NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1804
Version No:1.0
Subject:January 2021 release
Effective Date:Immediate
Reason for Change:Patch
Publication Date:13 January 2021

Background:

This patch updates the NHS Data Model and Dictionary in preparation for the new release and includes:

Summary of changes:

Supporting Information
ANTIRETROVIRAL THERAPY   Changed Description
CLINIC ATTENDANCE NON-CONSULTANT   Changed Description
COMMISSIONING DATA SET BUSINESS RULES   Changed Description
CONTACT DETAILS   Changed Description
MAIN SPECIALTY AND TREATMENT FUNCTION CODES TABLE   Changed Description
OUT-PATIENT ATTENDANCE CONSULTANT   Changed Description
RELEASE HISTORY: JANUARY 2021 renamed from RELEASE HISTORY: NOVEMBER 2020   Changed Name, Description
SCOTTISH HEALTH BOARD   Changed Description
 
Class Definitions
COMMUNICATION CONTACT METHOD   Changed Description
 
Attribute Definitions
ADDRESS PREFIX   Changed Description
CLINICAL NURSE SPECIALIST INDICATION CODE   Changed Description
SOURCE OF ADMISSION   Changed Description
 
Data Elements
ADMINISTRATIVE CATEGORY CODE   Changed Description
ADMINISTRATIVE CATEGORY CODE (ON ADMISSION)   Changed Description
ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)   Changed Description
ADMISSION METHOD CODE (MOTHER LABOUR AND DELIVERY HOSPITAL PROVIDER SPELL)   Changed Description
BIRTH ORDER   Changed Description
BLOOD GROUP (MOTHER)   Changed Description
CARE PERSONNEL LOCAL IDENTIFIER   Changed Description
CDS INTERCHANGE TEST INDICATOR   Changed Description
CLINICAL TRIAL IDENTIFIER   Changed Description
DELIVERY PLACE CHANGE REASON CODE   Changed Description
DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)   Changed Description
DISCHARGE METHOD CODE (MOTHER POST DELIVERY HOSPITAL PROVIDER SPELL)   Changed Description
ELECTIVE ADMISSION LIST STATUS   Changed Description
EMERGENCY CARE DEPARTMENT TYPE (PATIENT LEVEL INFORMATION COSTING)   Changed Description
EPISODE NUMBER   Changed Description
INTENDED MANAGEMENT CODE   Changed Description
LABOUR OR DELIVERY ONSET METHOD CODE   Changed Description
NEONATAL LEVEL OF CARE CODE   Changed Description
NUMBER OF BABIES INDICATION CODE   Changed Description
OPERATION STATUS CODE   Changed Description
PDS ETHNIC CATEGORY CODE (RETIRED) renamed from PDS ETHNIC CATEGORY CODE   Changed Name, Description, status to Retired, linked Attribute
PERSON HEIGHT IN CENTIMETRES   Changed Description
PERSON HEIGHT IN CENTIMETRES (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT)   Changed Description
PERSON HEIGHT IN METRES   Changed Description
PERSON HEIGHT IN METRES (START OF SYSTEMIC ANTI-CANCER THERAPY DRUG REGIMEN)   Changed Description
PERSON LENGTH IN CENTIMETRES   Changed Description
PERSON MARITAL STATUS   Changed Description
PERSON WEIGHT   Changed Description
PERSON WEIGHT (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT)   Changed Description
PERSON WEIGHT (START OF SYSTEMIC ANTI-CANCER THERAPY DRUG CYCLE)   Changed Description
PERSON WEIGHT (START OF SYSTEMIC ANTI-CANCER THERAPY DRUG REGIMEN)   Changed Description
PERSON WEIGHT IN GRAMS   Changed Description
POSITION VACANCY START DATE   Changed linked Attribute
RESUSCITATION METHOD CODE   Changed Description
SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)   Changed Description
STATUS OF PERSON CONDUCTING DELIVERY CODE   Changed Description
WAITING TIME MEASUREMENT TYPE   Changed Description
 
XML Schema Constraint
PLICS ACUTE ADMITTED PATIENT CARE DATA SET CONSTRAINTS   Changed Description
PLICS ACUTE EMERGENCY CARE DATA SET CONSTRAINTS   Changed Description
PLICS ACUTE OUT-PATIENT CARE DATA SET CONSTRAINTS   Changed Description
PLICS ACUTE SPECIALIST WARD CARE DATA SET CONSTRAINTS   Changed Description
 

Date:13 January 2021
Sponsor:Nicholas Oughtibridge, Head of Clinical Data Architecture, NHS Digital

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

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ANTIRETROVIRAL THERAPY

Change to Supporting Information: Changed Description

Antiretroviral Therapy is a CLINICAL INTERVENTION.

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

 

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CLINIC ATTENDANCE NON-CONSULTANT

Change to Supporting Information: Changed Description

A Clinic Attendance Non-Consultant is a CARE CONTACT.

A Clinic Attendance Non-Consultant is an attendance at or contact with a Nurse Clinic, Midwife Clinic or Sexual and Reproductive Health Clinic.

A Clinic Attendance Non-Consultant may be the result of an Out-Patient Appointment Non-Consultant.

 If a PATIENT is seen by a doctor, sent elsewhere for a test or X-ray and then seen again by a doctor of the same CONSULTANT's firm during the same clinic session, it would be recorded as one attendance - not two.

 

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COMMISSIONING DATA SET BUSINESS RULES

Change to Supporting Information: Changed Description

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

Population Validation

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

RULE POPULATION VALIDATION 
F The format is validated, for example the format of a date must comply with the XML standard.
V The Data Element is validated against an explicit list of permitted values as defined in the NHS Data Model and Dictionary.


Business Rules

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

PREFIX BUSINESS RULES: H - Healthcare Resource Group Business Rules 
H4 This Data Element 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.

PREFIX BUSINESS RULES: I - CDS-XML Schema Anomalies and Issues 
I1 This is a known schema anomaly and has been registered for future resolution.
I2 See the specifications in the NHS Data Model and Dictionary for the specific format characteristics of this Data Element.
I3 There is no national requirement to flow Healthcare Resource Group 4 (HRG4) through the Commissioning Data Sets, see DSCN 17/2008.

PREFIX BUSINESS RULES: N - NHS Data Standards and Policy Rules 
N1 Psychiatric PATIENTS only.
N1Psychiatric PATIENTS only (Retired January 2021).
N2 Not defined or approved by the Data Coordination Board or its predecessors the Standardisation Committee for Care Information and Information Standards Board for Health and Social Care.
N3 The definition and value list for this data is under review.
N4 Up to 20 codes per daily activity occurrence may be recorded.
N5 This data should only flow in Commissioning Data Set version 6-1 for PATIENTS detained under the Mental Health Act prior to the Mental Health Act 2007 (Retired June 2015).
N6 This data should only flow in Commissioning Data Set version 6-2 for PATIENTS detained under the Mental Health Act 2007.
N7 From Commissioning Data Set version 6-0 onwards, the use of the DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE in the location group is optional as it must be carried in the Episode Characteristics.

PREFIX BUSINESS RULES: S - Secondary Uses Service Business Rules 
S1 This mandatory Commissioning Data Set date is used as the originating date to determine the mandatory CDS ACTIVITY DATE.
S2 The Secondary Uses Service DOES NOT support the use of the CDS TEST INDICATOR. Therefore this Data Element must not be used (Retired June 2015).
S3 See Security Issues and Patient Confidentiality, for further information.
S4 Used to ensure the correct sequencing of multiple and/or subsequent Commissioning Data Set submissions.
S5These ORGANISATION CODES must be present and registered with the Secondary Uses Service. The Commissioning Data Set Schema does not validate the content value of this data
S6 All CDS REPORT PERIOD START DATES and CDS REPORT PERIOD END DATES must be consistent in all Commissioning Data Set records contained in a BULK Interchange submission.
The CDS REPORT PERIOD START DATE must be on or before the CDS REPORT PERIOD END DATE.
The CDS ACTIVITY DATE is a mandatory data element and must fall within the period defined.
See the Commissioning Data Set Submission Protocol.
S7 See the Commissioning Data Set Addressing Grid.
S8 These Data Elements are required for correct processing by the Secondary Uses Service. If omitted, the Secondary Uses Service will reject the Commissioning Data Set data.
S9 The CDS UNIQUE IDENTIFIER is a mandatory data item when using the Net Change Protocol. When using the Bulk Update Protocol this data item is optional but it is strongly advised that where it can be correctly generated and maintained it should be used. See the Commissioning Data Set Submission Protocol.
S10 For CDS V6-2 Type 170 - Admitted Patient Care - Detained and or Long Term Psychiatric Census Commissioning Data Set, the CDS ACTIVITY DATE contains the CDS CENSUS DATE which is also the DETAINED AND (OR) LONG TERM PSYCHIATRIC CENSUS DATE.
S11 For the following CDS Types, the CDS ACTIVITY DATE must contain the Date of the Elective Admission List Census which is usually the end of the Period being reported: 
CDS V6-2 Type 030 - Elective Admission List - End of Period Census (Standard) 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 
S12 These PERSON BIRTH DATE Data Elements must use dates between 01/01/1880 and 31/12/2999 in order to pass validation
S13 Data Elements reporting a date (which is not a PERSON BIRTH DATE Data Element) must use dates between 01/01/1900 and 31/12/2999 in order to pass validation
S14 For Data Elements reporting a time, the hour portion must be between 00 and 23 inclusive in order to pass validation

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CONTACT DETAILS

Change to Supporting Information: Changed Description


Useful websites and email addresses.

Email: information.standards@nhs.net

Website: NHS Digital website

Website: NHS Digital web pages

Email: standards.assurance@nhs.net

Website: Department of Health and Social Care part of the gov.uk website

Queries: Contact the Department of Health and Social Care

Organisation Data Service information is published:

Email: exeter.helpdesk@nhs.net

  • Postcodes:

Website links:

Email: info@ons.gsi.gov.uk

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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.

