For information about the structure of the NHS in Scotland, how it is funded, and how its performance is measured, see the Scottish Government website.

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SCREENING POPULATION

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A ~~Screening Population~~ ~~relates to a~~ ~~HEALTH PROGRAMME~~.A Screening Population is PEOPLE.
A Screening Population is the population within a particular age group that is of interest to a Screening Programme at a given date.
~~Screening Programmes~~ ~~serve larger~~ ~~Screening Populations~~ ~~than those of individual care~~ ~~Organisations, and the effective~~ ~~Screening Population~~ ~~sizes will vary with individual~~ ~~Screening Programmes~~.Screening Programmes serve larger Screening Populations than those of individual care ORGANISATIONS, and the effective Screening Population sizes will vary with individual Screening Programmes. Approximate Screening Population sizes for securing and delivering any given Screening Programme will be determined at a national level.
This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information.

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SECURITY ISSUES AND PATIENT CONFIDENTIALITY

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A. Removal of name and address where the NHS Number is present
From 1 April 1999, PATIENT NAME and PATIENT USUAL ADDRESS (not POSTCODE OF USUAL ADDRESS) must be removed from all Commissioning Data Sets where a valid NHS NUMBER is present. This applies to all nationally defined Commissioning Data Set data and any additional locally agreed flows from service providers to commissioning bodies.
A valid NHS NUMBER is one that has passed the check digit calculation on entry into the source system. If an NHS NUMBER is not valid (i.e. does not conform with the check digit algorithm) then PATIENT NAMES and PATIENT USUAL ADDRESSES should not be removed, as the reliability of the NHS NUMBER will not be known.
The NHS NUMBER STATUS INDICATOR CODE is a mandatory part of the Commissioning Data Set. PATIENT NAME and PATIENT USUAL ADDRESS should be removed when a valid NHS NUMBER is present, even if the NHS NUMBER STATUS INDICATOR CODE does not have a status of 01, Number present and verified.
B. Sensitive data
The Human Fertilisation and Embryology Act 1990 as amended by the Human Fertilisation and Embryology (Disclosure of Information) Act 1992 imposes statutory restrictions on the disclosure of information about identifiable individuals in connection with certain infertility treatments.
The latest approved list of codes which can be used to identify the relevant PATIENT record in which the patient-identifiable data are to be omitted from the CDS Types can be accessed via Technology Reference Data Update Distribution (TRUD). In these cases the NHS NUMBER, LOCAL PATIENT IDENTIFIER, PATIENT NAMES, POSTCODE OF USUAL ADDRESS and PERSON BIRTH DATE should be omitted from the CDS Types.
From Commissioning Data Set Version 6-2, records where the patient-identifiable data has been withheld should be submitted using the PATIENT IDENTITY - WITHHELD IDENTITY STRUCTURE data group in CDS types where identification is carried. This data group allows only the NHS NUMBER STATUS INDICATOR CODE (the actual value held on source systems should be used), ORGANISATION CODE (RESIDENCE RESPONSIBILITY) and WITHHELD IDENTITY REASON to flow. The WITHHELD IDENTITY REASON allows Health Care Providers to inform their Commissioners why a record has been anonymised. Note that the same rules apply to the additional PATIENT IDENTITY structures relating to Mother and Baby in the Delivery and Birth CDS types.
Other statutory restrictions on the disclosure of PATIENT information do not prohibit the disclosure to individuals involved with the treatment and prevention of certain specific diseases (HIV/AIDS and venereal diseases) in the population.
~~All records containing patient identifiable information, other than those covered by the Sensitive Data section, should be treated as sensitive.~~ ~~Organisations~~ ~~may continue to exchange records containing~~ ~~NHS NUMBER~~, ~~POSTCODE OF USUAL ADDRESS~~ ~~and~~ ~~PERSON BIRTH DATE~~ ~~in these cases, but receiving~~ ~~Organisations~~ must ensure that only those staff with legitimate need have access to this information, e.g. public health departments, and strictly on a need to know basis. No-one should have unrestricted access unless fully justified in accordance with the principles of the Caldicott Committee Report.
~~Where~~ ~~PATIENT~~ ~~level data is required for other purposes within an~~ ~~Organisation, it should be anonymised/aggregated prior to disclosure by someone with legitimate access. If this is not practicable, local protocols defining which~~ ~~CDS Types~~ ~~are particularly sensitive (including, but not necessarily restricted to HIV/AIDS and venereal disease) agreed by the~~ ~~Organisation~~ ~~Caldicott Guardian, should be put in place and identifiers stripped from these records.~~
All records containing patient identifiable information, other than those covered by the Sensitive Data section, should be treated as sensitive. ORGANISATIONS may continue to exchange records containing NHS NUMBER, POSTCODE OF USUAL ADDRESS and PERSON BIRTH DATE in these cases, but receiving ORGANISATIONS must ensure that only those staff with legitimate need have access to this information, e.g. public health departments, and strictly on a need to know basis. No-one should have unrestricted access unless fully justified in accordance with the principles of the Caldicott Committee Report.
Where PATIENT level data is required for other purposes within an ORGANISATION, it should be anonymised/aggregated prior to disclosure by someone with legitimate access. If this is not practicable, local protocols defining which CDS Types are particularly sensitive (including, but not necessarily restricted to HIV/AIDS and venereal disease) agreed by the ORGANISATION Caldicott Guardian, should be put in place and identifiers stripped from these records.
Your Caldicott Guardian will be able to advise you further on all issues relating to patient confidentiality.
Where appropriate, further information about confidentiality is contained within the notes for individual data items.

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SEXUAL AND REPRODUCTIVE HEALTH ACTIVITY DATA SET OVERVIEW

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Public Health England requires the mandatory collection of information on the SERVICES provided by Sexual and Reproductive Health Services.
The Sexual and Reproductive Health Activity Data Set provides essential data to:
Ensure a relevant collection of electronic data to support local service development
Allow monitoring of key policy initiatives and indicators such as: The Public Health Outcome Framework Indicator on under 18 conceptions; increasing access to all methods of contraception, including Long Acting Reversible Contraceptions (LARC) methods and emergency contraception for women of all ages and their partners; reducing teenage conceptions; reducing the rate of unintended pregnancies and modernisation of Sexual and Reproductive Health Services
Provide appropriate definitions and guidance material to enable a standardised data set from Sexual and Reproductive Health Services
Support commissioners in understanding which population groups are accessing Sexual and Reproductive Health Services and which SERVICES they are receiving, including the LARC methods as recommended by National Institute for Health and Care Excellence (NICE), and therefore allowing for long-term commissioning of SERVICES
Develop, over time, indicators of quality and outcome in SERVICE delivery (especially in comparative reports). For example the removal and length of use for LARC devices, provision of emergency CONTRACEPTION, the provision of CONTRACEPTION post abortion and referrals to secondary care, the comparison of attendance rates for selected care and the diversity of young PERSON provision by Sexual and Reproductive Health Services including social referrals
Aid the development of a benchmark measure to indicate how SERVICES compare in delivering the most appropriate and effective care to PATIENTS
Reflect current data collection practices and requirements at Sexual and Reproductive Health Services.
The Sexual and Reproductive Health Activity Data Set covers PATIENT contact with the Sexual and Reproductive Health Services whether in a clinic setting, in the PATIENT's home or at an alternative location.
DATA EXTRACT SPECIFICATION
Description: The Sexual and Reproductive Health Activity Data Set return includes PATIENT ACTIVITY provided by Sexual and Reproductive Health Services in clinics and non-clinic venues (e.g. outreach facilities or domiciliary visits). Also included are Sexual and Reproductive Health Services provided by non - NHS clinics funded wholly or in part by Local Authorities and/or Clinical Commissioning Groups (e.g. Brook). It does not include SERVICES provided by CONSULTANTS in Outpatient Clinics or those provided by GENERAL MEDICAL PRACTITIONERS.
~~Data collected will be used by the NHS,~~ ~~Care Quality Commission~~, ~~Local Authorities~~ ~~Clinical Commissioning Groups~~, ~~Public Health England~~ ~~and other appropriate~~ ~~Organisations~~ ~~to support the monitoring of the National Strategies on~~ ~~Sexual and Reproductive Health Services, service provision, benchmarking and development of commissioning.~~Data collected will be used by the NHS, Care Quality Commission, Local Authorities Clinical Commissioning Groups, Public Health England and other appropriate ORGANISATIONS to support the monitoring of the National Strategies on Sexual and Reproductive Health Services, service provision, benchmarking and development of commissioning.
Time period: The extract will cover one financial year.
Frequency: Extracts run annually, six weeks after the end of the financial year.
Format: Data returned should be formatted to a comma separated variable (CSV) or in a MS Excel file. The data variables should be transmitted in the order specified in the Sexual and Reproductive Health Activity Data Set.
Transmission: Data is submitted via an on-line process to NHS Digital.
For further information on the Sexual and Reproductive Health Activity Data Set see the NHS Digital website at: Sexual and Reproductive Health Activity Data Set (SRHAD) Collection.

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SEXUAL AND REPRODUCTIVE HEALTH CLINIC

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A Sexual and Reproductive Health Clinic is an Out-Patient Clinic.
A Sexual and Reproductive Health Clinic is a clinic specifically to provide Sexual and Reproductive Health Services. ~~This includes non-NHS~~ ~~Organisation~~ ~~clinics from which these services are commissioned by the NHS.~~
This includes non-NHS ORGANISATION clinics from which these services are commissioned by the NHS.
Clinics run by CONSULTANTS are included under Consultant Clinic.
It should be noted that work in GENERAL MEDICAL PRACTITIONER surgeries or GENERAL MEDICAL PRACTITIONER work on hospital premises is excluded.

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SEXUAL ASSAULT REFERRAL CENTRE

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A ~~Sexual Assault Referral Centre~~ (~~SARC) is a~~ ~~Justice Organisation~~.A Sexual Assault Referral Centre is a Justice Organisation.
A ~~Sexual Assault Referral Centre~~ ~~is a~~ ~~LOCATION~~ ~~where people go for medical assessment and medical and forensic services following a sexual assault.~~A Sexual Assault Referral Centre (SARC) is a LOCATION where people go for medical assessment and medical and forensic services following a sexual assault.
For further information on Health and Justice healthcare, see the NHS England website at: Health and Justice.

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SNOMED INTERNATIONAL

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~~SNOMED International~~ ~~is an~~ ~~Organisation~~.SNOMED International is an ORGANISATION.
The International Health Terminology Standards Development Organisation is now more commonly referred to by its trading name SNOMED International.
SNOMED International develops and promotes the use of SNOMED CT® to support safe and effective health information exchange.
For further information on SNOMED International, see the SNOMED International website at: SNOMED International: Home.

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SOCIETY OF RADIOGRAPHERS

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~~The~~ ~~Society of Radiographers~~ ~~is an~~ ~~Organisation~~.The Society of Radiographers is an ORGANISATION.
The Society of Radiographers is the only body in the UK representing the whole of the radiographic workforce.
For further information on the Society of Radiographers, see the Society of Radiographers website at: Welcome to the Society of Radiographers.

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SPECIAL HEALTH AUTHORITY

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A ~~Special Health Authority~~ (~~SpHA) is an~~ ~~Organisation~~.A Special Health Authority is an ORGANISATION.
A ~~Special Health Authority~~ ~~provides a health service to the whole of England, not just to a local community, for example, the~~ ~~NHS Business Services Authority~~, ~~Health Research Authority~~ ~~etc~~.A Special Health Authority (SpHA) provides a health service to the whole of England, not just to a local community, for example, the NHS Business Services Authority, Health Research Authority etc.
Special Health Authorities are independent, but can be subject to ministerial direction in the same way as other NHS bodies.
For further information on Special Health Authorities, see the NHS website at:
Authorities and Trusts
NHS Authorities and trusts.

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SPECIALISED COMMISSIONING HUB

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A ~~Specialised Commissioning Hub~~ ~~is an~~ ~~Organisation~~.A Specialised Commissioning Hub is an ORGANISATION.
A Specialised Commissioning Hub is a part of NHS England.
Specialised Commissioning Hubs are responsible for leading the commissioning of specialised services.
A smaller number of the Specialised Commissioning Hubs also carry out the direct commissioning of military and prison health services.

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SPORT AND EXERCISE PSYCHOLOGIST

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A Sport and Exercise Psychologist is a PERSON.
A Sport and Exercise Psychologist is recognised by the British Psychological Society.
Sport and Exercise Psychologists use scientific principles to investigate and understand the behaviour, mental processes, and well-being of people who are involved in sport and exercise.
Sport and Exercise Psychologists are concerned with helping people improve their performance and enjoyment in sport, and those factors which encourage people to take up and adhere to a physically active lifestyle.

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STAFF GROUP

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A Staff Group is a CARE GROUP.
A Staff Group is a high level classification for grouping POSITIONS.

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ST JUDE SYSTEM

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~~The~~ ~~St Jude System~~ ~~(also known as the~~ ~~Murphy Staging System) is a system for~~ ~~CANCER STAGING~~.The St Jude System is a system for CANCER STAGING.
~~The~~ ~~St Jude System~~ ~~is a staging system for paediatric~~ ~~PATIENTS~~ ~~with Non-Hodgkin Lymphoma (NHL).~~The St Jude System (also known as the Murphy Staging System) is a staging system for paediatric PATIENTS with Non-Hodgkin Lymphoma (NHL).
For further information on CANCER STAGINGS, see the National Cancer Institute website.

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STRATEGIC HEALTH AUTHORITY

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All Strategic Health Authorities closed 31 March 2013
~~Strategic Health Authority's responsibilities have been taken over by other~~ ~~Organisations~~.Strategic Health Authority's responsibilities have been taken over by other ORGANISATIONS.
The definition has been retained for historical reporting.
A Strategic Health Authority is an ORGANISATION.
A Strategic Health Authority is an NHS ORGANISATION established to lead the strategic development of the local health service and manage Primary Care Trusts and NHS Trusts on the basis of local accountability agreements.
The main responsibilities of Strategic Health Authorities are:
Creating a coherent strategic framework for services development across the full range of local NHS ORGANISATIONS
Performance management of local NHS Trusts and Primary Care Trusts
Together with Primary Care Trusts and NHS Trusts, enhance the involvement of PATIENTS, the public and health and social care profession in developing services.
References:
Shifting the Balance of Power publications

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SUSTAINABILITY AND TRANSFORMATION PARTNERSHIP

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A Sustainability and Transformation Partnership (STP) is an integral part of NHS England.
A ~~Sustainability and Transformation Partnership~~ ~~is where local NHS~~ ~~Organisations~~ ~~and~~ ~~Local Authorities~~ ~~draw up shared proposals to improve health and care in the areas they serve.~~A Sustainability and Transformation Partnership is where local NHS ORGANISATIONS and Local Authorities draw up shared proposals to improve health and care in the areas they serve.
In some areas Sustainability and Transformation Partnerships have evolved to become Integrated Care Systems, a new form of even closer collaboration between the NHS and Local Authorities.
For further information on Sustainability and Transformation Partnerships, see the NHS England website at: Sustainability and transformation partnerships.

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SUSTAINABLE DEVELOPMENT UNIT

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~~The~~ ~~Sustainable Development Unit~~ (~~SDU) is an~~ ~~Organisation~~.The Sustainable Development Unit is an ORGANISATION.
~~The~~ ~~Sustainable Development Unit~~ ~~is funded by, and accountable to,~~ ~~NHS England~~ ~~and~~ ~~Public Health England~~ ~~to work across the NHS, public health and social care system.~~The Sustainable Development Unit (SDU) is funded by, and accountable to, NHS England and Public Health England to work across the NHS, public health and social care system.
The Sustainable Development Unit provides expert advice and support to the health and care system in England to become a more sustainable organisation environmentally, financially and socially.
For further information on the Sustainable Development Unit, see the Sustainable Development Unit website at: Who we are.

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TEACHER AND RESEARCHER IN PSYCHOLOGY

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A Teacher and Researcher in Psychology is a PERSON.
A Teacher and Researcher in Psychology is recognised by the British Psychological Society.
Professionals can also be a Teacher and Researcher in Psychology, although usually the two go hand in hand. Teaching staff may have qualified in one of the applied psychological professions or be specialists in a research area. They will be involved in teaching and conducting research in an academic institute and may also combine this work with their role as a practitioner.

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TPRG-SEND TWO YEAR CORRECTED AGE OUTCOME ASSESSMENT

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~~The~~ ~~TPRG-SEND Two Year Corrected Age Outcome Assessment~~ ~~is a type of~~ ~~ASSESSMENT TOOL~~.The TPRG-SEND Two Year Corrected Age Outcome Assessment is an ASSESSMENT TOOL.
The TPRG-SEND Two Year Corrected Age Outcome Assessment is undertaken by a CARE PROFESSIONAL for all PATIENTS who were previously admitted for neonatal critical care in a Neonatal Intensive Care Unit, transitional care setting or other non-standard critical care setting, at two years of age (adjusted for prematurity), during a Two Year Neonatal Outcomes Assessment.
The TPRG-SEND Two Year Corrected Age Outcome Assessment covers the following:
Neuromotor
Malformations
Respiratory and Cardiovascular System
Gastro-intestinal Tract
Renal
Neurology
Growth
Development
Neurosensory
Communication
Special Questions
Neurological Diagnosis
The allowed responses for each of the questions in the TPRG-SEND Two Year Corrected Age Outcome Assessment (apart from the 'Growth' section, which carries measurements of Weight, Height and Head Circumference) are as follows:
0 - No
1 - Yes
9 - Not known
For further information on the TPRG-SEND Two Year Corrected Age Outcome Assessment, see the Neonatal Networks website.

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UK NATIONAL SCREENING COMMITTEE

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~~The~~ ~~UK National Screening Committee~~ (~~UK NSC) is an~~ ~~Organisation~~.The UK National Screening Committee is an ORGANISATION.
~~The~~ ~~UK National Screening Committee~~ ~~advises ministers and the NHS in the 4 UK countries about all aspects of population screening and supports implementation of~~ ~~Screening Programmes~~.The UK National Screening Committee (UK NSC) advises ministers and the NHS in the 4 UK countries about all aspects of population screening and supports implementation of Screening Programmes.
For more information about the UK National Screening Committee, see the gov.uk website at: UK National Screening Committee.

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UK RENAL REGISTRY

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~~The~~ ~~UK Renal Registry~~ ~~is an~~ ~~Organisation~~.The UK Renal Registry is an ORGANISATION.
The UK Renal Registry was established by the Renal Association as a resource for the development of PATIENT care in renal disease.
The UK Renal Registry provides a focus for the collection and analysis of standardised data relating to the incidence, clinical management and outcome of renal disease. It acts as a source of comparative data, for audit/benchmarking, planning, clinical governance and research. The UK Renal Registry monitors indicators of the quality as well as quantity of care, with the aim of improving the standard of care.
For further information on the UK Renal Registry, see the UK Renal Registry website at: About the UK Renal Registry.
This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information.

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ULTRASOUND SCAN

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An ~~Ultrasound Scan~~ ~~(also known as a~~ ~~Sonogram) is a~~ ~~Clinical Investigation~~.An Ultrasound Scan is a Clinical Investigation.
An ~~Ultrasound Scan~~ ~~is a procedure that uses high frequency sound waves to create an image of part of the inside of the body, such as the heart.~~An Ultrasound Scan (also known as a Sonogram) is a procedure that uses high frequency sound waves to create an image of part of the inside of the body, such as the heart.
Ultrasound Scans can be used:
~~to help doctors make a diagnosis or to assess the effects of a treatment;~~
~~to study blood flow and to detect any narrowing or blocking of blood vessels;~~
to help doctors make a diagnosis or to assess the effects of a treatment
to study blood flow and to detect any narrowing or blocking of blood vessels
during a Maternity Episode to produce images of the baby in the womb.
For further information on Ultrasound Scans, see the NHS website at: Ultrasound scan.

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UNION FOR INTERNATIONAL CANCER CONTROL

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~~The~~ ~~Union for International Cancer Control~~ (~~UICC), also known as the~~ ~~International Union Against Cancer~~ ~~is an~~ ~~Organisation~~ ~~based in Switzerland.~~The Union for International Cancer Control is an ORGANISATION based in Switzerland.
~~The~~ ~~Union for International Cancer Control~~ ~~is the only non-governmental~~ ~~Organisation~~ ~~dedicated exclusively to the global control of cancer.~~The Union for International Cancer Control (UICC), also known as the International Union Against Cancer, is the only non-governmental ORGANISATION dedicated exclusively to the global control of cancer.
For further information on the Union for International Cancer Control, see the Union for International Cancer Control website at: About us.

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UNITED KINGDOM AND IRELAND ASSOCIATION OF CANCER REGISTRIES

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~~The~~ ~~United Kingdom and Ireland Association of Cancer Registries~~ (~~UKIACR) is an~~ ~~Organisation~~.The United Kingdom and Ireland Association of Cancer Registries is an ORGANISATION.
~~The~~ ~~United Kingdom and Ireland Association of Cancer Registries~~ ~~brings together~~ ~~Organisations~~ ~~with an interest in developing cancer registration as a resource for studying and controlling cancer in England, Wales, Scotland and Northern Ireland.~~The United Kingdom and Ireland Association of Cancer Registries (UKIACR) brings together ORGANISATIONS with an interest in developing cancer registration as a resource for studying and controlling cancer in England, Wales, Scotland and Northern Ireland.
For further information on the United Kingdom and Ireland Association of Cancer Registries, see the United Kingdom and Ireland Association of Cancer Registries website at: About us.

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UNITED KINGDOM MODEL FOR END-STAGE LIVER DISEASE

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~~The~~ ~~United Kingdom Model for End-Stage Liver Disease~~ (~~UKELD) is an~~ ~~ASSESSMENT TOOL~~.The United Kingdom Model for End-Stage Liver Disease is an ASSESSMENT TOOL.
~~The~~ ~~United Kingdom Model for End-Stage Liver Disease~~ ~~is a scoring system that predicts the risk of mortality due to liver cirrhosis and is used to assess the need for liver transplantation.~~The United Kingdom Model for End-Stage Liver Disease (UKELD) is a scoring system that predicts the risk of mortality due to liver cirrhosis and is used to assess the need for liver transplantation.
For further information on the United Kingdom Model for End-Stage Liver Disease see the:
NHS website at: Liver transplant
UKELD calculator at: UKELD calculator.

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URGENT TREATMENT CENTRE

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An ~~Urgent Treatment Centre~~ (~~UTC) is an~~ ~~Emergency Care Department~~.An Urgent Treatment Centre is an Emergency Care Department.
~~Urgent Treatment Centres~~ ~~are Community and Primary Care facilities providing access to urgent care for a local population.~~Urgent Treatment Centres  (UTC) are Community and Primary Care facilities providing access to urgent care for a local population.
All Urgent Treatment Centres are classed as EMERGENCY CARE DEPARTMENT TYPE National Code 'Other type of A&E/minor injury ACTIVITY with designated accommodation for the reception of accident and emergency PATIENTS. The department may be doctor led or NURSE led and treats at least minor injuries and illnesses and can be routinely accessed without APPOINTMENT. A SERVICE mainly or entirely APPOINTMENT based (for example a GP Practice or Out-Patient Clinic) is excluded even though it may treat a number of PATIENTS with minor illness or injury. Excludes NHS walk-in centres'.
For further information on Urgent Treatment Centres see the NHS England website at: Urgent Treatment Centres.

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WELL BABY

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~~Well Baby~~ ~~provides further guidance for identifying and classifying a~~ ~~Well Baby~~ ~~within~~ ~~NEONATAL LEVEL OF CARE~~.A Well Baby is a PATIENT.
A Well Baby is a Neonate that has a NEONATAL LEVEL OF CARE classification of 'Normal Care'.
Well Baby provides further guidance for identifying and classifying a Well Baby within NEONATAL LEVEL OF CARE.
Note that a Well Baby episode can only be a baby's first ever episode, never a second or subsequent episode.
These babies will be looked after by their mothers in a maternity neonatal WARD and require minimal nursing care or medical advice.

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WORLD HEALTH ORGANISATION

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~~The~~ ~~World Health Organisation~~ (~~WHO) is an~~ ~~Organisation~~.The World Health Organisation is an ORGANISATION.
~~The~~ ~~World Health Organisation~~ ~~is a specialist agency of the United Nations that acts as a coordinating authority on international public health.~~The World Health Organisation (WHO) is a specialist agency of the United Nations that acts as a coordinating authority on international public health.
The World Health Organisation is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends.
For further information on the World Health Organisation, see the World Health Organisation website at: World Health Organization.

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YOUTH DETENTION ACCOMMODATION

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Youth Detention Accommodation is a type of ACCOMMODATION.
Youth Detention Accommodation provides ACCOMMODATION and care for children and young people who have been detained or sentenced by the Youth Justice Board (YJB).
Types of Youth Detention Accommodation include:
Secure Children's Home
Secure Training Centre
Young Offender Institutions (15-17).
For further information on Youth Detention Accommodation, see the :
Youth Justice Board part of the gov.uk website at: Guidance Manage bail and remands: section 3 case management guidance
Youth Justice Legal Centre website at: Youth Detention Accommodation (YDA).

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YOUTH JUSTICE BOARD

Change to Supporting Information: Changed Description
~~The~~ ~~Youth Justice Board~~ (~~YJB) is an~~ ~~Organisation~~.The Youth Justice Board is an ORGANISATION.
~~The~~ ~~Youth Justice Board for England and Wales~~ ~~is a non-departmental public body created to oversee the youth justice system for England and Wales.~~The Youth Justice Board for England and Wales (YJB) is a non-departmental public body created to oversee the youth justice system for England and Wales.
For further information on the Youth Justice Board, see the gov.uk website at: Youth Justice Board.

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ADDRESS

Change to Class: Changed Description
The identification of a place of relevance to a:
PERSON
~~Organisation~~
~~Organisation Site~~ or
ORGANISATION
ORGANISATION SITE or
LOCATION.
The ADDRESS may have COMMUNICATION CONTACT METHOD associated with it and may be the location for an ACTIVITY.
Subtypes of ADDRESS are:
ADDRESS STRUCTURED
ADDRESS UNSTRUCTURED.

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ADDRESS ASSOCIATION

Change to Class: Changed Description
~~The type of usage of an~~ ~~ADDRESS~~ ~~for a~~ ~~PERSON~~, ~~Organisation~~, ~~Organisation Site~~ or ~~LOCATION~~.The type of usage of an ADDRESS for a PERSON, ORGANISATION, ORGANISATION SITE or LOCATION.

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APPOINTMENT

Change to Class: Changed Description
An arrangement for a PATIENT to be seen by or be in contact with one or more CARE PROFESSIONALS, following an Appointment Request.
An APPOINTMENT becomes an entry on the APPOINTMENT WAITING LIST when it is decided that an offer of an APPOINTMENT should be made following a SERVICE REQUEST for an out-patient APPOINTMENT being received. The offer of an APPOINTMENT is made by one or more APPOINTMENT OFFERS.
APPOINTMENTS include:
Out-Patient Appointment Consultant
Out-Patient Appointment Non-Consultant
APPOINTMENTS are also made for Screening Tests.
When a PATIENT accepts an APPOINTMENT OFFER the APPOINTMENT DATE OFFERED and APPOINTMENT TIME OFFERED of the offer become the APPOINTMENT DATE and APPOINTMENT TIME of the accepted APPOINTMENT.
Where more than one APPOINTMENT OFFER has been made for an APPOINTMENT and one has been accepted all the others for the same APPOINTMENT should be refused.
The APPOINTMENT should be removed from the APPOINTMENT WAITING LIST when the APPOINTMENT has taken place.
~~A series of~~ ~~APPOINTMENTS~~ ~~should relate to the same~~ ~~SERVICE REQUEST~~ ~~which initiated the series within the~~ ~~Organisation~~. ~~The~~ ~~SERVICE REQUEST~~ ~~may be related to a previous~~ ~~SERVICE REQUEST~~ ~~either from within the same or another~~ ~~Organisation~~ ~~and be related to subsequent~~ ~~SERVICE REQUEST~~ ~~to the same or another~~ ~~Organisation~~.A series of APPOINTMENTS should relate to the same SERVICE REQUEST which initiated the series within the ORGANISATION.
The SERVICE REQUEST may be related to a previous SERVICE REQUEST either from within the same or another ORGANISATION and be related to subsequent SERVICE REQUEST to the same or another ORGANISATION.

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CARE PROFESSIONAL ORGANISATION

Change to Class: Changed Description
~~An association between a~~ ~~CARE PROFESSIONAL~~ ~~and an~~ ~~Organisation~~.An association between a CARE PROFESSIONAL and an ORGANISATION.
Subtypes of CARE PROFESSIONAL ORGANISATION include:
~~CONSULTANT ORGANISATION~~.
CONSULTANT ORGANISATION.

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CARE PROFESSIONAL TEAM

Change to Class: Changed Description
A team of CARE PROFESSIONALS delivering specialist services to PATIENTS.
~~The team can be multidisciplinary and may contain members who are~~ ~~EMPLOYEES~~ ~~of the~~ ~~Health Care Provider~~ ~~or be~~ ~~EMPLOYEES~~ ~~of another NHS or non-NHS~~ ~~Organisation~~.The team can be multidisciplinary and may contain members who are EMPLOYEES of the Health Care Provider or be EMPLOYEES of another NHS or non-NHS ORGANISATION.

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CLINIC OR FACILITY

Change to Class: Changed Description
An administrative arrangement enabling PATIENTS to see or be in contact with CARE PROFESSIONALS.
~~The~~ ~~CLINIC OR FACILITY~~ ~~should always relate to an identified~~ ~~SERVICE~~ ~~within an~~ ~~Organisation~~.The CLINIC OR FACILITY should always relate to an identified SERVICE within an ORGANISATION.
CLINICS OR FACILITIES include:
Out-Patient Clinics
Day Care Facilities.

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COMMUNICATION CONTACT METHOD

Change to Class: Changed Description
~~A contact method for an~~ ~~Organisation~~ ~~or a~~ ~~PERSON~~ ~~for a particular~~ ~~COMMUNICATION CONTACT METHOD~~ ~~(e.g. telephone,~~ ~~Telemedicine, e-mail).~~A contact method for an ORGANISATION or a PERSON for a particular COMMUNICATION CONTACT METHOD (e.g. telephone, Telemedicine, e-mail).

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EMPLOYEE

Change to Class: Changed Description
~~A named individual who has one or more~~ ~~EMPLOYMENT CONTRACTS~~ ~~with an employing~~ ~~Organisation~~.A named individual who has one or more EMPLOYMENT CONTRACTS with an employing ORGANISATION.

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EMPLOYEE PLAN

Change to Class: Changed Description
~~A written plan related to the~~ ~~POSITION~~ ~~or personal development of an~~ ~~EMPLOYEE~~ ~~as agreed with their employing~~ ~~Organisation~~. ~~The type of plan is recorded by~~ ~~EMPLOYEE PLAN TYPE~~.A written plan related to the POSITION or personal development of an EMPLOYEE as agreed with their employing ORGANISATION.
The type of plan is recorded by EMPLOYEE PLAN TYPE.
Each EMPLOYEE PLAN should be reviewed at least annually, but may be reviewed more frequently. Each review should be recorded by an Appraisal Review with the APPRAISAL REVIEW PLANNED DATE indicating when the review should take place.
~~There should be only one~~ ~~EMPLOYEE PLAN~~ ~~of each~~ ~~EMPLOYEE PLAN TYPE~~ ~~active within an~~ ~~Organisation~~ ~~at any one time.~~ ~~For an~~ ~~EMPLOYEE~~ ~~who has an~~ ~~EMPLOYMENT CONTRACT~~ ~~within more than one~~ ~~Organisation~~ ~~at the same time then they can have an~~ ~~EMPLOYEE PLAN~~ ~~active for each~~ ~~Organisation~~.There should be only one EMPLOYEE PLAN of each EMPLOYEE PLAN TYPE active within an ORGANISATION any one time. For an EMPLOYEE who has an EMPLOYMENT CONTRACT within more than one ORGANISATION at the same time then they can have an EMPLOYEE PLAN active for each ORGANISATION.

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EMPLOYMENT CONTRACT

Change to Class: Changed Description
~~A contract between an~~ ~~EMPLOYEE~~ ~~and an~~ ~~Organisation, specifying the terms and conditions of employment for an~~ ~~EMPLOYMENT CONTRACT~~.A contract between an EMPLOYEE and an ORGANISATION, specifying the terms and conditions of employment for an EMPLOYMENT CONTRACT.
An EMPLOYMENT CONTRACT may change where the POSITION for the EMPLOYEE stays the same, but the hours of work, or the location/base is changed.

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GENERAL PRACTITIONER

Change to Class: Changed Description
A subtype of CARE PROFESSIONAL.
~~A health care practitioner qualified for General Practice, providing healthcare for a particular~~ ~~Organisation~~.A health care practitioner qualified for General Practice, providing healthcare for a particular ORGANISATION.
Subtypes of GENERAL PRACTITIONER are:
GENERAL MEDICAL PRACTITIONER
GENERAL DENTAL PRACTITIONER
OPHTHALMIC MEDICAL PRACTITIONER.
GENERAL PRACTITIONER may be abbreviated to GP.
For GENERAL PRACTITIONERS working in hospitals, the following codes should be used:
if the GENERAL PRACTITIONER is working as an assistant, use the code of the responsible GENERAL MEDICAL PRACTITIONER (SPECIFIED)
if the GENERAL PRACTITIONER is working as a GENERAL MEDICAL PRACTITIONER (SPECIFIED), use the GENERAL PRACTITIONER's GENERAL MEDICAL COUNCIL REFERENCE NUMBER.

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LOCATION

Change to Class: Changed Description
A physical LOCATION:
where PATIENTS are seen
where SERVICES exist
from which requests for ACTIVITIES are sent or
~~any other place of interest to an~~ ~~Organisation~~ ~~which is not recorded as an~~ ~~Organisation~~ ~~or an~~ ~~Organisation Site~~.
any other place of interest to an ORGANISATION which is not recorded as an ORGANISATION or an ORGANISATION SITE.
For ACTIVITIES provided by staff groups, LOCATIONS are places where a face-to-face contact or a Group Session occurs.
For diagnostic ACTIVITIES, LOCATIONS either define the whereabouts of the ACTIVITY or the places from which requests are sent.
Each LOCATION must be classified by one and only one type of LOCATION and the same classification must be used by all users.

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MAIN SPECIALTY

Change to Class: Changed Description
Specialties are divisions of clinical work which may be defined by body systems (dermatology), age (paediatrics), clinical technology (nuclear medicine), clinical function (rheumatology), group of diseases (oncology) or combinations of these factors. Only Specialty titles recognised by the Royal Colleges and Faculties should be used. This list is maintained by the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998.
~~Each~~ ~~CONSULTANT~~ ~~should be assigned a~~ ~~MAIN SPECIALTY~~ ~~by the~~ ~~Organisation~~ ~~to which the~~ ~~CONSULTANT~~ ~~is contracted.~~Each CONSULTANT should be assigned a MAIN SPECIALTY by the ORGANISATION which the CONSULTANT is contracted. For physicians and surgeons with a generalist component to their work, the MAIN SPECIALTY should be general medicine or general surgery. The hallmark of a general physician or general surgeon is the continued care of unselected emergency referrals. The MAIN SPECIALTY is specific to a Health Care Provider. If, for example, a CONSULTANT physician working in two Health Care Providers has a generalist component to the work in one and not the other, general medicine is only assigned as the MAIN SPECIALTY in the former case. CONSULTANTS in general medicine or general surgery may also have specialist interests and these should be recorded as well as the MAIN SPECIALTY.
The initial source of the information should be the designation on the CONSULTANT's contract. This should be checked periodically against the work a CONSULTANT is actually doing so that the statistics can relate to a CONSULTANT's current type of work.
The MAIN SPECIALTY only should be used for the purpose of producing Specialty costing statistics and for Workforce statistics where links with activity and finance are required. Other specialist interests of CONSULTANTS may be recorded for workforce planning purposes.
This will be used to indicate the skill level of medical and dental employees.
MAIN SPECIALTY CODE 960 ALLIED HEALTH PROFESSIONAL should be used for recording ACTIVITY by Allied Health Professionals, other Biomedical Scientists and Clinical Scientists.

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META ORGANISATION SITE

Change to Class: Changed Description
This is a meta data class.
~~Note: a comprehensive description of this meta class can be found in the NHS Business Definition~~ ~~Organisation Site~~.Note: a comprehensive description of this meta class can be found on ORGANISATION SITE.

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NHS SERVICE AGREEMENT

Change to Class: Changed Description
~~A formal agreement between a commissioner~~ ~~Organisation~~ ~~and one or more~~ ~~Health Care Provider~~ ~~Organisations~~ ~~for the provision of~~ ~~PATIENT~~ ~~care~~ ~~SERVICES~~.
A formal agreement between a commissioner ORGANISATION and one or more Health Care Provider ORGANISATIONS for the provision of PATIENT care SERVICES.

SERVICES may be commissioned in two ways:
Nationally, arranged through the direct commissioning functions and processes of NHS England and Specialised Commissioning Hubs
By Clinical Commissioning Groups, acting individually or as part of a commissioning consortia.
~~The costs of a~~ ~~NHS SERVICE AGREEMENT~~ ~~accrue to the~~ ~~Organisation~~ ~~responsible for commissioning the treatment.~~The costs of a NHS SERVICE AGREEMENT accrue to the ORGANISATION responsible for commissioning the treatment.
For Commissioning Data Set messages the commissioner is identified in the ORGANISATION CODE (CODE OF COMMISSIONER) field.

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OPHTHALMIC MEDICAL PRACTITIONER

Change to Class: Changed Description
A subtype of GENERAL PRACTITIONER which is a type of CARE PROFESSIONAL.
A ~~PERSON~~ ~~whose name is registered with the~~ ~~General Medical Council~~ ~~and the~~ ~~Ophthalmic Qualifications Committee~~ ~~and who is contracted as an~~ ~~OPHTHALMIC MEDICAL PRACTITIONER~~ ~~to an~~ ~~Organisation~~ ~~to provide general ophthalmic services.~~A PERSON whose name is registered with the General Medical Council and the Ophthalmic Qualifications Committee and who is contracted as an OPHTHALMIC MEDICAL PRACTITIONER to an ORGANISATION to provide general ophthalmic services.

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ORGANISATION

Change to Class: Changed Attributes, Description
~~Observations and information regarding an~~ ~~ORGANISATION~~.A unique framework of authority within which a PERSON or PERSONS act, or are designated to act towards some purpose.
~~Definitions relating to~~ ~~ORGANISATION~~ ~~include:~~Notes:
~~Organisation~~
~~Organisation Site~~
~~Department~~
~~Laboratory~~.
This definition is adopted from the ISO (the International Organisation for Standardisation) and IEC (the International Electrotechnical Commission) standard ISO/IEC 6523-1:1998 which defines a structure for a globally unique and unambiguous identification of ORGANISATIONS and ORGANISATION parts. This is itself referenced by ISO 13940:2015 which defines the concepts needed to achieve continuity of care.
ORGANISATIONS are governed by the fundamental standard for "Health and Social Care Organisation Reference Data" (HSC Org Ref Data).
For the purposes of the Organisation Data Service, an ORGANISATION is:
Known as Health and Social Care Organisation (HSCOrg)
An entity within the Health and Social Care Organisation Reference Data which conforms to the definition for ORGANISATION.
~~Note:~~ ~~ORGANISATIONS~~ ~~are governed by the fundamental standard for "Health and Social Care Organisation Reference Data" (HSC Org Ref Data).~~Subtypes of ORGANISATION:
~~For the purposes of the~~ ~~Organisation Data Service~~:
~~Organisation~~ ~~is known as Health and Social Care Organisation (HSCOrg)~~
~~An entity within the Health and Social Care Organisation Reference Data which conforms to the definition for~~ ~~Organisation~~.
ORGANISATION SITE
~~Organisation Site~~ ~~is known as Health and Social Care Organisation Site (HSCSite)~~
The primary function of HSCSite is to identify an association between an HSCOrg and a place with which it is affiliated. All HSCSite entities have an association to an HSCOrg and the HSCSite record is generally real estate that the HSCOrg owns, provides a ~~SERVICE~~ ~~at or has some staff based within. HSCSite does not provide unique identifiers for~~ ~~LOCATIONS. Multiple HSCSite instances can point to the same physical place if more than one HSCOrg owns or provides~~ ~~PATIENT~~ ~~care at that place; in this instance each HSCOrg may have its own HSCSite to reflect its affiliation with the same physical place (e.g. a hospital).~~
An ORGANISATION may manage Departments and Laboratories.

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ORGANISATION

Change to Class: Changed Attributes, Description
Attributes of this Class are:

K ORGANISATION IDENTIFIER

ACCIDENT AND EMERGENCY DEPARTMENT TYPE

DEPARTMENT CODE

EDUCATIONAL ESTABLISHMENT TYPE FOR IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES

EMERGENCY CARE DEPARTMENT TYPE

GS1 GLOBAL LOCATION NUMBER

GS1 UNIQUE ORGANISATION PREFIX NUMBER

HEADCOUNT ORGANISATION CURRENT

LABORATORY CODE

NHS CONTINUING HEALTHCARE COMMISSIONED SERVICES INDICATOR

ONS ORGANISATION IDENTIFIER

ORGANISATION CODE

ORGANISATION IDENTIFIER FOR NATIONAL BREAST SCREENING PROGRAMME

ORGANISATION NAME

~~ORGANISATION SITE CODE~~

~~ORGANISATION SITE NAME~~

SECURE CHILDRENS HOME PLACEMENT TYPE

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ORGANISATION SITE

Change to Class: New Class
A subtype of ORGANISATION.
A single or conjoined piece of land, premises or part of the premises therein, on which facilities are operated and managed by one ORGANISATION.
Adjacent facilities separated only by a natural or man-made feature such as a stream or a road should still be considered as forming an ORGANISATION SITE provided they are operated or managed by the same ORGANISATION and there is the capability of safe and quick transport between the facilities.
The ORGANISATION SITE must be owned or leased by the ORGANISATION. Where the ORGANISATION is an NHS body then the ORGANISATION SITE can be classified as an NHS Site in which case documents, such as lease documents and deeds, will be supported by the estates terrier. Places which are used on a temporary or regular basis, such as school halls, but are not registered on the estates terrier cannot be classified as NHS Sites.
For the purposes of the Organisation Data Service:
ORGANISATION SITE is known as Health and Social Care Organisation Site (HSCSite)
The primary function of HSCSite is to identify an association between an HSCOrg and a place with which it is affiliated. All HSCSite entities have an association to an HSCOrg and the HSCSite record is generally real estate that the HSCOrg owns, provides a service at or has some staff based within. HSCSite does not provide unique identifiers for LOCATIONS. Multiple HSCSite instances can point to the same physical place if more than one HSCOrg owns or provides PATIENT care at that place; in this instance each HSCOrg may have its own HSCSite to reflect its affiliation with the same physical place (e.g. a hospital).

This class is also known by these names:

Context Alias

plural ORGANISATION SITES

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ORGANISATION SITE

Change to Class: New Class
Attributes of this Class are:

K ORGANISATION SITE IDENTIFIER

ORGANISATION SITE CODE

ORGANISATION SITE NAME

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ORGANISATION SITE

Change to Class: New Class
Each ORGANISATION SITE

may be the location for one or more ACTIVITY

may be contacted via one or more COMMUNICATION CONTACT METHOD

may be vacated by one or more LEAVE

may be the destination for one or more PATIENT TRANSPORT JOURNEY

may be the location for one or more SESSION

may be subdivided into one or more WARD

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PATIENT ORGANISATION

Change to Class: Changed Description
~~The identification of a~~ ~~PATIENT~~ ~~having a relationship with a particular~~ ~~Organisation~~ ~~such as a~~ ~~PATIENT~~ ~~having been registered with a~~ ~~NHS Trust~~ or ~~NHS Foundation Trust~~ ~~for~~ ~~SERVICES~~.The identification of a PATIENT having a relationship with a particular ORGANISATION such as a PATIENT having been registered with a NHS Trust or NHS Foundation Trust for SERVICES.

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PLANNED ACTIVITY

Change to Class: Changed Description
~~An episode of care, treatment or other service planned to be provided by an~~ ~~Organisation~~ ~~to a~~ ~~PATIENT~~.An episode of care, treatment or other service planned to be provided by an ORGANISATION to a PATIENT.

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POSITION

Change to Class: Changed Description
~~A full-time or part-time post in an~~ ~~Organisation~~ ~~authorised to be filled by an~~ ~~EMPLOYEE~~.A full-time or part-time post in an ORGANISATION authorised to be filled by an EMPLOYEE.
An EMPLOYMENT CONTRACT records the appointment of an EMPLOYEE to a POSITION.
In some cases one-full time post may be covered by a job sharing arrangement whereby two or more EMPLOYEES share or divide the duties and responsibilities of the POSITION. This is indicated by the ASSIGNMENT JOB SHARE INDICATOR for the EMPLOYEE.

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POSITION VACANCY

Change to Class: Changed Description
~~A full-time or part-time~~ ~~POSITION~~ ~~which is vacant in an~~ ~~Organisation~~ ~~i.e. has no current assignment of an~~ ~~EMPLOYEE~~.A full-time or part-time POSITION which is vacant in an ORGANISATION, i.e. has no current assignment of an EMPLOYEE.
A POSITION VACANCY may be associated with a single POSITION, or it may be a bucket vacancy covering a number of POSITIONS.

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PROFESSIONAL REGISTRATION BODY

Change to Class: Changed Description
A subtype of ORGANISATION.
A PROFESSIONAL REGISTRATION BODY administers the registration of a PERSON who is a CARE PROFESSIONAL or other professional, to enable them to practice their profession. For example the General Medical Council is a Regulatory Body for CONSULTANTS and other doctors.
In specific professions, an EMPLOYEE must have successfully completed a recognised or accredited training programme and applied to the relevant PROFESSIONAL REGISTRATION BODY in order to be registered as able to practice. This registration is recorded by a PROFESSIONAL REGISTRATION for each PROFESSIONAL REGISTRATION TYPE held by the EMPLOYEE.
A PROFESSIONAL REGISTRATION has to be maintained on a regular basis in line with the requirements of the PROFESSIONAL REGISTRATION BODY.
~~For certain~~ ~~POSITIONS~~ ~~within an~~ ~~Organisation~~ ~~it is mandatory for the~~ ~~EMPLOYEE~~ ~~to hold a~~ ~~PROFESSIONAL REGISTRATION~~ ~~of a given~~ ~~PROFESSIONAL REGISTRATION TYPE~~ ~~or from a list of~~ ~~PROFESSIONAL REGISTRATION TYPES~~ ~~(as multiple~~ ~~PROFESSIONAL REGISTRATION TYPES~~ ~~may be acceptable for the~~ ~~POSITION~~).For certain POSITIONS within an ORGANISATION it is mandatory for the EMPLOYEE to hold a PROFESSIONAL REGISTRATION of a given PROFESSIONAL REGISTRATION TYPE or from a list of PROFESSIONAL REGISTRATION TYPES (as multiple PROFESSIONAL REGISTRATION TYPES may be acceptable for the POSITION).

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PROVIDER IN SERVICE AGREEMENT

Change to Class: Changed Description
An ~~Organisation~~ ~~providing patient care services within a~~ ~~NHS SERVICE AGREEMENT~~.An ORGANISATION providing patient care services within a NHS SERVICE AGREEMENT.

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QUALIFICATION

Change to Class: Changed Description
~~A recognised~~ ~~QUALIFICATION~~ ~~or award of an~~ ~~Organisation~~ ~~which can be held by a~~ ~~PERSON; or for which training can be undertaken.~~A recognised QUALIFICATION or award of an ORGANISATION which can be held by a PERSON; or for which training can be undertaken.
The QUALIFICATION or award can be gained through formal academic and professional EMPLOYEE TRAINING ACTIVITIES or by other forms of structured training and supervision.

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REFERRAL REQUEST

Change to Class: Changed Description
A subtype of SERVICE REQUEST.
A REFERRAL REQUEST is a request for a care service, other than a specific diagnostic investigation or diagnostic procedure, to be provided for a PATIENT. ~~This includes~~ ~~PATIENT~~ ~~self-referrals for an~~ ~~APPOINTMENT~~ ~~to see or be in contact with a~~ ~~CARE PROFESSIONAL~~ ~~of an~~ ~~Organisation~~. This includes PATIENT self-referrals for an APPOINTMENT to see or be in contact with a CARE PROFESSIONAL of an ORGANISATION.
If there is a verbal request this would normally be confirmed by written request, and these should be processed as one referral. An electronic message is treated as a written referral.
Where the REFERRAL REQUEST relates to a booking system, the PATIENT is given the choice of when to attend or be in contact. For full booking, the PATIENT is offered a date within one working day of the referral or DECISION TO ADMIT.

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REGISTER

Change to Class: Changed Description
A ~~REGISTER~~ ~~maintained by an~~ ~~Organisation~~.A REGISTER maintained by an ORGANISATION.

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RIGHT OF ADMISSION

Change to Class: Changed Description
~~An arrangement by a~~ ~~Health Care Provider~~ ~~giving Medical or Nursing Staff the right to admit a~~ ~~PATIENT~~ ~~to a~~ ~~Hospital Bed~~ or ~~Organisation Site~~.An arrangement by a Health Care Provider giving Medical or Nursing Staff the right to admit a PATIENT to a Hospital Bed or ORGANISATION SITE.

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SERVICE

Change to Class: Changed Description
~~A service provided by an~~ ~~Organisation~~ ~~which may be chargeable to one or more~~ ~~NHS SERVICE AGREEMENTS~~.
A service provided by an ORGANISATION which may be chargeable to one or more NHS SERVICE AGREEMENTS.

In most cases, the SERVICE will be for the direct benefit of a PATIENT.
A ~~SERVICE~~ ~~associated with a~~ ~~Care Spell~~ ~~may be treatment carried out by the~~ ~~Organisation~~ ~~acting as the~~ ~~Health Care Provider~~ ~~as part of a~~ ~~Care Spell~~ ~~for which the lead responsibility is with another~~ ~~Organisation~~.
A SERVICE associated with a Care Spell may be treatment carried out by the ORGANISATION acting as the Health Care Provider as part of a Care Spell for which the lead responsibility is with another ORGANISATION.

SERVICE TYPE provides a list of SERVICES.

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WAITING LIST

Change to Class: Changed Description
~~A list of~~ ~~PATIENTS~~ ~~waiting to receive a consultative, assessment, diagnosis, care or treatment~~ ~~ACTIVITY~~ ~~from an~~ ~~Organisation~~. ~~The list is maintained for an identified~~ ~~CARE PROFESSIONAL~~ or ~~SERVICE~~ ~~within an~~ ~~Organisation~~.A list of PATIENTS waiting to receive a consultative, assessment, diagnosis, care or treatment ACTIVITY from an ORGANISATION.
The list is maintained for an identified CARE PROFESSIONAL or SERVICE within an ORGANISATION.
The subtypes of WAITING LIST are:
ELECTIVE ADMISSION LIST
APPOINTMENT WAITING LIST
TRANSPLANT WAITING LIST
Lists can be maintained in several forms, using either computer or manual systems, including CONSULTANT' diaries. They may be kept by TREATMENT FUNCTION CODE or for an individual CARE PROFESSIONAL.
~~PATIENTS~~ ~~may appear on more than one list for the same~~ ~~Organisation~~ ~~or other~~ ~~Organisations~~ ~~at the same time unless otherwise specified.~~PATIENTS may appear on more than one list for the same ORGANISATION or other ORGANISATIONS at the same time unless otherwise specified.

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

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ACTIVITY IDENTIFIER

Change to Attribute: Changed Description
~~A unique number or set of characters that is applicable to only one~~ ~~ACTIVITY~~ ~~for a~~ ~~PATIENT~~ ~~within an~~ ~~Organisation~~.A unique number or set of characters that is applicable to only one ACTIVITY for a PATIENT within an ORGANISATION.

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ADDRESS

Change to Attribute: Changed Description
~~The identification of a place of relevance to a~~ ~~PERSON~~, ~~Organisation~~, ~~Organisation Site~~ or ~~LOCATION~~.The identification of a place of relevance to a PERSON, ORGANISATION, ORGANISATION SITE or LOCATION.

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ADDRESS ASSOCIATION END DATE

Change to Attribute: Changed Description
~~The date that an~~ ~~ADDRESS~~ ~~for a~~ ~~PERSON~~, ~~Organisation~~, ~~Organisation Site~~ or ~~LOCATION~~ ~~of a particular usage ceases to be applicable.~~The date that an ADDRESS for a PERSON, ORGANISATION, ORGANISATION SITE or LOCATION of a particular usage ceases to be applicable.

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ADDRESS ASSOCIATION START DATE

Change to Attribute: Changed Description
~~The date that an~~ ~~ADDRESS~~ ~~for a~~ ~~PERSON~~, ~~Organisation~~, ~~Organisation Site~~ or ~~LOCATION~~ ~~of a particular usage becomes applicable.~~The date that an ADDRESS for a PERSON, ORGANISATION, ORGANISATION SITE or LOCATION of a particular usage becomes applicable.

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ASSIGNMENT LAST WORKING DATE

Change to Attribute: Changed Description
~~The date of the last day on which an~~ ~~EMPLOYEE~~ ~~will physically work for an~~ ~~Organisation~~.The date of the last day on which an EMPLOYEE will physically work for an ORGANISATION.
The date may differ from the EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE due to annual leave, etc.

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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).
~~For the~~ ~~National Cancer Waiting Times Monitoring Data Set~~,
~~CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS~~ ~~is the status of a~~ ~~REFERRAL REQUEST~~ ~~for a~~ ~~PATIENT~~:
~~referred with a suspected cancer by a~~ ~~GENERAL MEDICAL PRACTITIONER~~, ~~GENERAL DENTAL PRACTITIONER~~, ~~OPTOMETRIST~~ ~~or NHS~~ ~~Screening Service~~
~~referred from any~~ ~~CARE PROFESSIONAL~~ ~~with breast symptoms where cancer was not originally suspected or upgraded onto the 62 day period.~~
~~Where a diagnosis of cancer is subsequently made, data on~~ ~~First Definitive Treatment~~ ~~and subsequent treatments should be recorded for~~ ~~PATIENTS~~ ~~receiving NHS funded treatment in England.~~
~~NHS funded treatment in England refers to~~ ~~Health Care Provider~~ ~~Organisations~~ ~~within England who are treating~~ ~~PATIENTS~~ ~~with cancer who may have been referred from outside England (where the~~ ~~PATIENTS~~ ~~have~~ ~~NHS NUMBERS~~ ~~which exist on the~~ ~~Personal Demographics Service~~ ~~and which can be used within the~~ ~~National Cancer Waiting Times Monitoring Data Set~~ ~~for transmission purposes).~~
~~Where~~ ~~PATIENTS~~ ~~with a diagnosis of cancer do NOT receive NHS funded treatment in England, or where the diagnosed condition is not within the~~ ~~NHS England~~ ~~list of cancer conditions, further data need not be collected. The full list of conditions can be found on the~~ ~~NHS Digital~~ ~~website at:~~ ~~Cancer Waiting Times~~.
For the National Cancer Waiting Times Monitoring Data Set,
CANCER OR SYMPTOMATIC BREAST REFERRAL PATIENT STATUS is the status of a REFERRAL REQUEST for a PATIENT:
referred with a suspected cancer by a GENERAL MEDICAL PRACTITIONER, GENERAL DENTAL PRACTITIONER, OPTOMETRIST or NHS Screening Service
referred from any CARE PROFESSIONAL with breast symptoms where cancer was not originally suspected or upgraded onto the 62 day period.
Where a diagnosis of cancer is subsequently made, data on First Definitive Treatment and subsequent treatments should be recorded for PATIENTS receiving NHS funded treatment in England.
NHS funded treatment in England refers to Health Care Provider ORGANISATIONS within England who are treating PATIENTS with cancer who may have been referred from outside England (where the PATIENTS have NHS NUMBERS which exist on the Personal Demographics Service and which can be used within the National Cancer Waiting Times Monitoring Data Set for transmission purposes).
Where PATIENTS with a diagnosis of cancer do NOT receive NHS funded treatment in England, or where the diagnosed condition is not within the NHS England list of cancer conditions, further data need not be collected. The full list of conditions can be found on the NHS Digital website at: Cancer Waiting Times.
National Codes:
14 Suspected Primary Cancer
09 Under 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.'
03 No new cancer diagnosis identified by the Health Care Provider
10 Diagnosis of new cancer confirmed - NHS funded first treatment not yet planned
11 Diagnosis of new cancer confirmed - NHS funded first treatment planned
07 Diagnosis of new cancer confirmed - no NHS funded treatment planned
08 First NHS funded treatment commenced
12 Diagnosis of new cancer confirmed - subsequent NHS funded treatment not yet planned
13 Diagnosis of new cancer confirmed - subsequent NHS funded treatment planned
21 Subsequent NHS funded treatment commenced
15 Suspected Recurrent Cancer
16 Diagnosis of Recurrent Cancer confirmed - first NHS funded treatment not yet planned
17 Diagnosis of Recurrent Cancer confirmed - NHS funded first treatment planned
18 Diagnosis of Recurrent Cancer confirmed - no NHS funded treatment planned
19 Diagnosis of Recurrent Cancer confirmed - subsequent NHS funded treatment not yet planned
20 Diagnosis of Recurrent Cancer confirmed - subsequent NHS funded treatment planned

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CARE PLAN AGREED BY

Change to Attribute: Changed Description
~~The type of~~ ~~PERSON~~, ~~SERVICE~~ or ~~Organisation~~ ~~that agreed the~~ ~~CARE PLAN~~ ~~for the~~ ~~PATIENT~~.The type of PERSON, SERVICE or ORGANISATION that agreed the CARE PLAN for the PATIENT.
National Codes:
10 PATIENT or Patient Proxy
11 Family member or Carer
12 Advocate
13 Clinical Service or Team
14 Local Community Support Team
15 Commissioner

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CDS INTERCHANGE SENDER IDENTITY

Change to Attribute: Changed Description
~~The assigned Electronic Data Interchange (EDI) address of the physical~~ ~~Organisation~~ ~~or site responsible for sending Commissioning data.~~The assigned Electronic Data Interchange (EDI) address of the physical ORGANISATION or site responsible for sending Commissioning data.

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COMMUNICATION CONTACT METHOD

Change to Attribute: Changed Description
~~A coded representation of a~~ ~~COMMUNICATION CONTACT METHOD~~ ~~which identifies the method by which a~~ ~~PERSON~~ ~~or an~~ ~~Organisation~~ ~~may be contacted via the use of a~~ ~~COMMUNICATION CONTACT STRING~~.A coded representation of a COMMUNICATION CONTACT METHOD which identifies the method by which a PERSON or an ORGANISATION may be contacted via the use of a COMMUNICATION CONTACT STRING.
National Codes:
1 UK Telephone Number
2 Other non UK Telephone Number
3 UK Facsimile Number
4 Internet e-Mail Address
5 Uniform Resource Locator (URL)
6 Pager

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CRITICAL CARE ADMISSION SOURCE

Change to Attribute: Changed Description
~~The primary~~ ~~Organisation~~ ~~type that the~~ ~~PATIENT~~ ~~has been admitted from prior to the start of the~~ ~~CRITICAL CARE PERIOD~~.The primary ORGANISATION type that the PATIENT has been admitted from prior to the start of the CRITICAL CARE PERIOD.
National Codes:
01 Same NHS Hospital Site
02 Other NHS Hospital Site (same or different NHS Trust)
03 Independent Hospital Provider in the UK
04 Non-hospital source within the UK (e.g. home)
05 Non UK source such as repatriation, military personnel or foreign national

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CRITICAL CARE DISCHARGE DESTINATION

Change to Attribute: Changed Description
~~The primary~~ ~~Organisation~~ ~~type that the~~ ~~PATIENT~~ ~~has been discharged to at the end of the~~ ~~CRITICAL CARE PERIOD~~.The primary ORGANISATION type that the PATIENT has been discharged to at the end of the CRITICAL CARE PERIOD.
National Codes:
01 Same NHS Hospital Site
02 Other NHS Hospital Site (can be same Trust or a different NHS Trust)
03 Independent Hospital Provider in the UK
04 Non-hospital destination within the UK (e.g. home as coded in LOCATION)
05 Non United Kingdom destination (e.g. repatriation)
06 No DISCHARGE DESTINATION, PATIENT died in unit

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DEATH LOCATION TYPE CODE

Change to Attribute: Changed Description
The type of LOCATION:
At which a PERSON died or
The preferred LOCATION of death of the PATIENT, as stated by the PATIENT, Patient Proxy or Carer.
~~Note that~~ ~~Organisations~~ ~~may choose to collect the~~ ~~DEATH LOCATION TYPE CODE~~ ~~codes at the high level (shown in~~ ~~bold~~~~) or at the more detailed level below each high-level code.~~Note that ORGANISATIONS may choose to collect the DEATH LOCATION TYPE CODE codes at the high level (shown in bold) or at the more detailed level below each high-level code.
National Codes:
10 Hospital
20 Private Residence
21 PATIENT's own home
22 Other private residence (e.g. relative's home, Carer's home)
30 Hospice
40 Care Home
41 Care Home With Nursing
42 Care Home Without Nursing
50 Other (not listed)

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DISCHARGE DESTINATION FROM NEONATAL CRITICAL CARE

Change to Attribute: Changed Description
The destination of a baby discharged from a neonatal CRITICAL CARE PERIOD.
National Codes:
1 Home with parent(s)
2 ~~WARD~~ ~~in same~~ ~~Organisation~~
2 WARD in same ORGANISATION
3 Died
4 Social/foster care
5 ~~Transferred to a~~ ~~Hospital Site~~ ~~of another~~ ~~Organisation~~ ~~for further care~~
5 Transferred to a Hospital Site of another ORGANISATION for further care
6 Transferred to a Hospice

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DISCHARGE PLAN AGREED BY

Change to Attribute: Changed Description
~~The type of~~ ~~PERSON~~, ~~SERVICE~~ or ~~Organisation~~ ~~that agreed the~~ ~~Discharge Plan~~ ~~for the~~ ~~PATIENT~~.The type of PERSON, SERVICE or ORGANISATION that agreed the Discharge Plan for the PATIENT.
National Codes:
10 PATIENT or Patient Proxy
11 Family member or Carer
12 Advocate
13 Clinical Service or Team
14 Local Community Support Team
15 Current Commissioner
16 Commissioner of Planned DISCHARGE DESTINATION

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DOCTOR INDEX NUMBER

Change to Attribute: Changed Description
The General Medical Council allocates all doctors a GENERAL MEDICAL COUNCIL REFERENCE NUMBER on their first contact with the General Medical Council.
If a doctor chooses to enter general practice in England or Wales, a further 6-digit number is allocated by NHS Digital. This number is referred to as the DOCTOR INDEX NUMBER.
~~The~~ ~~DOCTOR INDEX NUMBER~~ ~~is passed to the requesting~~ ~~Clinical Commissioning Group~~ or ~~Organisation~~ ~~authorised to act on their behalf who then liaise with~~ ~~NHS Prescription Services~~ ~~on the issue of prescription pads etc.~~
The DOCTOR INDEX NUMBER is passed to the requesting Clinical Commissioning Group or ORGANISATION authorised to act on their behalf who then liaise with NHS Prescription Services on the issue of prescription pads etc.
NHS Prescription Services use the number to derive the GENERAL MEDICAL PRACTITIONER PPD CODE by prefixing it with a leading character and adding a check digit at the end.
A doctor can be both a GENERAL PRACTITIONER and a Hospital CONSULTANT, and therefore hold a DOCTOR INDEX NUMBER, GENERAL MEDICAL PRACTITIONER PPD CODE and a CONSULTANT CODE simultaneously.
Doctor Index Number Code Table
Practitioner
Code Type
Character Position
Allocated
By Allocated
To Known
As Notes
1

2

3

4

5

6

DOCTOR INDEX NUMBER 0-9 0-9 0-9 0-9 0-9 0-9 NHS Digital GMPs in England & Wales DIN Allocated to a doctor upon applying to enter General Medical Practice in England or Wales

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EMPLOYEE ABSENCE OCCURRENCE TOTAL IN REPORTING PERIOD

Change to Attribute: Changed Description
~~The sum total of all absences recorded for an~~ ~~EMPLOYEE~~ ~~within an~~ ~~Organisation~~ ~~during the~~ ~~REPORTING PERIOD~~.The sum total of all absences recorded for an EMPLOYEE within an ORGANISATION during the REPORTING PERIOD.

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EMPLOYEE ABSENCE RATE IN REPORTING PERIOD

Change to Attribute: Changed Description
~~The percentage rate of an~~ ~~EMPLOYEE's absence in an~~ ~~Organisation~~ ~~during the~~ ~~REPORTING PERIOD~~.The percentage rate of an EMPLOYEE's absence in an ORGANISATION during the REPORTING PERIOD.
Where the standard working week for the EMPLOYEE is expressed in EMPLOYMENT CONTRACT WORKING SESSIONS per week an assumed value of 3.5 hours per session should be used to convert sessions into working hours.