Table 1 Main Specialty codes

 CodeMain Specialty TitleComments
Surgical Specialties
 100General SurgeryFor further information, see: Royal College of Surgeons - General Surgery
 101UrologyFor further information, see: Royal College of Surgeons - Urology
 107Vascular SurgeryFor further information, see: Royal College of Surgeons - Vascular Surgery
 110Trauma and OrthopaedicsFor further information, see: Royal College of Surgeons - Orthopaedic Surgery
 120Ear Nose and ThroatFormerly known as ENT.
For further information, see: Royal College of Surgeons - Ear, Nose and Throat (ENT)
 130OphthalmologyFor further information, see: The Royal College of Ophthalmologists
 140Oral SurgeryFor further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery
 141Restorative DentistryFor further information, see: The British Society for Restorative Dentistry (BSRD)
 142Paediatric DentistryFor further information, see: The British Society of Paediatric Dentistry
 143OrthodonticsFor further information, see: British Orthodontic Society
 145Oral and Maxillofacial SurgeryFor further information, see: Royal College of Surgeons - Oral and Maxillofacial Surgery
 146EndodonticsFor further information, see: British Endodontic Society
 147PeriodonticsFor further information, see: British Society of Periodontology
 148ProsthodonticsFor further information, see: The British Society of Prosthodontics (BSSPD)
 149Surgical DentistryFor further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
 150NeurosurgeryFor further information, see: Royal College of Surgeons - Neurosurgery
 160Plastic SurgeryFor further information, see: Royal College of Surgeons - Plastic and Reconstructive
 170Cardiothoracic SurgeryFor further information, see: Royal College of Surgeons - Cardiothoracic Surgery
 171Paediatric SurgeryFor further information, see: Royal College of Surgeons - Paediatric Surgery
 191Pain Management (Retired 1 April 2004) 
Medical Specialties
 180Emergency MedicineFormerly known as Accident and Emergency.
For further information, see: The Royal College of Emergency Medicine
 190AnaestheticsFor further information, see: Royal College of Anaesthetists
 192Intensive Care MedicineFormerly known as Critical Care Medicine.
For further information, see: The Faculty of Intensive Care Medicine
 200Aviation and Space MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Aviation and Space Medicine
 300General Internal MedicineFormerly known as General Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - General Internal Medicine (GIM)
 301GastroenterologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Gastroenterology
 302Endocrinology and DiabetesFormerly known as Endocrinology.
For further information, see: Joint Royal Colleges of Physicians Training Board - Endocrinology and Diabetes Mellitus
 303Clinical HaematologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Haematology
 304Clinical PhysiologyFor further information, see: The Registration Council for Clinical Physiologists
 305Clinical PharmacologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Pharmacology and Therapeutics (CPT)
 310Audio Vestibular MedicineFormerly known as Audiological Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - Audio vestibular Medicine
 311Clinical GeneticsFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Genetics
*312Clinical Cytogenetics and Molecular Genetics (Retired 1 April 2010) 
 313Clinical ImmunologyFormerly known as Clinical Immunology and Allergy.
For further information, see: Joint Royal Colleges of Physicians Training Board - Immunology
 314Rehabilitation MedicineFormerly known as Rehabilitation.
For further information, see: Joint Royal Colleges of Physicians Training Board - Rehabilitation Medicine
 315Palliative MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Palliative Medicine
 317AllergyFor further information, see: Joint Royal Colleges of Physicians Training Board - Allergy
 320CardiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Cardiology
 321Paediatric CardiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Paediatric Cardiology
 325Sport and Exercise MedicineFor further information, see: Faculty of Sport and Exercise Medicine
 326Acute Internal MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Acute Internal Medicine
 330DermatologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology
 340Respiratory MedicineAlso known as Thoracic Medicine.
For further information, see: Joint Royal Colleges of Physicians Training Board - Respiratory Medicine
 350Infectious DiseasesFor further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and Tropical Medicine
 352Tropical MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Infectious Diseases and tropical Medicine
 360Genitourinary MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Genitourinary Medicine
 361Renal MedicineFormerly known as Nephrology.
For further information, see: Joint Royal Colleges of Physicians Training Board - Renal Medicine
 370Medical OncologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Medical Oncology
 371Nuclear MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Nuclear Medicine
 400NeurologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Neurology
 401Clinical NeurophysiologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Clinical Neurophysiology
 410RheumatologyFor further information, see: British Society for Rheumatology
 420PaediatricsFor further information, see: Royal College of Paediatrics and Child Health - General Paediatrics
 421Paediatric NeurologyFor further information, see: Royal College of Paediatrics and Child Health - Neurology
 430Geriatric MedicineFor further information, see: Joint Royal Colleges of Physicians Training Board - Geriatric Medicine
 450Dental MedicineFormerly known as Dental Medicine Specialties.
For further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
 451Special Care DentistryFor further information, see: Special Care Dentistry Association (SCDA)
 460Medical OphthalmologyFor further information, see: Joint Royal Colleges of Physicians Training Board - Medical Ophthalmology
500Obstetrics and GynaecologyFor further information, see: Royal College of Obstetricians and Gynaecologists
 501ObstetricsFor further information, see: Royal College of Obstetricians and Gynaecologists
 502GynaecologyFor further information, see: Royal College of Obstetricians and Gynaecologists
 504Community Sexual and Reproductive HealthFor further information, see: Faculty of Sexual & Reproductive Healthcare of the Royal College of Obstetricians & Gynaecologists
 510Antenatal Clinic (Retired 1 April 2004) 
 520Postnatal Clinic (Retired 1 April 2004) 
 600General Medical PracticeFor further information, see: Royal College of General Practitioners
 601General Dental PracticeFor further information, see: Royal College of Surgeons - Faculty of Dental Surgery (FDS)
 610Maternity Function (Retired 1 April 2004) 
 620Other Than Maternity (Retired 1 April 2004) 
 831Medical Microbiology and VirologyFor further information, see: The Royal College of Pathologists - Medical Microbiology and The Royal College of Pathologists - Virology
 833Medical MicrobiologyAlso known as Microbiology and Bacteriology.
For further information, see: The Royal College of Pathologists - Medical Microbiology
 834Medical VirologyFor further information, See: The Royal College of Pathologists - Medical Virology
Psychiatry
 700Learning DisabilityAlso known as Intellectual Disability.
For further information, see: Royal College of Psychiatrists - Faculty of the Psychiatry of Intellectual Disability and British Institute of Learning Disabilities
 710Adult Mental IllnessFor further information, see: NHS England - Adult and older adult mental health
 711Child and Adolescent PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Child and Adolescent Psychiatry
 712Forensic PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Forensic Psychiatry
 713Medical PsychotherapyFor further information, see: Royal College of Psychiatrists - Faculty of Medical Psychotherapy
 715Old Age PsychiatryFor further information, see: Royal College of Psychiatrists - Faculty of Old Age Psychiatry
Other
 560MidwiferyFormerly known as Midwife Episode.
For further information, see: Royal College of Midwives
 800Clinical OncologyFormerly known as Radiotherapy.
For further information, see: The Royal College of Radiologists - Clinical Oncology
 810RadiologyFor further information, see: The Royal College of Radiologists (RCR)
 820General PathologyFor further information, see: The Royal College of Pathologists
 821Blood TransfusionFor further information, see: The Royal College of Pathologists - Blood Transfusion
 822Chemical PathologyFor further information, see: The Royal College of Pathologists
 823HaematologyFor further information, see: The Royal College of Pathologists - Haematology
 824HistopathologyFor further information, see: The Royal College of Pathologists - Histopathology
 830ImmunopathologyFor further information, see: The Royal College of Pathologists - Immunology
 832Neuropathology (Retired 1 April 2004) 
 900Community MedicineFor further information, see: Faculty of Public Health
 901Occupational MedicineFor further information, see: Royal College of Physicians - Faculty of Occupational Medicine
 902Community Health Services DentalFor further information, see: Faculty of Public Health
 903Public Health MedicineFor further information, see: Faculty of Public Health
 904Public Health DentalFor further information, see: GOV.uk - Oral Health
 950NursingFormerly known as Nursing Episode.
For further information, see: Nursing & Midwifery Council
 960Allied Health ProfessionalFormerly known as Allied Health Professional Episode.
For further information, see: Health and Care Professions Council
 990Joint 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

CodeTreatment Function TitleComments
Surgical Specialties
100General Surgery ServiceSERVICES 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
101Urology ServiceSurgical 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
102Transplant Surgery ServiceSERVICES 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
103Breast Surgery ServiceSERVICES 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
104Colorectal Surgery ServiceSERVICES for the surgical treatment of disorders of the lower intestine (colon, anus and rectum)
105Hepatobiliary and Pancreatic Surgery ServiceSpecialist 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
106Upper Gastrointestinal Surgery ServiceSERVICES for surgical treatment of disorders of the upper parts of the gastrointestinal tract.
For further information, see: Royal College of Surgeons - General Surgery
107Vascular Surgery ServiceSERVICES for the surgical treatment of diseases of the vascular system.
For further information, see: Royal College of Surgeons - Vascular Surgery
108Spinal Surgery ServiceSurgery 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
109Bariatric Surgery ServiceSERVICES 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
110Trauma and Orthopaedic ServiceSERVICES 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
111Orthopaedic ServiceSERVICES 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
113Endocrine Surgery ServiceSERVICES for the surgical treatment of diseases of the thyroid and/or other endocrine glands.
For further information, see: Royal College of Surgeons - General Surgery
115Trauma Surgery ServiceMajor 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
120Ear Nose and Throat ServiceFormerly 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)
130Ophthalmology ServiceThe 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
140Oral Surgery ServiceSERVICES for the diagnosis and surgical treatment of diseases, injuries and defects of hard and soft tissues of the mouth.
Excludes departments delivering a SERVICE where oral surgery and maxillofacial services are mixed (i.e. an out-patient clinic accepting oral surgery and maxillofacial surgery patients) – see TREATMENT FUNCTION CODE 145.
For further information, see: British Association of Oral Surgeons Specialty Training Curriculum – Oral Surgery
141Restorative Dentistry ServiceSERVICES 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
143Orthodontic ServiceSERVICES 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
144Maxillofacial Surgery ServiceProfessional recommendation is to use Oral and Maxillofacial Surgery Service where this SERVICE is combined with oral surgery - see TREATMENT FUNCTION CODE 145. Alternatively, for oral surgery services only see TREATMENT FUNCTION CODE 140. This code has been retained for existing SERVICES which only provide maxillofacial surgery.
145Oral and Maxillofacial Surgery ServiceCombined SERVICES providing diagnosis and surgical treatment of diseases, injuries and defects involving hard and soft tissues of the mouth, jaws, and neck.
These SERVICES may have formerly been categorised as TREATMENT FUNCTION CODE 140 (Oral Surgery Service) or TREATMENT FUNCTION CODE 144 (Maxillofacial Surgery Service).
For further information, see: British Association of Oral & Maxillofacial Surgeons
149not a Treatment Function 
150Neurosurgical ServiceSurgical 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
160Plastic Surgery ServiceSERVICES 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
161Burns Care ServiceSERVICES 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
170Cardiothoracic Surgery ServiceSERVICES 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
172Cardiac Surgery ServiceSERVICES 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
173Thoracic Surgery ServiceSERVICES 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
174Cardiothoracic Transplantation ServiceSERVICES 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.
142Paediatric Dentistry ServiceDedicated children's SERVICES for dentistry with appropriate facilities and support staff.
For further information, see: The British Society of Paediatric Dentistry
171Paediatric Surgery ServiceDedicated children's SERVICES for general surgery.
For further information, see: Royal College of Surgeons - Paediatric Surgery
211Paediatric Urology ServiceDedicated 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
212Paediatric Transplantation Surgery ServiceDedicated 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
213Paediatric Gastrointestinal Surgery ServiceDedicated children's SERVICES for surgical treatment of disorders of the gastrointestinal tract.
For further information, see: British Association of Paediatric Surgeons - Gastrointestinal
214Paediatric Trauma and Orthopaedic ServiceDedicated 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)
215Paediatric Ear Nose and Throat ServiceDedicated 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
216Paediatric Ophthalmology ServiceDedicated 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
217Paediatric Oral and Maxillofacial Surgery ServiceDedicated children’s SERVICES providing diagnosis and surgical treatment of diseases, injuries and defects involving hard and soft tissues of the mouth, jaws, and neck.
Excludes Paediatric Dentistry Services - see TREATMENT FUNCTION CODE 142.
For further information, see: British Association of Oral & Maxillofacial Surgeons
218Paediatric Neurosurgery ServiceDedicated 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
219Paediatric Plastic Surgery ServiceDedicated 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
220Paediatric Burns Care ServiceDedicated 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
221Paediatric Cardiac Surgery ServiceDedicated children's SERVICES for the surgical treatment of the heart or great vessels.
For further information, see: NHS England: E05. Congenital Heart Services
222Paediatric Thoracic Surgery ServiceDedicated 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
223Paediatric Epilepsy ServiceDedicated 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
230Paediatric Clinical Pharmacology ServiceDedicated 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
240Paediatric Palliative Medicine ServiceDedicated 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
241Paediatric Pain Management ServiceDedicated 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
242Paediatric Intensive Care ServiceDedicated 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
250Paediatric Hepatology ServiceDedicated children's SERVICES for the treatment of disease of the liver.
For further information, see: Royal College of Paediatrics and Child Health - Hepatology
251Paediatric Gastroenterology ServiceDedicated children's SERVICES for the treatment of disorders of the digestive system.
For further information, see: Royal College of Paediatrics and Child Health - Gastroenterology
252Paediatric Endocrinology ServiceDedicated 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
253Paediatric Clinical Haematology ServiceDedicated 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
254Paediatric Audio Vestibular Medicine ServiceDedicated 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
255Paediatric Clinical Immunology and Allergy ServiceDedicated 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
256Paediatric Infectious Diseases ServiceDedicated 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
257Paediatric Dermatology ServiceDedicated children's SERVICES for the treatment of diseases of the skin.
For further information, see: The British Society for Paediatric Dermatology (BSPD)
258Paediatric Respiratory Medicine ServiceDedicated 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
259Paediatric Nephrology ServiceDedicated 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
260Paediatric Medical Oncology ServiceDedicated 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
261Paediatric Inherited Metabolic Medicine ServiceFormerly 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
262Paediatric Rheumatology ServiceDedicated 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
263Paediatric Diabetes ServiceFormerly 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
264Paediatric Cystic Fibrosis ServiceDedicated 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
270Paediatric Emergency Medicine ServiceDedicated 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
280Paediatric Interventional Radiology ServiceDedicated 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
290Community Paediatric ServiceSERVICES 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
291Paediatric Neurodisability ServiceDedicated children's SERVICES for the diagnosis and treatment of Cerebral Palsy and non-progressive handicapping neurological conditions, with or without Learning Disability/Intellectual Disability.
For further information, see: Royal College of Paediatrics and Child Health - Neurodisability
321Paediatric Cardiology ServiceDedicated 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
421Paediatric Neurology ServiceDedicated 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
180Emergency Medicine ServiceFormerly 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
190Anaesthetic ServiceSERVICES 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
191Pain Management ServiceSERVICES for complex pain disorders requiring diagnosis and treatment by a specialist Multidisciplinary Team
192Intensive Care Medicine ServiceFormerly 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
200Aviation and Space Medicine ServiceAlso 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
300General Internal Medicine ServiceFormerly 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)
301Gastroenterology ServiceScreening, diagnostic and therapeutic endoscopy SERVICES including upper and lower gastrointestinal (GI) endoscopy and hepatobiliary endoscopy. Excludes Hepatology Service - see TREATMENT FUNCTION CODE 306.
302Endocrinology ServiceThe 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
303Clinical Haematology ServiceSERVICES 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
304Clinical Physiology ServicePhysiological 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
305Clinical Pharmacology ServiceSERVICES 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)
306Hepatology ServiceMedical 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
307Diabetes ServiceFormerly 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
308Blood and Marrow Transplantation ServiceSERVICES 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
309Haemophilia ServiceSpecialist SERVICES for the diagnosis, treatment and management of haemophilia.
For further information, see: NHS England - F02. Specialised Blood Disorders
310Audio Vestibular Medicine ServiceFormerly 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
311Clinical Genetics ServiceSERVICES for the diagnosis and management of genetic disorders affecting individuals and their families.
For further information, see: Clinical Genetics
312not a Treatment Function 
313Clinical Immunology and Allergy ServiceSERVICES 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)
314Rehabilitation Medicine ServiceFormerly 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
315Palliative Medicine ServiceSERVICES 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
316Clinical Immunology ServiceSERVICES 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
317Allergy ServiceSERVICES 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
318Intermediate Care ServiceSERVICES 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
319Respite Care ServiceSERVICES providing temporary care of a dependant PERSON, providing relief for their usual caregivers
320Cardiology ServiceSERVICES 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
322Clinical Microbiology ServiceSERVICES for the diagnosis, management and treatment of PATIENTS with diseases caused by bacteria, viruses, fungi and parasites.
323Spinal Injuries ServiceSERVICES 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
324Anticoagulant ServiceSERVICES 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
325Sport and Exercise Medicine ServiceSpecific 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
326Acute Internal Medicine ServiceSERVICES concerned with the assessment, diagnosis and management of adults presenting to secondary care with acute medical illness.
For further information, see: Acute Internal Medicine
327Cardiac Rehabilitation ServiceSERVICES 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
328Stroke Medicine ServiceSERVICES 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)
329Transient Ischaemic Attack ServiceA 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
330Dermatology ServiceSERVICES for the treatment of diseases of the skin.
For further information, see: Joint Royal Colleges of Physicians Training Board - Dermatology
331Congenital Heart Disease ServiceThe 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
333Rare Disease ServiceSERVICES 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
335Inherited Metabolic Medicine ServiceSERVICES 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
340Respiratory Medicine ServiceRespiratory 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
341Respiratory Physiology ServiceSERVICES 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
342Pulmonary Rehabilitation ServiceFormerly known as Programmed Pulmonary Rehabilitation.
A multidisciplinary SERVICE for PATIENTS with chronic respiratory impairment.
For further information, see: NHS England: Pulmonary rehabilitation
343Adult Cystic Fibrosis ServiceMultidisciplinary 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
344Complex Specialised Rehabilitation ServiceThis 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
345Specialist Rehabilitation ServiceThis 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.
346Local Specialist Rehabilitation ServiceThis 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.
347Sleep Medicine ServiceSERVICES 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
348Post-COVID-19 Syndrome ServiceMultidisciplinary SERVICES for PATIENTS experiencing long-term health effects following COVID-19 infection, whether or not this was diagnosed at the time of acute illness or the patient was initially asymptomatic. Post-COVID-19 syndrome has also been known as ‘long COVID’.
For further information, see: National Institute for Health and Care Excellence - COVID-19 guideline: management of the long-term effects of COVID-19 and NHS England and NHS Improvement coronavirus - National guidance for post-COVID syndrome assessment clinics
350Infectious Diseases ServiceSERVICES 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
352Tropical Medicine ServiceSERVICES 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
360Genitourinary Medicine ServiceSERVICES 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)
361Renal Medicine ServiceFormerly 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
370Medical Oncology ServiceSERVICES 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
371Nuclear Medicine ServiceSERVICES 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
400Neurology ServiceSERVICES 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
401Clinical Neurophysiology ServicePrimarily 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
410Rheumatology ServiceSERVICES 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
420Paediatric ServiceDedicated 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
422Neonatal Critical Care ServiceFormerly 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
424Well Baby ServiceSERVICES 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
430Elderly Medicine ServiceFormerly 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
431Orthogeriatric Medicine ServiceMultidisciplinary 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
450Dental Medicine ServiceSERVICES for dental treatment carried out in a hospital setting. Includes Oral Medicine.
For further information, see: British Dental Association
451Special Care Dentistry ServiceSERVICES 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)
460Medical Ophthalmology ServiceMedically-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
461Ophthalmic and Vision Science ServiceSERVICES 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
500not a Treatment Function 
501Obstetrics ServiceSERVICES 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
502Gynaecology ServiceSERVICES 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
503Gynaecological Oncology ServiceSERVICES to treat cancers of the female reproductive system, principally involving surgical members of the Multidisciplinary Team.
For further information, see: British Gynaecological Cancer Society
504Community Sexual and Reproductive Health ServiceSERVICES 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)
505Fetal Medicine ServiceSERVICES 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.
510RetiredRecord as Obstetrics, antenatal clinic can be used as a local sub-specialty if required
520RetiredRecord as Obstetrics, postnatal clinic can be used as a local sub-specialty if required
600not a Treatment Function 
610RetiredRecord as Obstetrics
620RetiredUse the appropriate function under which the patient is treated
834Medical Virology ServiceClinical 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
656Clinical Psychology ServiceMental 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
700Learning Disability ServiceAlso known as Intellectual Disability Service.
Mental Health Services provided to PATIENTS with a Learning Disability.
For further information, see: Royal College of Psychiatrists - Faculty of the Psychiatry of Intellectual Disability and British Institute of Learning Disabilities
710Adult Mental Health ServiceMental 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
711Child and Adolescent Psychiatry ServiceMental 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
712Forensic Psychiatry ServiceMental 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
713Medical Psychotherapy ServiceFormerly 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
715Old Age Psychiatry ServiceMental 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
720Eating Disorders ServiceA 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
721Addiction ServiceMental 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
722Liaison Psychiatry ServiceMental Health Services for the provision of psychiatric treatment to PATIENTS attending acute hospitals including Out-Patient ClinicsEmergency 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
723Psychiatric Intensive Care ServiceMental 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
724Perinatal Mental Health ServiceFormerly 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
725Mental Health Recovery and Rehabilitation ServiceMental 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
726Mental Health Dual Diagnosis ServiceMental 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
727Dementia Assessment ServiceDesignated 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
730Neuropsychiatry ServiceMental 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
560Midwifery ServiceSERVICES 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
650Physiotherapy ServiceSERVICES 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
651Occupational Therapy ServiceSERVICES using specific activities to limit the effects of DISABILITY and promote independence in all aspects of daily life
652Speech and Language Therapy ServiceSERVICES 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
653Podiatry ServiceAlso 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
654Dietetics ServiceSERVICES 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
655Orthoptics ServiceSERVICES providing the diagnosis and treatment of visual problems involving eye movement and alignment.
For further information, see: British and Irish Orthoptic Society
657Prosthetics ServiceSERVICES 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
658Orthotics ServiceSERVICES 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
659Dramatherapy ServiceSERVICES 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
660Art Therapy ServiceSERVICES 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
661Music Therapy ServiceSERVICES 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
662Optometry ServiceSERVICES providing the diagnosis and non-surgical treatment of disorders of the eye and vision care
663Podiatric Surgery ServiceSERVICES 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
670Urological Physiology ServiceDiagnostic SERVICES for the study of erectile, upper and lower urinary tract function, including urodynamics.
For further information, see: The British Association of Urological Surgeons
673Vascular Physiology ServiceDiagnostic 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
675Cardiac Physiology ServiceSERVICES 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)
677Gastrointestinal Physiology ServiceSERVICES 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)
677Gastrointestinal Physiology ServiceSERVICES 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: AGIP – Association of GI Physiologists
800Clinical Oncology ServiceFormerly known as Radiotherapy.
The diagnosis and treatment, typically with Radiotherapy, of PATIENTS with cancer.
For further information, see: Royal College of Radiologists - Clinical oncology
810not a Treatment Function 
811Interventional Radiology ServiceSERVICES 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
812Diagnostic Imaging ServiceSERVICES 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
820not a Treatment Function 
821not a Treatment Function 
822Chemical Pathology ServiceSERVICES 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
823not a Treatment FunctionSee Clinical Haematology
824not a Treatment Function 
830not a Treatment FunctionSee Clinical Immunology
831not a Treatment FunctionSee Clinical Microbiology
832Retired 
840Audiology ServiceSERVICES 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
900not a Treatment Function 
901not a Treatment Function 
902not a Treatment Function 
903not a Treatment Function 
904not a Treatment Function 
920Diabetic Education ServiceSERVICES providing dedicated small group education courses regarding self-management for diabetic PATIENTS
950not a Treatment FunctionUse the appropriate function under which the patient is treated
960not a Treatment FunctionUse the appropriate function under which the patient is treated
990Retired 

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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OUT-PATIENT ATTENDANCE CONSULTANT

Change to Supporting Information: Changed Description

An Out-Patient Attendance Consultant is a CARE CONTACT.