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EMPLOYEE LENGTH OF TIME IN POSITION

Change to Attribute: Changed Description
~~The number of months an~~ ~~EMPLOYEE~~ ~~has been employed in a~~ ~~POSITION~~ ~~in an~~ ~~Organisation~~.The number of months an EMPLOYEE has been employed in a POSITION in an ORGANISATION.

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EMPLOYEE LOCAL IDENTIFIER

Change to Attribute: Changed Description
~~A unique identifier for an~~ ~~EMPLOYEE~~ ~~on an~~ ~~Organisation's Human Resources and/or Payroll system.~~A unique identifier for an EMPLOYEE on an ORGANISATION's Human Resources and/or Payroll system.

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EMPLOYEE ORGANISATION LENGTH OF SERVICE

Change to Attribute: Changed Description
~~The number of years service in an~~ ~~Organisation~~ ~~by an~~ ~~EMPLOYEE~~.The number of years service in an ORGANISATION by an EMPLOYEE.
EMPLOYEE ORGANISATION LENGTH OF SERVICE is the calculated number of years from the EMPLOYMENT HISTORY ORGANISATION JOINING DATE to the EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE.
Where there is no recorded EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE i.e. the EMPLOYEE is still employed or the EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE is after the REPORTING PERIOD END DATE then the REPORTING PERIOD END DATE should be used instead of the EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE.

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EMPLOYMENT CONTRACT END DATE

Change to Attribute: Changed Description
~~The date on which an~~ ~~EMPLOYMENT CONTRACT~~ ~~between an~~ ~~EMPLOYEE~~ ~~and an~~ ~~Organisation~~ ~~ended.~~The date on which an EMPLOYMENT CONTRACT between an EMPLOYEE and an ORGANISATION ended.
This is the legal contract termination date.

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EMPLOYMENT CONTRACT START DATE

Change to Attribute: Changed Description
~~The date on which an~~ ~~EMPLOYMENT CONTRACT~~ ~~between an~~ ~~EMPLOYEE~~ ~~and an~~ ~~Organisation~~ ~~started.~~The date on which an EMPLOYMENT CONTRACT between an EMPLOYEE and an ORGANISATION started.

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EMPLOYMENT HISTORY EMPLOYMENT LEAVING DATE

Change to Attribute: Changed Description
~~The legal termination date of an~~ ~~EMPLOYEE's employment with an employing~~ ~~Organisation~~.The legal termination date of an EMPLOYEE's employment with an employing ORGANISATION.

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EMPLOYMENT HISTORY EXIT INTERVIEW INDICATOR

Change to Attribute: Changed Description
~~An indication of whether an Exit Interview has taken place prior to an~~ ~~EMPLOYEE~~ ~~leaving employment with an NHS~~ ~~Organisation~~.An indication of whether an Exit Interview has taken place prior to an EMPLOYEE leaving employment with an NHS ORGANISATION.
National Codes:
01 Yes - interview was held
02 No - interview was not held

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EMPLOYMENT HISTORY EXIT QUESTIONNAIRE INDICATOR

Change to Attribute: Changed Description
~~An indication of whether an Exit Questionnaire has been completed prior to an~~ ~~EMPLOYEE~~ ~~leaving employment with an NHS~~ ~~Organisation~~.An indication of whether an Exit Questionnaire has been completed prior to an EMPLOYEE leaving employment with an NHS ORGANISATION.
National Codes:
01 Yes - questionnaire was completed
02 No - questionnaire was not completed

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EMPLOYMENT HISTORY LEAVING DESTINATION

Change to Attribute: Changed Description
~~The destination of an~~ ~~EMPLOYEE~~ ~~on termination of their employment with the NHS~~ ~~Organisation~~.The destination of an EMPLOYEE on termination of their employment with the NHS ORGANISATION.
The destination indicates the type of ORGANISATION to which the EMPLOYEE will go, or the type of employment the EMPLOYEE will be taking up, or whether they will cease to be employed when they leave the current NHS ORGANISATION.
~~The destination indicates the type of~~ ~~Organisation~~ ~~to which the~~ ~~EMPLOYEE~~ ~~will go, or the type of employment the~~ ~~EMPLOYEE~~ ~~will be taking up, or whether they will cease to be employed when they leave the current NHS~~ ~~Organisation~~.
National Codes:
01 ~~NHS~~ ~~Organisation~~
01 NHS ORGANISATION
02 Social Services
03 Private Health/Social Care
04 General Practice
05 Prison Service
06 Armed Forces
07 Education Sector
08 Other Public Sector
09 Other Private Sector
10 Self Employed
11 Abroad - EU Country
12 Abroad - Non EU Country
13 Education /Training
14 Return to Practice
15 No Employment
16 Death in Service
17 Third Sector

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EMPLOYMENT HISTORY LEAVING REASON

Change to Attribute: Changed Description
~~The reason given for an~~ ~~EMPLOYEE~~ ~~to be leaving their employment with an~~ ~~Organisation~~.The reason given for an EMPLOYEE to be leaving their employment with an ORGANISATION.
~~The reason specifies either the~~ ~~EMPLOYEE's, or the Employing~~ ~~Organisation's, reason for terminating the employment.~~The reason specifies either the EMPLOYEE's, or the Employing ORGANISATION's, reason for terminating the employment.
National Codes:
01 Death in Service
02 Dismissal - Capability
03 Dismissal - Conduct
04 Dismissal - Some Other Substantial Reason
05 Dismissal - Statutory Reason
06 End of Fixed Term Contract - Completion of Training Scheme
07 End of Fixed Term Contract - End of Work Requirement
08 End of Fixed Term Contract - External Rotation
09 End of Fixed Term Contract - Other
10 Initial Pension Ended
11 Pregnancy
12 Redundancy - Compulsory
13 Redundancy - Voluntary
14 Retirement - Age
15 Retirement - Ill Health
16 Voluntary Early Retirement - no Actuarial Reduction
17 Voluntary Early Retirement - with Actuarial Reduction
18 Voluntary Resignation - Adult Dependants
19 Voluntary Resignation - Better Reward Package
20 Voluntary Resignation - Child Dependants
21 Voluntary Resignation - Health
22 Voluntary Resignation - Incompatible Working Relationships
23 Voluntary Resignation - Lack of Opportunities
24 Voluntary Resignation - Other/Not Known
25 Voluntary Resignation - Promotion
26 Voluntary Resignation - Relocation
27 Voluntary Resignation - Work Life Balance
28 Voluntary Resignation - To undertake further education or training
29 Bank staff not fulfilled minimum work requirement
30 Mutually Agreed Resignation - National Scheme with Repayment
31 Mutually Agreed Resignation - Local Scheme with Repayment
32 Mutually Agreed Resignation - Local Scheme without Repayment (Retired 01 January 2016)

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EMPLOYMENT HISTORY NHS JOINING DATE

Change to Attribute: Changed Description
The date on which an EMPLOYEE commenced (or re-commenced) employment in the NHS.
~~This can be with any NHS employing~~ ~~Organisation~~.This can be with any NHS employing ORGANISATION.

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EMPLOYMENT HISTORY ORGANISATION JOINING DATE

Change to Attribute: Changed Description
~~The date on which an~~ ~~EMPLOYEE~~ ~~commenced working for an employing~~ ~~Organisation~~.The date on which an EMPLOYEE commenced working for an employing ORGANISATION.

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EMPLOYMENT HISTORY RECRUITMENT SOURCE

Change to Attribute: Changed Description
~~The source of recruitment of an~~ ~~EMPLOYEE~~ ~~immediately prior to joining an employing~~ ~~Organisation~~.The source of recruitment of an EMPLOYEE immediately prior to joining an employing ORGANISATION.
If the EMPLOYEE has been employed, the type of employer, or 'Self Employed', is recorded.
Where the EMPLOYEE has come from abroad, whether employed or not, the source or recruitment indicates whether the respective country is within the EU or outside the EU.
Where the EMPLOYEE was not employed, the source of recruitment indicates whether the EMPLOYEE is Newly Qualified, has undertaken some other form of Education/Training, is Returning to Practice, or was otherwise not employed.
The source of recruitment does not indicate the medium used in the recruitment campaign.
National Codes:
01 ~~NHS~~ ~~Organisation~~
01 NHS ORGANISATION
02 Social Services
03 Private Health/Social Care
04 General Practice
05 Prison Service
06 Armed Forces
07 Education Sector
08 Other Public Sector
09 Other Private Sector
10 Self Employed
11 Abroad - EU Country
12 Abroad - Non EU Country
13 Education /Training
14 NQ - First Qualification
15 NQ - Further Qualification
16 Return to Practice
17 No Employment
18 Third Sector

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FETAL ORDER

Change to Attribute: Changed Description
~~The order or sequence of the~~ ~~Fetus~~.The order or sequence of the Fetus (unborn baby).
~~The~~ ~~FETAL ORDER~~ ~~is represented by a single numeric value, with 1 indicating the first or only~~ ~~Fetus~~ ~~assessed in the sequence, 2 indicating the second, and so on.~~The FETAL ORDER is represented by a single numeric value, with 1 indicating the first or only Fetus assessed in the sequence, 2 indicating the second, and so on.

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GS1 APPLICATION IDENTIFIER (INTERNAL)

Change to Attribute: Changed Description
A number used to identify the meaning (or status) of the data which immediately follows the GS1 Application Identifier (Internal).
National Codes:
91 ~~Hospital Identifiers: identifies that the data immediately following the~~ ~~GS1 Application Identifier (Internal)~~ ~~relates to local hospital identifiers, typically~~ ~~ORGANISATION IDENTIFIER (CODE OF PROVIDER)~~, ~~LOCAL PATIENT IDENTIFIER (EXTENDED)~~ ~~and the~~ ~~Organisation~~ ~~GS1 GLOBAL LOCATION NUMBER~~.
91 Hospital Identifiers: identifies that the data immediately following the GS1 Application Identifier (Internal) relates to local hospital identifiers, typically ORGANISATION IDENTIFIER (CODE OF PROVIDER), LOCAL PATIENT IDENTIFIER (EXTENDED) and the ORGANISATION GS1 GLOBAL LOCATION NUMBER.
92 Baby Details: identifies that the data immediately following the GS1 Application Identifier (Internal) relates to baby details, typically NUMBER OF BABIES IDENTIFICATION CODE (PATIENT IDENTIFICATION), PERSON FAMILY NAME (MOTHER OF BABY) and PERSON GIVEN NAME (MOTHER OF BABY).
93 PATIENT Descriptive Data: identifies that the data immediately following the GS1 Application Identifier (Internal) relates to PATIENT descriptive data, typically PERSON FAMILY NAME, PERSON GIVEN NAME, DATE OF BIRTH (PATIENT IDENTIFICATION) and TIME OF BIRTH (PATIENT IDENTIFICATION).
94 General Data: identifies that the data immediately following the GS1 Application Identifier (Internal) is the 2 character code '00' followed by a PATIENT GS1 Global Service Relation Number. Note this Code is NOT valid for the AIDC for Patient Identification Data Set. All other uses of GS1 Application Identifier (Internal) '94' are reserved for future use.
Notes:
Codes 95-97 have been reserved for national use only, and are not to be allocated by the NHS locally. Codes 98 and 99 can be allocated by the NHS for local use.
Further guidance can be found on the NHS Digital website at: DCB1077: AIDC for Patient Identification.

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GS1 GLOBAL LOCATION NUMBER

Change to Attribute: Changed Description
~~A unique number which identifies a~~ ~~LOCATION~~ ~~within an~~ ~~Organisation, for the purposes of~~ ~~GS1~~ ~~Standards.~~A unique number which identifies a LOCATION within an ORGANISATION, for the purposes of GS1 Standards.
The GS1 GLOBAL LOCATION NUMBER is allocated by the Health Care Provider from the GS1 UNIQUE ORGANISATION PREFIX NUMBER.
Further guidance can be found on the NHS Digital website at: DCB1077: AIDC for Patient Identification.

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GS1 UNIQUE ORGANISATION PREFIX NUMBER

Change to Attribute: Changed Description
A unique number which forms the basis of an identification key, for the purposes of GS1 Standards.
~~The~~ ~~GS1 UNIQUE ORGANISATION PREFIX NUMBER~~ ~~is assigned to an~~ ~~Organisation~~ by ~~GS1~~.The GS1 UNIQUE ORGANISATION PREFIX NUMBER is assigned to an ORGANISATION by GS1.
Further guidance can be found on the NHS Digital website at: DCB1077: AIDC for Patient Identification.

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HEADCOUNT ORGANISATION CURRENT

Change to Attribute: Changed Description
~~The total number of~~ ~~EMPLOYEES~~ ~~currently employed within the~~ ~~Organisation~~ ~~on the~~ ~~REPORTING PERIOD END DATE~~.The total number of EMPLOYEES currently employed within the ORGANISATION on the REPORTING PERIOD END DATE.
~~HEADCOUNT (ORGANISATION CURRENT)~~ ~~is a count of the number of~~ ~~EMPLOYEES~~ ~~who have one or more~~ ~~EMPLOYMENT CONTRACTS~~ ~~with the~~ ~~Organisation~~ ~~where the:~~HEADCOUNT (ORGANISATION CURRENT) is a count of the number of EMPLOYEES who have one or more EMPLOYMENT CONTRACTS with the ORGANISATION where the:
EMPLOYMENT CONTRACT START DATE is before or on the REPORTING PERIOD END DATE
and
EMPLOYMENT CONTRACT END DATE is on or after the REPORTING PERIOD START DATE.

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HEADCOUNT POSITION ASSIGNMENT CURRENT

Change to Attribute: Changed Description
~~The total number of assignments for~~ ~~POSITIONS~~ ~~currently within the~~ ~~Organisation~~ ~~on the~~ ~~REPORTING PERIOD END DATE~~.The total number of assignments for POSITIONS currently within the ORGANISATION on the REPORTING PERIOD END DATE.

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HEADCOUNT STABILITY RATE JOB ROLE IN REPORTING PERIOD

Change to Attribute: Changed Description
~~The percentage of~~ ~~EMPLOYEES~~ ~~who remain employed within a~~ ~~POSITION~~ ~~within the~~ ~~Organisation~~ ~~within the~~ ~~REPORTING PERIOD~~.The percentage of EMPLOYEES who remain employed within a POSITION within the ORGANISATION within the REPORTING PERIOD.

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HEADCOUNT STABILITY RATE ORGANISATION IN REPORTING PERIOD

Change to Attribute: Changed Description
~~The percentage of~~ ~~EMPLOYEES~~ ~~who remain employed within the~~ ~~Organisation~~ ~~within the~~ ~~REPORTING PERIOD~~.The percentage of EMPLOYEES who remain employed within the ORGANISATION within the REPORTING PERIOD.

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HEADCOUNT STABILITY RATE STAFF GROUP IN REPORTING PERIOD

Change to Attribute: Changed Description
~~The percentage of~~ ~~EMPLOYEES~~ ~~who remain employed within a~~ ~~Staff Group~~ ~~within the~~ ~~Organisation~~ ~~within the~~ ~~REPORTING PERIOD~~.The percentage of EMPLOYEES who remain employed within a Staff Group within the ORGANISATION within the REPORTING PERIOD.

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HEADCOUNT TURNOVER RATE FTE IN REPORTING PERIOD

Change to Attribute: Changed Description
~~The percentage of~~ ~~EMPLOYEES, based upon their~~ ~~ASSIGNMENT CONTRACTED FULL TIME EQUIVALENT, leaving employment with the~~ ~~Organisation~~ ~~within the~~ ~~REPORTING PERIOD~~.The percentage of EMPLOYEES, based upon their ASSIGNMENT CONTRACTED FULL TIME EQUIVALENT, leaving employment with the ORGANISATION within the REPORTING PERIOD.

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HEADCOUNT TURNOVER RATE ORGANISATION IN REPORTING PERIOD

Change to Attribute: Changed Description
~~The percentage of~~ ~~EMPLOYEES~~ ~~leaving employment with the~~ ~~Organisation~~ ~~within the~~ ~~REPORTING PERIOD~~.The percentage of EMPLOYEES leaving employment with the ORGANISATION within the REPORTING PERIOD.

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LOCAL CARE PROFESSIONAL IDENTIFIER

Change to Attribute: Changed Description
~~A unique number or set of characters allocated to a~~ ~~CARE PROFESSIONAL~~ ~~by an~~ ~~Organisation~~ ~~that will not be recognised nationally.~~A unique number or set of characters allocated to a CARE PROFESSIONAL by an ORGANISATION will not be recognised nationally.

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MAIN SPECIALTY CODE

Change to Attribute: Changed Description
A unique code identifying each MAIN SPECIALTY designated by Royal Colleges. This is the same as the NHS OCCUPATION CODES describing specialties.
Specialties are divisions of clinical work which may be defined by body systems (dermatology), age (paediatrics), clinical technology (nuclear medicine), clinical function (rheumatology), group of diseases (oncology) or combinations of these factors. Only Specialty titles recognised by the Royal Colleges and Faculties should be used. This list is maintained by the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 and European Primary and Specialist Dental Qualifications Regulations 1998.
~~Each~~ ~~CONSULTANT~~ ~~should be assigned a~~ ~~MAIN SPECIALTY~~ ~~by the~~ ~~Organisation~~ ~~to which the~~ ~~CONSULTANT~~ ~~is contracted.~~Each CONSULTANT should be assigned a MAIN SPECIALTY by the ORGANISATION to which the CONSULTANT is contracted. For physicians and surgeons with a generalist component to their work, the MAIN SPECIALTY should be general medicine or general surgery. The hallmark of a general physician or general surgeon is the continued care of unselected emergency referrals. The MAIN SPECIALTY is specific to a Health Care Provider. If, for example, a CONSULTANT physician working in two Health Care Providers has a generalist component to the work in one and not the other, general medicine is only assigned as the MAIN SPECIALTY in the former case. CONSULTANTS in general medicine or general surgery may also have specialist interests and these should be recorded as well as the MAIN SPECIALTY.
The initial source of the information should be the designation on the CONSULTANT's contract. This should be checked periodically against the work a CONSULTANT is actually doing so that the statistics can relate to a CONSULTANT's current type of work.
The MAIN SPECIALTY only should be used for the purpose of producing Specialty costing statistics and for Workforce statistics where links with ACTIVITY and finance are required. Other specialist interests of CONSULTANTS may be recorded for workforce planning purposes.
This will be used to indicate the skill level of medical and dental employees.
Pseudo MAIN SPECIALTY CODES should be used in Commissioning Data Set messages for lead CARE PROFESSIONALS other than CONSULTANT medical and dental staff e.g. 560, 950 and 960.
The MAIN SPECIALTY CODE for GENERAL PRACTITIONERS is General Medical Practice or General Dental Practice.
Joint Consultant Clinic ACTIVITY should be recorded against the MAIN SPECIALTY CODE of the CONSULTANT managing the clinic.
For further information, contact NHS Digital by email at: enquiries@nhsdigital.nhs.uk with the subject "Main Specialty and Treatment Function Codes".
Further information on the groupings and each MAIN SPECIALTY CODE is provided at: Main Specialty and Treatment Function Codes Table.
Note:
~~New National Codes for~~ ~~MAIN SPECIALTY CODE~~ ~~were introduced from 2 April 2020 as part of the update to the~~ ~~DCB0028: Treatment Function and Main Specialty Standard~~. Note that new codes should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets and any associated XML Schemas. Prior to these updates, health and care ~~Organisations~~ must review the impact of this information standard and make appropriate changes to local health IT systems from 2 April 2020 and before 1 April 2021. Where new National Codes are recorded locally, these will need to be mapped to an appropriate existing code for transmission and reporting purposes.
New National Codes for MAIN SPECIALTY CODE were introduced from 2 April 2020 as part of the update to the DCB0028: Treatment Function and Main Specialty Standard. Note that new codes should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets and any associated XML Schemas. Prior to these updates, health and care ORGANISATIONS must review the impact of this information standard and make appropriate changes to local health IT systems from 2 April 2020 and before 1 April 2021. Where new National Codes are recorded locally, these will need to be mapped to an appropriate existing code for transmission and reporting purposes.
National Codes:
100 General Surgery
101 Urology
107 Vascular Surgery
110 Trauma and Orthopaedics
120 Ear Nose and Throat
130 Ophthalmology
140 Oral Surgery
141 Restorative Dentistry
142 Paediatric Dentistry
143 Orthodontics
145 Oral and Maxillofacial Surgery
146 Endodontics
147 Periodontics
148 Prosthodontics
149 Surgical Dentistry
150 Neurosurgery
160 Plastic Surgery
170 Cardiothoracic Surgery
171 Paediatric Surgery
191 Pain Management (Retired 1 April 2004)
180 Emergency Medicine
190 Anaesthetics
192 Intensive Care Medicine
200 Aviation and Space Medicine
300 General Internal Medicine
301 Gastroenterology
302 Endocrinology and Diabetes
303 Clinical Haematology
304 Clinical Physiology
305 Clinical Pharmacology
310 Audio Vestibular Medicine
311 Clinical Genetics
312 CLINICAL CYTOGENETICS and MOLECULAR GENETICS (Retired 1 April 2010)
National Code 312 is retained for CONSULTANTS qualified in this Main Specialty prior to 1 April 2010
313 Clinical Immunology
314 Rehabilitation Medicine
315 Palliative Medicine
317 Allergy
320 Cardiology
321 Paediatric Cardiology
325 Sport and Exercise Medicine
326 Acute Internal Medicine
330 Dermatology
340 Respiratory Medicine
350 Infectious Diseases
352 Tropical Medicine
360 Genitourinary Medicine
361 Renal Medicine
370 Medical Oncology
371 Nuclear Medicine
400 Neurology
401 Clinical Neurophysiology
410 Rheumatology
420 Paediatrics
421 Paediatric Neurology
430 Geriatric Medicine
450 Dental Medicine
451 Special Care Dentistry
460 Medical Ophthalmology
500 Obstetrics and Gynaecology
National Code 500 is not acceptable for Central Returns including Hospital Episode Statistics
501 Obstetrics
502 Gynaecology
504 Community Sexual and Reproductive Health
510 Antenatal Clinic (Retired 1 April 2004)
520 Postnatal Clinic (Retired 1 April 2004)
560 Midwifery
600 General Medical Practice
601 General Dental Practice
610 Maternity Function (Retired 1 April 2004)
620 Other than Maternity (Retired 1 April 2004)
700 Intellectual Disability
710 Adult Mental Illness
711 Child and Adolescent Psychiatry
712 Forensic Psychiatry
713 Medical Psychotherapy
715 Old Age Psychiatry
800 Clinical Oncology
810 Radiology
820 General Pathology
821 Blood Transfusion
822 Chemical Pathology
823 Haematology
824 Histopathology
830 Immunopathology
831 Medical Microbiology and Virology
832 Neuropathology (Retired 1 April 2004)
833 Medical Microbiology
834 Medical Virology
900 Community Medicine
901 Occupational Medicine
902 Community Health Services Dental
903 Public Health Medicine
904 Public Health Dental
950 Nursing
960 Allied Health Professional
990 Joint Consultant Clinics (Retired 1 April 2004)

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MENTAL HEALTH DELAYED DISCHARGE ATTRIBUTABLE TO INDICATION CODE

Change to Attribute: Changed Description
~~An indication to which~~ ~~Organisation~~ ~~the~~ ~~Mental Health Delayed Discharge Period~~ ~~is attributable.~~An indication to which ORGANISATION Mental Health Delayed Discharge Period is attributable.
National Codes:
01 NHS (Retired 01 April 2017)
02 Social Care (Retired 01 April 2017)
03 Both (NHS and Social Care) (Retired 01 April 2017)
04 NHS, excluding housing
05 Social Care, excluding housing
06 Both (NHS and Social Care), excluding housing
07 Housing (including supported/specialist housing)

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MULTIDISCIPLINARY TEAM MEETING TYPE FOR CANCER

Change to Attribute: Changed Description
The type of Multidisciplinary Team Meeting at which the PATIENT's Cancer Care Plan was discussed.
Note: the codes at the high level (shown in bold) are Tumour groups and the items below each high-level code are Multidisciplinary Teams. ~~Organisations~~ ~~will only use the high-level code if the~~ ~~Multidisciplinary Team~~ ~~is not listed.~~ ORGANISATIONS will only use the high-level code if the Multidisciplinary Team is not listed.
National Codes:
0100 Breast
0101 Breast Multidisciplinary Team Meeting
0200 Brain/Central Nervous System
0201 Brain / Central Nervous System (CNS)/Neuroscience Multidisciplinary Team Meeting
0202 Rehabilitation and Non-Surgical (Network) Multidisciplinary Team Meeting
0203 Pituitary Multidisciplinary Team Meeting
0204 Skull base Multidisciplinary Team Meeting
0205 Spinal cord Multidisciplinary Team Meeting
0206 Low grade glioma Multidisciplinary Team Meeting
0207 Metastasis to brain Multidisciplinary Team Meeting
0208 Stereotactic Radiosurgery (SRS) Multidisciplinary Team Meeting
0209 Genetic subtypes Multidisciplinary Team Meeting
0300 Colorectal
0301 Colorectal Multidisciplinary Team Meeting
0302 Anal Multidisciplinary Team Meeting
0400 Children, Teenagers and Young Adults (CTYA)
0401 Paediatric Combined Diagnostic and Treatment Multidisciplinary Team Meeting
0402 Paediatric Haematology only Multidisciplinary Team Meeting
0403 Paediatric non-Central Nervous System (CNS) solid tumours only Multidisciplinary Team Meeting
0404 Paediatric Central Nervous System (CNS) malignancy only Multidisciplinary Team Meeting
0405 Paediatric Late Effects Multidisciplinary Team Meeting
0406 Paediatric Oncology Shared Care Unit (POSCU) Multidisciplinary Team Meeting
0407 Teenage and Young Adult Multidisciplinary Team Meeting
0408 Teenage and Young Adult Late Effects Multidisciplinary Team Meeting
0500 Gynaecology
0501 Gynaecology Local Multidisciplinary Team Meeting
0502 Gynaecology Specialist Multidisciplinary Team Meeting
0600 Haematology
0601 Haematology Multidisciplinary Team Meeting
0602 Lymphoma Multidisciplinary Team Meeting
0603 Plasma Cell Multidisciplinary Team Meeting
0604 Myeloid Multidisciplinary Team Meeting
0605 Bone Marrow Transplant Multidisciplinary Team Meeting
0700 Head and Neck (including Thyroid)
0701 Upper Aerodigestive Tract (UAT) only Multidisciplinary Team Meeting
0702 Upper Aerodigestive Tract (UAT) and Thyroid Multidisciplinary Team Meeting
0703 Thyroid Only Multidisciplinary Team Meeting
0800 Lung
0801 Lung Multidisciplinary Team Meeting
0802 Mesothelioma Specialist Multidisciplinary Team Meeting
0900 Sarcoma
0901 Bone and Soft tissue Multidisciplinary Team Meeting
0902 Bone Multidisciplinary Team Meeting
0903 Soft tissue Multidisciplinary Team Meeting
1000 Skin
1001 Skin Local Multidisciplinary Team Meeting
1002 Skin Specialist Multidisciplinary Team Meeting
1003 Melanoma Multidisciplinary Team Meeting
1004 Supra T-Cell Lymphoma Multidisciplinary Team Meeting
1100 Upper Gastrointestinal (GI)
1101 Upper Gastrointestinal (GI) Local Multidisciplinary Team Meeting
1102 Oesophago-Gastric (OG) Specialist Multidisciplinary Team Meeting
1103 Hepatobiliary and Pancreatic (HPB) Multidisciplinary Team Meeting
1104 Pancreatic/Biliary (PB) Specialist Multidisciplinary Team Meeting
1105 Hepatic Specialist Multidisciplinary Team Meeting
1200 Urology
1201 Urology Local Multidisciplinary Team Meeting
1202 Urology Specialist Multidisciplinary Team Meeting
1203 Testicular Supranetwork Multidisciplinary Team Meeting
1204 Penile Supranetwork Multidisciplinary Team Meeting
1300 Other (not listed)
1301 Cancer of Unknown Primary (CUP) Multidisciplinary Team Meeting
1302 Neuroendocrine Multidisciplinary Team Meeting
1303 Palliative Care Multidisciplinary Team Meeting
1304 Enhanced Supportive Care Multidisciplinary Team Meeting

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NHS CONTINUING HEALTHCARE COMMISSIONED SERVICES INDICATOR

Change to Attribute: Changed Description
~~An indication of whether the~~ ~~Clinical Commissioning Group~~ (~~CCG) authorises another~~ ~~Organisation~~ ~~to exercise any of its~~ ~~NHS Continuing Healthcare~~ ~~functions on its behalf, for example,~~ ~~Commissioning Support Unit~~ (~~CSU~~), ~~NHS Trust, section 75 arrangement with~~ ~~Local Authority~~.An indication of whether the Clinical Commissioning Group (CCG) authorises another ORGANISATION to exercise any of its NHS Continuing Healthcare functions on its behalf, for example, Commissioning Support Unit (CSU), NHS Trust, section 75 arrangement with Local Authority.
National Codes:
Y ~~Yes - the~~ ~~Clinical Commissioning Group~~ (~~CCG) authorises another~~ ~~Organisation~~ ~~to exercise its~~ ~~NHS Continuing Healthcare~~ ~~functions on its behalf~~
N ~~No - the~~ ~~Clinical Commissioning Group~~ (~~CCG) does not authorise another~~ ~~Organisation~~ ~~to exercise its~~ ~~NHS Continuing Healthcare~~ ~~functions on its behalf~~
Y Yes - the Clinical Commissioning Group (CCG) authorises another ORGANISATION to exercise its NHS Continuing Healthcare functions on its behalf
N No - the Clinical Commissioning Group (CCG) does not authorise another ORGANISATION to exercise its NHS Continuing Healthcare functions on its behalf

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NHS NUMBER

Change to Attribute: Changed Description
The NHS NUMBER, the primary identifier of a PERSON, is a unique identifier for a PATIENT within the NHS in England and Wales.
~~This will not vary by any~~ ~~Organisation~~ ~~of which a~~ ~~PERSON~~ ~~is a~~ ~~PATIENT~~.This will not vary by any ORGANISATION of which a PERSON is a PATIENT.
It is mandatory to record the NHS NUMBER. There are exceptions, such as Accident and Emergency care, sexual health and major incidents, as defined in existing national policies.
The NHS NUMBER is 10 numeric digits in length. The tenth digit is a check digit used to confirm its validity. The check digit is validated using the Modulus 11 algorithm and the use of this algorithm is mandatory. There are 5 steps in the validation of the check digit:
Step 1 Multiply each of the first nine digits by a weighting factor as follows:
Digit Position
(starting from the left) Factor:
1 10
2 9
3 8
4 7
5 6
6 5
7 4
8 3
9 2
Step 2 Add the results of each multiplication together.
Step 3 Divide the total by 11 and establish the remainder.
Step 4 Subtract the remainder from 11 to give the check digit.
If the result is 11 then a check digit of 0 is used. If the result is 10 then the NHS NUMBER is invalid and not used.
Step 5 Check the remainder matches the check digit. If it does not, the NHS NUMBER is invalid.
Further guidance is available from the NHS Digital website at: NHS Number.
Note:
This was e-GIF approved for use in NHS England.
e-GIF and the Government Data Standards Catalogue have been archived and are available for reference only.

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NHS SERVICE AGREEMENT NUMBER

Change to Attribute: Changed Description
~~A number used to uniquely identify a~~ ~~NHS SERVICE AGREEMENT~~ ~~by an~~ ~~Organisation~~ ~~acting as commissioner of patient care services.~~A number used to uniquely identify a NHS SERVICE AGREEMENT by an ORGANISATION acting as commissioner of patient care services.

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NUMBER OF COMMISSIONED WEEKLY HOURS OF CARE FOR NHS CONTINUING HEALTHCARE

Change to Attribute: Changed Description
~~The number of weekly hours of care the~~ ~~Organisation~~ ~~acting as~~ ~~Health Care Provider~~ ~~is commissioned to provide for~~ ~~SERVICES PROVIDED UNDER AGREEMENT~~ ~~in respect of~~ ~~NHS Continuing Healthcare~~.The number of weekly hours of care the ORGANISATION acting as Health Care Provider is commissioned to provide for SERVICES PROVIDED UNDER AGREEMENT in respect of NHS Continuing Healthcare.

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NUMBER OF FETUSES

Change to Attribute: Changed Description
~~The number of~~ ~~Fetuses~~ ~~counted within a particular~~ ~~Maternity Episode~~.The number of Fetuses (unborn babies) counted within a particular Maternity Episode.

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ONS ORGANISATION IDENTIFIER

Change to Attribute: Changed Description
~~ONS ORGANISATION IDENTIFIER~~ ~~is a code allocated by the~~ ~~Office for National Statistics~~ ~~which identifies the~~ ~~Organisation~~.ONS ORGANISATION IDENTIFIER is a code allocated by the Office for National Statistics which identifies the ORGANISATION.