An Out-Patient Attendance Consultant is an attendance at which a PATIENT is seen by or has contact with (face to face or via telephone/Telemedicine) a CONSULTANT, in respect of one referral, that is not a visit to the home of a PATIENT for which a fee is payable under paragraph 140 of the Terms and Conditions of Service.

For an Out-Patient Attendance Consultant, a CONSULTANT includes a member of the CONSULTANT's firm or locum for such a member.

An Out-Patient Attendance Consultant will be part of a Consultant Out-Patient Episode.

If a PATIENT is seen by a CONSULTANT at a Consultant Clinic then this will be a Clinic Attendance Consultant. An attendance may involve more than one PERSON (e.g. a family). The number of attendances to be recorded should be the number of PATIENTS for whom the particular CONSULTANT has identifiable individual records and which will be maintained as a result of the attendance.

If a PATIENT is seen by a doctor, sent elsewhere for a test or X-ray and then seen again by a doctor of the same CONSULTANT's firm during the same clinic session, it would be recorded as one attendance - not two.

A visit to the home of a PATIENT made at the instance of a hospital or specialist to review the urgency of a proposed admission to hospital, or to continue to supervise treatment initiated or prescribed at a hospital or clinic is covered by this definition.

Out-Patient Attendance Consultant also includes a PATIENT being seen by a CONSULTANT from a different MAIN SPECIALTY CODE during a Consultant Episode (Hospital Provider) in circumstances where there is no transfer of responsibility for the care of the PATIENT.

During the Out-Patient Attendance Consultant, a number of PATIENT DIAGNOSES and Patient Procedures may be recorded.

A series of Out-Patient Attendance Consultant will form a Consultant Out-Patient Episode, generated from a single referral. Note that it is possible to have two Consultant Out-Patient Episodes with the same CONSULTANT for different clinical conditions, if two referrals are made. An attendance may involve more than one PERSON - for example, a family. Out-Patient Attendance Consultant can take place outside a clinic session, and can take place at the PATIENT's normal place of residence.

A PATIENT attending a WARD for examination or care will be counted as an Out-Patient Attendance Consultant if he/she is seen by a doctor. If they are only seen by a NURSE, they are a Ward Attendance.

An Out-Patient Attendance Consultant should also be recorded where a PATIENT is seen by a CONSULTANT from a different MAIN SPECIALTY CODE during a Consultant Episode (Hospital Provider) where there is no transfer of responsibility for the care of the PATIENT. For example, a PATIENT who is admitted to hospital under a Gastroenterology specialty following an overdose may be seen while still in hospital by a psychiatrist who has been asked to assess their mental condition. The assessment by the psychiatrist should be recorded as an Out-Patient Attendance Consultant.

 

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RELEASE HISTORY: JANUARY 2021  renamed from RELEASE HISTORY: NOVEMBER 2020

Change to Supporting Information: Changed Name, Description

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

January 2021

  • CR1774 (11 January 2021) - DCB2123-02 Patient Level Information Costing System (PLICS) Ambulance Data Set
  • CR1797 (11 January 2021) - DCB2123-03 Patient Level Information Costing System (PLICS) - Mental Health Admitted Patient Care Data Set and Patient Level Information Costing System (PLICS) - Mental Health Care Contacts Data Set
  • CR1778 (11 January 2021) - DCB2123-04 Patient Level Information Costing System (PLICS) Improving Access to Psychological Therapies Data Set
  • CR1807 (Immediate) - DCB0028 Corrigendum to DCB0028 Amd 45/2019 Treatment Function and Main Specialty Standard
  • CR1811 (Immediate) - DCB0028 Addendum to add Treatment Function Code - Post-COVID-19 Syndrome Service

November 2020

  • CR1790 (1 April 2021) - DDCN 1790/2020 NHS Continuing Healthcare Patient Level Data Set
  • CR1798 (Immediate) - DDCN 1798/2020 Commissioning Data Set change to weekly submission
  • CR17803 (Immediate) - DDCN 1803/2020 Emergency Care Department Update

October 2020

  • CR1740 (1 November 2020) - DCB0092-2062 Update to Commissioning Data Set Type 011 Emergency Care

September 2020

  • CR1716 (1 October 2020) - DCB0147 National Cancer Waiting Times Monitoring Data Set Version 2.1
  • CR1779 (Immediate) - DDCN 1779/2020 Retirement of Information Sharing to Tackle Violence Minimum Data Set

August 2020

  • CR1759 (7 September 2020) - DCB2123 Patient Level Information Costing System (PLICS) Acute Data Set Update

June 2020

  • CR1773 (Immediate) - DDCN 1773/2020 Retirement of PDS Birth Notification Data Sets

May 2020

The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2021:

  • CR1751 (1 April 2021) - DCB3085 NHS Continuing Healthcare Patient Level Data Set

April 2020

  • CR1667 (Immediate) - DCB1077 AIDC for Patient Identification Data Set Update
  • CR1760 (1 April 2021) - DCB0028 Main Specialty Code and Treatment Function Code Updates
  • Note: New National Codes were introduced from 2 April 2020 and should not be reported nationally until the functionality to do so becomes available in the next release of the affected data sets. A note has been added to the affected items to provide further guidance.

March 2020

  • CR1690 (1 April 2020) - DCB1069 Community Services Data Set Version 1.5
  • CR1714 (1 April 2020) - DCB1521 Cancer Outcomes and Services Data Set Version 9
  • CR1719 (1 April 2020) - DCB1520 Improving Access to Psychological Therapies Data Set Version 2
  • CR1732 (1 April 2020) - DCB0011 Mental Health Services Data Set Version 4.1
  • CR1723 (1 April 2020) - DCB0084 Introduction of OPCS-4.9
  • CR1743 (1 April 2020) - DCB1533 Aggregate Contract Monitoring Data Set Update
  • CR1744 (1 April 2020) - DCB1533 Patient Level Contract Monitoring Data Set Update
  • CR1753 (1 April 2020) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set Update
  • CR1757 (1 April 2020) - DDCN 1757/2020 Organisation Data Service Information Update
  • CR1752 (Immediate) - DDCN 1752/2020 Practitioners with a Special Interest Name Change

Release: December 2019

  • CR1746 (Immediate) - DCB0039 GUMCAD Sexually Transmitted Infection Surveillance System Data Set
  • CR1747 (Immediate) - DCB2212 Drugs Patient Level Contract Monitoring Data Set Update
  • CR1724 (1 January 2020) - DCB1533 National Workforce Data Set Version 3.1
  • CR1756 (Immediate) - DDCN 1756/2019 Social Work England
  • CR1703 (Immediate) - DDCN 1703/2019 Update to GP Default Code V81998 Definition
  • CR1741 (Immediate) - DDCN 1741/2019 Critical Care Minimum Data Set

Release: October 2019

  • CR1668 (Immediate) - DDCN 1668/2019 Retirement of National Renal Data Set

Release: August 2019

  • CR1661 (1 September 2019) - DCB1533 Systemic Anti-Cancer Therapy Data Set Version 3
  • CR1734 (Immediate) - DDCN 1734/2019 Consultation Medium Used Update
  • CR1731 (Immediate) - DDCN 1731/2019 Retirement of Quarterly Bed Availability and Occupancy Data Set (KH03)
  • CR1735 (Immediate) - DDCN 1735/2019 Retirement of Mixed Sex Accommodation Data Set
  • CR1641 (Immediate) - DDCN 1641/2019 Retirement of Emergency Care Weekly Situation Report Data Set

Release: July 2019

  • CR1634 (Immediate) - DCB2123 Patient Level Information Costing System (PLICS) Acute Data Set
  • CR1696 (Immediate) - DDCN 1696/2019 SNOMED CT Subsets
  • CR1722 (Immediate) - DDCN 1722/2019 GUMCAD Sexually Transmitted Infection Surveillance System Data Set

Release: May 2019

  • CR1611 (Immediate) - DCB2050 Introduction of the Aggregate Contract Monitoring Data Set
  • CR1613 (Immediate) - DCB3003 Introduction of Patient Level Contract Monitoring Data Set
  • CR1612 (Immediate) - DCB3002 Introduction of Devices Patient Level Contract Monitoring Data Set
  • CR1615 (Immediate) - DCB2212 Introduction of Drugs Patient Level Contract Monitoring Data Set
  • CR1713 (Immediate) - DCB1593 Venous Thromboembolism Risk Assessment Data Set Update
  • CR1730 (Immediate) - DDCN 1730/2019 Retirement of Diagnostics Waiting Times and Activity Data Set
  • CR1729 (Immediate) - DDCN 1729/2019 Retirement of Diagnostics Waiting Times Census Data Set
  • CR1728 (Immediate) - DDCN 1728/2019 Retirement of Referral To Treatment Data Set
  • CR1727 (Immediate) - DDCN 1727/2019 Retirement of National Direct Access Audiology Data Set
  • CR1725 (Immediate) - DDCN 1725/2019 Retirement of Quarterly Monitoring Cancelled Operations Data Set (QMCO)

Release: April 2019

  • CR1704 (1 April 2019) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set Update
  • CR1708 (Immediate) - DDCN 1708/2019 Retirement of KC50: Immunisation Programmes Activity Data Set (KC50)
  • CR1700 (Immediate) - DDCN 1700/2019 Retirement of KC65: Colposcopy Clinics: Referrals, Treatments and Outcomes
  • CR1699 (Immediate) - DDCN 1699/2019 Retirement of KC53: Adult Screening Programmes - Cervical Screening
  • CR1698 (Immediate) - DDCN 1698/2019 Retirement of Edifact Items
  • CR1568 (Immediate) - DDCN 1568/2019 Retirement of KC61: Pathology Laboratories: Cervical Screening and Outcome of Referrals
  • CR1536 (Immediate) - DDCN 1536/2019 Retirement of KH12: Imaging and Radiological Examinations or Tests in any Part of a Hospital
  • CR1499 (Immediate) - DDCN 1499/2019 Retirement of NHS Health Checks Data Set

Release: March 2019

  • CR1550 (1 April 2019) - DCB1513 Maternity Services Data Set Version 2
  • CR1648 (1 April 2019) - DCB0011 Mental Health Services Data Set Version 4 
  • CR1654 (1 April 2019) - DCB0092-2062 Update to Commissioning Data Set Type 011 Emergency Care
  • CR1715 (1 April 2019) - DCB0092-2062 Corrigendum to Commissioning Data Set V6-2-2 Type 011 Emergency Care
  • CR1717 (1 April 2019) - DCB0092-2062 Corrigendum to Commissioning Data Set V6-2-1 Type 011 Emergency Care
  • CR1695 (Immediate) - DDCN 1695/2019 Emergency Care Department Type - Urgent Treatment Centres
  • CR1704 (1 April 2019) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set Update

Release: December 2018

  • CR1650 (1 January 2018) - DCB1067 National Workforce Data Set v3.0

Release: November 2018

  • CR1631 (Immediate) - DCB3017 Overseas Visitor Charging Category

Release: October 2018

  • CR1618 (1 October 2018) - DCB0039 GUMCAD Sexually Transmitted Infection Surveillance System Data Set
  • CR1666 (Immediate) - DDCN 1666/2018 Stop Smoking Services Quarterly Data Set

Release: September 2018

Release: July 2018

  • CR1639 (1 April 2018) - DCB2117 NHS Continuing Healthcare Data Set Update
  • CR1630 (4 June 2018) - DCB1567 National Joint Registry Data Set Version 7
  • CR1658 (Immediate) - DDCN 1658/2018 Young Offender Institution

Release: May 2018

  • CR1653 (Immediate) - DDCN 1653/2018 HIV and AIDS Reporting Data Set Update
  • CR1647 (Immediate) - DDCN 1647/2018 Terminology and Classifications Update

Release: April 2018

  • CR1636 (Immediate) - DDCN 1636/2018 Department of Health: Change of name
  • CR1638 (30 April 2018) - DCB0090 Health and Social Care Organisation Reference Data: Introducing an Application Programming Interface (API)

Release: March 2018

  • CR1588 (1 April 2018) - DCB1521 Cancer Outcomes and Services Data Set Version 8
  • CR1589 (1 April 2018) - DCB0147 National Cancer Waiting Times Monitoring Data Set Version 2.0
  • CR1610 (1 April 2018) - DCB0011 Mental Health Services Data Set Version 3.0
  • CR1642 (Immediate) - DDCN 1642/2018 Youth Offenders Institute: Change of name
  • CR1635 (Immediate) - DDCN 1635/2018 Edubase: Change of name

Release: January 2018

  • CR1633 (Immediate) - DDCN 1633/2017 Introduction of Strategic Data Collection Service (SDCS) and Data Services Platform (DSP)

Release: November 2017

  • CR1623 (Immediate) - DCB0089 Cover of Vaccination Evaluated Rapidly (COVER) Central Return Data Set
  • CR1628 (Immediate) - DDCN 1628/2017 Employment Status

Release: October 2017

  • CR1619 (1 October 2017) - DCB1067 National Workforce Data Set Version 2.9
  • CR1595 (Immediate) - DCB0155 Stop Smoking Services Quarterly Data Set
  • CR1572 (Immediate) - DCB2094 Sexual Orientation
  • The October 2017 Release updates the NHS Data Model and Dictionary Help Pages and Demonstrations to reflect the new organisation structure.

Release: September 2017

  • CR1587 (1 October 2017) - SCCI1069 Community Services Data Set (CSDS) Version 1.0

Release: July 2017

  • CR1555 (Immediate) - SCCI1518 Sexual and Reproductive Health Activity Data Set Changes
  • CR1606 (Immediate) - SCCI0011 Mental Health Services Data Set Version 2 Corrigendum

Release: June 2017

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

Release: April 2017

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

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

Release: March 2017

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

Release: December 2016

Release: November 2016

Release: October 2016

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

Release: September 2016

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

Release: August 2016

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

Release: July 2016

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

Release: March 2016

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

Release: February 2016

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

Release: December 2015

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

Release: November 2015

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

Release: October 2015

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

Release: September 2015

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

Release: August 2015

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

Release: July 2015

  • CR1475 (Immediate) - SCCI1605 Accessible Information

Release: June 2015

  • CR1518 (Immediate) - ISB 092 CDS 6-1 Retirement
  • CR1525 (Immediate) - DDCN 1525/2015 Burden Advice and Assessment Service (BAAS)
  • CR1524 (Immediate) - DDCN 1524/2015 Updating of Activity Location Type and Source of Admission Attributes
  • CR1505 (Immediate) - DDCN 1505/2015 Death Cause Information

Release: May 2015

  • CR1507 (Immediate) - DDCN 1507/2015 To add SUS CDS business rule H4 text

Release: April 2015

  • CR 1494 and CR 1506 (1 April 2015) - SCCI2026 Amd 12/2014 Female Genital Mutilation Data Set and Retirement of Female Genital Mutilation Prevalence Data Set
  • CR1513 (27 April 2015) - DDCN 1513/2015 Introduction of NHS England Region (Geography)
  • CR1509 (1 April 2015) - ISB 1513 Maternity Services Data Set

  • CR1509 is a corrigendum to CR1355 (1 November 2014) - ISB 1513 Amd 45/2012 Maternity Services Data Set Update and XML Schema published in the October 2014 release

Release: March 2015

  • CR1492 (1 April 2015) - SCCI1521 Amd 17/2014 Updates to the Cancer Outcomes and Services Data Set and XML Schema

Release: February 2015

  • CR1486 (27 February 2015) - ISB 0090 Amd 9/2014 Organisation Data Service – Health and Justice Organisation Identifiers

Due to a delay in the Organisation Data Service (ODS) February release, the implementation date is now 6 March 2015.

Release: January 2015

Release: December 2014

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

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

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

Release: November 2014

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

Release: October 2014

Release: September 2014

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

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

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

Release: August 2014

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

Release: July 2014

  • CR1351 (1 July 2014) - ISB 1520 Amd 02/2013 Improving Access to Psychological Therapies Data Set Version 1.5
  • CR1482 (Immediate) - DDCN 1482/2014 Source of Referral for Mental Health
  • CR1480 (Immediate) - DDCN 1480/2014 Mental Health Care Cluster 9
  • CR1477 (Immediate) - DDCN 1477/2014 Payment by Results

  • Note: CR1383 (31 December 2014) - ISB 1555 Amd 10/2012 Personal Demographics Service Birth Notification Data Sets

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

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

Release: June 2014

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

Release: May 2014

Release: April 2014

Release: March 2014

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

Release: February 2014

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

Release: January 2014

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

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

Release: November 2013

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

Release: September 2013

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

Release: July 2013

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

Release: May 2013

Release: April 2013

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

Release: March 2013

Release: February 2013

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

Release: December 2012

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

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

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

Release: November 2012

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

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

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

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

Release: September 2012

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

Release: August 2012

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

Release: June 2012

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

Release: May 2012

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

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

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

Release: March 2012

Release: January 2012

Release: November 2011

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

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

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

Release: October 2011

  • CR1271 (Immediate) - DDCN 1271/2011 Commissioning Data Set Addressing Grid Update
  • CR1268 (Immediate) - DDCN 1268/2011 Sexual Orientation Code
  • The following has been incorporated early to allow users to see the changes, but please note that the implementation date is 1 April 2012:

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

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

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

Release: August 2011

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

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

Release: July 2011

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

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

Release: June 2011

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

Release: April 2011

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

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

Release: March 2011

Release: January 2011

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

Release: December 2010

Release: November 2010

  • CR1119 (Immediate) - DDCN 1119/2010 Organisation Codes Update
  • CR1192 (Immediate) - DDCN 1192/2010 Change of name for "Health Solution Wales"
  • CR1199 (Immediate) - DDCN 1199/2010 General Pharmaceutical Council and Royal Pharmaceutical Society of Great Britain Update
  • CR1189 (Immediate) - DDCN 1189/2010 National Institute for Health and Clinical Excellence
  • CR1187 (Immediate) - DDCN 1187/2010 Introduction of the Department for Education

Release: September 2010

  • CR1128 (Immediate) - DDCN 1128/2010 Changes to reporting procedures for Overseas Visitors from the European Economic Area and Switzerland
  • CR1173 (Immediate) - DDCN 1173/2010 Care Quality Commission Update
  • CR1143 (Immediate) - DDCN 1143/2010 General Pharmaceutical Council
  • CR1061 (1 October 2010) - ISB 0092/2010 CDS Type 20: Out-patient: Retirement of Default Codes for Out-patient Procedures
  • CR1133 (Immediate) - ISB 00289/2010 National Specialty List

Release: August 2010

  • The August 2010 Release introduces the NHS Data Model and Dictionary Help Pages.

Release: July 2010

Release: May 2010

Release: March 2010

  • CR1123 (1 April 2010) - DSCN 18/2010 Information Standards Notice (ISN)
  • CR1139 (Immediate) - DSCN 16/2010 Person Weight
  • CR1130 (Immediate) - DSCN 15/2010 Change of name for "The NHS Information Centre for health and social care"
  • CR1013 (April 2010) - DSCN 14/2010 Sexual and Reproductive Health Activity Dataset (SRHAD)
  • CR1125 (Immediate) - DSCN 13/2010 NHS Data Model and Dictionary Maintenance Update - Policy Definitions
  • CR1122 (Immediate) - DSCN 11/2010 Changes to Family Planning References

Release: January 2010

  • CR1115 (Immediate) - DSCN 10/2010 Data Standards: Updating of e-Government Interoperability Framework and Government Data Standards Catalogue References

Release: December 2009

  • CR1100 (Immediate) - DSCN 25/2009 NHS Prescription Services Update
  • CR1045 (1 December 2009) - DSCN 17/2009 Referral to Treatment Clock Stop Administrative Event
  • CR1003 (1 December 2009) - DSCN 16/2009 Commissioning Data Sets: Mandation of 18 Week Referral To Treatment Data Items

Release: November 2009

  • CR1113 (Immediate) - DSCN 24/2009 Information Standards Board for Health and Social Care Update
  • CR1087 (Immediate) - DSCN 23/2009 Health Professions Council Update
  • CR1081 (Immediate) - DSCN 22/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1019 (27 November 2009) - DSCN 21/2009 Data Standards: Organisation Data Service (ODS) - Optical Sites and Optical Headquarters
  • CR1034 (27 November 2009) - DSCN 20/2009 Data Standards: Organisation Data Service (ODS) - Care Homes in England and Wales and their Headquarters

Release: September 2009

  • CR1065 (1 October 2009) - DSCN 15/2009 Data Standards: Organisation Data Service, Local Health Boards

Release: June 2009

  • CR1014 (1 June 2009) - DSCN 13/2009 Religious and Other Belief System Affiliation
  • CR1074 (Immediate) - DSCN 12/2009 Data Standards: Care Quality Commission
  • CR1056 (Immediate) - DSCN 11/2009 Data Standards: NHS Data Model and Dictionary Maintenance Update
  • CR1072 (1 December 2009) - DSCN 10/2009 Data Standards: National Radiotherapy Data Set
  • CR1073 (Immediate) - DSCN 09/2009 Central Returns: Diagnostic Waiting Times and Activity Data Set
  • CR1066 (Immediate) - DSCN 08/2009 Data Standards: NHS Prescription Services and NHS Dental Services
  • CR1047 (1 April 2009) - DSCN 07/2009 Data Standards: Diabetic Retinopathy Screening Dataset v3.6
  • CR1059 (Immediate) - DSCN 06/2009 Data Standard: National Workforce Data Set v2.1
  • CR914 (April 2008 (Retrospective)) - DSCN 05/2009 NHS Stop Smoking Services Quarterly Monitoring Return
  • CR899 (Immediate) - DSCN 02/2009 NHS Data Model and Dictionary Maintenance Update