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ONWARD REFERRAL REASON

Change to Attribute: Changed Description
~~The reason why the~~ ~~PATIENT~~ ~~was referred from one~~ ~~SERVICE~~ ~~to another~~ ~~SERVICE, which may be in the same or a different~~ ~~Organisation~~.The reason why the PATIENT was referred from one SERVICE to another SERVICE, which may be in the same or a different ORGANISATION.
Notes:
The following National Codes have been introduced for the Improving Access to Psychological Therapies Data Set only to add further granularity to National Code 04 'New Referral (Non Transfer)'. However, National Code 04 is still valid for the Improving Access to Psychological Therapies Data Set where extra detail cannot be collected:
05 'Stepped up from low intensity Improving Access to Psychological Therapies Service'
06 'Stepped down from high intensity Improving Access to Psychological Therapies Service'.
National Codes:
01 Transfer of Clinical Responsibility
02 For Opinion Only
03 For Diagnostic Test Only
04 New Referral (Non Transfer)
05 Stepped up from low intensity Improving Access to Psychological Therapies Service
06 Stepped down from high intensity Improving Access to Psychological Therapies Service
96 Other (not listed)

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ORGANISATION CODE

Change to Attribute: Changed Description
~~ORGANISATION CODE~~ ~~will be replaced with~~ ~~ORGANISATION IDENTIFIER, which is the most recent approved national information standard to describe the required definition.~~An ORGANISATION CODE is a code which identifies an ORGANISATION uniquely.
An ~~ORGANISATION CODE~~ ~~is a code which identifies an~~ ~~Organisation~~ ~~uniquely.~~
ORGANISATION CODES are managed by:
Organisation Data Service (ODS)
NHS Prescription Services
NHS Dental Services.
Notes:
Organisation Data Service codes can be downloaded from Technology Reference Data Update Distribution (TRUD)
Organisation Data Service contact details can be found at Contact Details.
ORGANISATION CODING FRAMES
~~All NHS~~ ~~Organisations~~ ~~are coded using coding frames, as shown in the tables below:~~
All NHS ORGANISATIONS are coded using coding frames, as shown in the tables below:
Character
Position

1

2

3

4

5

6

7

8

Format

a/n

a/n

a/n

a/n

a/n

a/n

a/n

a/n

A Frame

Organisation
Type Identifier

Organisation Identifier

B Frame

Organisation Type Identifier

Organisation Identifier

C Frame

Organisation Type Identifier

Organisation Identifier

D Frame

Organisation Type Identifier

Organisation Identifier

E Frame

Organisation Identifier

F Frame

Organisation Type Identifier

Organisation Identifier

G Frame

Organisation Type Identifier

Practice Identifier

H Frame

Organisation Type Identifier

Organisation Identifier

I Frame

Organisation Type Identifier

Organisation Identifier

K Frame

Organisation Identifier

L Frame

Organisation Type Identifier

Organisation Identifier

Organisation Type Identifier

M Frame

Organisation and Organisation Type Identifier

N Frame

Organisation Type Identifier

Organisation Identifier

A Frame:
Example
Non NHS Organisation (Independent Provider) e.g. 8HA03
8 = Organisation Type Identifier
Remainder = Organisation Identifier
B Frame:
Example
Local Service Provider e.g. LSP01
LSP = Organisation Type Identifier
01 = Organisation Identifier
Also:
Application Service Provider e.g. YGM01
Education Establishment e.g. YDF01
NHS Support Agency e.g. YDD01
C Frame:
Example
School e.g. EE134290
EE = Organisation Type Identifier
Remainder = Organisation Identifier
D Frame:
Example
Care Trust e.g. TAK
T = Organisation Type Identifier
AK = Organisation Identifier
Also:
Commissioning Support Unit (CSU) /
Data Services for Commissioners Regional Office (DSCRO) e.g. 0AA
High Level Health Geography, e.g. Sustainability and Transformation Partnership e.g. QJK
Local Health Board (Wales) e.g. 7A1
NHS Trust e.g. RH8
Justice Organisation e.g. VAA
E Frame:
Example
Government Office Region (GOR) e.g. K
K = Organisation Identifier
Note: Government Office Region (GOR) is identified by a one character code; no other one character code exists.
F Frame:
Example
Pharmacy Headquarters e.g. P001
P = Organisation Type Identifier
001 = Organisation Identifier
Also:
Care Home Headquarters e.g.CA0A
Optical Headquarters e.g.T1A1
G Frame:
Example
GP Practices in England and Wales e.g. Y00001
Y = Organisation Type Identifier
00001 = Practice Identifier
Also:
Dental Practice e.g.V20052
H Frame:
Example
Cancer Network e.g. N01
N0 (where the 2nd character is numeric and not alpha) = Organisation Type Identifier
1 = Organisation Identifier
Also:
Booking Management System (BMS) Call Centre Establishment e.g. YF1
Government Department e.g. XDA
Independent Sector Healthcare Provider (ISHP) (where the 2nd character is alpha) e.g. NV7
National Application Service Provider e.g. YEA
Other Statutory Authority (OSA) e.g. X16
I Frame:
Example
Special Health Authority (SpHA) e.g. T1150
T1 = Organisation Type Identifier
150 = Organisation Identifier
K Frame:
Example
NHS Wales Informatics Service e.g. W00
W00 = Organisation Identifier
L Frame:
Example
Northern Ireland Local Commissioning Group e.g. ZC010
Characters 1-3 (ZC0) AND character 5 (0) = Organisation Type Identifier
Character 4 = Organisation Identifier
Note: this is a 5 character method of displaying Northern Ireland Local Commissioning Group identifiers.
Characters 3 and 5 are ‘fillers’. If a 3 character code is required (as used by the Office for National Statistics in the NHS Postcode Directory) zeros can be omitted, e.g. ZC1.
The 3 character method of displaying the Northern Ireland Local Commissioning Group identifiers fit under the H Frame.
Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009.
M Frame:
Example
Clinical Commissioning Group (CCG) e.g. 12A
12A = Organisation and Organisation Type Identifier
Also:
Local Authority e.g.000

N Frame:
Example
GP Abeyance and Dispersal GP Practice e.g. G7817414
G78 = Organisation Type Identifier
17414 = Organisation Identifier
The structure and format of ORGANISATION CODES maintained by the Organisation Data Service, NHS Prescription Services, NHS Dental Services and other agencies are detailed in the tables below.
ORGANISATION CODES TABLES
Table 1: CODING FORMATS FOR ORGANISATIONS IN ENGLAND AND WALES
Organisation Type
Frame Type
Character Position
Code allocated by:
Notes/Comments

See Coding Frames Table

1

2

3

4

5

6

7

8

Application Service Provider

B

Y

G

M

A-9

A-9

ODS

e.g. YGM01

Booking Management System (BMS) Call Centre Establishment

H

Y

F

A-9

ODS

e.g. YF1

Cancer Network

H

N

0-9

A-9

ODS

e.g. N01

Cancer Registry
A

Y

0-9

0-9

0-9

0-9

ODS

e.g. Y0401
All Cancer Registries in England are now part of the National Cancer Registration and Analysis Service
Care Home Headquarters

F

A, C or D

A-9

A-9

A-9

ODS

e.g. CA0A

Care Trust (CT)

D

T

A-Y

A-Y

ODS

e.g. TAK

Clinical Commissioning Group (CCG)
M

0-9

0-9

A-Y

ODS

e.g. 12A

Clinical Network
B

Y

D

G

A-9

A-9

ODS

e.g. YDG01

Commissioning Support Unit (CSU) / Data Services for Commissioners Regional Office (DSCRO)
D

0

A-Y

A-Y

ODS

e.g. 0AA

Dental Practice - England and Wales

G

V

0-9

0-9

0-9

0-9

0-9

NHS Dental Services

e.g. V20052

Education Establishment

B

Y

D

F

A-9

A-9

ODS

e.g. YDF01

Executive Agency

N/A
See Note 1
X

0-9

0-9

ODS

e.g. X09

Executive Agency Programme

N/A
See Note 1
X

0-9

0-9

0-9

0-9

0-9

ODS

First three characters denote Executive Agency
e.g. X09001

Government Department

H

X

A-Y

A-Y

ODS

e.g. XDA

Government Office Region (GOR)

E
A-Y

ONS

e.g. K
Government Office Regions (GORs) closed 31 March 2011 - from 1 April 2011 referred to as Regions

GP Abeyance and Dispersal GP Practice

N
G

7

8

0-9

0-9

0-9

0-9

0-9

ODS

e.g. G7817414

GP Practices in England and Wales
G

A-H,
J-N,
P,
W &
Y

0-9

0-9

0-9

0-9

0-9

NHS Prescription Services

Char 1 = W for Welsh GP Practice.
All other values represent GP Practices in England.
Note: from 2003, ALL newly allocated Practice Codes in England begin with a Y
e.g. Y00001

Justice Organisation
D

V or W

A-Y

A-9

ODS

e.g. VAA

High Level Health Geography, e.g. Sustainability and Transformation Partnership
D

Q

A-9

A-9

ODS

e.g. QJK

Independent Sector Healthcare Provider (ISHP)
H

A, B, D, G, I, K, L, M , N, O, S, U, V, W

A-Y

A-Y, 0-9

ODS

e.g. NV7

Local Authority (LA)

M

0-9

0-9

0-9

ODS

e.g. 000

Local Health Board (Wales)

B

7

A-9

A-9

ODS

e.g. 7A1

Local Service Provider (LSP)

B

L

S

P

0-9

0-9

ODS

e.g. LSP01

Military Hospital
B

X

M

D

A-9

A-9

ODS

e.g.XMDA1

National Application Service Provider
H

Y

E

A-9

ODS

e.g. YEA

National Groupings (England)
H
Y

5

0-9

ODS

e.g. Y51

NHS Support Agency
B

Y

D

D

A-9

A-9

ODS

e.g. YDD01

NHS Trust

D

R

A-9

A-9

ODS

e.g. RH8

NHS Wales Informatics Service (NWIS)

K

W

0

0

ODS

Only one organisation of this type exists for Wales
e.g. W00

Non NHS Organisation (Independent Provider)

A

8

A-Y

A-9

0-9

0-9

ODS

e.g. 8HA03

Northern Ireland Health & Social Care Board
N/A

Z

B

0

0

1

ODS

e.g. ZB001

Northern Ireland Health & Social Care Trust

I

Z

T

0-9

0-9

0-9

ODS

e.g. ZT001

Northern Ireland Local Commissioning Group

L

Z

C

0

0-9

0

Department for Health, Social Services and Public Safety (DHSSPS), Northern Ireland

e.g. ZC010
Note that characters 3 and 5 are ‘fillers’ to create a 5 character code. If a 3 character code is required (as used by the Office for National Statistics in the NHS Postcode Directory), zeros can be omitted and fits under the H frame: e.g. ZC1.
Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009.

Optical Headquarters

F

T

0-9

A-9

A-9

ODS

e.g. T1A1

Other Statutory Authority (OSA)

H

X

0-9

0-9

ODS

e.g. X16

Pharmacy

A

F

A-Y

A-9

A-9

A-9

ODS

e.g. FA002

Pharmacy Headquarters

F

P

A-9

A-9

A-9

ODS

e.g. P001

Primary Care Trust (PCT)

D

5

A-9

A-9

ODS

e.g. 5CT
All Primary Care Trusts closed 31 March 2013
Prison Health Service
B

Y

D

E

A-9

A-9

ODS

e.g. YDE01

School

C

E

E

A-9

A-9

A-9

A-9

A-9

A-9

Department for Education and ODS

e.g. EE134290

Special Health Authority (SpHA)

I

T

1

0-9

0-9

0

ODS

e.g. T1150

Strategic Health Authority (SHA)

D

Q

A-9

A-9

ODS

e.g. Q30
All Strategic Health Authorities in England closed 31 March 2013
Welsh Assembly

D

W

0-9

0-9

ODS

e.g. W01

Welsh Health Commission
A

W

0-9

0-9

A-Y

A-Y

ODS

e.g. W01HC

Notes:
Codes for Executive Agency, Executive Agency Programme, Executive Agency Site and Executive Agency Programme Department do not easily fit into the coding frames as shown above and are therefore not included. This is due to their unusual structure in that there are more hierarchical 'tiers' than with other organisations.
Executive Agency and Executive Agency Programme are both considered Organisation level entities, although each Programme does have a relationship to an Executive Agency. Executive Agency codes are three characters long. Executive Agency Programme codes are six, and their first three characters are the same as the Executive Agency they are associated to.
Department codes of eight characters long can then be allocated underneath a Programme code (sharing the first six characters). Executive Agency Site codes of five characters long can be allocated under an Executive Agency code (and share the first three characters).
A-9 indicates that characters A-Z and 0-9 are valid: except B, I, O, S, U and Z (to avoid ambiguity). This applies to all ORGANISATION CODES in the Coding Format Table above except Independent Sector Healthcare Providers (ISHP).

Table 2: CODING FORMATS FOR ORGANISATIONS IN SCOTLAND
Scottish ORGANISATION CODES are supplied by the Information Standards Directorate (ISD) from NHS Scotland and published by the Organisation Data Service.
Organisation Type
Character Position
Code allocated by:
Notes/Comments
1 2 3 4 5 6
GP Practice - Scotland
S

0-9

0-9

0-9

0-9

0-9

NHS

Scottish GP Fundholder

S

A-Z

B

0-9

0-9

ISD, Scotland

2nd character identifies the Health Board the GPFH reports to.
3rd character (always B) shows GPFH status.

Scottish Health Agency

S

D

0-9

0-9

0-9

ISD, Scotland

2nd character (D) identifies Scottish Office agencies

Scottish Health Board

S

A-Z

9

9

9

ISD, Scotland

Scottish Provider

S

A-Z

A,C,D

0-9

0-9

ISD, Scotland

2nd character identifies the Health Board the organisation reports to.
3rd character identifies the organisation type:
A= Health Unit
C = Hospital Trust
D = Nursing Home

Table 3: CODING FORMATS for ORGANISATIONS in OTHER HOME COUNTRIES
Organisation Type
Character Position
Code allocated by:
Notes/Comments
1 2 3 4 5 6
GP Practice - Alderney

A

L

D

0-9

0-9

0-9

NHS Prescription Services

GP Practice - Guernsey

G

U

E

0-9

0-9

0-9

NHS Prescription Services

GP Practice - Isle of Man (IOM)

Y

0-9

0-9

0-9

0-9

0-9

NHS Prescription Services

GP Practice - Jersey

J

E

R

0-9

0-9

0-9

NHS Prescription Services

Primary Healthcare Directorate (Isle of Man)

Y

K

A-9

ODS

e.g. YK1

Note: A-9 indicates that characters A-Z and 0-9 are valid: except B, I, O, S, U and Z (to avoid ambiguity).

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ORGANISATION IDENTIFIER

Change to Attribute: Changed Description
A unique identifier for an ORGANISATION.
Note:
ORGANISATION IDENTIFIERS are governed by the fundamental standard for "Health and Social Care Organisation Reference Data" (HSC Org Ref Data).
The standard only relates to ORGANISATION IDENTIFIERS which are maintained and published by the Organisation Data Service (ODS). See Health and Social Care Organisation Reference Data.
~~The Format/Length of a published code for an:~~The Format/Length of a published code for an ORGANISATION is min an3 max an8.
~~Organisation~~ ~~is min an3 max an8~~
~~Organisation Site~~ ~~is min an5 max an9.~~
~~ORGANISATION CODE~~ ~~will be replaced with~~ ~~ORGANISATION IDENTIFIER~~~~, which is the most recent approved national information standard to describe the required definition.~~

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ORGANISATION IDENTIFIER

Change to Attribute: Changed Description
Changed Description
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ORGANISATION IDENTIFIER FOR NATIONAL BREAST SCREENING PROGRAMME

Change to Attribute: Changed Description
~~An identifier for an~~ ~~Organisation~~ ~~for the purpose of the~~ ~~NHS Breast Screening Programme Central Return Data Set (KC62)~~.An identifier for an ORGANISATION for the purpose of the NHS Breast Screening Programme Central Return Data Set (KC62).
ORGANISATION IDENTIFIER FOR NATIONAL BREAST SCREENING PROGRAMME is the identifier of the Breast Screening Unit responsible for inviting eligible women for Breast Screening at the Breast Screening Unit which serves their GP Practice.
For further details see the NHS website at: Find Breast screening services.

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ORGANISATION NAME

Change to Attribute: Changed Description
~~The name by which an~~ ~~Organisation~~ ~~wishes to be known or the official name given to an~~ ~~Organisation~~.The name by which an ORGANISATION wishes to be known or the official name given to an ORGANISATION.

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ORGANISATION SITE CODE

Change to Attribute: Changed Description
~~ORGANISATION SITE CODE~~ ~~will be replaced with~~ ~~ORGANISATION IDENTIFIER, which is the most recent approved national information standard to describe the required definition.~~An ORGANISATION SITE CODE is a code which identifies an ORGANISATION SITE uniquely.
An ~~ORGANISATION SITE CODE~~ ~~is a code which identifies an~~ ~~Organisation Site~~ ~~uniquely.~~
Note: Only ORGANISATION SITE CODES which have been notified to and issued by the Organisation Data Service may be used.
Notes:
Organisation Data Service codes can be downloaded from Technology Reference Data Update Distribution (TRUD)
Organisation Data Service contact details can be found at Contact Details.
ORGANISATION SITE CODING FRAMES
~~All NHS~~ ~~Organisation Sites~~ ~~are coded using coding frames, as shown in the tables below:~~
All NHS ORGANISATION SITES are coded using coding frames, as shown in the tables below:
Character
Position
1
2
3
4
5
6
7
8
9
Format

a/n

a/n

a/n

a/n

a/n

a/n

a/n

a/n

a/n

A Frame

Organisation Type Identifier

Organisation Identifier

Site or Sub-Division Identifier

B Frame

Organisation Type Identifier

Organisation Identifier

Site or Sub-Division Identifier

C Frame

Organisation Type Identifier

Organisation Identifier

Site or Sub-Division Identifier

D Frame

Organisation Type
Identifier

Practice Identifier

Branch Surgery Identifier

F Frame

Organisation Type
Identifier

Organisation Identifier

H Frame

Organisation Type Identifier

Organisation Identifier

I Frame

Organisation Type Identifier

Organisation Identifier

J Frame

Organisation Type Identifier
Organisation Identifier

K Frame

Organisation and Organisation Type Identifier
Organisation Site Identifier

L Frame

Organisation Type Identifier and
Site or Sub-Division Identifier

A Frame:
Example
Local Service Provider Site e.g. LSP0101
LSP = Org Type Identifier
01 = Organisation Identifier
01 = Site or Sub-Division Identifier
B Frame:
Example
Care Trust Site e.g. TAK01
T = Organisation Type Identifier
AK = Organisation Identifier
01 = Site or Sub-Division Identifier
Also:
Government Department Site e.g. XDA01
Local Authority Site e.g. 000AA
Local Health Board (Wales) Site e.g. 7A101
NHS Trust Site e.g. RH802
Other Statutory Authority (OSA) Site e.g. X1601
e.g. Q3001
C Frame:
Example
Independent Sector Healthcare Provider (ISHP) Site e.g. NV701
NV = Organisation Site Type Identifier
7 = Organisation Identifier
01 = Site or Sub-Division Identifier
D Frame
Example
GP Practice Branch Surgery: e.g. H81010002
H (and length of code) = Organisation Identifier
81010 = Organisation Identifier (parent GP Practice)
002 = Branch Surgery Identifier
F Frame
Example
Commissioning Support Unit Site: e.g. 0AA01
0 = Organisation Type Identifier
AA01 = Organisation Identifier
H Frame
Example
Prison: e.g. YDE01
YDE = Organisation Type Identifier
01 = Site or Sub-Division Identifier
I Frame
Example
Optical Site: e.g. TP01A
TP = Organisation Type Identifier
01A = Site or Sub-Division Identifier
J Frame
Example
Care Home Site: e.g. VN01A
VN = Organisation Type Identifier
01A = Site or Sub-Division Identifier
Also:
Health Observatory e.g. XP001
Primary Healthcare Directorate (Isle of Man) Site e.g. YK101

K Frame
Example
Clinical Commissioning Group (CCG) Site e.g. 11AAA - 99YZZ
11A = Organisation and Organisation Type Identifier
AA = Organisation Site Identifier
L Frame
Example
Special Health Authority (SpHA) Site: e.g. T115A
T115A – Organisation Type Identifier and Site or Sub-Division Identifier
The structure and format of ORGANISATION SITE CODES maintained by the Organisation Data Service, NHS Prescription Services and other agencies are detailed in the tables below.
NHS ORGANISATION SITE CODES TABLES
Coding Formats
Table 1: CODING FORMATS FOR ORGANISATION SITES IN ENGLAND AND WALES
Organisation Site Type
Frame Type
Character Position
Code allocated by:
Notes/Comments

See Coding Frames Table

1

2

3

4

5

6

7

8

9

Care Home Site

J

V

L, M or N

A-9

A-9

A-9

ODS

e.g. VN01A, VM01A, VL01A

Care Trust Site

B

T

A-Y

A-Y

A-9

A-9

ODS

First three characters denote owning Care Trust
e.g. TAK01

Clinical Commissioning Group (CCG) Site
K

0-9

0-9

A-Y

A-Y

A-Y

ODS

First three characters denote owning Clinical Commissioning Group
e.g. 11AAA - 99YZZ

Commissioning Support Unit (CSU) Site

F

0

A-Y

A-Y

A-9

A-9

ODS

e.g. 0AA01

Executive Agency Site

N/A
See Note

X

0-9

0-9

0-9

0-9

ODS

First three characters denote Executive Agency
e.g. X0901

Government Department Site

B

X

A-Y

A-Y

0-9

0-9

ODS

First three characters denote Government Department
e.g. XDA01

GP Practice Branch Surgery - England and Wales

D

A-H,
J-N,
P,
W &
Y

0-9

0-9

0-9

0-9

0-9

0-9

0-9

0-9

ODS

First 6 characters denote parent practice. Char 1 = W for Welsh GP Practice.
All other values represent English GP Practices
e.g. H81010002

Health Observatory
J
X
P

0-9

0-9

0-9

ODS

e.g. XP001

Care Trust Site

B

Q

A-9

A-9

A-9

A-9

ODS

e.g. TAK01

Independent Sector Healthcare Provider (ISHP) Site

C

A, B, D, G, I, K, L, M , N, O, S, U, V, W

A-Y

A-Y, 0-9

A-Y, 0-9

A-Y, 0-9

ODS

First three characters denote owning Independent Sector Healthcare Provider (ISHP)
e.g. NV701
Note: The A-Y range includes all letters except Z

Local Authority (LA) Site

B

0-9

0-9

0-9

A-Z

A-Z

ODS

First three characters denote parent Local Authority
e.g. 000AA

Local Health Board (Wales) Site
B

7

A-9

A-9

A-9

A-9

ODS

First three characters denote owning NHS Trust
e.g. 7A101

Local Service Provider Site

A

L

S

P

0-9

0-9

0-9

0-9

ODS

First five characters denote owning Local Service Provider
e.g. LSP0101

NHS Trust Site

B

R

A-9

A-9

A-9

A-9

ODS

First three characters denote owning NHS Trust
e.g. RH802

Optical Site

I

T

P or Q

0-9

A-9

A-9

ODS

e.g. TP01A, TQ01A

Other Statutory Authority (OSA) Site

B

X

0-9

0-9

0-9

0-9

ODS

First three characters denote owning Other Statutory Authority
e.g. X1601

Primary Care Trust (PCT) Site

B

5

A-9

A-9

A-9

A-9

ODS

First three characters denote owning Primary Care Trust
e.g. 5CT49
All Primary Care Trusts closed 31 March 2013
Special Health Authority (SpHA) Site

L

T

1

0-9

0-9

A-Y, 1-9

ODS

The characters do NOT denote any ownership.
e.g. T115A
Strategic Health Authority (SHA) Site

B

Q

A-9

A-9

A-9

A-9

ODS

First three characters denote owning SHA Trust
e.g. Q3001
All Strategic Health Authorities closed 31 March 2013 - from 1 April 2013 referred to as High Level Health Geography Site
Note: Codes for Executive Agency, Executive Agency Programme, Executive Agency Site and Executive Agency Programme Department do not easily fit into the coding frames as shown above and are therefore not included. This is due to their unusual structure in that there are more hierarchical 'tiers' than with other organisations.
Executive Agency and Executive Agency Programme are both considered Organisation level entities, although each Programme does have a relationship to an Executive Agency. Executive Agency codes are three characters long. Executive Agency Programme codes are six, and their first three characters are the same as the Executive Agency they are associated to.
Department codes of eight characters long can then be allocated underneath a Programme code (sharing the first six characters). Executive Agency Site codes of five characters long can be allocated under an Executive Agency code (and share the first three characters).

Note: A-9 indicates that characters A-Z and 0-9 are valid: except B, I, O, S, U and Z (to avoid ambiguity). This applies to all ORGANISATION SITE CODES in the Coding Format Table above except Independent Sector Healthcare Provider (ISHP) sites.

Table 2: CODING FORMATS FOR ORGANISATION SITES IN OTHER HOME COUNTRIES
Organisation Site Type
Frame Type
Character Position
Code allocated by:
Notes/Comments

See Coding Frames Table

1

2

3

4

5

6

7

8

9

Primary Healthcare Directorate (Isle of Man) Site
J

Y

K

A-9

A-9

A-9

ODS

e.g. YK101

Note: A-9 indicates that characters A-Z and 0-9 are valid: except B, I, O, S, U and Z (to avoid ambiguity).

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ORGANISATION SITE IDENTIFIER

Change to Attribute: New Attribute
A unique identifier for an ORGANISATION SITE.
Note:
ORGANISATION SITE IDENTIFIERS are governed by the fundamental standard for "Health and Social Care Organisation Reference Data" (HSC Org Ref Data).
The standard only relates to ORGANISATION SITE IDENTIFIERS which are maintained and published by the Organisation Data Service (ODS). See Health and Social Care Organisation Reference Data.
The Format/Length of a published code for an ORGANISATION SITE is min an5 max an9.

This attribute is also known by these names:

Context Alias

odsxmlschema HSCSite

plural ORGANISATION SITE IDENTIFIERS

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ORGANISATION SITE IDENTIFIER

Change to Attribute: New Attribute

ORGANISATION SITE IDENTIFIER

Data Elements:

ORGANISATION SITE IDENTIFIER (AT START OF INTRAPARTUM CARE)

ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE)

ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE)

ORGANISATION SITE IDENTIFIER (EMPLOYING ORGANISATION)

ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY)

ORGANISATION SITE IDENTIFIER (OF ACUTE ONCOLOGY ASSESSMENT)

ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT)

ORGANISATION SITE IDENTIFIER (OF ANTENATAL BOOKING)

ORGANISATION SITE IDENTIFIER (OF CANCER FASTER DIAGNOSIS PATHWAY END DATE)

ORGANISATION SITE IDENTIFIER (OF CANCER SITE SPECIFIC STAGE)

ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS)

ORGANISATION SITE IDENTIFIER (OF DIAGNOSTIC PROCEDURE)

ORGANISATION SITE IDENTIFIER (OF IMAGING)

ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY)

ORGANISATION SITE IDENTIFIER (OF MULTIDISCIPLINARY TEAM MEETING)

ORGANISATION SITE IDENTIFIER (OF PATHOLOGY TEST REQUEST)

ORGANISATION SITE IDENTIFIER (OF PLANNED DELIVERY)

ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER DECISION TO TREAT)

ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE)

ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE)

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST CANCER SPECIALIST)

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN)

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN NON PRIMARY CANCER PATHWAY)

ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING FINAL PRETREATMENT)

ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING INTEGRATED)

ORGANISATION SITE IDENTIFIER (OF TREATMENT)

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ORGANISATION SITE NAME

Change to Attribute: Changed Description
~~The name of an~~ ~~Organisation Site~~.The name of an ORGANISATION SITE.

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PATIENT PATHWAY IDENTIFIER

Change to Attribute: Changed Description
An identifier, which together with the ORGANISATION CODE / ORGANISATION IDENTIFIER of the issuer, uniquely identifies a PATIENT PATHWAY.
This is a specific type of the attribute ACTIVITY IDENTIFIER.
Where a pathway is initiated by a SERVICE REQUEST using the Choose and Book system, the PATIENT PATHWAY will be uniquely identified by the Unique Booking Reference Number (UBRN) of the first referral and the ORGANISATION CODE of Choose and Book which is X09.
~~Where the pathway is initiated by some other method, the~~ ~~PATIENT PATHWAY IDENTIFIER~~ ~~will be allocated by the~~ ~~Organisation~~ ~~receiving the~~ ~~SERVICE REQUEST~~ ~~which together with that~~ ~~Organisation~~'s ~~ORGANISATION CODE~~ / ~~ORGANISATION IDENTIFIER~~ ~~will uniquely identify the~~ ~~PATIENT PATHWAY~~.Where the pathway is initiated by some other method, the PATIENT PATHWAY IDENTIFIER will be allocated by the ORGANISATION receiving the SERVICE REQUEST which together with that ORGANISATION's ORGANISATION CODE / ORGANISATION IDENTIFIER will uniquely identify the PATIENT PATHWAY.

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POSITION IDENTIFIER

Change to Attribute: Changed Description
~~A unique identifier of a~~ ~~POSITION~~ ~~within an~~ ~~Organisation~~.A unique identifier of a POSITION within an ORGANISATION.

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POSITION VACANCY END DATE

Change to Attribute: Changed Description
~~The date on which an~~ ~~Organisation~~ ~~stops active recruitment for the~~ ~~POSITION VACANCY~~ ~~either through a candidate accepting an offer to take-up the~~ ~~POSITION, or through abandoning the recruitment process for the~~ ~~POSITION~~.The date on which an ORGANISATION stops active recruitment for the POSITION VACANCY either through a candidate accepting an offer to take-up the POSITION, or through abandoning the recruitment process for the POSITION.

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POSITION VACANCY IDENTIFIER

Change to Attribute: Changed Description
~~A unique identifier of a~~ ~~POSITION VACANCY~~ ~~in an~~ ~~Organisation~~.A unique identifier of a POSITION VACANCY in an ORGANISATION.

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POSITION VACANCY START DATE

Change to Attribute: Changed Description
~~The date on which an~~ ~~Organisation~~ ~~starts active recruitment for a~~ ~~POSITION VACANCY~~.The date on which an ORGANISATION starts active recruitment for a POSITION VACANCY.

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PRESENTATION OF FETUS

Change to Attribute: Changed Description
~~The presentation of the~~ ~~Fetus~~.The presentation of the Fetus (unborn baby).
The National Code could be different for each baby born in a multiple birth.
National Codes:
01 Cephalic
02 Breech
03 Transverse/oblique
XX Other (not listed)

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PROFESSIONAL REGISTRATION ENTRY IDENTIFIER

Change to Attribute: Changed Description
~~The registration identifier allocated by an~~ ~~Organisation~~.The registration identifier allocated by an ORGANISATION.
Examples include:
~~GENERAL DENTAL COUNCIL REGISTRATION NUMBER~~
~~GENERAL MEDICAL COUNCIL REFERENCE NUMBER~~.
GENERAL DENTAL COUNCIL REGISTRATION NUMBER
GENERAL MEDICAL COUNCIL REFERENCE NUMBER.

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REASON FOR OUT OF AREA REFERRAL FOR ADULT ACUTE MENTAL HEALTH

Change to Attribute: Changed Description
The reason why a SERVICE has received a REFERRAL REQUEST, for a PATIENT:
with assessed acute mental health needs requiring adult mental health admitted PATIENT care and
~~who is resident outside of the referring~~ ~~Organisation's usual local network of~~ ~~SERVICES~~.
who is resident outside of the referring ORGANISATION's usual local network of SERVICES.
For further information, see the Department of Health and Social Care part of the gov.uk website at: Guidance on Out of Area Placements.
National Codes:
10 ~~Unavailability of bed at referring~~ ~~Organisation~~
10 Unavailability of bed at referring ORGANISATION
11 Safeguarding
12 Offending restrictions
13 ~~Staff member or family/friend within the referring~~ ~~Organisation~~
13 Staff member or family/friend within the referring ORGANISATION
14 PATIENT choice
15 PATIENT away from home

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REFERRAL TO TREATMENT PERIOD START DATE

Change to Attribute: Changed Description
The start date of a REFERRAL TO TREATMENT PERIOD.
This is a specific type of the attribute ACTIVITY DATE.
A REFERRAL TO TREATMENT PERIOD START DATE will be one of the following:
Initial Referral:
the REFERRAL REQUEST RECEIVED DATE of a SERVICE REQUEST for a particular condition.
This will include a PATIENT being re-referred in to a Consultant Led Service or an Interface Service or an NHS Allied Health Professional Service (Referral To Treatment Measurement) as a new referral including after a Discharge After Patient Did Not Attend. The REFERRAL TO TREATMENT PERIOD STATUS is 'National Code 10 - first activity'
Following an APPOINTMENT that the PATIENT did not attend:
the APPOINTMENT ACCEPTED DATE (or the INVITATION OFFER DATE SENT of the first APPOINTMENT OFFER where the APPOINTMENT OFFER is sent) for the first APPOINTMENT following the PATIENT not attending an APPOINTMENT or elective admission. See REFERRAL TO TREATMENT PERIOD and Discharge After Patient Did Not Attend for guidance on PATIENTS who do not attend
The APPOINTMENT DATE of the APPOINTMENT that the PATIENT did not attend should be used where it is not possible to identify the APPOINTMENT ACCEPTED DATE or the INVITATION OFFER DATE SENT. The REFERRAL TO TREATMENT PERIOD STATUS is 'National Code 10 - first activity'
Following active monitoring:
the ACTIVITY DATE of a CARE ACTIVITY when a decision to treat was made following Active Monitoring and the REFERRAL TO TREATMENT PERIOD STATUS is 'National Code 11 - active monitoring end'
This will include a decision to start a substantively new or different treatment that does not already form part of that PATIENT's agreed CARE PLAN.
On identifying a separate condition:
the REFERRAL REQUEST RECEIVED DATE of a SERVICE REQUEST when a decision has been made to refer the PATIENT directly to a Consultant Led Service or an NHS Allied Health Professional Service (Referral To Treatment Measurement) for a separate condition (the REFERRAL TO TREATMENT PERIOD STATUS for the first CARE ACTIVITY with the new CONSULTANT or NHS Allied Health Professional Service (Referral To Treatment Measurement) is 'National Code 12 - consultant or NHS Allied Health Professional Service (Referral To Treatment) referral').
Referral To Treatment Consultant Led Waiting Times:
For most PATIENTS, the start of the REFERRAL TO TREATMENT PERIOD begins with a SERVICE REQUEST from a GENERAL MEDICAL PRACTITIONER to a CONSULTANT.
SERVICE REQUESTS to CONSULTANTS who provide care SERVICES in community settings also start REFERRAL TO TREATMENT PERIODS and the REFERRAL REQUEST RECEIVED DATE will be the start of the REFERRAL TO TREATMENT PERIOD.
A ~~REFERRAL TO TREATMENT PERIOD~~ ~~may also start from~~ ~~SERVICE REQUESTS~~ to ~~CONSULTANTS~~ ~~from~~ ~~GENERAL DENTAL PRACTITIONERS~~, ~~General Practitioners with Extended Roles~~, ~~OPTOMETRISTS~~ ~~and~~ ~~Orthoptists, National~~ ~~Screening Programmes, Specialist~~ ~~NURSES, other~~ ~~CARE PROFESSIONALS~~ ~~where commissioning~~ ~~Organisations~~ ~~have approved these mechanisms locally.~~A REFERRAL TO TREATMENT PERIOD may also start from SERVICE REQUESTS to CONSULTANTS from GENERAL DENTAL PRACTITIONERS, General Practitioners with Extended Roles, OPTOMETRISTS and Orthoptists, National Screening Programmes, Specialist NURSES, other CARE PROFESSIONALS where commissioning ORGANISATIONS have approved these mechanisms locally.
An 18-week clock also starts upon a self referral by a PATIENT to the above services, where these pathways have been agreed locally by commissioners and providers and once the referral is ratified by a CARE PROFESSIONAL.
A REFERRAL TO TREATMENT PERIOD will also start where PATIENTS are transferred to an elective Consultant Led Service through SERVICE REQUESTS from Accident and Emergency Departments including Minor injuries units and Walk In Centres.
Allied Health Professional Referral To Treatment Measurement:
Further guidance relating to the Allied Health Professional Referral To Treatment can be found on the Department of Health and Social Care part of the gov.uk website at: Allied health professional referral to treatment revised guide.
Intermediate Care Measurement:
Further guidance relating to the Intermediate Care Waiting Time Measurements can be found on the NHS Digital website at: Community Services Data Set user guidance.

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REFERRED OUT OF AREA REASON FOR ADULT ACUTE MENTAL HEALTH

Change to Attribute: Changed Description
The reason a PATIENT:
with assessed acute mental health needs and
requiring adult mental health admitted PATIENT care
~~was referred to an~~ ~~Organisation~~:was referred to an ORGANISATION:
~~that does not form part of the referring~~ ~~Organisation's usual local network of~~ ~~SERVICES~~ ~~and~~
~~where the~~ ~~Mental Health Care Coordinator~~ ~~cannot visit the~~ ~~PATIENT~~ ~~as often as stated in the referring~~ ~~Organisation's policy.~~
that does not form part of the referring ORGANISATION's usual local network of SERVICES and
where the Mental Health Care Coordinator cannot visit the PATIENT as often as stated in the referring ORGANISATION's policy.
For further information, see the Department of Health and Social Care part of the gov.uk website at: Out of area placements in mental health services for adults in acute inpatient care.
National Codes:
10 ~~Unavailability of bed at referring~~ ~~Organisation~~
10 Unavailability of bed at referring ORGANISATION
11 Safeguarding
12 Offending restrictions
13 ~~Staff member or family/friend within the referring~~ ~~Organisation~~
13 Staff member or family/friend within the referring ORGANISATION
14 PATIENT choice

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REGISTER NAME

Change to Attribute: Changed Description
~~The name of a~~ ~~REGISTER~~ ~~maintained by an~~ ~~Organisation~~.The name of a REGISTER maintained by an ORGANISATION.
Examples of REGISTER NAME are:
~~General Medical Council List of Registered Medical Practitioners~~:
~~General Dental Council Dentists Register~~
~~General Pharmaceutical Council Register~~ ~~etc.~~
General Medical Council List of Registered Medical Practitioners
General Dental Council Dentists Register
General Pharmaceutical Council Register etc.

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RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE

Change to Attribute: Changed Description
The relationship of the second PERSON to the first PERSON (the PATIENT) as used in the Community Services Data Set.
This is used to identify, for example, with whom the Child or Young Person is living in a permanent context or the relationship with the main Carer etc.
~~Note that~~ ~~Organisations~~ ~~may choose to collect the~~ ~~RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE~~ ~~codes at the high level (shown in~~ ~~bold~~~~) or at the more detailed level below each high-level code.~~Note that ORGANISATIONS may choose to collect the RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE codes at the high level (shown in bold) or at the more detailed level below each high-level code.
This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained as the item is used by the Healthy Child Programme.
National Codes:
BPX Biological Parent
BPM Biological mother
BPF Biological father
SPX Step-Parent
SPM Stepmother
SPF Stepfather
GPX Grandparent
GPM Grandmother
GPF Grandfather
ORX Other Relative
ORA Aunt
ORU Uncle
ORS Sister
ORB Brother
ORO Other (not listed)
APX Adoptive Parent
APM Adoptive mother
APF Adoptive father
FPX Foster Parent
FPM Foster mother
FPF Foster father
RCX Residential Carer
OTX Other
NOX None - Lives Alone

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RELATIONSHIP TO PERSON FOR COMMUNITY

Change to Attribute: Changed Description
The relationship of the second PERSON to the first PERSON (the PATIENT) as used in the Community Services Data Set.
~~Note that~~ ~~Organisations~~ ~~may choose to collect the~~ ~~RELATIONSHIP TO PERSON FOR COMMUNITY~~ ~~codes at the high level (shown in~~ ~~bold~~~~) or at the more detailed level below each high-level code.~~Note that ORGANISATIONS may choose to collect the RELATIONSHIP TO PERSON FOR COMMUNITY codes at the high level (shown in bold) or at the more detailed level below each high-level code.
National Codes:
BPX Biological Parent
BPM Biological Mother
BPF Biological Father
SPX Step-Parent
SPM Stepmother
SPF Stepfather
PIX Parents-in-Law
PIF Father-in-Law
PIM Mother-in-Law
CHX Children
CHS Son
CHD Daughter
CIX Children-in-Law
CIS Son-in-Law
CID Daughter-in-Law
GPX Grandparent
GPM Grandmother
GPF Grandfather
GCX Grandchild
GCS Grandson
GCD Granddaugther
ORX Other Relative
ORA Aunt
ORU Uncle
ORS Sister
ORB Brother
ORO Other (not listed)
APX Adoptive Parent
APM Adoptive Mother
APF Adoptive Father
FPX Foster Parent
FPM Foster Mother
FPF Foster Father
RCX Residential Carer
OTX Other
NOX None - Lives Alone

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SERVICE TYPE

Change to Attribute: Changed Description
The type of SERVICE.
National Codes:
01 Ambulance Service
02 Cancer Service
03 Community Health Service
04 Consultant Led Service
05 Direct Access Service
06 Enhanced Sexual Health Service (Retired November 2014)
07 HIV Service
08 Hospital At Home Service
09 Improving Access to Psychological Therapies Service
10 Interface Service
11 Non-Consultant Led Service
12 Professional Staff Group Service (Retired 01 January 2016)
13 Sexual and Reproductive Health Service
14 Stop Smoking Service
15 Contraceptive Service (Retired 01 April 2014)
16 Radiotherapy Service
17 Sexual Health Service
18 Mental Health Service
19 Regional Clinical Genetics Service
20 Children and Young People's Mental Health Service
21 Screening Service
22 Sexually Transmitted Infection Service
23 Maternity Service
24 Health Visiting Service
25 Systemic Anti-Cancer Therapy Service
26 Integrated Improving Access to Psychological Therapies Long Term Condition Service
27 Intermediate Care Service
28 Community Bed-based Intermediate Care Service
29 Crisis Response Intermediate Care Service
30 Home-based Intermediate Care Service
31 Reablement Intermediate Care Service
32 Early Pregnancy Unit

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SOURCE OF REFERRAL FOR FEMALE GENITAL MUTILATION

Change to Attribute: Changed Description
The source of referral for the Female Genital Mutilation Data Set.
National Codes:
01 General Medical Practitioner Practice
02 ~~Other NHS~~ ~~Organisations~~
02 Other NHS ORGANISATIONS
03 Self Referral
04 Educational Establishment
05 Voluntary Sector (including charitable organisations, victim/survivor groups etc.)
06 Local Authority
07 Police
08 Justice Service
09 Immigration Removal Centre
10 Religious Organisation
XX Other
ZZ Not Stated (PERSON asked but declined to provide a response)

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STEROIDS GIVEN DURING PREGNANCY TO MATURE FETAL LUNGS INDICATOR

Change to Attribute: Changed Description
~~An indication of whether steroids were given to a mother during a~~ ~~Maternity Episode, for the purpose of maturing the lungs of a~~ ~~Fetus~~.An indication of whether steroids were given to a mother during a Maternity Episode, for the purpose of maturing the lungs of a Fetus (unborn baby).
National Codes:
Y Steroids given
N Steroids not given

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TRANSFERRED FOR FURTHER CARE TYPE FOR NATIONAL NEONATAL DATA SET

Change to Attribute: Changed Description
~~The type of care a baby is being transferred for, where the~~ ~~DISCHARGE DESTINATION FROM NEONATAL CRITICAL CARE~~ ~~is recorded as National Code~~ ~~'Transferred to a~~ ~~Hospital Site~~ ~~of another~~ ~~Organisation~~ ~~for further care'~~~~, for the purposes of the~~ ~~National Neonatal Data Set - Episodic and Daily Care~~.The type of care a baby is being transferred for, where the DISCHARGE DESTINATION FROM NEONATAL CRITICAL CARE is recorded as National Code 'Transferred to a Hospital Site of another ORGANISATION for further care', for the purposes of the National Neonatal Data Set - Episodic and Daily Care.
National Codes:
10 Transfer for continuing care
11 Transfer for specialist care
12 Transfer for surgical care
13 Transfer for cardiac care

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TREATMENT FUNCTION CODE

Change to Attribute: Changed Description
TREATMENT FUNCTION CODE is a unique identifier for a TREATMENT FUNCTION.
TREATMENT FUNCTION CODE is recorded to report the specialised service within which the PATIENT is treated.
It is based on MAIN SPECIALTY but also includes approved sub-specialties and treatment specialties used by lead CARE PROFESSIONALS including CONSULTANTS.
TREATMENT FUNCTION, rather than the Royal College or Faculty specialty, is required on most activity returns and in the Commissioning Data Sets.
TREATMENT FUNCTION CODES should be used for all data sets/collections unless otherwise stated e.g. National Workforce Data Set uses MAIN SPECIALTY CODES.
GENERAL MEDICAL PRACTITIONER, NURSE and Allied Health Professional/ Biomedical Scientist/ Clinical Scientist ACTIVITY should be recorded against the TREATMENT FUNCTION under which the PATIENT is treated.
Joint Consultant Clinic ACTIVITY should be recorded against the TREATMENT FUNCTION which best describes the specialised service.
Assigning a Treatment Function Code:
Assigning a TREATMENT FUNCTION CODE for a SERVICE is a decision which must be made locally. For national reporting purposes, only the TREATMENT FUNCTION CODES listed in the table below must be used.
Recording of activity according to TREATMENT FUNCTION CODES is not on the basis of the procedure carried out, but should be allocated according to whether a specialised SERVICE exists within the Health Care Provider for that TREATMENT FUNCTION CODE, such as a CLINIC OR FACILITY.
TREATMENT FUNCTION CODES have not been mapped to procedures or MAIN SPECIALTY.
TREATMENT FUNCTION CODE should be assigned irrespective of the type of CARE PROFESSIONAL responsible. This is also applicable where the name of the TREATMENT FUNCTION CODE suggests it is limited for use by a particular Healthcare Profession.
A change in TREATMENT FUNCTION CODE, but no change in responsible CARE PROFESSIONAL, does not initiate a new episode of care. For the Commissioning Data Sets, the ACTIVITY TREATMENT FUNCTION CODE reported should be that which is recorded at the CDS ACTIVITY DATE.
For further information, contact NHS Digital by email at: enquiries@nhsdigital.nhs.uk with the subject "Main Specialty and Treatment Function Codes".
Further information on the groupings and scope of each TREATMENT FUNCTION CODE is provided at: Main Specialty and Treatment Function Codes Table.
Note:
~~New National Codes for~~ ~~TREATMENT FUNCTION CODE~~ ~~were introduced from 2 April 2020 as part of the update to the~~ ~~DCB0028: Treatment Function and Main Specialty Standard~~.
~~Page 8 of the "Change Specification" provides a list of the new~~ ~~TREATMENT FUNCTION CODES~~.
~~Note that new codes should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets and any associated XML Schemas.~~
~~Prior to these updates, health and care~~ ~~Organisations~~ ~~must review the impact of this information standard and make appropriate changes to local health IT systems from 2 April 2020 and before 1 April 2021.~~
~~Where new National Codes are recorded locally, these will need to be mapped to an appropriate existing code for transmission and reporting purposes.~~
New National Codes for TREATMENT FUNCTION CODE were introduced from 2 April 2020 as part of the update to the DCB0028: Treatment Function and Main Specialty Standard.
Page 8 of the "Change Specification" provides a list of the new TREATMENT FUNCTION CODES.
Note that new codes should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets and any associated XML Schemas.
Prior to these updates, health and care ORGANISATIONS must review the impact of this information standard and make appropriate changes to local health IT systems from 2 April 2020 and before 1 April 2021.
Where new National Codes are recorded locally, these will need to be mapped to an appropriate existing code for transmission and reporting purposes.
National Codes:
100 General Surgery Service
101 Urology Service
102 Transplant Surgery Service
103 Breast Surgery Service
104 Colorectal Surgery Service
105 Hepatobiliary and Pancreatic Surgery Service
106 Upper Gastrointestinal Surgery Service
107 Vascular Surgery Service
108 Spinal Surgery Service
109 Bariatric Surgery Service
110 Trauma and Orthopaedic Service
111 Orthopaedic Service
113 Endocrine Surgery Service
115 Trauma Surgery Service
120 Ear Nose and Throat Service
130 Ophthalmology Service
140 Oral Surgery Service
141 Restorative Dentistry Service
143 Orthodontic Service
144 Maxillofacial Surgery Service
145 Oral and Maxillofacial Surgery Service
149 not a Treatment Function
150 Neurosurgical Service
160 Plastic Surgery Service
161 Burns Care Service
170 Cardiothoracic Surgery Service
172 Cardiac Surgery Service
173 Thoracic Surgery Service
174 Cardiothoracic Transplantation Service
191 Pain Management Service
142 Paediatric Dentistry Service
171 Paediatric Surgery Service
211 Paediatric Urology Service
212 Paediatric Transplantation Surgery Service
213 Paediatric Gastrointestinal Surgery Service
214 Paediatric Trauma and Orthopaedic Service
215 Paediatric Ear Nose and Throat Service
216 Paediatric Ophthalmology Service
217 Paediatric Oral and Maxillofacial Surgery Service
218 Paediatric Neurosurgery Service
219 Paediatric Plastic Surgery Service
220 Paediatric Burns Care Service
221 Paediatric Cardiac Surgery Service
222 Paediatric Thoracic Surgery Service
223 Paediatric Epilepsy Service
230 Paediatric Clinical Pharmacology Service
240 Paediatric Palliative Medicine Service
241 Paediatric Pain Management Service
242 Paediatric Intensive Care Service
250 Paediatric Hepatology Service
251 Paediatric Gastroenterology Service
252 Paediatric Endocrinology Service
253 Paediatric Clinical Haematology Service
254 Paediatric Audio Vestibular Medicine Service
255 Paediatric Clinical Immunology and Allergy Service
256 Paediatric Infectious Diseases Service
257 Paediatric Dermatology Service
258 Paediatric Respiratory Medicine Service
259 Paediatric Nephrology Service
260 Paediatric Medical Oncology Service
261 Paediatric Inherited Metabolic Medicine Service
262 Paediatric Rheumatology Service
263 Paediatric Diabetes Service
264 Paediatric Cystic Fibrosis Service
270 Paediatric Emergency Medicine Service
280 Paediatric Interventional Radiology Service
290 Community Paediatric Service
291 Paediatric Neurodisability Service
321 Paediatric Cardiology Service
421 Paediatric Neurology Service
180 Emergency Medicine Service
190 Anaesthetic Service
192 Intensive Care Medicine Service
200 Aviation and Space Medicine Service
300 General Internal Medicine Service
301 Gastroenterology Service
302 Endocrinology Service
303 Clinical Haematology Service
304 Clinical Physiology Service
305 Clinical Pharmacology Service
306 Hepatology Service
307 Diabetes Service
308 Blood and Marrow Transplantation Service
309 Haemophilia Service
310 Audio Vestibular Medicine Service
311 Clinical Genetics Service
312 not a Treatment Function
313 Clinical Immunology and Allergy Service
314 Rehabilitation Medicine Service
315 Palliative Medicine Service
316 Clinical Immunology Service
317 Allergy Service
318 Intermediate Care Service
319 Respite Care Service
320 Cardiology Service
322 Clinical Microbiology Service
323 Spinal Injuries Service
324 Anticoagulant Service
325 Sport and Exercise Medicine Service
326 Acute Internal Medicine Service
327 Cardiac Rehabilitation Service
328 Stroke Medicine Service
329 Transient Ischaemic Attack Service
330 Dermatology Service
331 Congenital Heart Disease Service
333 Rare Disease Service
335 Inherited Metabolic Medicine Service
340 Respiratory Medicine Service
341 Respiratory Physiology Service
342 Pulmonary Rehabilitation Service
343 Adult Cystic Fibrosis Service
344 Complex Specialised Rehabilitation Service
345 Specialist Rehabilitation Service
346 Local Specialist Rehabilitation Service
347 Sleep Medicine Service
350 Infectious Diseases Service
352 Tropical Medicine Service
360 Genitourinary Medicine Service
361 Renal Medicine Service
370 Medical Oncology Service
371 Nuclear Medicine Service
400 Neurology Service
401 Clinical Neurophysiology Service
410 Rheumatology Service
420 Paediatric Service
422 Neonatal Critical Care Service
424 Well Baby Service
430 Elderly Medicine Service
431 Orthogeriatric Medicine Service
450 Dental Medicine Service
451 Special Care Dentistry Service
460 Medical Ophthalmology Service
461 Ophthalmic and Vision Science Service
500 not a Treatment Function
501 Obstetrics Service
502 Gynaecology Service
503 Gynaecological Oncology Service
504 Community Sexual and Reproductive Health Service
505 Fetal Medicine Service
510 Retired
520 Retired
560 Midwifery Service
600 not a Treatment Function
601 not a Treatment Function
610 Retired
620 Retired
656 Clinical Psychology Service
700 Intellectual Disability Service
710 Adult Mental Health Service
711 Child and Adolescent Psychiatry Service
712 Forensic Psychiatry Service
713 Medical Psychotherapy Service
715 Old Age Psychiatry Service
720 Eating Disorders Service
721 Addiction Service
722 Liaison Psychiatry Service
723 Psychiatric Intensive Care Service
724 Perinatal Mental Health Service
725 Mental Health Recovery and Rehabilitation Service
726 Mental Health Dual Diagnosis Service
727 Dementia Assessment Service
730 Neuropsychiatry Service
800 Clinical Oncology Service
810 not a Treatment Function
811 Interventional Radiology Service
812 Diagnostic Imaging Service
820 not a Treatment Function
821 not a Treatment Function
822 Chemical Pathology Service
823 not a Treatment Function
824 not a Treatment Function
830 not a Treatment Function
831 not a Treatment Function
832 Retired
834 Medical Virology Service
650 Physiotherapy Service
651 Occupational Therapy Service
652 Speech and Language Therapy Service
653 Podiatry Service
654 Dietetics Service
655 Orthoptics Service
657 Prosthetics Service
658 Orthotics Service
659 Dramatherapy Service
660 Art Therapy Service
661 Music Therapy Service
662 Optometry Service
663 Podiatric Surgery Service
670 Urological Physiology Service
673 Vascular Physiology Service
675 Cardiac Physiology Service
677 Gastrointestinal Physiology Service
840 Audiology Service
900 not a Treatment Function
901 not a Treatment Function
902 not a Treatment Function
903 not a Treatment Function
904 not a Treatment Function
920 Diabetic Education Service
950 not a Treatment Function
960 not a Treatment Function
990 Retired

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CANCER TRANSFER RECEIVING REASON (INTER-PROVIDER TRANSFER)

Change to Data Element: Changed Description
Format/Length: an2
National Codes: See CANCER TRANSFER REASON FOR INTER-PROVIDER TRANSFER
Default Codes: 99 - Not Known (Not Recorded)

Notes:
CANCER TRANSFER RECEIVING REASON (INTER-PROVIDER TRANSFER) is the same as attribute CANCER TRANSFER REASON FOR INTER-PROVIDER TRANSFER.
~~CANCER TRANSFER RECEIVING REASON (INTER-PROVIDER TRANSFER)~~ ~~is the~~ ~~CANCER TRANSFER REASON FOR INTER-PROVIDER TRANSFER~~ ~~for the~~ ~~Organisation~~ ~~that is receiving the~~ ~~PATIENT~~ ~~from another~~ ~~Health Care Provider~~ ~~as part of the inter-provider transfer during a~~ ~~Cancer Care Spell~~.CANCER TRANSFER RECEIVING REASON (INTER-PROVIDER TRANSFER) is the CANCER TRANSFER REASON FOR INTER-PROVIDER TRANSFER for the ORGANISATION that is receiving the PATIENT from another Health Care Provider as part of the inter-provider transfer during a Cancer Care Spell.

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CANCER TRANSFER REFERRING REASON (INTER-PROVIDER TRANSFER)

Change to Data Element: Changed Description
Format/Length: an2
National Codes: See CANCER TRANSFER REASON FOR INTER-PROVIDER TRANSFER
Default Codes: 99 - Not Known (Not Recorded)

Notes:
CANCER TRANSFER REFERRING REASON (INTER-PROVIDER TRANSFER) is the same as attribute CANCER TRANSFER REASON FOR INTER-PROVIDER TRANSFER.
~~CANCER TRANSFER REFERRING REASON (INTER-PROVIDER TRANSFER)~~ ~~is the~~ ~~CANCER TRANSFER REASON FOR INTER-PROVIDER TRANSFER~~ ~~for the~~ ~~Organisation~~ ~~that is referring the~~ ~~PATIENT~~ ~~to another~~ ~~Health Care Provider~~ ~~as part of the inter-provider transfer during a~~ ~~Cancer Care Spell~~.CANCER TRANSFER REFERRING REASON (INTER-PROVIDER TRANSFER) is the CANCER TRANSFER REASON FOR INTER-PROVIDER TRANSFER for the ORGANISATION that is referring the PATIENT to another Health Care Provider as part of the inter-provider transfer during a Cancer Care Spell.

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CDS COPY RECIPIENT IDENTITY

Change to Data Element: Changed Description
Format/Length: an3 or an5
National Codes:
ODS Default Codes: VPP00 - Private PATIENTS / Overseas Visitor liable for charges
YDD82 - Episodes funded directly by the National Commissioning Group for England (Retired September 2018)

Notes:
CDS COPY RECIPIENT IDENTITY is the same as attribute ORGANISATION CODE.
~~CDS COPY RECIPIENT IDENTITY~~ ~~is the NHS~~ ~~ORGANISATION CODE~~ ~~(or valid~~ ~~Organisation Data Service Default Code) for an~~ ~~Organisation~~ ~~indicated as a~~ ~~CDS COPY RECIPIENT IDENTITY~~ ~~of the Commissioning data.~~CDS COPY RECIPIENT IDENTITY is the NHS ORGANISATION CODE (or valid Organisation Data Service Default Code) for an ORGANISATION indicated as a CDS COPY RECIPIENT IDENTITY of the Commissioning data.
Usage:
~~A Recipient may be an agency or~~ ~~SERVICE~~ ~~provider that carries out the receiving (and perhaps other) processes on behalf of the NHS~~ ~~Organisation~~ ~~that ultimately uses the data.~~A Recipient may be an agency or SERVICE provider that carries out the receiving (and perhaps other) processes on behalf of the NHS ORGANISATION that ultimately uses the data. There may be multiple recipients for Commissioning data.
Organisation Data Service Default Codes for CDS COPY RECIPIENT IDENTITIES are detailed in the Commissioning Data Set Addressing Grid.
Where NHS England is the responsible commissioner for a specialised SERVICE, based on the NHS England Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION CODES should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.
The NHS Digital website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub. The mapping can be found on the Organisation Data Service web pages at: Provider to Commissioning Hub Mapping.

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CDS INTERCHANGE SENDER IDENTITY

Change to Data Element: Changed Description
Format/Length: an15
National Codes:
Default Codes:

Notes:
CDS INTERCHANGE SENDER IDENTITY is the same as attribute CDS INTERCHANGE SENDER IDENTITY.
Usage:
CDS INTERCHANGE SENDER IDENTITY is a mandatory data element when submitting Commissioning Data Set interchanges.
~~Every~~ ~~Organisation~~ ~~must register its~~ ~~CDS INTERCHANGE SENDER IDENTITY~~ ~~for use with the~~ ~~Secondary Uses Service~~.Every ORGANISATION must register its CDS INTERCHANGE SENDER IDENTITY for use with the Secondary Uses Service.
~~Where an~~ ~~Organisation~~ ~~acts on behalf of another NHS~~ ~~Organisation, care must be taken to ensure the correct use of the identity.~~Where an ORGANISATION acts on behalf of another NHS ORGANISATION, care must be taken to ensure the correct use of the identity. For data submitted to the service, the CDS INTERCHANGE SENDER IDENTITY is the Electronic Data Interchange (EDI) address of the sending site.

CDS XML Schema Interchanges:
All Commissioning Data Set XML Schema interchanges submitted must contain a CDS INTERCHANGE SENDER IDENTITY.

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CDS PRIME RECIPIENT IDENTITY

Change to Data Element: Changed Description
Format/Length: an3 or an5
National Codes:
ODS Default Codes: TDH00 - Overseas Visitor exempt from charges

Notes:
CDS PRIME RECIPIENT IDENTITY is the same as attribute ORGANISATION CODE.
~~CDS PRIME RECIPIENT IDENTITY~~ ~~is the mandatory NHS~~ ~~ORGANISATION CODE~~ ~~(or valid~~ ~~Organisation Data Service Default Code) representing the~~ ~~Organisation~~ ~~determined to be the Commissioning Data Set Prime Recipient of the Commissioning Data Set Message as indicated in the~~ ~~Commissioning Data Set Addressing Grid~~.
CDS PRIME RECIPIENT IDENTITY is the mandatory NHS ORGANISATION CODE (or valid Organisation Data Service Default Code) representing the ORGANISATION determined to be the Commissioning Data Set Prime Recipient of the Commissioning Data Set Message as indicated in the Commissioning Data Set Addressing Grid.

Usage:
The CDS PRIME RECIPIENT IDENTITY must be allocated on the first creation and submission of a CDS Type for a PATIENT and must not change even if the ADDRESS or ORGANISATION CODE (RESIDENCE RESPONSIBILITY) of the PATIENT changes during the lifetime of the Commissioning Data Set record otherwise duplicate Commissioning Data Set data may be lodged in the Secondary Uses Service database.
CDS PRIME RECIPIENT IDENTITY is a mandatory data item crucial for the correct indexing of the database and must not be changed during the life of the associated Commissioning Data Set. It does not identify the first or most important recipient of data, i.e. there is no inference of primacy of one recipient over another.
Organisation Data Service Default Codes for CDS PRIME RECIPIENT IDENTITIES are detailed in the Commissioning Data Set Addressing Grid.
Please note that the following Organisation Data Service Default Codes must not be used in the Commissioning Data Set (CDS) header because they are not default Commissioner codes:
Q99 - High Level Health Geography/Primary Care Organisation of Residence Not Known
for the CDS PRIME RECIPIENT IDENTITY, a valid ORGANISATION CODE (RESIDENCE RESPONSIBILITY) must be reported
X98 - Primary Care Organisation Not Applicable (Overseas Visitors)
for the CDS PRIME RECIPIENT IDENTITY, the Commissioning Data Set Addressing Grid confirms the correct code that should be reported for Overseas Visitors who are exempt from charges.

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CDS SENDER IDENTITY

Change to Data Element: Changed Description
Format/Length: an3 or an5
National Codes:
Default Codes:

Notes:
~~CDS SENDER IDENTITY~~ ~~is the mandatory NHS~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~acting as the physical Sender of Commissioning Data Set submissions.~~CDS SENDER IDENTITY is the mandatory NHS ORGANISATION CODE of the ORGANISATION acting as the physical Sender of Commissioning Data Set submissions.
Usage:
The Commissioning Data Set sender must make sure that the Commissioning Data Set extraction and submission facilities and processes differentiate correctly between:
The ORGANISATION CODE (CDS SENDER IDENTITY) as carried in the Commissioning Data Set Transaction Header Group for every Commissioning Data Set,
and
The ORGANISATION CODE (CODE OF PROVIDER) as carried in the Service Agreement details which are part of the Episode/Attendance details.
Once associated with the a Commissioning Data Set record and submitted to the Secondary Uses Service, the CDS SENDER IDENTITY should not be changed unless great care is taken to delete the original Commissioning Data Set records before any resubmission is undertaken.

Usually, the CDS SENDER IDENTITY is never altered once assigned.

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CLINICAL TRIAL IDENTIFIER

Change to Data Element: Changed Description
Format/Length: max an20
National Codes:
Default Codes:

Notes:
CLINICAL TRIAL IDENTIFIER is the same as attribute CLINICAL TRIAL IDENTIFIER.
Use in the CDS V6-2-1 Type 011 - Emergency Care Commissioning Data Set / CDS V6-2-2 Type 011 - Emergency Care Commissioning Data Set:
~~The~~ ~~CLINICAL TRIAL IDENTIFIER~~ ~~must be recognised and registered with an~~ ~~Organisation~~ ~~which is a Primary Registry in the~~ ~~World Health Organisation~~ ~~International Clinical Trials Registry Platform~~.
~~CLINICAL TRIAL IDENTIFIER~~ ~~is collected for a specified purpose at national level only and will not be available from the~~ ~~Secondary Uses Service~~ ~~for use by unauthorised~~ ~~Organisations~~ ~~or individuals.~~
The CLINICAL TRIAL IDENTIFIER must be recognised and registered with an ORGANISATION which is a Primary Registry in the World Health Organisation International Clinical Trials Registry Platform.
CLINICAL TRIAL IDENTIFIER is collected for a specified purpose at national level only and will not be available from the Secondary Uses Service for use by unauthorised ORGANISATIONS or individuals.