Release: March 2009

  • CR1001 (1 April 2009) - DSCN 03/2009 Introduction of Commissioning Data Set Schema Version 6-1 (2008-04-01) and update to Commissioning Data Set Schema Version 6-0 (2008-01-14)
  • CR976 (31 March 2009) - DSCN 26/2008 Subject: KP90 - Admissions, Changes in Status and Detentions under the Mental Health Act
  • CR1017 (1 April 2009) - DSCN 25/2008 Critical Care Minimum Data Set
  • CR1002 (1 April 2009) - DSCN 24/2008 Data Standards: Introduction of Commissioning Dataset Version 6.1
  • CR1016 (Immediate) - DSCN 23/2008 4 Byte Version of the Read Codes - Withdrawal

Release: December 2008

  • CR1022 (1 January 2009) - DSCN 29/2008 Data Standards: 18 Weeks Referral to Treatment (RTT) Time, Performance Sharing
  • CR901 (Immediate) - DSCN 28/2008 Removal of references to EDIFACT and the NHS Wide Clearing Service (NWCS)
  • CR843 (1 April 2009) - DSCN 22/2008 Data Standards: National Radiotherapy Data Set
  • CR1011 (1 January 2009) - DSCN 20/2008 Data Standards: National Cancer Waiting Times Minimum Data Set

Release: November 2008

  • CR1026 (3 November 2008) - DSCN 21/2008 Information Standard: Mental Health Act 2007 Mental Category

Release: August 2008

  • CR1018 (Immediate) - DSCN 19/2008 Data Standards: Change of Name for National Administrative Code Services (NACS) to Organisation Data Service (ODS)
  • CR956 (1 September 2008) - DSCN 18/2008 Central Return: Human Papillomavirus (HPV) Immunisation Programme, Vaccine Monitoring Minimum Dataset
  • CR861 (Immediate) - DSCN 16/2008 Central Return: Hospital and Community Services Complaints and General Practice (including Dental) Complaints - KO41(a) and KO 41(b)
  • CR964 (Immediate) - DSCN 14/2008 Central Return: 18 Weeks ‘Adjusted’ Referral to Treatment (RTT) Dataset
  • CR965 (Immediate) - DSCN 13/2008 Data Standards: Organisation Data Service (ODS) - Change to the Default Codes Set to Support Changes to GMS Contract
  • CR879 (Immediate) - DSCN 12/2008 Data Standards: Quarterly Monitoring: Cancelled Operations Data Set (QMCO)

Release: May 2008

  • CR502 (Immediate) - DSCN 10/2008 Data Standards: National Workforce Data Definitions (v2.0)
  • CR910 (1 April 2008) - DSCN 08/2008 Data Standards: National Direct Access Audiology Patient Tracking List (PTL) and Waiting Times (WT) data sets
  • CR900 (Immediate) - DSCN 07/2008 Data Standards: Inter-Provider Transfer Administrative Minimum Data Set
  • CR934 (1 April 2008) - DSCN 06/2008 Data Standards: Mental Health Minimum Data Set (version 3.0)
  • CR935 (Immediate) - DSCN 05/2008 Data Standards: 18 Weeks Rules Suite
  • CR925 (1 September 2008) - DSCN 04/2008 Genitourinary Medicine Clinic Activity Data Set Change to an Information Standard
  • CR942 (1 June 2008) - DSCN 03/2008 General Practice and General Medical Practitioner (GMP) - changes resulting from the introduction of the General Medical Services (GMS) Contract

Release: February 2008

  • CR812 (Immediate) - DSCN 01/2008 Central Return: Diagnostics Waiting Times Census Data Set
  • CR881 (31 December 2007) - DSCN 42/2007 Central Return: Referral To Treatment Summary Patient Tracking List
  • CR904 (Immediate) - DSCN 41/2007 Data Standards: Admission Intended Procedure Update
  • CR824 (1 February 2008) - DSCN 39/2007 Data Standards: 48 Hour Genitourinary Medicine Access Monthly Monitoring (GUMAMM)

Release: November 2007

  • CR919 (Immediate) - DSCN 38/2007 Data Standards: Mental Health Minimum Data Set Schema
  • CR814 (1 April 2008) - DSCN 37/2007 Data Standards: Introduction of Mental Health Minimum Data Set version 2.1
  • CR930 (31 December 2007) - DSCN 35/2007 Data Standards: A correction to the version 6 Commissioning Data Set schema
  • CR834 (Immediate) - DSCN 34/2007 Data Standards: Referral Request Received Date
  • CR875 (Immediate) - DSCN 33/2007 Data Standards: National Administrative Codes Service: Introduction of codes for the new Pan SHAs
  • CR880 (Immediate) - DSCN 29/2007 Data Standards: Amendments to Doctor Index Number (DIN) Description

Release: August 2007

  • CR845 (Immediate) - DSCN 28/2007 Data Standards: Treatment Function Code (Referral to Treatment Period)
  • CR831 (1 October 2007) - DSCN 27/2007 Data Standards: Update to Commissioning Data Set XML Schema v5
  • CR825 (1 October 2007) - DSCN 16/2007 Data Standards: Source of Referral for Outpatients (18 Weeks)

Release: June 2007

  • CR799 (31 December 2007) - DSCN 18/2007 Data Standards: Introduction of Commissioning Data Set Version 6
  • CR833 (Immediate) - DSCN 17/2007 Data Standards: Introduction of Commissioning Data Set validation table
  • CR801 (Immediate) - DSCN 15/2007 Data Standards: Cover of Vaccination Evaluated Rapidly (COVER) Return

Release: May 2007

  • CR800 (31 December 2007) - DSCN 14/2007 Commissioning Data Set Schema Version 6-0
  • CR856 (1 October 2007) - DSCN 13/2007 Data Standards: Discharge Ready Date
  • CR869 (Immediate) - DSCN 12/2007 Data Standards: Update to Clinical Coding Introduction
  • CR827 (1 October 2007) - DSCN 09/2007 Data Standards: Earliest Reasonable Offer Date
  • CR817 (1 October 2007) - DSCN 08/2007 Data Standards: Introduction of Age into Commissioning Data Sets
  • CR849 (May 2007) - DSCN 07/2007 National Administrative Codes Service: Introduction of new identification codes for Dental Consultants
  • CR822 (Immediate) - DSCN 06/2007 Data Standards: Update to Organisation Codes
  • CR850 (Immediate) - DSCN 05/2007 National Administrative Codes Service: Amendments to Default Codes
  • CR786 (1 April 2007) - DSCN 04/2007 Quarterly Monitoring Accident and Emergency Services (QMAE) Central Return

Release: February 2007

  • CR811 (Immediate) - DSCN 03/2007 Diagnostic Waiting Times and Activity
  • CR826 (1 October 2007) - DSCN 02/2007 Extension of Treatment Function to Support the Measurement of 18 Week Referral to Treatment Periods
  • CR813 (1 April 2007) - DSCN 01/2007 Paediatric Critical Care Minimum Data Set
  • CR768 (1 January 2007) - DSCN 18/2006 Changes to the NHS Data Dictionary to support the measurement of 18 week referral to treatment periods
  • CR798 (6 November 2006) - DSCN 19/2006 Commissioning Data Set (CDS) Version 5 XML Message Schema
  • CR776 (1 October 2006) - DSCN 05/2006 Data Standards: Accident and Emergency Enhancements to Investigation and Treatment Codes

Release: September 2006

  • CR795 (31 October 2006) - DSCN 22/2006 Organisation Codes / Organisation Site Codes
  • CR792 (1 April 2007) - DSCN 15/2006 Neonatal Critical Care
  • CR719 (1 April 2006) - DSCN 09/2006 Measuring and Recording of Waiting Times
  • CR791 (1 April 2007) - DSCN 13/2006 Priority Type
  • CR774 (1 September 2006) - DSCN 12/2006 Person Marital Status

Release: May 2006

  • CR764 (1 April 2006) - DSCN 08/2006 Diagnostics waiting times and activity
  • Correction to menu structure to include Critical Care Minimum Data Set

Release: April 2006

  • CR608 (1 October 2006) - DSCN 07/2006 Introduction of Commissioning Data Set Version 5 and its associated XML schema into the NHS Data Dictionary.
  • CR756 (1 September 2005) - DSCN 19/2005 PbR Commissioning for Out of Area Treatments (OATs) and Charge-Exempt Overseas Visitors
  • CR724 (1 April 2006) - DSCN 13/2005 Critical Care Minimum Data Set
  • CR754 (1 April 2006) - DSCN 17/2005 Treatment Function and Main Specialty Code Revisions
  • CR763 (1 April 2006) - DSCN 20/2005 New Treatment Functions for therapy services and anticoagulant service
  • CR767 (Immediate) - DSCN 02/2006 Referral Request Received Date
  • CR690 (1 September 2005) - DSCN 16/2005 Marital Status

Release: August 2005

  • CR555 (1 April 2005) - DSCN 11/2005 Data Standards: COVER - Hepatitis B immunisation for babies
  • CR715 (Immediate) - DSCN 10/2005 Data Standards: Treatment Function Codes - correction and clarification of names and descriptions
  • CR706 (1 April 2005) - DSCN 09/2005 Data Standards: Cancer Registration Data Set
  • CR691 (1 July 2005) - DSCN 06/2005 Data Standards: NSCAG Commissioner Code

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SCOTTISH HEALTH BOARD

Change to Supporting Information: Changed Description

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.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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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.

 For example telephone, Telemedicine, e-mail.

 

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ADDRESS PREFIX

Change to Attribute: Changed Description

A prefix for an ADDRESS STRUCTURED (eg. 'Ward 12', 'Room 101', 'The Lower Flat'). This is not an element of the Post Office Address File.A prefix for an ADDRESS STRUCTURED.

 For example Ward 12, Room 101, The Lower Flat.

This is not an element of the Post Office Address File.

 

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CLINICAL NURSE SPECIALIST INDICATION CODE

Change to Attribute: Changed Description

A code to indicate whether the:

National Codes:

Y1Yes - Clinical Nurse Specialist present when PATIENT given diagnosis
Y2Yes - but Clinical Nurse Specialist not present when PATIENT given diagnosis (Retired 1 April 2015)
Y2Yes - but Clinical Nurse Specialist not present when PATIENT given diagnosis (Retired 1 April 2015)
Y3Yes - Clinical Nurse Specialist not present when PATIENT given diagnosis but saw PATIENT during same Consultant Clinic Session
Y4Yes - Clinical Nurse Specialist not present during Consultant Clinic Session when PATIENT given diagnosis but saw PATIENT at other time
Y5Yes - Clinical Nurse Specialist not present when PATIENT given diagnosis but the PATIENT was seen by a trained member of the Clinical Nurse Specialist team
NINo - PATIENT not seen at all by Clinical Nurse Specialist but Clinical Nurse Specialist informed of diagnosis
NNNo - PATIENT not seen at all by Clinical Nurse Specialist and Clinical Nurse Specialist not informed of diagnosis
 

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SOURCE OF ADMISSION

Change to Attribute: Changed Description

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

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

Notes:

 National Codes:

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

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ADMINISTRATIVE CATEGORY CODE

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See ADMINISTRATIVE CATEGORY CODE 
Default Codes:98 - Not applicable
 99 - Not known: a validation error
 99 - ADMINISTRATIVE CATEGORY CODE not known

Notes: 
ADMINISTRATIVE CATEGORY CODE is the same as ADMINISTRATIVE CATEGORY CODENote: the Default Code description for 99 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

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ADMINISTRATIVE CATEGORY CODE (ON ADMISSION)

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See ADMINISTRATIVE CATEGORY CODE 
Default Codes:98 - Not applicable
 99 - Not known: a validation error
 99 - ADMINISTRATIVE CATEGORY CODE not known

Notes: 
ADMINISTRATIVE CATEGORY CODE (ON ADMISSION) is the same as attribute ADMINISTRATIVE CATEGORY CODE.