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CONTACT EMAIL ADDRESS (REFERRING ORGANISATION)

Change to Data Element: Changed Description
Format/Length: See INTERNET E-MAIL ADDRESS
National Codes:
Default Codes:

Notes:
CONTACT EMAIL ADDRESS (REFERRING ORGANISATION) is the same as attribute COMMUNICATION CONTACT STRING where the COMMUNICATION CONTACT METHOD is National Code 'Internet e-Mail Address'.
~~CONTACT EMAIL ADDRESS (REFERRING ORGANISATION)~~ ~~is the email address of the~~ ~~PERSON~~ ~~who is the designated contact of the referring~~ ~~Organisation~~.CONTACT EMAIL ADDRESS (REFERRING ORGANISATION) is the email address of the PERSON who is the designated contact of the referring ORGANISATION.

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CONTACT TELEPHONE NUMBER (REFERRING ORGANISATION)

Change to Data Element: Changed Description
Format/Length: See UK TELEPHONE NUMBER
National Codes:
Default Codes:

Notes:
CONTACT TELEPHONE NUMBER (REFERRING ORGANISATION) is the same as attribute COMMUNICATION CONTACT STRING where the COMMUNICATION CONTACT METHOD is National Code 'UK Telephone Number'.
~~CONTACT TELEPHONE NUMBER (REFERRING ORGANISATION)~~ ~~is the telephone number for a~~ ~~PERSON~~ ~~who is the designated contact of the referring~~ ~~Organisation~~.CONTACT TELEPHONE NUMBER (REFERRING ORGANISATION) is the telephone number for a PERSON who is the designated contact of the referring ORGANISATION.

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DATE TIME OF BIRTH (BABY)

Change to Data Element: Changed Description
Format/Length: an19 YYYY-MM-DDThh:mm:ss
National Codes:
Default Codes:

Notes:
DATE TIME OF BIRTH (BABY) is the same as attribute PERSON BIRTH DATE and PERSON BIRTH TIME, from the End Date and End Time of the Fetus Episode.
The date corresponds to:
the PERSON BIRTH DATE of the baby, where a REGISTRABLE BIRTH was recorded
or
~~the recorded~~ ~~End Date~~ ~~of the~~ ~~Fetus Episode, where the mother miscarried a~~ ~~Fetus~~ ~~during the associated~~ ~~Maternity Episode~~ ~~i.e. where the pregnancy ends in or before the 24th week of gestation (which excludes it being recorded as a~~ ~~REGISTRABLE BIRTH~~).
the recorded End Date of the Fetus Episode, where the mother miscarried a Fetus (unborn baby) during the associated Maternity Episode i.e. where the pregnancy ends in or before the 24th week of gestation (which excludes it being recorded as a REGISTRABLE BIRTH).

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DECISION TO REFER DATE (INTER-PROVIDER TRANSFER)

Change to Data Element: Changed Description
Format/Length: an10 CCYY-MM-DD
National Codes:
Default Codes:

Notes:
~~DECISION TO REFER DATE (INTER-PROVIDER TRANSFER)~~ ~~is the~~ ~~DECISION TO REFER DATE~~ ~~of the referring~~ ~~Organisation~~ ~~for an inter-provider transfer.~~DECISION TO REFER DATE (INTER-PROVIDER TRANSFER) is the DECISION TO REFER DATE of the referring ORGANISATION for an inter-provider transfer.
This is required if the referral is a continuation of an existing PATIENT PATHWAY.

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DECISION TO REFER DATE (ONWARD REFERRAL)

Change to Data Element: Changed Description
Format/Length: an10 CCYY-MM-DD
National Codes:
Default Codes:

Notes:
DECISION TO REFER DATE (ONWARD REFERRAL) is the same as attribute DECISION TO REFER DATE.
~~DECISION TO REFER DATE (ONWARD REFERRAL)~~ ~~is the date on which a decision was made to refer the~~ ~~PATIENT~~ ~~from one~~ ~~SERVICE~~ ~~to another~~ ~~SERVICE, which may be in the same or a different~~ ~~Organisation~~.DECISION TO REFER DATE (ONWARD REFERRAL) is the date on which a decision was made to refer the PATIENT from one SERVICE to another SERVICE, which may be in the same or a different ORGANISATION.

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DECISION TO REFER TIME (ONWARD REFERRAL)

Change to Data Element: Changed Description
Format/Length: an8 HH:MM:SS
National Codes:
Default Codes:

Notes:
DECISION TO REFER TIME (ONWARD REFERRAL) is the same as attribute DECISION TO REFER TIME.
~~DECISION TO REFER TIME (ONWARD REFERRAL)~~ ~~is the time on which a decision was made to refer the~~ ~~PATIENT~~ ~~from one~~ ~~SERVICE~~ ~~to another~~ ~~SERVICE, which may be in the same or a different~~ ~~Organisation~~.DECISION TO REFER TIME (ONWARD REFERRAL) is the time on which a decision was made to refer the PATIENT from one SERVICE to another SERVICE, which may be in the same or a different ORGANISATION.

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DISEASE OUTBREAK NOTIFICATION

Change to Data Element: Changed Description
Format/Length: max an20
National Codes:
Default Codes:

Notes:
DISEASE OUTBREAK NOTIFICATION is the same as attribute PERSON OBSERVATION TEXT STRING.
DISEASE OUTBREAK NOTIFICATION is used in the CDS V6-2-1 Type 011 - Emergency Care Commissioning Data Set / CDS V6-2-2 Type 011 - Emergency Care Commissioning Data Set to support collection of nationally-notifiable data relating to outbreaks of disease which are identified in Emergency Care Departments. Where a SNOMED CT CODE is available, the DISEASE OUTBREAK NOTIFICATION field should contain this. If a SNOMED CT CODE is NOT available, then it is permissible to submit free-text detail of the disease.
~~DISEASE OUTBREAK NOTIFICATION~~ ~~is collected for a specified purpose at national level only and will not be available from the~~ ~~Secondary Uses Service~~ ~~for use by unauthorised~~ ~~Organisations~~ ~~or individuals.~~DISEASE OUTBREAK NOTIFICATION is collected for a specified purpose at national level only and will not be available from the Secondary Uses Service for use by unauthorised ORGANISATIONS or individuals.

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EMPLOYEE LOCAL IDENTIFIER

Change to Data Element: Changed Description
Format/Length: max an32
NWDS ID: PLNO
NWDS Field Name: Local Unique Employee Number
ESR Field Name: Employee Number
National Codes:
Default Codes:

Notes:
EMPLOYEE LOCAL IDENTIFIER is the same as attribute EMPLOYEE LOCAL IDENTIFIER.
The Non-Medical Workforce Census requires this data item to identify an individual record. ~~It is used in place of personal details (such as~~ ~~PERSON NAME~~ ~~and~~ ~~NATIONAL INSURANCE NUMBER) to refer queries to the employing~~ ~~Organisation~~. It is used in place of personal details (such as PERSON NAME and NATIONAL INSURANCE NUMBER) to refer queries to the employing ORGANISATION.
The Electronic Staff Record provides this item as well as EMPLOYEE NHS IDENTIFIER. It is not duplicated and is not re-used within the system.

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EMPLOYMENT HISTORY NHS LEAVING DATE (LATEST)

Change to Data Element: Changed Description
Format/Length: an10 CCYY-MM-DD
NWDS ID: SDGO
NWDS Field Name: Date of Leaving NHS (Derived)
National Codes:
Default Codes:

Notes:
~~EMPLOYMENT HISTORY NHS LEAVING DATE (LATEST)~~ ~~is the same as attribute~~ ~~EMPLOYMENT HISTORY NHS LEAVING DATE~~ ~~in any NHS~~ ~~Organisation~~ ~~regardless of any previous employment in the NHS.~~EMPLOYMENT HISTORY NHS LEAVING DATE (LATEST) is the same as attribute EMPLOYMENT HISTORY NHS LEAVING DATE in any NHS ORGANISATION regardless of any previous employment in the NHS.

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FTE STABILITY RATE (JOB ROLE IN REPORTING PERIOD)

Change to Data Element: Changed Description
Format/Length: max n3.max n2
NWDS ID: SSWE
NWDS Field Name: Stability Rate- WTE (Derived)
National Codes:
Default Codes:

Notes:
~~FTE STABILITY RATE (JOB ROLE IN REPORTING PERIOD)~~ ~~is the percentage of~~ ~~EMPLOYEES~~ ~~who remain employed within a job role within the~~ ~~Organisation~~ ~~within the~~ ~~REPORTING PERIOD, based upon the~~ ~~ASSIGNMENT CONTRACTED FULL TIME EQUIVALENT~~ ~~of the assignments rather than just the headcount.~~FTE STABILITY RATE (JOB ROLE IN REPORTING PERIOD) is the percentage of EMPLOYEES who remain employed within a job role within the ORGANISATION within the REPORTING PERIOD, based upon the ASSIGNMENT CONTRACTED FULL TIME EQUIVALENT of the assignments rather than just the headcount.
For further guidance, see the NHS Digital website at: National Workforce Data Set (NWD) guidance documents.

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FTE STABILITY RATE (ORGANISATION IN REPORTING PERIOD)

Change to Data Element: Changed Description
Format/Length: max n3.max n2
NWDS ID: SSWE
NWDS Field Name: Stability Rate- WTE (Derived)
National Codes:
Default Codes:

Notes:
~~FTE STABILITY RATE (ORGANISATION IN REPORTING PERIOD)~~ ~~is the percentage of~~ ~~EMPLOYEES~~ ~~who remain employed within the~~ ~~Organisation~~ ~~within the~~ ~~REPORTING PERIOD, based upon the~~ ~~ASSIGNMENT CONTRACTED FULL TIME EQUIVALENT~~ ~~of the assignments rather than the headcount.~~FTE STABILITY RATE (ORGANISATION IN REPORTING PERIOD) is the percentage of EMPLOYEES who remain employed within the ORGANISATION within the REPORTING PERIOD, based upon the ASSIGNMENT CONTRACTED FULL TIME EQUIVALENT of the assignments rather than the headcount.
For further guidance, see the NHS Digital website at: National Workforce Data Set (NWD) guidance documents.

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FTE STABILITY RATE (STAFF GROUP IN REPORTING PERIOD)

Change to Data Element: Changed Description
Format/Length: max n3.max n2
NWDS ID: SSWE
NWDS Field Name: Stability Rate- WTE (Derived)
National Codes:
Default Codes:

Notes:
~~FTE STABILITY RATE (STAFF GROUP IN REPORTING PERIOD)~~ ~~is the percentage of~~ ~~EMPLOYEES~~ ~~who remain employed within a~~ ~~Staff Group~~ ~~within the~~ ~~Organisation~~ ~~within the~~ ~~REPORTING PERIOD, based upon the~~ ~~ASSIGNMENT CONTRACTED FULL TIME EQUIVALENT~~ ~~of the assignments rather than the headcount.~~FTE STABILITY RATE (STAFF GROUP IN REPORTING PERIOD) is the percentage of EMPLOYEES who remain employed within a Staff Group within the ORGANISATION within the REPORTING PERIOD, based upon the ASSIGNMENT CONTRACTED FULL TIME EQUIVALENT of the assignments rather than the headcount.
For further guidance, see the NHS Digital website at: National Workforce Data Set (NWD) guidance documents.

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INTENDED SITE CODE (OF TREATMENT)

Change to Data Element: Changed Description
Format/Length: min an5 max an9
National Codes:
Default Codes: 89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued
89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued

Notes:
INTENDED SITE CODE (OF TREATMENT) is the same as data element SITE CODE (OF TREATMENT).
~~INTENDED SITE CODE (OF TREATMENT)~~ ~~is the~~ ~~ORGANISATION SITE CODE~~ ~~for the~~ ~~Organisation Site~~ ~~where it is intended to treat the~~ ~~PATIENT~~. ~~This enables those~~ ~~Organisations~~ ~~to be recorded which have been sub-commissioned to provide treatment.~~INTENDED SITE CODE (OF TREATMENT) is the ORGANISATION SITE CODE for the ORGANISATION SITE where it is intended to treat the PATIENT. This enables those ORGANISATIONS to be recorded which have been sub-commissioned to provide treatment.

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LOCAL FETAL IDENTIFIER

Change to Data Element: Changed Description
Format/Length: max an36
National Codes:
Default Codes:

Notes:
~~LOCAL FETAL IDENTIFIER~~ ~~is a unique identifier allocated to each~~ ~~Fetus~~ ~~in a~~ ~~Fetus Episode~~ ~~within the current~~ ~~Maternity Episode~~.LOCAL FETAL IDENTIFIER is a unique identifier allocated to each Fetus (unborn baby) in a Fetus Episode within the current Maternity Episode.

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NHS CONTINUING HEALTHCARE INCOMPLETE REFERRALS (EXCEEDING 28 DAYS AT REPORTING PERIOD END STANDARD)

Change to Data Element: Changed Description
Format/Length: max n6
National Codes:
Default Codes:

Notes:
NHS CONTINUING HEALTHCARE INCOMPLETE REFERRALS (EXCEEDING 28 DAYS AT REPORTING PERIOD END STANDARD) is the number of NHS Continuing Healthcare (Standard) referrals waiting to be concluded, that have exceeded 28 days at the end of the REPORTING PERIOD.
~~The 28 days referral time starts from the earliest notification to the~~ ~~Clinical Commissioning Group~~ (~~CCG), or~~ ~~Organisation~~ ~~acting on behalf of the~~ ~~Clinical Commissioning Group, that full consideration for~~ ~~NHS Continuing Healthcare~~ ~~is required~~
The 28 days referral time starts from the earliest notification to the Clinical Commissioning Group (CCG), or ORGANISATION acting on behalf of the Clinical Commissioning Group, that full consideration for NHS Continuing Healthcare is required
The referral time ends on the date the Clinical Commissioning Group makes a verified decision on NHS Continuing Healthcare (Standard) eligibility or the referral is discounted: NHS CONTINUING HEALTHCARE REFERRALS (DISCOUNTED BEFORE ASSESSMENT) where the NHS CONTINUING HEALTHCARE TYPE is National Code 'NHS Continuing Healthcare (Standard)'.

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NHS CONTINUING HEALTHCARE REFERRALS

Change to Data Element: Changed Description
Format/Length: max n6
National Codes:
Default Codes:

Notes:
NHS CONTINUING HEALTHCARE REFERRALS is the number of referrals for NHS Continuing Healthcare in the REPORTING PERIOD.
~~A referral is the earliest notification to the~~ ~~Clinical Commissioning Group~~ (~~CCG), or~~ ~~Organisation~~ ~~acting on behalf of the~~ ~~Clinical Commissioning Group, that full consideration for~~ ~~NHS Continuing Healthcare~~ ~~is required, for example:~~A referral is the earliest notification to the Clinical Commissioning Group (CCG), or ORGANISATION acting on behalf of the Clinical Commissioning Group, that full consideration for NHS Continuing Healthcare is required, for example:
For NHS Continuing Healthcare (Fast Track): the Fast Track Pathway Tool
For NHS Continuing Healthcare (Standard): a positive NHS Continuing Healthcare Checklist or other notification that full consideration is required.
The following should not be counted as referrals:
Negative NHS Continuing Healthcare Checklist, where a need for full assessment is not indicated
NHS Continuing Healthcare Local Appeals
NHS Continuing Healthcare Local Resolutions
Referrals for transitional cases aged under 18
Previously Unassessed Periods of Care.

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NHS CONTINUING HEALTHCARE REFERRALS CONCLUDED (WITHIN 28 DAYS STANDARD)

Change to Data Element: Changed Description
Format/Length: max n6
National Codes:
Default Codes:

Notes:
NHS CONTINUING HEALTHCARE REFERRALS CONCLUDED (WITHIN 28 DAYS STANDARD) is the number of referrals for NHS Continuing Healthcare (Standard) that were concluded within 28 days.
~~The 28 days referral time starts from the earliest notification to the~~ ~~Clinical Commissioning Group~~ (~~CCG), or~~ ~~Organisation~~ ~~acting on behalf of the~~ ~~Clinical Commissioning Group, that full consideration for~~ ~~NHS Continuing Healthcare~~ ~~is required~~
The 28 days referral time starts from the earliest notification to the Clinical Commissioning Group (CCG), or ORGANISATION acting on behalf of the Clinical Commissioning Group, that full consideration for NHS Continuing Healthcare is required
The referral time ends on the date the Clinical Commissioning Group makes a verified decision on NHS Continuing Healthcare (Standard) eligibility or the referral is discounted: NHS CONTINUING HEALTHCARE REFERRALS (DISCOUNTED BEFORE ASSESSMENT) where the NHS CONTINUING HEALTHCARE TYPE is National Code 'NHS Continuing Healthcare (Standard)'.

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ONWARD REFERRAL DATE

Change to Data Element: Changed Description
Format/Length: an10 CCYY-MM-DD
National Codes:
Default Codes:

Notes:
ONWARD REFERRAL DATE is the same as attribute ACTIVITY SERVICE REQUEST DATE.
~~ONWARD REFERRAL DATE~~ ~~is the date the~~ ~~PATIENT~~ ~~was referred from one~~ ~~SERVICE~~ ~~to another~~ ~~SERVICE, which may be in the same or a different~~ ~~Organisation~~.ONWARD REFERRAL DATE is the date the PATIENT was referred from one SERVICE to another SERVICE, which may be in the same or a different ORGANISATION.

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ONWARD REFERRAL TIME

Change to Data Element: Changed Description
Format/Length: an8 HH:MM:SS
National Codes:
Default Codes:

Notes:
ONWARD REFERRAL TIME is the same as attribute ACTIVITY SERVICE REQUEST TIME.
~~ONWARD REFERRAL TIME~~ ~~is the time the~~ ~~PATIENT~~ ~~was referred from one~~ ~~SERVICE~~ ~~to another~~ ~~SERVICE, which may be in the same or a different~~ ~~Organisation~~.ONWARD REFERRAL TIME is the time the PATIENT was referred from one SERVICE to another SERVICE, which may be in the same or a different ORGANISATION.

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ORGANISATION CODE (ADMITTED FROM TO NEONATAL UNIT)

Change to Data Element: Changed Description
Format/Length: an3 or an5
National Codes:
Default Codes: ZZ201 - Not applicable (admitted from home)
~~ZZ888 - Not applicable (admitted from non-NHS~~ ~~Organisation~~)
ZZ888 - Not applicable (admitted from non-NHS ORGANISATION)
ZZ203 - Not known (not known where admitted from)

Notes:
ORGANISATION CODE (ADMITTED FROM TO NEONATAL UNIT) is the same as attribute ORGANISATION CODE.
~~ORGANISATION CODE (ADMITTED FROM TO NEONATAL UNIT)~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~from where the~~ ~~Neonate~~ ~~was transferred as part of a~~ ~~Neonatal Critical Care Spell~~.ORGANISATION CODE (ADMITTED FROM TO NEONATAL UNIT) is the ORGANISATION CODE of the ORGANISATION from where the Neonate was transferred as part of a Neonatal Critical Care Spell.

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ORGANISATION CODE (CODE OF COMMISSIONER)

Change to Data Element: Changed Description
Format/Length: an3 or an5
National Codes:
ODS Default Codes: VPP00 - Private PATIENTS / Overseas Visitor liable for charge
XMD00 - Commissioner Code for Ministry of Defence (MoD) Healthcare
YDD82 - Episodes funded directly by the National Commissioning Group for England (Retired September 2018)

Notes:
ORGANISATION CODE (CODE OF COMMISSIONER) is the same as attribute ORGANISATION CODE.
~~ORGANISATION CODE (CODE OF COMMISSIONER)~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~commissioning health care.~~
ORGANISATION CODE (CODE OF COMMISSIONER) is the ORGANISATION CODE of the ORGANISATION commissioning health care.

For Commissioning Data Sets, the ORGANISATION CODE (CODE OF COMMISSIONER) should always be the ORGANISATION CODE of the original commissioner to support the National Tariff Payment System.
The NHS England document "Who pays? Determining responsibility for payments to providers" sets out a framework for establishing responsibility for commissioning an individual's care within the NHS, (i.e. determining who pays for a PATIENT’s care.)
The document includes information on the following:
General Rules
Applying the rules to Clinical Commissioning Group and NHS England commissioned services
Exceptions to the general rules
~~Examples to help clarify the boundaries of responsibility between commissioning~~ ~~Organisations~~.
Examples to help clarify the boundaries of responsibility between commissioning ORGANISATIONS.
For further information on this document contact NHS England at "Contact us".
Where NHS England is the responsible commissioner for a specialised SERVICE, based on the NHS England Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION CODES should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.
The NHS Digital website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub. The mapping can be found on the Organisation Data Service web pages at: Provider to Commissioning Hub Mapping.
ORGANISATION CODE (CODE OF COMMISSIONER) will be replaced with ORGANISATION IDENTIFIER (CODE OF COMMISSIONER), when it has been approved for use in national information standards.

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ORGANISATION CODE (CODE OF PROVIDER)

Change to Data Element: Changed Description
Format/Length: an3, an5 or an6
National Codes:
ODS Default Codes: 89997 - Non-UK provider where no ORGANISATION CODE has been issued
89999 - Non-NHS UK provider where no ORGANISATION CODE has been issued

Notes:
ORGANISATION CODE (CODE OF PROVIDER) is the same as the attribute ORGANISATION CODE.
~~ORGANISATION CODE (CODE OF PROVIDER)~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~acting as a~~ ~~Health Care Provider~~.ORGANISATION CODE (CODE OF PROVIDER) is the ORGANISATION CODE of the ORGANISATION acting as a Health Care Provider.
For Commissioning Data Sets, the ORGANISATION CODE (CODE OF PROVIDER) should always be the ORGANISATION CODE of the Health Care Provider receiving the National Tariff Payment System income.
ORGANISATION CODE (CODE OF PROVIDER) 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.
ORGANISATION CODE (CODE OF PROVIDER) will be replaced with ORGANISATION IDENTIFIER (CODE OF PROVIDER), when it has been approved for use in national information standards.

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ORGANISATION CODE (CODE OF SUBMITTING ORGANISATION)

Change to Data Element: Changed Description
Format/Length: max an6
National Codes:
Default Codes:

Notes:
ORGANISATION CODE (CODE OF SUBMITTING ORGANISATION) is the same as attribute ORGANISATION CODE.
~~ORGANISATION CODE (CODE OF SUBMITTING ORGANISATION)~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~acting as the physical sender of a Data Set submission.~~ORGANISATION CODE (CODE OF SUBMITTING ORGANISATION) is the ORGANISATION CODE of the ORGANISATION acting as the physical sender of a Data Set submission.
ORGANISATION CODE (CODE OF SUBMITTING ORGANISATION) will be replaced with ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION), when it has been approved for use in national information standards.

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ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY))

Change to Data Element: Changed Description
Format/Length: an3 or an5
National Codes:
Default Codes:

Notes:
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY)) is the same as attribute ORGANISATION CODE.
~~ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY))~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~that assigned the~~ ~~LOCAL PATIENT IDENTIFIER (BABY)~~.ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY)) is the ORGANISATION CODE of the ORGANISATION that assigned the LOCAL PATIENT IDENTIFIER (BABY).
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (BABY)) will be replaced with ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (BABY)), when it has been approved for use in national information standards.

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ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER))

Change to Data Element: Changed Description
Format/Length: an3 or an5
National Codes:
Default Codes:

Notes:
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER)) is the same as attribute ORGANISATION CODE.
~~ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER))~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~that assigned the~~ ~~LOCAL PATIENT IDENTIFIER (MOTHER)~~.ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER)) is the ORGANISATION CODE of the ORGANISATION that assigned the LOCAL PATIENT IDENTIFIER (MOTHER).
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER (MOTHER)) will be replaced with ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (MOTHER)), when it has been approved for use in national information standards.

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ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)

Change to Data Element: Changed Description
Format/Length: an3 or an5
National Codes:
Default Codes:

Notes:
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) is the same as attribute ORGANISATION CODE.
~~ORGANISATION CODE (LOCAL PATIENT IDENTIFIER)~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~that assigned the~~ ~~LOCAL PATIENT IDENTIFIER~~.ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) is the ORGANISATION CODE of the ORGANISATION that assigned the LOCAL PATIENT IDENTIFIER.
ORGANISATION CODE (LOCAL PATIENT IDENTIFIER) will be replaced with ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER), when it has been approved for use in national information standards.

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ORGANISATION CODE (OF ACTUAL PLACE OF DELIVERY)

Change to Data Element: Changed Description
Format/Length: an3 or an5
National Codes:
Default Codes: ZZ201 - Not applicable (delivered at home)
~~ZZ888 - Not applicable (delivered at non-NHS~~ ~~Organisation~~)
ZZ888 - Not applicable (delivered at non-NHS ORGANISATION)
ZZ203 - Not known (place of delivery not known)

Notes:
ORGANISATION CODE (OF ACTUAL PLACE OF DELIVERY) is the same as attribute ORGANISATION CODE.
ORGANISATION CODE (OF ACTUAL PLACE OF DELIVERY) is the ORGANISATION CODE of the unit where the baby was delivered as part of a Maternity Episode.

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ORGANISATION CODE (OF ADMITTING NEONATAL UNIT)

Change to Data Element: Changed Description
Format/Length: an3 or an5
National Codes:
Default Codes:

Notes:
ORGANISATION CODE (OF ADMITTING NEONATAL UNIT) is the same as attribute ORGANISATION CODE.
~~ORGANISATION CODE (OF ADMITTING NEONATAL UNIT)~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~where the~~ ~~Neonate~~ ~~was transferred to as part of a~~ ~~Neonatal Critical Care Spell~~.ORGANISATION CODE (OF ADMITTING NEONATAL UNIT) is the ORGANISATION CODE of the ORGANISATION where the Neonate was transferred to as part of a Neonatal Critical Care Spell.

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ORGANISATION CODE (OF INTENDED PLACE OF DELIVERY)

Change to Data Element: Changed Description
Format/Length: an3 or an5
National Codes:
Default Codes: ZZ201 - Not applicable (intended to deliver at home)
~~ZZ888 - Not applicable (intended to deliver at non-NHS~~ ~~Organisation~~)
ZZ888 - Not applicable (intended to deliver at non-NHS ORGANISATION)
ZZ203 - Not known (intended place of delivery not known)

Notes:
ORGANISATION CODE (OF INTENDED PLACE OF DELIVERY) is the same as attribute ORGANISATION CODE.
~~ORGANISATION CODE (OF INTENDED PLACE OF DELIVERY)~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~that is the intended place of delivery of the baby as part of a~~ ~~Maternity Episode~~.ORGANISATION CODE (OF INTENDED PLACE OF DELIVERY) is the ORGANISATION CODE of the ORGANISATION that is the intended place of delivery of the baby as part of a Maternity Episode.

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ORGANISATION CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)

Change to Data Element: Changed Description
Format/Length: an3 or an5
National Codes:
Default Codes:

Notes:
ORGANISATION CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT) is the same as the attribute ORGANISATION CODE.
~~ORGANISATION CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~where a~~ ~~Two Year Neonatal Outcomes Assessment~~ ~~takes place.~~ORGANISATION CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT) is the ORGANISATION CODE of the ORGANISATION where a Two Year Neonatal Outcomes Assessment takes place.

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ORGANISATION CODE (ON PATHWAY)

Change to Data Element: Changed Description
Format/Length: See ORGANISATION CODE
National Codes:
Default Codes:

Notes:
ORGANISATION CODE (ON PATHWAY) is the same as the attribute ORGANISATION CODE.
~~ORGANISATION CODE (ON PATHWAY)~~ ~~is the code of an~~ ~~Organisation~~ ~~that has been involved in the~~ ~~PATIENT PATHWAY~~ ~~following the~~ ~~Organisation~~ ~~that issued the~~ ~~PATIENT PATHWAY IDENTIFIER~~.ORGANISATION CODE (ON PATHWAY) is the code of an ORGANISATION that has been involved in the PATIENT PATHWAY following the ORGANISATION that issued the PATIENT PATHWAY IDENTIFIER.
~~For the~~ ~~Inter-Provider Transfer Administrative Minimum Data Set, multiple occurrences of the~~ ~~ORGANISATION CODE (ON PATHWAY)~~ ~~may be recorded to reflect all~~ ~~Organisations~~ ~~involved in the~~ ~~PATIENT PATHWAY~~.For the Inter-Provider Transfer Administrative Minimum Data Set, multiple occurrences of the ORGANISATION CODE (ON PATHWAY) may be recorded to reflect all ORGANISATIONS involved in the PATIENT PATHWAY.

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ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)

Change to Data Element: Changed Description
Format/Length: max an5
National Codes:
Default Codes:

Notes:
ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) is the same as attribute ORGANISATION CODE.
~~ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER)~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~issuing the~~ ~~PATIENT PATHWAY IDENTIFIER~~.ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) is the ORGANISATION CODE of the ORGANISATION issuing the PATIENT PATHWAY IDENTIFIER.
Where Choose and Book has been used, the ORGANISATION CODE X09 should be used.
Use in Commissioning Data Set version 6-0 onwards
If the Commissioning Data Set record relates to a Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement, and is of the following Commissioning Data Set Types:
CDS V6-2 Type 020 - Outpatient Commissioning Data Set
CDS V6-2 Type 130 - Admitted Patient Care - Finished General Episode Commissioning Data Set
CDS V6-2 Type 190 - Admitted Patient Care - Unfinished General Episode Commissioning Data Set
CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) Commissioning Data Set
CDS V6-2 Type 060 - Elective Admission List - Event During Period (Add) Commissioning Data Set
CDS V6-2 Type 070 - Elective Admission List - Event During Period (Remove) Commissioning Data Set
CDS V6-2 Type 080 - Elective Admission List - Event During Period (Offer) Commissioning Data Set
then ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) must be present in the Commissioning Data Set PATIENT PATHWAY Data Group.
ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) will be replaced with ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER), when it has been approved for use in national information standards.

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ORGANISATION CODE (PROVIDER OF CHLAMYDIA TEST)

Change to Data Element: Changed Description
Format/Length: an3, an4 or an6
National Codes:
Default Codes: ZZ9999 - Not known (ORGANISATION CODE of Chlamydia Test provider is not known)
ZZ9998 - Not applicable (Internet)

Notes:
ORGANISATION CODE (PROVIDER OF CHLAMYDIA TEST) is the same as attribute ORGANISATION CODE.
~~ORGANISATION CODE (PROVIDER OF CHLAMYDIA TEST)~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~providing the Chlamydia Test to the~~ ~~PATIENT~~.ORGANISATION CODE (PROVIDER OF CHLAMYDIA TEST) is the ORGANISATION CODE of the ORGANISATION providing the Chlamydia Test to the PATIENT.

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ORGANISATION CODE (RECEIVING)

Change to Data Element: Changed Description

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

Notes:
ORGANISATION CODE (RECEIVING) is the same as the attribute ORGANISATION CODE.
~~ORGANISATION CODE (RECEIVING)~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~that is receiving the~~ ~~PATIENT~~ ~~from another~~ ~~Health Care Provider~~.ORGANISATION CODE (RECEIVING) is the ORGANISATION CODE of the ORGANISATION that is receiving the PATIENT from another Health Care Provider.
~~For the~~ ~~National Neonatal Data Set - Episodic and Daily Care, this is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~where a baby is transferred to on discharge from the neonatal critical care.~~For the National Neonatal Data Set - Episodic and Daily Care, this is the ORGANISATION CODE of the ORGANISATION where a baby is transferred to on discharge from the neonatal critical care.

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

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

ORGANISATION CODE (RESIDENCE RESPONSIBILITY)

Change to Data Element: Changed Description

Format/Length:	an3
National Codes:
~~ODS Default Codes~~:	~~Q99 - High Level Health Geography/Primary Care~~ ~~Organisation~~ ~~of Residence Not Known~~ ~~Note: This code must not be used in the Commissioning Data Set header. It is not a default commissioner code.~~
	~~X98 - Primary Care~~ ~~Organisation~~ ~~Not Applicable (Overseas Visitors~~) ~~Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.~~
ODS Default Codes:	Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known Note: This code must not be used in the Commissioning Data Set header. It is not a default commissioner code.
	X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors) Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.

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

ORGANISATION CODE (RESIDENCE RESPONSIBILITY) is the ORGANISATION CODE derived from the PATIENT's POSTCODE OF USUAL ADDRESS, where they reside within the boundary of a:

Clinical Commissioning Group
Care Trust
Local Health Board (Wales)
Scottish Health Board
Northern Ireland Local Commissioning Group: Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009
Primary Healthcare Directorate (Isle of Man)
Local Authority.

ORGANISATION CODES can be downloaded from Technology Reference Data Update Distribution (TRUD). For further information, see Organisation Data Service.