ADMINISTRATIVE CATEGORY CODE (ON ADMISSION) is used to record the ADMINISTRATIVE CATEGORY CODE at the start of the Hospital Provider Spell.

 Note: the Default Code description for 99 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

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ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

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

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

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

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

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

Note: the Default Code description for 99 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct. 

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

Change to Data Element: Changed Description

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

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

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

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

 Note: the Default Code description for 99 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

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BIRTH ORDER

Change to Data Element: Changed Description

Format/Length:n1
National Codes: 
Default Codes:8 - Not applicable
 9 - Not known: a validation error
 9 - BIRTH ORDER not known

Notes: 
BIRTH ORDER is the same as attribute BIRTH ORDER.

BIRTH ORDER records the sequence in which the baby was born, with 1 indicating the first or only birth in the sequence (i.e. singleton), 2 indicating the second birth in the sequence, 3 indicating the third, and so on.

 Note: the Default Code description for 9 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

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BLOOD GROUP (MOTHER)

Change to Data Element: Changed Description

Format/Length:max an2
National Codes:See PERSON BLOOD GROUP
Default Codes:77 - Not Applicable (not tested)
Default Codes:77 - Not applicable (not tested)
 99 - Blood group not known

Notes: 
BLOOD GROUP (MOTHER) is the same as attribute PERSON BLOOD GROUP for a mother. 

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CARE PERSONNEL LOCAL IDENTIFIER

Change to Data Element: Changed Description

Format/Length:max an20
National Codes: 
Default Codes: 

Notes: 
CARE PERSONNEL LOCAL IDENTIFIER is the same as attribute PERSON IDENTIFIER..

CARE PERSONNEL LOCAL IDENTIFIER is an identifier which identifies Care Personnel within a Health Care Provider and may be assigned automatically by the computer system.

 

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CDS INTERCHANGE TEST INDICATOR

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See CDS INTERCHANGE TEST INDICATOR
Default Codes: 

Notes: 
CDS INTERCHANGE TEST INDICATOR is the same as attribute CDS INTERCHANGE TEST INDICATOR.

Usage:
This optional test facility enables interchanges submitted to be marked and therefore processed as Test or Production data.

Whilst CDS INTERCHANGE TEST INDICATOR is optional it is highly recommended that correct values be completed in the data.

On receipt of a Test Interchange, the processes are as follows:
a) All normal validation processes will be carried out
b) The Interchange data will not be entered into the Secondary Uses Service database

  • All normal validation processes will be carried out
  • The Interchange data will not be entered into the Secondary Uses Service database.
CDS XML Schema Interchanges:
All Commissioning Data Set XML Schema interchanges submitted may contain a CDS INTERCHANGE TEST INDICATOR

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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 / CDS V6-2-3 Type 011 - Emergency Care Commissioning Data Set:

 

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DELIVERY PLACE CHANGE REASON CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See DELIVERY PLACE CHANGE REASON 
Default Codes:8 - Not applicable (i.e. no change)
 9 - Not known: a validation error
 9 - DELIVERY PLACE CHANGE REASON not known

Notes: 
DELIVERY PLACE CHANGE REASON CODE is the same as attribute DELIVERY PLACE CHANGE REASONNote: the Default Code description for 9 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

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DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

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

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

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

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

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

 Note: the Default Code description for 9 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

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DISCHARGE METHOD CODE (MOTHER POST DELIVERY HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

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

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

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

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

 Note: the Default Code description for 9 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

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ELECTIVE ADMISSION LIST STATUS

Change to Data Element: Changed Description

Format/Length:an2
National Codes:See ELECTIVE ADMISSION LIST STATUS
Default Codes:99 - Not known: a validation error
Default Codes:99 - ELECTIVE ADMISSION LIST STATUS not known

Notes: 
ELECTIVE ADMISSION LIST STATUS is the same as attribute ELECTIVE ADMISSION LIST STATUSNote: the Default Code description for 99 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

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EMERGENCY CARE DEPARTMENT TYPE (PATIENT LEVEL INFORMATION COSTING)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes: 

Notes: 
EMERGENCY CARE DEPARTMENT TYPE (PATIENT LEVEL INFORMATION COSTING) is the same as attribute EMERGENCY CARE DEPARTMENT TYPE for the purposes of reporting for Patient Level Information Costing.

Permitted National Codes:

01Emergency departments are a CONSULTANT led 24 hour service with full resuscitation facilities and designated accommodation for the reception of accident and emergency PATIENTS 
02Consultant led mono specialty accident and emergency service (e.g. ophthalmology, dental) with designated accommodation for the reception of PATIENTS 
03Other 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
01Emergency departments are a CONSULTANT led 24 hour service with full resuscitation facilities and designated accommodation for the reception of emergency care PATIENTS 
02CONSULTANT led mono specialty emergency care service (e.g. ophthalmology, dental) with designated accommodation for the reception of PATIENTS 
03Other type of A&E/minor injury ACTIVITY with designated accommodation for the reception of emergency care PATIENTS. The department may be doctor led, GENERAL PRACTITIONER 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. Includes Urgent Treatment Centres. Excludes NHS walk-in centres
04NHS walk in centres
 

Note: National Codes 01 and 03 have been updated as a result of changes made in  DCB0092-2062: Commissioning Data Sets: Emergency Care Data Set. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where they are not already correct.

 

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EPISODE NUMBER

Change to Data Element: Changed Description

Format/Length:n2
National Codes: 
Default Codes:98 - Not applicable
 99 - Not known: a validation error
 99 - EPISODE NUMBER not known


Notes: 
EPISODE NUMBER is the same as attribute ACTIVITY IDENTIFIER and is used to uniquely identify episodes, and is a sequence number for each Consultant Episode (Hospital Provider) in a Hospital Provider Spell.EPISODE NUMBER is the same as attribute ACTIVITY IDENTIFIER.

EPISODE NUMBER is used to uniquely identify episodes, and is a sequence number for each Consultant Episode (Hospital Provider) in a Hospital Provider Spell. The first episode of each new Hospital Provider Spell (including re-admitted PATIENTS) commences at 01.

A known EPISODE NUMBER can be between 01 to 87.

For other Health Care Provider episodes, it is a sequence number for a CONSULTANT/PATIENT combination; or it is a sequence number for each Sexual Health and HIV Episode.

EPISODE NUMBER 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.

 Note: the Default Code description for 99 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

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INTENDED MANAGEMENT CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See INTENDED MANAGEMENT
Default Codes:8 - Not applicable
 9 - Not known: a validation error
 9 - INTENDED MANAGEMENT not known

Notes: 
INTENDED MANAGEMENT CODE is the same as attribute INTENDED MANAGEMENT.

This categorisation describes what is intended to happen to the PATIENT. Occasionally the PATIENT's treatment does not go exactly to plan.INTENDED MANAGEMENT CODE describes what is intended to happen to the PATIENT.

Occasionally the PATIENT's treatment does not go exactly to plan. For example, a PATIENT admitted as a day case may develop complications and have to be kept in overnight. Therefore another data item, PATIENT CLASSIFICATION, is used to describe what actually happens to the PATIENT. In this example, the PATIENT CLASSIFICATION would be 'Ordinary admission' and not 'Day case admission'.

 Note: the Default Code description for 9 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

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LABOUR OR DELIVERY ONSET METHOD CODE

Change to Data Element: Changed Description

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

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

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

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

 Note: the Default Code description for 9 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

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NEONATAL LEVEL OF CARE CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See NEONATAL LEVEL OF CARE
Default Codes:8 - Not applicable: a stillbirth or the episode of care does not involve a neonate during all, or part, of the duration of the episode
 9 - Not known: the episode of care involves a neonate and is finished but no data has been entered, or the episode involves a neonate and is unfinished therefore no data needs to be present. This would constitute a validation error only for a finished episode
Default Codes:8 - Not applicable
 9 - Not known

Notes: 
NEONATAL LEVEL OF CARE CODE is the same as attribute NEONATAL LEVEL OF CARE.

The value recorded must be the highest level of care given during a Hospital Provider Spell with Neonatal Level Of Care Periods.

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

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

 For the Commissioning Data Sets:

  • Not applicable means "stillbirth or the episode of care does not involve a Neonate during all, or part, of the duration of the episode"
  • Not known means "the episode of care involves a Neonate and is finished but no data has been entered, or the episode involves a Neonate and is unfinished therefore no data needs to be present. This would constitute a validation error only for a finished episode".
 

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NUMBER OF BABIES INDICATION CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See NUMBER OF BABIES INDICATION CODE
Default Codes:9 - Not known: a validation error
Default Codes:9 - Number of REGISTRABLE BIRTHS not known

Notes: 
NUMBER OF BABIES INDICATION CODE is the same as attribute NUMBER OF BABIES INDICATION CODENote: the Default Code description for 9 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

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OPERATION STATUS CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See OPERATION STATUS CODE
Default Codes:9 - Not known i.e. finished episode/out-patient attendance but no data entered or the episode is unfinished and no data needs to be present. This would be a validation error only for a finished episode
Default Codes:9 - Not known

Notes: 
OPERATION STATUS CODES is the same as attribute OPERATION STATUS CODE.OPERATION STATUS CODE is the same as attribute OPERATION STATUS CODE.

OPERATION STATUS CODES should be used once for each record.OPERATION STATUS CODE should be used once for each record.

Use in the Future Outpatient CDS:
If it is not intended to perform a procedure at the future attendance, use value 8.If it is not intended to perform a procedure at the future attendance, National Code 8 'No operative procedure performed or intended' should be submitted. Otherwise this data element should be omitted.

 For the Commissioning Data Sets, Not known means "a finished episode/out-patient attendance but no data entered or the episode is unfinished and no data needs to be present. This would be a validation error only for a finished episode".

 

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PDS ETHNIC CATEGORY CODE (RETIRED)  renamed from PDS ETHNIC CATEGORY CODE

Change to Data Element: Changed Name, Description, status to Retired, linked Attribute

Format/Length:max an2
National Codes: 
Default Codes: 

Notes: 
PDS ETHNIC CATEGORY CODE is based on the attribute ETHNIC CATEGORY CODE 2001

PDS ETHNIC CATEGORY CODE is the coded value for the ethnicity of a PERSON recorded on the Personal Demographics Service.This item has been retired from the NHS Data Model and Dictionary.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained for information.The last live version of this item is available in the November 2020 release of the NHS Data Model and Dictionary.

Permitted National Codes: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.