For PATIENTS who are Overseas Visitors: Organisation Data Service Default Code X98 'Primary Care Organisation Not Applicable (Overseas Visitors)' should be reported.
Note: A review of Organisation Data Service Default Codes is planned to be carried out and this default code will be updated as part of that.

For the purposes of sending Commissioning Data Set messages to the Secondary Uses Service (regardless of how local systems hold the data), it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION CODE (RESIDENCE RESPONSIBILITY) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary, primarily to preserve the integrity of the current Commissioning Data Set message and the CDS PRIME RECIPIENT IDENTITY which is derived from the ORGANISATION CODE (RESIDENCE RESPONSIBILITY).

The Organisation Data Service provides postcode files which link postcodes to the Clinical Commissioning Group. See NHS Postcode Directory.

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

ORGANISATION CODE (RESPONSIBLE PCT)

Change to Data Element: Changed Description

Format/Length:	an3
National Codes:
~~ODS Default Codes~~:	~~Q99 - High Level Health Geography/Primary Care~~ ~~Organisation~~ ~~of Residence Not Known~~
	~~X98 - Primary Care~~ ~~Organisation~~ ~~Not Applicable - (Overseas Visitors~~)
ODS Default Codes:	Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
	X98 - Primary Care ORGANISATION Not Applicable - (Overseas Visitors)

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

~~ORGANISATION CODE (RESPONSIBLE PCT)~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Responsible Primary Care Trust~~.ORGANISATION CODE (RESPONSIBLE PCT) is the ORGANISATION CODE of the Responsible Primary Care Trust.

ORGANISATION CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY)

Change to Data Element: Changed Description

Format/Length:	an3 or an5
National Codes:
Default Codes:

Notes:
ORGANISATION CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY) is the same as the attribute ORGANISATION CODE.

~~ORGANISATION CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY)~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~that is responsible for undertaking the~~ ~~Two Year Neonatal Outcomes Assessment~~.ORGANISATION CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY) is the ORGANISATION CODE of the ORGANISATION that is responsible for undertaking the Two Year Neonatal Outcomes Assessment.

ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)

Change to Data Element: Changed Description

Format/Length:	min an3 max an5
National Codes:
ODS Default Codes:	VPP00 - Private PATIENTS / Overseas Visitor liable for charge
	XMD00 - Commissioner Code for Ministry of Defence (MoD) Healthcare
	YDD82 - Episodes funded directly by the National Commissioning Group for England (Retired September 2018)

Notes:
ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) is the same as attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~commissioning health care.~~ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) is the ORGANISATION IDENTIFIER of the ORGANISATION commissioning health care.

For Commissioning Data Sets, the ORGANISATION IDENTIFIER (CODE OF COMMISSIONER) should always be the ORGANISATION IDENTIFIER of the original commissioner to support the National Tariff Payment System.

The NHS England document "Who pays? Determining responsibility for payments to providers" sets out a framework for establishing responsibility for commissioning an individual's care within the NHS, (i.e. determining who pays for a PATIENT’s care.)

The document includes information on the following:

General Rules
Applying the rules to Clinical Commissioning Group and NHS England commissioned services
Exceptions to the general rules
~~Examples to help clarify the boundaries of responsibility between commissioning~~ ~~Organisations~~.
Examples to help clarify the boundaries of responsibility between commissioning ORGANISATIONS.

For further information on this document contact NHS England at "Contact us".

Where NHS England is the responsible commissioner for a specialised SERVICE, based on the NHS England Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION IDENTIFIERS should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.

The NHS Digital website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub. The mapping can be found on the Organisation Data Service web pages at: Provider to Commissioning Hub Mapping.

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

ORGANISATION IDENTIFIER (CODE OF PROVIDER)

Change to Data Element: Changed Description

Format/Length:	min an3 max an6
National Codes:
ODS Default Codes:	89997 - Non-UK provider where no ORGANISATION IDENTIFIER has been issued
	89999 - Non-NHS UK provider where no ORGANISATION IDENTIFIER has been issued

Notes:
ORGANISATION IDENTIFIER (CODE OF PROVIDER) is the same as the attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (CODE OF PROVIDER)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~acting as a~~ ~~Health Care Provider~~.ORGANISATION IDENTIFIER (CODE OF PROVIDER) is the ORGANISATION IDENTIFIER of the ORGANISATION acting as a Health Care Provider.

For Commissioning Data Sets, the ORGANISATION IDENTIFIER (CODE OF PROVIDER) should always be the ORGANISATION IDENTIFIER of the Health Care Provider receiving the National Tariff Payment System income.

ORGANISATION CODE (CODE OF PROVIDER) 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.

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

ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)

Change to Data Element: Changed Description

Format/Length:	min an3 max an6
National Codes:
Default Codes:

Notes:
ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION) is the same as attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~acting as the physical sender of a Data Set submission.~~ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION) is the ORGANISATION IDENTIFIER of the ORGANISATION acting as the physical sender of a Data Set submission.

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

ORGANISATION IDENTIFIER (EMPLOYER)

Change to Data Element: Changed Description

Format/Length:	min an3 max an5
NWDS ID:	OCSC
NWDS Field Name:	Employing Organisation Code
National Codes:
Default Codes:

Notes:
ORGANISATION IDENTIFIER (EMPLOYER) is the same as attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (EMPLOYER)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~that identifies the~~ ~~Organisation~~ ~~acting as an employer.~~ORGANISATION IDENTIFIER (EMPLOYER) is the ORGANISATION IDENTIFIER that identifies the ORGANISATION acting as an employer.

ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)

Change to Data Element: Changed Description

Format/Length:	min an3 max an5
National Codes:
~~ODS Default Codes~~:	~~Q99 - High Level Health Geography/Primary Care~~ ~~Organisation~~ ~~of Residence Not Known~~
	~~X98 - Primary Care~~ ~~Organisation~~ ~~Not Applicable (Overseas Visitors~~)
ODS Default Codes:	Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known
	X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors)

Notes:
ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY) is the same as attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~responsible for the~~ ~~GP Practice~~ ~~where the~~ ~~PATIENT~~ ~~is registered, irrespective of whether they reside within the boundary of the~~ ~~Clinical Commissioning Group~~.ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY) is the ORGANISATION IDENTIFIER of the ORGANISATION responsible for the GP Practice where the PATIENT is registered, irrespective of whether they reside within the boundary of the Clinical Commissioning Group.

ORGANISATION IDENTIFIER (IMMUNISATION RESPONSIBLE ORGANISATION)

Change to Data Element: Changed Description

Format/Length:	min an3 max an6
National Codes:
Default Codes:

Notes:
ORGANISATION IDENTIFIER (IMMUNISATION RESPONSIBLE ORGANISATION) is the same as attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (IMMUNISATION RESPONSIBLE ORGANISATION)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~carrying out the immunisation.~~ORGANISATION IDENTIFIER (IMMUNISATION RESPONSIBLE ORGANISATION) is the ORGANISATION IDENTIFIER of the ORGANISATION carrying out the immunisation.

ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (BABY))

Change to Data Element: Changed Description

Format/Length:	min an3 max an5
National Codes:
Default Codes:

Notes:
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (BABY)) is the same as attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (BABY))~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~that assigned the~~ ~~LOCAL PATIENT IDENTIFIER~~ ~~for the baby.~~ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (BABY)) is the ORGANISATION IDENTIFIER of the ORGANISATION that assigned the LOCAL PATIENT IDENTIFIER for the baby.

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

ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (MOTHER))

Change to Data Element: Changed Description

Format/Length:	min an3 max an5
National Codes:
Default Codes:

Notes:
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (MOTHER)) is the same as attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (MOTHER))~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~that assigned the~~ ~~LOCAL PATIENT IDENTIFIER~~ ~~for the mother.~~ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER (MOTHER)) is the ORGANISATION IDENTIFIER of the ORGANISATION that assigned the LOCAL PATIENT IDENTIFIER for the mother.

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

ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)

Change to Data Element: Changed Description

Format/Length:	min an3 max an5
National Codes:
Default Codes:

Notes:
ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER) is the same as attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~that assigned the~~ ~~LOCAL PATIENT IDENTIFIER~~.ORGANISATION IDENTIFIER (LOCAL PATIENT IDENTIFIER) is the ORGANISATION IDENTIFIER of the ORGANISATION that assigned the LOCAL PATIENT IDENTIFIER.

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

ORGANISATION IDENTIFIER (OF AUTHORISING PATHOLOGIST)

Change to Data Element: Changed Description

Format/Length:	min an3 max an5
National Codes:
Default Codes:

Notes:
ORGANISATION IDENTIFIER (OF AUTHORISING PATHOLOGIST) is the same as the attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (OF AUTHORISING PATHOLOGIST)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~at which the authorising~~ ~~Pathologist~~ ~~is based.~~ORGANISATION IDENTIFIER (OF AUTHORISING PATHOLOGIST) is the ORGANISATION IDENTIFIER of the ORGANISATION at which the authorising Pathologist is based.

ORGANISATION IDENTIFIER (OF DATING ULTRASOUND SCAN)

Change to Data Element: Changed Description

Format/Length:	min an3 max an6
National Codes:
ODS Default Codes:	89997 - Non-UK provider where no ORGANISATION IDENTIFIER has been issued
	89999 - Non-NHS UK provider where no ORGANISATION IDENTIFIER has been issued

Notes:
ORGANISATION IDENTIFIER (OF DATING ULTRASOUND SCAN) is the same as the attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (OF DATING ULTRASOUND SCAN)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~that performed the~~ ~~Dating Ultrasound Scan~~.ORGANISATION IDENTIFIER (OF DATING ULTRASOUND SCAN) is the ORGANISATION IDENTIFIER of the ORGANISATION that performed the Dating Ultrasound Scan.

ORGANISATION IDENTIFIER (OF LABORATORY RESULT)

Change to Data Element: Changed Description

Format/Length:	min an3 max an5
National Codes:
ODS Default Codes:

Notes:
ORGANISATION IDENTIFIER (OF LABORATORY RESULT) is the same as attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (OF LABORATORY RESULT)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~where the~~ ~~Laboratory~~ ~~result was processed.~~ORGANISATION IDENTIFIER (OF LABORATORY RESULT) is the ORGANISATION IDENTIFIER of the ORGANISATION where the Laboratory result was processed.

This could be a SAMPLE of blood, other fluid SAMPLE etc.

ORGANISATION IDENTIFIER (OF SYSTEMIC ANTI-CANCER THERAPY ADMINISTRATION)

Change to Data Element: Changed Description

Format/Length:	min an3 max an6
National Codes:
Default Codes:

Notes:
ORGANISATION IDENTIFIER (OF SYSTEMIC ANTI-CANCER THERAPY ADMINISTRATION) is the same as the attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (OF SYSTEMIC ANTI-CANCER THERAPY ADMINISTRATION)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~for a~~ ~~Systemic Anti-Cancer Therapy Drug Administration~~ ~~in a~~ ~~Systemic Anti-Cancer Therapy Drug Cycle~~.ORGANISATION IDENTIFIER (OF SYSTEMIC ANTI-CANCER THERAPY ADMINISTRATION) is the ORGANISATION IDENTIFIER of the ORGANISATION for a Systemic Anti-Cancer Therapy Drug Administration in a Systemic Anti-Cancer Therapy Drug Cycle.

ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)

Change to Data Element: Changed Description

Format/Length:	min an3 max an5
National Codes:
Default Codes:

Notes:
ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER) is the same as attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~issuing the~~ ~~PATIENT PATHWAY IDENTIFIER~~.ORGANISATION IDENTIFIER (PATIENT PATHWAY IDENTIFIER ISSUER) is the ORGANISATION IDENTIFIER of the ORGANISATION issuing the PATIENT PATHWAY IDENTIFIER.

Where Choose and Book has been used, the ORGANISATION IDENTIFIER X09 should be used.

Use in Commissioning Data Set version 6-0 onwards

If the Commissioning Data Set record relates to a Referral To Treatment Period Included In Referral To Treatment Consultant-Led Waiting Times Measurement, and is of the following Commissioning Data Set Types:

then ORGANISATION CODE (PATIENT PATHWAY IDENTIFIER ISSUER) must be present in the Commissioning Data Set PATIENT PATHWAY Data Group.

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

ORGANISATION IDENTIFIER (POSITION NON-NHS FUNDER)

Change to Data Element: Changed Description

Format/Length:	min an3 max an5
NWDS ID:	ORGF
NWDS Field Name:	Post Funded By
National Codes:
Default Codes:

Notes:
ORGANISATION IDENTIFIER (POSITION NON-NHS FUNDER) is the same as attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (POSITION NON-NHS FUNDER)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the non-NHS~~ ~~Organisation~~ ~~funding the~~ ~~POSITION~~.ORGANISATION IDENTIFIER (POSITION NON-NHS FUNDER) is the ORGANISATION IDENTIFIER of the non-NHS ORGANISATION funding the POSITION.

ORGANISATION IDENTIFIER (POSTNATAL PATHWAY LEAD PROVIDER)

Change to Data Element: Changed Description

Format/Length:	min an3 max an5
National Codes:
Default Codes:

Notes:
ORGANISATION IDENTIFIER (POSTNATAL PATHWAY LEAD PROVIDER) is the same as attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (POSTNATAL PATHWAY LEAD PROVIDER)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Postnatal~~ ~~lead provider~~ ~~Organisation~~ ~~for the purpose of the~~ ~~Maternity Services Data Set~~.ORGANISATION IDENTIFIER (POSTNATAL PATHWAY LEAD PROVIDER) is the ORGANISATION IDENTIFIER of the Postnatal lead provider ORGANISATION for the purpose of the Maternity Services Data Set.

ORGANISATION IDENTIFIER (PROVIDER OF ORIGIN)

Change to Data Element: Changed Description

Format/Length:	min an3 max an6
National Codes:
Default Codes:

Notes:
ORGANISATION IDENTIFIER (PROVIDER OF ORIGIN) is the same as the attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (PROVIDER OF ORIGIN)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the originating~~ ~~Organisation~~ ~~that referred the~~ ~~PATIENT~~ ~~to the~~ ~~SERVICE~~.ORGANISATION IDENTIFIER (PROVIDER OF ORIGIN) is the ORGANISATION IDENTIFIER of the originating ORGANISATION that referred the PATIENT to the SERVICE.

For the Maternity Services Data Set:

~~ORGANISATION IDENTIFIER (PROVIDER OF ORIGIN)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the originating~~ ~~Organisation~~ ~~that referred the mother to the~~ ~~Maternity Service~~
~~ORGANISATION IDENTIFIER (PROVIDER OF ORIGIN)~~ ~~will be applicable only if the request has originated from another~~ ~~Organisation. It will not be applicable for a self-referral.~~
ORGANISATION IDENTIFIER (PROVIDER OF ORIGIN) is the ORGANISATION IDENTIFIER of the originating ORGANISATION that referred the mother to the Maternity Service
ORGANISATION IDENTIFIER (PROVIDER OF ORIGIN) will be applicable only if the request has originated from another ORGANISATION. It will not be applicable for a self-referral.

ORGANISATION IDENTIFIER (RECEIVING)

Change to Data Element: Changed Description

Format/Length:	min an3 max an5
National Codes:
Default Codes:

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

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

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

ORGANISATION IDENTIFIER (REFERRING)

Change to Data Element: Changed Description

Format/Length:	min an3 max an6
National Codes:
ODS Default Codes:	X99998 - Referring ORGANISATION IDENTIFIER not applicable
	X99999 - Referring ORGANISATION IDENTIFIER not known

Notes:
ORGANISATION IDENTIFIER (REFERRING) is the same as attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (REFERRING)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~from which the referral is made, such as a~~ ~~GP Practice~~, ~~NHS Trust~~ or ~~NHS Foundation Trust~~.ORGANISATION IDENTIFIER (REFERRING) is the ORGANISATION IDENTIFIER of the ORGANISATION from which the referral is made, such as a GP Practice, NHS Trust or NHS Foundation Trust.

This information is essential for managing service agreements which are based on patterns of referral.

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

ORGANISATION IDENTIFIER (REPORTING LABORATORY)

Change to Data Element: Changed Description

Format/Length:	min an3 max an5
National Codes:
Default Codes:

Notes:
ORGANISATION IDENTIFIER (REPORTING LABORATORY) is the same as the attribute ORGANISATION IDENTIFIER.

~~ORGANISATION IDENTIFIER (REPORTING LABORATORY)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation~~ ~~where the reporting~~ ~~Laboratory~~ ~~(the~~ ~~Laboratory~~ ~~that performed the test) is based.~~ORGANISATION IDENTIFIER (REPORTING LABORATORY) is the ORGANISATION IDENTIFIER of the ORGANISATION where the reporting Laboratory (the Laboratory that performed the test) is based.

ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY)

Change to Data Element: Changed Description

Format/Length:	min an3 max an5
National Codes:
~~ODS Default Codes~~:	~~Q99 - High Level Health Geography/Primary Care~~ ~~Organisation~~ ~~of Residence Not Known~~ ~~Note: This code must not be used in the Commissioning Data Set header. It is not a default commissioner code.~~
	~~X98 - Primary Care~~ ~~Organisation~~ ~~Not Applicable (Overseas Visitors~~) ~~Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.~~
ODS Default Codes:	Q99 - High Level Health Geography/Primary Care ORGANISATION of Residence Not Known Note: This code must not be used in the Commissioning Data Set header. It is not a default commissioner code.
	X98 - Primary Care ORGANISATION Not Applicable (Overseas Visitors) Note: this code must not be used in the Commissioning Data Set (CDS) header. It is not a default Commissioner code.

Notes:
ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) is the same as attribute ORGANISATION IDENTIFIER.

ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) is the ORGANISATION IDENTIFIER derived from the PATIENT's POSTCODE OF USUAL ADDRESS, where they reside within the boundary of a:

Clinical Commissioning Group
Care Trust
Local Health Board (Wales)
Scottish Health Board
Northern Ireland Local Commissioning Group: Guidance on the use of Northern Ireland codes can be found in Data Set Change Notice 19/2009
Primary Healthcare Directorate (Isle of Man)
Local Authority.

For the purposes of sending Commissioning Data Set messages to the Secondary Uses Service (regardless of how local systems hold the data), it is essential at present to continue using a 3 character field, using the first 3 characters of the ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY) and following the same update rules relating to Prime Recipient as are currently in place. This is necessary, primarily to preserve the integrity of the current Commissioning Data Set message and the CDS PRIME RECIPIENT IDENTITY which is derived from the ORGANISATION IDENTIFIER (RESIDENCE RESPONSIBILITY).

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

ORGANISATION NAME (EMPLOYER)

Change to Data Element: Changed Description

Format/Length:	See ORGANISATION NAME
NWDS ID:	ORGN
NWDS Field Name:	Employing Organisation Name
National Codes:
Default Codes:

Notes:
ORGANISATION NAME (EMPLOYER) is the same as data element ORGANISATION NAME.

~~ORGANISATION NAME (EMPLOYER)~~ ~~is the~~ ~~ORGANISATION NAME~~ ~~of the employing~~ ~~Organisation~~.ORGANISATION NAME (EMPLOYER) is the ORGANISATION NAME of the employing ORGANISATION.

ORGANISATION NAME (HEALTH CARE PROVIDER)

Change to Data Element: Changed Description

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

Notes:
~~ORGANISATION NAME (HEALTH CARE PROVIDER)~~ ~~is the same as attribute~~ ~~ORGANISATION NAME~~ ~~of the~~ ~~Organisation~~ ~~acting as the~~ ~~Health Care Provider~~.

ORGANISATION NAME (HEALTH CARE PROVIDER) is the same as attribute ORGANISATION NAME of the ORGANISATION acting as the Health Care Provider.

ORGANISATION NAME (RECEIVING)

Change to Data Element: Changed Description

Format/Length:	See ORGANISATION NAME
National Codes:
Default Codes:

Notes:
ORGANISATION NAME (RECEIVING) is the same as data element ORGANISATION NAME.

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

ORGANISATION SITE IDENTIFIER (AT START OF INTRAPARTUM CARE)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
Default Codes:	ZZ201 - Home
	~~ZZ888 - Non-NHS~~ ~~Organisation~~
	ZZ888 - Non-NHS ORGANISATION
	ZZ203 - Not Known (Not Recorded)

Notes:
~~ORGANISATION SITE IDENTIFIER (AT START OF INTRAPARTUM CARE)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (AT START OF INTRAPARTUM CARE) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (AT START OF INTRAPARTUM CARE)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~where the mother started intrapartum care.~~ORGANISATION SITE IDENTIFIER (AT START OF INTRAPARTUM CARE) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the mother started intrapartum care.

ORGANISATION SITE IDENTIFIER (AT START OF INTRAPARTUM CARE)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (AT START OF INTRAPARTUM CARE)

Attribute:

ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~to which a~~ ~~PATIENT~~ ~~is discharged following an~~ ~~Emergency Care Attendance~~.ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE to which a PATIENT is discharged following an Emergency Care Attendance.

ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (DISCHARGE FROM EMERGENCY CARE)

Attribute:

ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~from which a~~ ~~PATIENT~~ ~~arrived at an~~ ~~Emergency Care Department~~.ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE from which a PATIENT arrived at an Emergency Care Department.

ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (EMERGENCY CARE ATTENDANCE SOURCE)

Attribute:

ORGANISATION SITE IDENTIFIER (EMPLOYING ORGANISATION)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
NWDS ID:	ORST
NWDS Field Name:	Site Description (Location)
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (EMPLOYING ORGANISATION)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (EMPLOYING ORGANISATION) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (EMPLOYING ORGANISATION)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~of the employing~~ ~~Organisation~~ ~~where the~~ ~~EMPLOYEE~~ ~~is employed or based from.~~ORGANISATION SITE IDENTIFIER (EMPLOYING ORGANISATION) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE of the employing ORGANISATION where the EMPLOYEE is employed or based from.

ORGANISATION SITE IDENTIFIER (EMPLOYING ORGANISATION)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (EMPLOYING ORGANISATION)

Attribute:

ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
Default Codes:	ZZ201 - Home
	~~ZZ888 - Non-NHS~~ ~~Organisation~~
	ZZ888 - Non-NHS ORGANISATION
	ZZ203 - Not Known (Not Recorded)
	ZZ777 - In transit

Notes:
~~ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~where the baby was delivered as part of a~~ ~~Maternity Episode~~.ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the baby was delivered as part of a Maternity Episode.

SITE CODE (OF ACTUAL PLACE OF DELIVERY) will be replaced with ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY), when it has been approved for use in national information standards.

ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY)

Attribute:

ORGANISATION SITE IDENTIFIER (OF ACUTE ONCOLOGY ASSESSMENT)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	an5
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF ACUTE ONCOLOGY ASSESSMENT)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF ACUTE ONCOLOGY ASSESSMENT) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF ACUTE ONCOLOGY ASSESSMENT)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~where the~~ ~~Acute Oncology Assessment~~ ~~was carried out during a~~ ~~Cancer Care Spell~~.ORGANISATION SITE IDENTIFIER (OF ACUTE ONCOLOGY ASSESSMENT) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the Acute Oncology Assessment was carried out during a Cancer Care Spell.

ORGANISATION SITE IDENTIFIER (OF ACUTE ONCOLOGY ASSESSMENT)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF ACUTE ONCOLOGY ASSESSMENT)

Attribute:

ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
Default Codes:

Notes:
~~ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Neonatal Unit~~ ~~where the~~ ~~Neonate~~ ~~was transferred to as part of a~~ ~~Maternity Episode~~.ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT) is the ORGANISATION SITE IDENTIFIER of the Neonatal Unit where the Neonate was transferred to as part of a Maternity Episode.

SITE CODE (OF ADMITTING NEONATAL UNIT) will be replaced with ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT), when it has been approved for use in national information standards.

ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF ADMITTING NEONATAL UNIT)

Attribute:

ORGANISATION SITE IDENTIFIER (OF ANTENATAL BOOKING)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
Default Codes:	ZZ201 - Home
	~~ZZ888 - Non-NHS~~ ~~Organisation~~
	ZZ888 - Non-NHS ORGANISATION
	ZZ203 - Not Known (Not Recorded)
	ZZ999 - Other

Notes:
~~ORGANISATION SITE IDENTIFIER (OF ANTENATAL BOOKING)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF ANTENATAL BOOKING) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF ANTENATAL BOOKING)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~of the~~ ~~Antenatal Booking Appointment~~.ORGANISATION SITE IDENTIFIER (OF ANTENATAL BOOKING) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE of the Antenatal Booking Appointment.

ORGANISATION SITE IDENTIFIER (OF ANTENATAL BOOKING)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF ANTENATAL BOOKING)

Attribute:

ORGANISATION SITE IDENTIFIER (OF CANCER FASTER DIAGNOSIS PATHWAY END DATE)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF CANCER FASTER DIAGNOSIS PATHWAY END DATE)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF CANCER FASTER DIAGNOSIS PATHWAY END DATE) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF CANCER FASTER DIAGNOSIS PATHWAY END DATE)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~acting as~~ ~~Health Care Provider~~ ~~where the~~ ~~CANCER FASTER DIAGNOSIS PATHWAY END DATE~~ ~~is recorded.~~ORGANISATION SITE IDENTIFIER (OF CANCER FASTER DIAGNOSIS PATHWAY END DATE) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE acting as Health Care Provider where the CANCER FASTER DIAGNOSIS PATHWAY END DATE is recorded.

ORGANISATION SITE IDENTIFIER (OF CANCER FASTER DIAGNOSIS PATHWAY END DATE)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF CANCER FASTER DIAGNOSIS PATHWAY END DATE)

Attribute:

ORGANISATION SITE IDENTIFIER (OF CANCER SITE SPECIFIC STAGE)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF CANCER SITE SPECIFIC STAGE)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF CANCER SITE SPECIFIC STAGE) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF CANCER SITE SPECIFIC STAGE)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~of the~~ ~~Health Care Provider~~ ~~where the cancer site specific stage was carried out.~~ORGANISATION SITE IDENTIFIER (OF CANCER SITE SPECIFIC STAGE) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE of the Health Care Provider where the cancer site specific stage was carried out.

ORGANISATION SITE IDENTIFIER (OF CANCER SITE SPECIFIC STAGE)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF CANCER SITE SPECIFIC STAGE)

Attribute:

ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~where the~~ ~~PATIENT DIAGNOSIS~~ ~~took place.~~ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the PATIENT DIAGNOSIS took place.

ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS)

Attribute:

ORGANISATION SITE IDENTIFIER (OF DIAGNOSTIC PROCEDURE)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

~~ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~where the~~ ~~Diagnostic Procedure~~ ~~took place.~~ORGANISATION SITE IDENTIFIER (OF DIAGNOSIS) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the Diagnostic Procedure took place.

ORGANISATION SITE IDENTIFIER (OF DIAGNOSTIC PROCEDURE)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF DIAGNOSTIC PROCEDURE)

Attribute:

ORGANISATION SITE IDENTIFIER (OF IMAGING)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF IMAGING)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF IMAGING) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF IMAGING)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~where the~~ ~~Diagnostic Imaging~~ ~~took place.~~ORGANISATION SITE IDENTIFIER (OF IMAGING) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the Diagnostic Imaging took place.

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

ORGANISATION SITE IDENTIFIER (OF IMAGING)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF IMAGING)

Attribute:

ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
Default Codes:	ZZ201 - Not applicable (intended to deliver at home)
	~~ZZ888 - Not Applicable (intended to deliver at non-NHS~~ ~~Organisation~~)
	ZZ888 - Not Applicable (intended to deliver at non-NHS ORGANISATION)
	ZZ203 - Not known (intended place of delivery not known)

Notes:
~~ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~that is the intended place of delivery of the baby as part of a~~ ~~Maternity Episode~~.ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE that is the intended place of delivery of the baby as part of a Maternity Episode.

SITE CODE (OF INTENDED PLACE OF DELIVERY) will be replaced with ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY), when it has been approved for use in national information standards.

ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY)

Attribute:

ORGANISATION SITE IDENTIFIER (OF MULTIDISCIPLINARY TEAM MEETING)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF MULTIDISCIPLINARY TEAM MEETING)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF MULTIDISCIPLINARY TEAM MEETING) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF MULTIDISCIPLINARY TEAM MEETING)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~where the~~ ~~Multidisciplinary Team Meeting~~ ~~took place.~~ORGANISATION SITE IDENTIFIER (OF MULTIDISCIPLINARY TEAM MEETING) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the Multidisciplinary Team Meeting took place.

ORGANISATION SITE IDENTIFIER (OF MULTIDISCIPLINARY TEAM MEETING)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF MULTIDISCIPLINARY TEAM MEETING)

Attribute:

ORGANISATION SITE IDENTIFIER (OF PATHOLOGY TEST REQUEST)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF PATHOLOGY TEST REQUEST)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF PATHOLOGY TEST REQUEST) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF PATHOLOGY TEST REQUEST)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~at which the~~ ~~CARE PROFESSIONAL~~ ~~who requested the~~ ~~DIAGNOSTIC TEST REQUEST~~ ~~for suspected cancer, is based.~~ORGANISATION SITE IDENTIFIER (OF PATHOLOGY TEST REQUEST) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE at which the CARE PROFESSIONAL who requested the DIAGNOSTIC TEST REQUEST for suspected cancer, is based.

ORGANISATION SITE IDENTIFIER (OF PATHOLOGY TEST REQUEST)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF PATHOLOGY TEST REQUEST)

Attribute:

ORGANISATION SITE IDENTIFIER (OF PLANNED DELIVERY)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
Default Codes:	ZZ201 - Home
	~~ZZ888 - Non-NHS~~ ~~Organisation~~
	ZZ888 - Non-NHS ORGANISATION
	ZZ203 - Not Known (Not Recorded)

Notes:
~~ORGANISATION SITE IDENTIFIER (OF PLANNED DELIVERY)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF PLANNED DELIVERY) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF PLANNED DELIVERY)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~of the planned~~ ~~Delivery~~ ~~of the baby as part of a~~ ~~Maternity Episode~~.ORGANISATION SITE IDENTIFIER (OF PLANNED DELIVERY) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE of the planned Delivery of the baby as part of a Maternity Episode.

ORGANISATION SITE IDENTIFIER (OF PLANNED DELIVERY)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF PLANNED DELIVERY)

Attribute:

ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER DECISION TO TREAT)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER DECISION TO TREAT)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER DECISION TO TREAT) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER DECISION TO TREAT)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~acting as~~ ~~Health Care Provider~~ ~~where the decision to treat the~~ ~~PATIENT~~ ~~was made which initiated a~~ ~~Cancer Care Plan~~ ~~with one or more~~ ~~Planned Cancer Treatments~~.ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER DECISION TO TREAT) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE acting as Health Care Provider where the decision to treat the PATIENT was made which initiated a Cancer Care Plan with one or more Planned Cancer Treatments.

The Planned Cancer Treatment may be planned and provided by a different Health Care Provider.

ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER DECISION TO TREAT)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER DECISION TO TREAT)

Attribute:

ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~where the~~ ~~TREATMENT START DATE (CANCER)~~ ~~is recorded.~~ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the TREATMENT START DATE (CANCER) is recorded.

ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF PROVIDER CANCER TREATMENT START DATE)

Attribute:

ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~acting as~~ ~~Health Care Provider~~ ~~when a decision is made to upgrade the~~ ~~PATIENT~~ ~~to an urgent Cancer~~ ~~PATIENT PATHWAY~~.ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE acting as Health Care Provider when a decision is made to upgrade the PATIENT to an urgent Cancer PATIENT PATHWAY.

The decision to upgrade must be made by a CONSULTANT or an authorised member of the CONSULTANTS team (subject to local agreement).

ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF PROVIDER CONSULTANT UPGRADE)

Attribute:

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST CANCER SPECIALIST)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST CANCER SPECIALIST)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST CANCER SPECIALIST) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST CANCER SPECIALIST)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~where the~~ ~~PATIENT~~ ~~is first seen by an appropriate cancer specialist on the~~ ~~DATE FIRST SEEN (CANCER SPECIALIST)~~.ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST CANCER SPECIALIST) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the PATIENT is first seen by an appropriate cancer specialist on the DATE FIRST SEEN (CANCER SPECIALIST).

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST CANCER SPECIALIST)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST CANCER SPECIALIST)

Attribute:

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~of the~~ ~~Health Care Provider~~ ~~at the first contact with the~~ ~~PATIENT~~.ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE of the Health Care Provider at the first contact with the PATIENT.

For the National Cancer Waiting Times Monitoring Data Set this may be the:

whichever is the earlier SERVICE related to the initial REFERRAL REQUEST.

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN) may be the same Health Care Provider as for ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST CANCER SPECIALIST) if the PATIENT was first seen by the appropriate specialist for cancer.

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN)

Attribute:

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN NON PRIMARY CANCER PATHWAY)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN NON PRIMARY CANCER PATHWAY)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN NON PRIMARY CANCER PATHWAY) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN NON PRIMARY CANCER PATHWAY)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~of the~~ ~~Health Care Provider~~ ~~at the first contact with the~~ ~~PATIENT~~ ~~during a~~ ~~Non Primary Cancer Pathway~~.ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN NON PRIMARY CANCER PATHWAY) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE of the Health Care Provider at the first contact with the PATIENT during a Non Primary Cancer Pathway.

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN NON PRIMARY CANCER PATHWAY)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF PROVIDER FIRST SEEN NON PRIMARY CANCER PATHWAY)

Attribute:

ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING FINAL PRETREATMENT)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING FINAL PRETREATMENT)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING FINAL PRETREATMENT) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING FINAL PRETREATMENT)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~of the~~ ~~Multidisciplinary Team~~ ~~who agreed the~~ ~~TNM STAGE GROUPING (FINAL PRETREATMENT)~~ ~~for a cancer~~ ~~PATIENT~~.ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING FINAL PRETREATMENT) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE of the Multidisciplinary Team who agreed the TNM STAGE GROUPING (FINAL PRETREATMENT) for a cancer PATIENT.

ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING FINAL PRETREATMENT)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING FINAL PRETREATMENT)

Attribute:

ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING INTEGRATED)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
~~ODS Default Codes~~:	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
ODS Default Codes:	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING INTEGRATED)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING INTEGRATED) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING INTEGRATED)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~of the~~ ~~Multidisciplinary Team~~ ~~treating the~~ ~~PATIENT~~ ~~post surgery, where the surgery was the first treatment agreed for~~ ~~TNM STAGE GROUPING (INTEGRATED)~~.ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING INTEGRATED) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE of the Multidisciplinary Team treating the PATIENT post surgery, where the surgery was the first treatment agreed for TNM STAGE GROUPING (INTEGRATED).

ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING INTEGRATED)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF TNM STAGE GROUPING INTEGRATED)

Attribute:

ORGANISATION SITE IDENTIFIER (OF TREATMENT)

Change to Data Element: Changed Description, linked Attribute

Format/Length:	min an5 max an9
National Codes:
ODS Default Codes:	R9998 - Not a hospital site
	~~89999 - Non-NHS UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	~~89997 - Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued~~
	89999 - Non-NHS UK Provider where no ORGANISATION SITE IDENTIFIER has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued

Notes:
~~ORGANISATION SITE IDENTIFIER (OF TREATMENT)~~ ~~is the same as attribute~~ ~~ORGANISATION IDENTIFIER~~.ORGANISATION SITE IDENTIFIER (OF TREATMENT) is the same as attribute ORGANISATION SITE IDENTIFIER.

~~ORGANISATION SITE IDENTIFIER (OF TREATMENT)~~ ~~is the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Organisation Site~~ ~~where the~~ ~~PATIENT~~ ~~was treated, i.e. it should enable the treating~~ ~~Organisation~~ ~~to be identified.~~ORGANISATION SITE IDENTIFIER (OF TREATMENT) is the ORGANISATION SITE IDENTIFIER of the ORGANISATION SITE where the PATIENT was treated, i.e. it should enable the treating ORGANISATION to be identified.

~~ORGANISATION SITE IDENTIFIER (OF TREATMENT)~~ ~~identifies the~~ ~~Organisation Site~~ ~~within the~~ ~~Organisation~~ ~~on which the~~ ~~PATIENT~~ ~~was treated, since facilities may vary on different hospital sites.~~ORGANISATION SITE IDENTIFIER (OF TREATMENT) identifies the ORGANISATION SITE within the ORGANISATION on which the PATIENT was treated, since facilities may vary on different hospital sites.

~~The code recorded should always be the national code; if the treatment is sub-commissioned to another NHS~~ ~~Health Care Provider~~ ~~or an independent UK provider, the~~ ~~ORGANISATION SITE IDENTIFIER (OF TREATMENT)~~ ~~used should be the~~ ~~ORGANISATION IDENTIFIER~~ ~~of the~~ ~~Health Care Provider~~ ~~actually carrying out the work.~~The code recorded should always be the national code; if the treatment is sub-commissioned to another NHS Health Care Provider or an independent UK provider, the ORGANISATION SITE IDENTIFIER (OF TREATMENT) used should be the ORGANISATION SITE IDENTIFIER of the Health Care Provider actually carrying out the work.

~~Where treatment is sub-commissioned to an overseas provider the~~ ~~Organisation Data Service Default Code~~ ~~89997~~ ~~'Non-UK Provider where no~~ ~~ORGANISATION IDENTIFIER~~ ~~has been issued'~~ ~~is applicable.~~Where treatment is sub-commissioned to an overseas provider the Organisation Data Service Default Code 89997 'Non-UK Provider where no ORGANISATION SITE IDENTIFIER has been issued' is applicable.

~~Each~~ ~~Organisation~~ ~~has a unique~~ ~~ORGANISATION IDENTIFIER~~. ~~However, where an~~ ~~Organisation~~ ~~has more than one site from which it provides~~ ~~SERVICES, then each site is uniquely identified.~~ ~~These sites are~~ ~~Organisation Sites~~ ~~and are uniquely identified by an~~ ~~ORGANISATION IDENTIFIER~~.Each ORGANISATION has a unique ORGANISATION SITE IDENTIFIER. However, where an ORGANISATION has more than one site from which it provides SERVICES, then each site is uniquely identified. These sites are ORGANISATION SITES and are uniquely identified by an ORGANISATION SITE IDENTIFIER.

For out-patients, ACTIVITY may take place outside the hospital, such as in the PATIENT'S home; in such cases, raising a site code is impractical. Therefore, code R9998 'Not a hospital site' would be used in these circumstances.
Note: LOCATION CLASS is used in the Commissioning Data Set (CDS) message to indicate the physical LOCATION within which the ACTIVITY occurred.

Use in the Future Outpatient CDS:
If the INTENDED SITE CODE (OF TREATMENT) is not known, this data element should be omitted.

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

ORGANISATION SITE IDENTIFIER (OF TREATMENT)

Change to Data Element: Changed Description, linked Attribute

ORGANISATION SITE IDENTIFIER (OF TREATMENT)

Attribute:

ORGANISATION SITE NAME (EMPLOYING ORGANISATION)

Change to Data Element: Changed Description

Format/Length:	max an255
NWDS ID:	ORGP
NWDS Field Name:	Site Description (Location)
National Codes:
Default Codes:

Notes:
ORGANISATION SITE NAME (EMPLOYING ORGANISATION) is the same as attribute ORGANISATION SITE NAME

~~ORGANISATION SITE NAME (EMPLOYING ORGANISATION)~~ ~~is the~~ ~~ORGANISATION SITE NAME~~ ~~of the~~ ~~Organisation Site~~ ~~of the employing~~ ~~Organisation~~ ~~where the~~ ~~EMPLOYEE~~ ~~is employed or based from.~~ORGANISATION SITE NAME (EMPLOYING ORGANISATION) is the ORGANISATION SITE NAME of the ORGANISATION SITE of the employing ORGANISATION where the EMPLOYEE is employed or based from.

PERSON FULL NAME (REFERRER CONTACT)

Change to Data Element: Changed Description

Format/Length:	max an70
National Codes:
Default Codes:

Notes:
PERSON FULL NAME (REFERRER CONTACT) is the same as attribute PERSON NAME WORD TEXT.

~~PERSON FULL NAME (REFERRER CONTACT)~~ ~~is the~~ ~~PERSON FULL NAME~~ ~~of the designated contact for a referring~~ ~~Organisation~~.PERSON FULL NAME (REFERRER CONTACT) is the PERSON FULL NAME of the designated contact for a referring ORGANISATION.

POSITION VACANCY LENGTH OF TIME UNFILLED

Change to Data Element: Changed Description

Format/Length:	max n4
NWDS ID:	SVLN
NWDS Field Name:	Length of Time Vacancy Unfilled (Derived)
National Codes:
Default Codes:

Notes:
~~POSITION VACANCY LENGTH OF TIME UNFILLED~~ ~~is the number of days of a~~ ~~POSITION VACANCY~~ ~~was unfilled in an~~ ~~Organisation~~.POSITION VACANCY LENGTH OF TIME UNFILLED is the number of days of a POSITION VACANCY was unfilled in an ORGANISATION.

For further guidance, see the NHS Digital website at: National Workforce Data Set (NWD) guidance documents.

POSTCODE OF HEALTH CARE PROVIDER

Change to Data Element: Changed Description

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

Notes:
~~POSTCODE OF HEALTH CARE PROVIDER~~ ~~is the same as attribute~~ ~~POSTCODE~~ ~~for the~~ ~~Organisation~~ ~~acting as the~~ ~~Health Care Provider~~.POSTCODE OF HEALTH CARE PROVIDER is the same as attribute POSTCODE for the ORGANISATION acting as the Health Care Provider.

POSTCODE OF TESTING SERVICE (CHLAMYDIA TESTING)

Change to Data Element: Changed Description

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

Notes:
POSTCODE OF TESTING SERVICE (CHLAMYDIA TESTING) is the same as data element POSTCODE.

POSTCODE OF TESTING SERVICE (CHLAMYDIA TESTING) is the POSTCODE of the chlamydia testing service address where the ADDRESS ASSOCIATION TYPE is National Code 'Main Business Premises' or 'Other Business Premises'.

~~POSTCODE OF TESTING SERVICE (CHLAMYDIA TESTING)~~ ~~is the~~ ~~POSTCODE~~ ~~of the~~ ~~Organisation~~ ~~where the chlamydia test~~ ~~SAMPLE~~ ~~was taken.~~POSTCODE OF TESTING SERVICE (CHLAMYDIA TESTING) is the POSTCODE of the ORGANISATION where the chlamydia test SAMPLE was taken.

PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (CANCER FIRST SEEN)

Change to Data Element: Changed Description

Format/Length:	min an1 max an32
National Codes:
Default Codes:

Notes:
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (CANCER FIRST SEEN) is the same as attribute PROFESSIONAL REGISTRATION ENTRY IDENTIFIER.

~~PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (CANCER FIRST SEEN)~~ ~~is the registration identifier allocated by an~~ ~~Organisation~~ ~~for the~~ ~~CARE PROFESSIONAL~~ ~~who first sees the~~ ~~PATIENT~~ ~~following the initial referral which leads to the cancer diagnosis.~~PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (CANCER FIRST SEEN) is the registration identifier allocated by an ORGANISATION for the CARE PROFESSIONAL who first sees the PATIENT following the initial referral which leads to the cancer diagnosis.

PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MULTIDISCIPLINARY TEAM LEAD)

Change to Data Element: Changed Description

Format/Length:	min an1 max an32
National Codes:
Default Codes:

Notes:
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MULTIDISCIPLINARY TEAM LEAD) is the same as attribute PROFESSIONAL REGISTRATION ENTRY IDENTIFIER.

~~PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MULTIDISCIPLINARY TEAM LEAD)~~ ~~is the registration identifier allocated by an~~ ~~Organisation~~ ~~for the~~ ~~CARE PROFESSIONAL~~ ~~who is the~~ ~~Multidisciplinary Team~~ ~~Lead responsible for the management and decisions made at the~~ ~~Multidisciplinary Team Meeting~~.PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (MULTIDISCIPLINARY TEAM LEAD) is the registration identifier allocated by an ORGANISATION for the CARE PROFESSIONAL who is the Multidisciplinary Team Lead responsible for the management and decisions made at the Multidisciplinary Team Meeting.

PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY REPORT AUTHORISED BY)

Change to Data Element: Changed Description

Format/Length:	min an1 max an32
National Codes:
Default Codes:

Notes:
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY REPORT AUTHORISED BY) is the same as attribute PROFESSIONAL REGISTRATION ENTRY IDENTIFIER.

~~PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY REPORT AUTHORISED BY)~~ ~~is the registration identifier allocated by an~~ ~~Organisation~~ ~~for the~~ ~~CARE PROFESSIONAL~~ ~~who authorised the pathology report.~~PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY REPORT AUTHORISED BY) is the registration identifier allocated by an ORGANISATION for the CARE PROFESSIONAL who authorised the pathology report.

PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY TEST REQUESTED BY)

Change to Data Element: Changed Description

Format/Length:	min an1 max an32
National Codes:
Default Codes:

Notes:
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY TEST REQUESTED BY) is the same as attribute PROFESSIONAL REGISTRATION ENTRY IDENTIFIER.

~~PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY TEST REQUESTED BY)~~ ~~is the registration identifier allocated by an~~ ~~Organisation~~ ~~for the~~ ~~CARE PROFESSIONAL~~ ~~who requested the pathology test.~~PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY TEST REQUESTED BY) is the registration identifier allocated by an ORGANISATION for the CARE PROFESSIONAL who requested the pathology test.

PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE SURGEON)

Change to Data Element: Changed Description

Format/Length:	min an1 max an32
National Codes:
Default Codes:

Notes:
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (RESPONSIBLE SURGEON) is the same as attribute PROFESSIONAL REGISTRATION ENTRY IDENTIFIER.

~~PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY TEST REQUESTED BY)~~ ~~is the registration identifier allocated by an~~ ~~Organisation~~ ~~for the~~ ~~CONSULTANT~~ ~~surgeon responsible for the~~ ~~Patient Procedure~~.PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (PATHOLOGY TEST REQUESTED BY) is the registration identifier allocated by an ORGANISATION for the CONSULTANT surgeon responsible for the Patient Procedure.

PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (TREATMENT)

Change to Data Element: Changed Description

Format/Length:	min an1 max an32
National Codes:
Default Codes:

Notes:
PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (TREATMENT) is the same as attribute PROFESSIONAL REGISTRATION ENTRY IDENTIFIER.

~~PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (TREATMENT)~~ ~~is the registration identifier allocated by an~~ ~~Organisation~~ ~~for the~~ ~~CARE PROFESSIONAL~~ ~~responsible for the treatment of the~~ ~~PATIENT~~.PROFESSIONAL REGISTRATION ENTRY IDENTIFIER (TREATMENT) is the registration identifier allocated by an ORGANISATION for the CARE PROFESSIONAL responsible for the treatment of the PATIENT.

REFERRAL REQUEST RECEIVED DATE (INTER-PROVIDER TRANSFER)

Change to Data Element: Changed Description

Format/Length:	an10 CCYY-MM-DD
National Codes:
Default Codes:

Notes:
REFERRAL REQUEST RECEIVED DATE (INTER-PROVIDER TRANSFER) is the REFERRAL REQUEST RECEIVED DATE for an inter-provider transfer of a PATIENT from one Health Care Provider to another.

~~REFERRAL REQUEST RECEIVED DATE (INTER-PROVIDER TRANSFER)~~ ~~is the date the~~ ~~Organisation~~ ~~where the~~ ~~PATIENT~~ ~~is being transferred to, received the~~ ~~SERVICE REQUEST~~ ~~from the referring~~ ~~Organisation~~.REFERRAL REQUEST RECEIVED DATE (INTER-PROVIDER TRANSFER) is the date the ORGANISATION where the PATIENT is being transferred to, received the SERVICE REQUEST from the referring ORGANISATION.

REFERRER CODE

Change to Data Element: Changed Description

Format/Length:	an8
National Codes:
ODS Default Codes:	A9999998 - Ministry of Defence Doctor
	C9999998 - CONSULTANT GENERAL MEDICAL COUNCIL REFERENCE NUMBER not known
	CD999998 - Dental CONSULTANT: GENERAL MEDICAL COUNCIL REFERENCE NUMBER / GENERAL DENTAL COUNCIL REGISTRATION NUMBER not known
	D9999998 - Dentist, GENERAL DENTAL PRACTITIONER CODE not known
	R9999981 - Referrer other than GENERAL MEDICAL PRACTITIONER, GENERAL DENTAL PRACTITIONER or CONSULTANT
	X9999998 - Not applicable, e.g. PATIENT has self-presented or not known

Notes:
REFERRER CODE is the same as attribute CARE PROFESSIONAL IDENTIFIER.

REFERRER CODE is the code of the PERSON making the REFERRAL REQUEST. This will normally be a CARE PROFESSIONAL, GENERAL MEDICAL PRACTITIONER or CONSULTANT.

The intention is for this item to reflect the actual (true) referrer. For example, following a GENERAL MEDICAL PRACTITIONER referral, a CONSULTANT may subsequently refer the PATIENT to another CONSULTANT within the Hospital Provider Spell. ~~The code of the~~ ~~CONSULTANT~~ ~~making the referral and the~~ ~~CONSULTANTS~~ ~~Organisation~~ ~~should be recorded in the Commissioning Data Set (CDS) rather than the code of the~~ ~~GENERAL MEDICAL PRACTITIONER~~ ~~referrer.~~ The code of the CONSULTANT making the referral and the CONSULTANTS ORGANISATION should be recorded in the Commissioning Data Set (CDS) rather than the code of the GENERAL MEDICAL PRACTITIONER referrer. This also applies where a CONSULTANT refers an NHS PATIENT to another doctor for NHS-commissioned treatment at another NHS / non-NHS provider, or an overseas provider. Where the CONSULTANT CODE is not known, the Organisation Data Service Default Code C9999998 should be used.

In all other cases, the code of the referring GENERAL MEDICAL PRACTITIONER should be recorded, if applicable. When a locum refers, use the GENERAL MEDICAL PRACTITIONER PPD CODE of the GENERAL PRACTITIONER for whom the locum is acting.

See CONSULTANT CODE and GENERAL MEDICAL PRACTITIONER (SPECIFIED) for the codes available for CONSULTANTS and GENERAL MEDICAL PRACTITIONERS and GENERAL DENTAL PRACTITIONERS.

If the REFERRER CODE is not known or not applicable e.g. the PATIENT has self-presented, the Organisation Data Service Default Code (X9999998) should be used.

REFERRING ORGANISATION CODE

Change to Data Element: Changed Description

Format/Length:	max an6
National Codes:
ODS Default Codes:	X99998 - Referring ORGANISATION CODE not applicable
	X99999 - Referring ORGANISATION CODE not known

Notes:
REFERRING ORGANISATION CODE is the same as attribute ORGANISATION CODE.

~~REFERRING ORGANISATION CODE~~ ~~is the~~ ~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~ ~~from which the referral is made, such as a~~ ~~GP Practice~~, ~~NHS Trust~~ or ~~NHS Foundation Trust~~.REFERRING ORGANISATION CODE is the ORGANISATION CODE of the ORGANISATION from which the referral is made, such as a GP Practice, NHS Trust or NHS Foundation Trust.

This information is essential for managing service agreements which are based on patterns of referral.

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

SAFEGUARDING CONCERN (SNOMED CT)

Change to Data Element: Changed Description

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

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

~~SAFEGUARDING CONCERN (SNOMED CT)~~ ~~is the~~ ~~SNOMED CT® concept ID which is used to identify an unresolved issue or concern regarding adult and child safeguarding that requires communication to another~~ ~~Organisation~~ ~~or care agency.~~SAFEGUARDING CONCERN (SNOMED CT) is the SNOMED CT® concept ID which is used to identify an unresolved issue or concern regarding adult and child safeguarding that requires communication to another ORGANISATION or care agency.

SNOMED CT Refset Metadata:

Refset FSN: Safeguarding issues simple reference set (foundation metadata concept)
Refset Id: 999002381000000108

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Safeguarding issues.

SITE CODE (ADMITTED FROM TO NEONATAL UNIT)

Change to Data Element: Changed Description

Format/Length:	min an5 max an9
National Codes:
Default Codes:	ZZ201 - Not applicable (admitted from home)
	~~ZZ888 - Not applicable (admitted from non-NHS~~ ~~Organisation~~)
	ZZ888 - Not applicable (admitted from non-NHS ORGANISATION)
	ZZ203 - Not known (not known where admitted from)

Notes:
SITE CODE (ADMITTED FROM TO NEONATAL UNIT) is the same as attribute ORGANISATION SITE CODE.

~~SITE CODE (ADMITTED FROM TO NEONATAL UNIT)~~ ~~is the~~ ~~ORGANISATION SITE CODE~~ ~~of the location from which the~~ ~~Neonate~~ ~~was transferred as part of a~~ ~~Maternity Episode~~.SITE CODE (ADMITTED FROM TO NEONATAL UNIT) is the ORGANISATION SITE CODE of the LOCATION from which the Neonate was transferred as part of a Maternity Episode.

SITE CODE (OF ACTUAL PLACE OF DELIVERY)

Change to Data Element: Changed Description

Format/Length:	min an5 max an9
National Codes:
Default Codes:	ZZ201 - Not Applicable: delivered at home
	~~ZZ888 - Not Applicable: delivered at non-NHS~~ ~~Organisation~~
	ZZ888 - Not Applicable: delivered at non-NHS ORGANISATION
	ZZ203 - Not known: place of Delivery not known

Notes:
SITE CODE (OF ACTUAL PLACE OF DELIVERY) is the same as attribute ORGANISATION SITE CODE.

~~SITE CODE (OF ACTUAL PLACE OF DELIVERY)~~ ~~is the~~ ~~ORGANISATION SITE CODE~~ ~~of the~~ ~~Organisation~~ ~~where the baby was delivered as part of a~~ ~~Maternity Episode~~.SITE CODE (OF ACTUAL PLACE OF DELIVERY) is the ORGANISATION SITE CODE of the ORGANISATION where the baby was delivered as part of a Maternity Episode.

SITE CODE (OF ACTUAL PLACE OF DELIVERY) will be replaced with ORGANISATION SITE IDENTIFIER (OF ACTUAL PLACE OF DELIVERY), when it has been approved for use in national information standards.

SITE CODE (OF INTENDED PLACE OF DELIVERY)

Change to Data Element: Changed Description

Format/Length:	min an5 max an9
National Codes:
Default Codes:	ZZ201 - Not applicable (intended to deliver at home)
	~~ZZ888 - Not Applicable (intended to deliver at non-NHS~~ ~~Organisation~~)
	ZZ888 - Not Applicable (intended to deliver at non-NHS ORGANISATION)
	ZZ203 - Not known (intended place of Delivery not known)

Notes:
SITE CODE (OF INTENDED PLACE OF DELIVERY) is the same as attribute ORGANISATION SITE CODE

~~SITE CODE (OF INTENDED PLACE OF DELIVERY)~~ ~~is the~~ ~~ORGANISATION SITE CODE~~ ~~of the~~ ~~Organisation~~ ~~that is the intended place of~~ ~~Delivery~~ ~~of the baby as part of a~~ ~~Maternity Episode~~.SITE CODE (OF INTENDED PLACE OF DELIVERY) is the ORGANISATION SITE CODE of the ORGANISATION that is the intended place of Delivery of the baby as part of a Maternity Episode.

SITE CODE (OF INTENDED PLACE OF DELIVERY) will be replaced with ORGANISATION SITE IDENTIFIER (OF INTENDED PLACE OF DELIVERY), when it has been approved for use in national information standards.

SITE CODE (OF PREVIOUS HIV CARE)

Change to Data Element: Changed Description

Format/Length:	min an5 max an9
National Codes:
~~HARS~~ ~~Default Codes:~~	~~X9999 -~~ ~~Organisation~~ ~~Not Known~~
	~~Y9999 -~~ ~~Organisation~~ ~~outside the UK~~
HARS Default Codes:	X9999 - ORGANISATION Not Known
	Y9999 - ORGANISATION outside the UK
	Z9999 - Not Applicable

Notes:
SITE CODE (OF PREVIOUS HIV CARE) is the same as attribute ORGANISATION SITE CODE.

~~SITE CODE (OF PREVIOUS HIV CARE)~~ ~~is the~~ ~~ORGANISATION SITE CODE~~ ~~of the~~ ~~Organisation~~ ~~at which previous treatment for Human Immunodeficiency Virus (HIV) took place.~~SITE CODE (OF PREVIOUS HIV CARE) is the ORGANISATION SITE CODE of the ORGANISATION at which previous treatment for Human Immunodeficiency Virus (HIV) took place.

~~For the~~ ~~HIV and AIDS Reporting Data Set, where~~ ~~PATIENTS~~ ~~have received care at more than one~~ ~~Organisation Site, the most recent should be reported.~~For the HIV and AIDS Reporting Data Set, where PATIENTS have received care at more than one ORGANISATION SITE, the most recent should be reported.

SITE CODE (OF TREATMENT)

Change to Data Element: Changed Description

Format/Length:	min an5 max an9
National Codes:
ODS Default Codes:	R9998 - Not a hospital site
	89999 - Non-NHS UK Provider where no ORGANISATION SITE CODE has been issued
	89997 - Non-UK Provider where no ORGANISATION SITE CODE has been issued

Notes:
SITE CODE (OF TREATMENT) is the same as attribute ORGANISATION SITE CODE.

~~SITE CODE (OF TREATMENT)~~ ~~is the~~ ~~ORGANISATION SITE CODE~~ ~~of the~~ ~~Organisation~~ ~~where the~~ ~~PATIENT~~ ~~was treated, i.e. it should enable the treating~~ ~~Organisation~~ ~~to be identified.~~SITE CODE (OF TREATMENT) is the ORGANISATION SITE CODE of the ORGANISATION where the PATIENT was treated, i.e. it should enable the treating ORGANISATION to be identified.

~~This identifies the~~ ~~Organisation Site~~ ~~within the~~ ~~Organisation~~ ~~on which the~~ ~~PATIENT~~ ~~was treated, since facilities may vary on different hospital sites.~~This identifies the ORGANISATION SITE within the ORGANISATION on which the PATIENT was treated, since facilities may vary on different hospital sites.

The code recorded should always be the national code; if the treatment is sub-commissioned to another NHS Health Care Provider or an independent UK provider, the SITE CODE (OF TREATMENT) used should be the ORGANISATION SITE CODE of the Health Care Provider actually carrying out the work.

Where treatment is sub-commissioned to an overseas provider the Organisation Data Service Default Code 89997 'Non-UK Provider where no ORGANISATION SITE CODE has been issued' is applicable.

~~Each~~ ~~Organisation~~ ~~has a unique~~ ~~ORGANISATION CODE~~. ~~However, where an~~ ~~Organisation~~ ~~has more than one site from which it provides~~ ~~SERVICES, then each site is uniquely identified.~~ ~~These sites are~~ ~~Organisation Sites~~ ~~and are uniquely identified by~~ ~~ORGANISATION SITE CODE~~.Each ORGANISATION has a unique ORGANISATION CODE. However, where an ORGANISATION has more than one site from which it provides SERVICES, then each site is uniquely identified. These sites are ORGANISATION SITES and are uniquely identified by ORGANISATION SITE CODE. The ORGANISATION SITE CODE contains the first 3 digits of the ORGANISATION CODE with the last two digits being the site identifier.

Example:

~~RA700~~	~~ORGANISATION CODE~~ ~~of the~~ ~~Organisation~~
~~RA701~~	~~ORGANISATION SITE CODE~~ ~~of the first identified~~ ~~Organisation Site~~ ~~within the~~ ~~Organisation~~
~~RA702~~	~~ORGANISATION SITE CODE~~ ~~of the second identified~~ ~~Organisation Site~~ ~~within the~~ ~~Organisation~~
RA700	ORGANISATION CODE of the ORGANISATION
RA701	ORGANISATION SITE CODE of the first identified ORGANISATION SITE within the ORGANISATION
RA702	ORGANISATION SITE CODE of the second identified ORGANISATION SITE within the ORGANISATION

For out-patients, ACTIVITY may take place outside the hospital, such as in the PATIENT'S home; in such cases, raising a site code is impractical. Therefore, code R9998 'Not a hospital site' would be used in these circumstances.
Note: LOCATION CLASS is used in the Commissioning Data Set (CDS) message to indicate the classification of the physical LOCATION within which the ACTIVITY occurred.

Use in the Future Outpatient CDS:
If the INTENDED SITE CODE (OF TREATMENT) is not known, this data element should be omitted.

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

SITE CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)

Change to Data Element: Changed Description

Format/Length:	See ORGANISATION SITE CODE
National Codes:
Default Codes:

Notes:
SITE CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT) is the same as the attribute ORGANISATION SITE CODE.

~~SITE CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT)~~ ~~is the~~ ~~ORGANISATION SITE CODE~~ ~~of the~~ ~~Organisation~~ ~~where a~~ ~~Two Year Neonatal Outcomes Assessment~~ ~~takes place.~~SITE CODE (OF TWO YEAR NEONATAL OUTCOMES ASSESSMENT) is the ORGANISATION SITE CODE of the ORGANISATION where a Two Year Neonatal Outcomes Assessment takes place.

SITE CODE (PROVIDER OF CHLAMYDIA TEST)

Change to Data Element: Changed Description

Format/Length:	min an5 max an9
National Codes:
Default Codes:	ZZ9999999 - Not known (ORGANISATION SITE CODE of Chlamydia Test provider is not known)
	ZZ9999998 - Not applicable (Internet)

Notes:
SITE CODE (PROVIDER OF CHLAMYDIA TEST) is the same as attribute ORGANISATION SITE CODE.

~~SITE CODE (PROVIDER OF CHLAMYDIA TEST)~~ ~~is the~~ ~~ORGANISATION SITE CODE~~ ~~of the~~ ~~Organisation~~ ~~providing the Chlamydia Test to the~~ ~~PATIENT~~.SITE CODE (PROVIDER OF CHLAMYDIA TEST) is the ORGANISATION SITE CODE of the ORGANISATION providing the Chlamydia Test to the PATIENT.

SITE CODE (RECEIVING)

Change to Data Element: Changed Description

Format/Length:	min an5 max an9
National Codes:
~~Default Codes:~~	~~ZZ201 - Not applicable (not discharged to another~~ ~~Organisation~~)
Default Codes:	ZZ201 - Not applicable (not discharged to another ORGANISATION)

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

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

~~For the~~ ~~National Neonatal Data Set - Episodic and Daily Care~~, ~~SITE CODE (RECEIVING)~~ ~~is the~~ ~~ORGANISATION SITE CODE~~ ~~of the~~ ~~Organisation~~ ~~where a baby is transferred to on discharge from the~~ ~~Neonatal Critical Care Unit~~.For the National Neonatal Data Set - Episodic and Daily Care, SITE CODE (RECEIVING) is the ORGANISATION SITE CODE of the ORGANISATION where a baby is transferred to on discharge from the Neonatal Critical Care Unit.

SITE CODE (REFERRED TO FOR SHARED HIV CARE)

Change to Data Element: Changed Description

Format/Length:	min an5 max an9
National Codes:
~~HARS~~ ~~Default Codes:~~	~~X9999 -~~ ~~Organisation~~ ~~Not Known~~
	~~Y9999 -~~ ~~Organisation~~ ~~outside the UK~~
HARS Default Codes:	X9999 - ORGANISATION Not Known
	Y9999 - ORGANISATION outside the UK
	Z9999 - Not Applicable

Notes:
SITE CODE (REFERRED TO FOR SHARED HIV CARE) is the same as attribute ORGANISATION SITE CODE.

SITE CODE (REFERRED TO FOR SHARED HIV CARE) is the ORGANISATION SITE CODE of the specialist Human Immunodeficiency Virus (HIV) Service where the PATIENT has been referred to for shared care to deal with aspects of their HIV care, but remain under the care of their regular HIV Service.

SITE CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY)

Change to Data Element: Changed Description

Format/Length:	See ORGANISATION SITE CODE
National Codes:
Default Codes:

Notes:
SITE CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY) is the same as the attribute ORGANISATION SITE CODE.

~~SITE CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY)~~ ~~is the~~ ~~ORGANISATION SITE CODE~~ ~~of the~~ ~~Organisation~~ ~~that is responsible for undertaking the~~ ~~Two Year Neonatal Outcomes Assessment~~.SITE CODE (TWO YEAR NEONATAL OUTCOMES ASSESSMENT RESPONSIBILITY) is the ORGANISATION SITE CODE of the ORGANISATION that is responsible for undertaking the Two Year Neonatal Outcomes Assessment.

UK TELEPHONE NUMBER

Change to Data Element: Changed Description

Format/Length:	max an35
National Codes:
Default Codes:

Notes:
UK TELEPHONE NUMBER is the same as attribute COMMUNICATION CONTACT STRING where the COMMUNICATION CONTACT METHOD is National Code 'UK Telephone Number'.

~~UK TELEPHONE NUMBER~~ ~~is a number, including any exchange or location code, at which a~~ ~~PERSON~~ or ~~Organisation~~ ~~can be contacted in the UK by telephonic means.~~UK TELEPHONE NUMBER is a number, including any exchange or location code, at which a PERSON or ORGANISATION can be contacted in the UK by telephonic means.

Note:
This was e-GIF approved for use in NHS England.
e-GIF and the Government Data Standards Catalogue have been archived and are available for reference only.