ABritish, Mixed British
BIrish
CAny other White background
C2Northern Irish
C3Other white, white unspecified
CAEnglish
CBScottish
CCWelsh
CDCornish
CECypriot (part not stated)
CFGreek
CGGreek Cypriot
CHTurkish
CJTurkish Cypriot
CKItalian
CLIrish Traveller
CMTraveller
CNGypsy/Romany
CPPolish
CQAll republics which made up the former USSR
CRKosovan
CSAlbanian
CTBosnian
CUCroatian
CVSerbian
CWOther republics which made up the former Yugoslavia
CXMixed white
CYOther white European, European unspecified, European mixed
DWhite and Black Caribbean
EWhite and Black African
FWhite and Asian
GAny other mixed background
GABlack and Asian
GBBlack and Chinese
GCBlack and White
GDChinese and White
GEAsian and Chinese
GFOther Mixed, Mixed Unspecified
HIndian or British Indian
JPakistani or British Pakistani
KBangladeshi or British Bangladeshi
LAny other Asian background
LAMixed Asian
LBPunjabi
LCKashmiri
LDEast African Asian
LESri Lanka
LFTamil
LGSinhalese
LHBritish Asian
LJCaribbean Asian
LKOther Asian, Asian unspecified
MCaribbean
NAfrican
PAny other Black background
PASomali
PBMixed Black
PCNigerian
PDBlack British
PEOther Black, Black unspecified
RChinese
SAny other ethnic group
SAVietnamese
SBJapanese
SCFilipino
SDMalaysian
SEAny Other Group
ZNot stated
 

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PDS ETHNIC CATEGORY CODE (RETIRED)  renamed from PDS ETHNIC CATEGORY CODE

Change to Data Element: Changed Name, Description, status to Retired, linked Attribute

PDS ETHNIC CATEGORY CODE
 
Attribute:
ETHNIC CATEGORY CODE 2001

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PDS ETHNIC CATEGORY CODE (RETIRED)  renamed from PDS ETHNIC CATEGORY CODE

Change to Data Element: Changed Name, Description, status to Retired, linked Attribute
  • Changed Name from Data_Dictionary.Data_Field_Notes.P.PDS.PDS_ETHNIC_CATEGORY_CODE to Retired.Data_Dictionary.Data_Field_Notes.P.PDS_ETHNIC_CATEGORY_CODE
  • Changed Description
  • Retired PDS ETHNIC CATEGORY CODE
  • null

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PERSON HEIGHT IN CENTIMETRES

Change to Data Element: Changed Description

Format/Length:max n3.n1
National Codes: 
Default Codes: 

Notes: 
PERSON HEIGHT IN CENTIMETRES is the same as attribute CLINICAL INVESTIGATION RESULT VALUE.

PERSON HEIGHT IN CENTIMETRES is the result of the Clinical Investigation which measures the PATIENT's Height, where the UNIT OF MEASUREMENT is 'Centimetres (cm)'.

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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PERSON HEIGHT IN CENTIMETRES (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT)

Change to Data Element: Changed Description

Format/Length:max n2.max n2
National Codes: 
Default Codes: 

Notes: 
PERSON HEIGHT IN CENTIMETRES (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT) records the Height of the PATIENT (child) as recorded at a Two Year Neonatal Outcomes Assessment, where the UNIT OF MEASUREMENT is 'Centimetres'.PERSON HEIGHT IN CENTIMETRES (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT) is the same as attribute CLINICAL INVESTIGATION RESULT VALUE.

PERSON HEIGHT IN CENTIMETRES (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT) is the result of the Clinical Investigation which measures the Height of the PATIENT (child) as recorded at a Two Year Neonatal Outcomes Assessment, where the UNIT OF MEASUREMENT is 'Centimetres (cm)'.

For the National Neonatal Data Set - Two Year Neonatal Outcomes Assessment, where the Height measurement was not taken on the TWO YEAR NEONATAL OUTCOMES ASSESSMENT DATE, the actual OBSERVATION DATE (HEIGHT) should be recorded.

 

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PERSON HEIGHT IN METRES

Change to Data Element: Changed Description

Format/Length:n1.max n2
National Codes: 
Default Codes: 

Notes: 
PERSON HEIGHT IN METRES is the same as attribute CLINICAL INVESTIGATION RESULT VALUE.

PERSON HEIGHT IN METRES is the result of the Clinical Investigation which measures the PATIENT's Height, where the UCUM UNIT OF MEASUREMENT is 'Metres (m)'.

For the Systemic Anti-Cancer Therapy Data Set, PERSON HEIGHT IN METRES is the Height at the start of the Systemic Anti-Cancer Therapy Drug Regimen.

 

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PERSON HEIGHT IN METRES (START OF SYSTEMIC ANTI-CANCER THERAPY DRUG REGIMEN)

Change to Data Element: Changed Description

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PERSON LENGTH IN CENTIMETRES

Change to Data Element: Changed Description

Format/Length:max n2.n1
National Codes: 
Default Codes:99.9 - Length unknown

Notes: 
PERSON LENGTH IN CENTIMETRES records the Length of a baby, where the UNIT OF MEASUREMENT is 'Centimetres'.PERSON LENGTH IN CENTIMETRES is the same as attribute CLINICAL INVESTIGATION RESULT VALUE. PERSON LENGTH IN CENTIMETRES is the result of the Clinical Investigation which measures the Length of a baby, where the UNIT OF MEASUREMENT is 'Centimetres'.

 

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PERSON MARITAL STATUS

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See PERSON MARITAL STATUS 
Default Codes:8 - Not applicable, i.e. not a psychiatric episode
Default Codes:8 - Not applicable
 9 - Not known

Notes: 
PERSON MARITAL STATUS is the same as attribute PERSON MARITAL STATUS

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PERSON WEIGHT

Change to Data Element: Changed Description

Format/Length:max n3.max n3
National Codes: 
Default Codes: 

Notes: 
PERSON WEIGHT is the same as attribute CLINICAL INVESTIGATION RESULT VALUE.

PERSON WEIGHT is the result of the Clinical Investigation which measures the PATIENT's Weight, where the UCUM UNIT OF MEASUREMENT is 'Kilograms (kg)'.

Notes:

 

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PERSON WEIGHT (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT)

Change to Data Element: Changed Description

Format/Length:max n2.max n2
National Codes: 
Default Codes: 

Notes: 
PERSON WEIGHT (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT) records the Weight of the PATIENT (child) as recorded at a Two Year Neonatal Outcomes Assessment, where the UNIT OF MEASUREMENT is 'Kilograms'.PERSON WEIGHT (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT) is the same as attribute CLINICAL INVESTIGATION RESULT VALUE.

PERSON WEIGHT (AT TWO YEAR NEONATAL OUTCOMES ASSESSMENT) is the result of the Clinical Investigation which measures the Weight of the PATIENT (child) as recorded at a Two Year Neonatal Outcomes Assessment, where the UNIT OF MEASUREMENT is 'Kilograms'.

For the National Neonatal Data Set - Two Year Neonatal Outcomes Assessment, where the Weight measurement was not taken on the Two Year Neonatal Outcomes Assessment Date, the actual OBSERVATION DATE (WEIGHT) should be recorded.

 

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PERSON WEIGHT (START OF SYSTEMIC ANTI-CANCER THERAPY DRUG CYCLE)

Change to Data Element: Changed Description

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PERSON WEIGHT (START OF SYSTEMIC ANTI-CANCER THERAPY DRUG REGIMEN)

Change to Data Element: Changed Description

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PERSON WEIGHT IN GRAMS

Change to Data Element: Changed Description

Format/Length:max n4
National Codes: 
Default Codes:9999 - Weight not known

Notes: 
PERSON WEIGHT IN GRAMS records the Weight of a PERSON, where the UNIT OF MEASUREMENT is 'Grams'.PERSON WEIGHT IN GRAMS is the same as attribute CLINICAL INVESTIGATION RESULT VALUE.

The value is presented in the range 0001 - 9998.PERSON WEIGHT IN GRAMS is the result of the Clinical Investigation which measures the PATIENT's Weight, where the UNIT OF MEASUREMENT is 'Grams'.

 The value is presented in the range 1 - 9998.

 

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POSITION VACANCY START DATE

Change to Data Element: Changed linked Attribute

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RESUSCITATION METHOD CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See RESUSCITATION METHOD CODE
Default Codes:8 - Not applicable (e.g. stillborn, where no method of resuscitation was attempted)
 9 - Not known: a validation error
 9 - RESUSCITATION METHOD CODE not known

Notes: 
RESUSCITATION METHOD CODE is the same as attribute RESUSCITATION METHOD CODENote: the Default Code description for 9 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

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SOURCE OF ADMISSION CODE (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

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

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

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

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

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

Note: the Default Code description for 99 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

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

 

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STATUS OF PERSON CONDUCTING DELIVERY CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See STATUS OF PERSON CONDUCTING DELIVERY
Default Codes:9 - Not known: a validation error
Default Codes:9 - STATUS OF PERSON CONDUCTING DELIVERY not known

Notes: 
STATUS OF PERSON CONDUCTING DELIVERY CODE is the same as attribute STATUS OF PERSON CONDUCTING DELIVERYNote: the Default Code description for 9 - Not known has been updated. The Data Set specifications that contain this item will be updated in the next version of the Information Standard where it is not already correct.

 

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WAITING TIME MEASUREMENT TYPE

Change to Data Element: Changed Description

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

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

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

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

 

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PLICS ACUTE ADMITTED PATIENT CARE DATA SET CONSTRAINTS

Change to XML Schema Constraint: Changed Description

Data Set constraints applied to the Patient Level Information Costing System Acute Data Set - Admitted Patient Care.

Data ElementFormat/LengthRangePattern MatchReason / Comment
CDS UNIQUE IDENTIFIERmax an35NoneNoneExisting Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Data Set allows max an35
EPISODE NUMBERmax n2NoneNoneExisting Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Data Set allows max n2
HOSPITAL PROVIDER SPELL NUMBERmax an12NoneNoneExisting Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Data Set allows max an12
ORGANISATION IDENTIFIER (CODE OF PROVIDER)an3NoneNonean5 and an6 is not applicable for the Patient Level Information Costing System Acute Data Set - Admitted Patient Care.
ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)min an3 max an5NoneNonean6 is not applicable for the Patient Level Information Costing System Acute Data Set - Admitted Patient Care.

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PLICS ACUTE EMERGENCY CARE DATA SET CONSTRAINTS

Change to XML Schema Constraint: Changed Description

Data Set constraints applied to the Patient Level Information Costing System Acute Data Set - Emergency Care.

Data ElementFormat/LengthRangePattern MatchReason / Comment
CDS UNIQUE IDENTIFIERmax an35NoneNoneExisting Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Data Set allows max an35
ORGANISATION IDENTIFIER (CODE OF PROVIDER)an3NoneNonean5 and an6 is not applicable for the Patient Level Information Costing System Acute Data Set - Emergency Care.
ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)min an3 max an5NoneNonean6 is not applicable for the Patient Level Information Costing System Acute Data Set - Emergency Care.

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PLICS ACUTE OUT-PATIENT CARE DATA SET CONSTRAINTS

Change to XML Schema Constraint: Changed Description

Data Set constraints applied to the Patient Level Information Costing System Acute Data Set - Out-Patient Care.

Data ElementFormat/LengthRangePattern MatchReason / Comment
ATTENDANCE IDENTIFIERmax an12NoneNoneExisting Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Data Set allows max an12
CDS UNIQUE IDENTIFIERmax an35NoneNoneExisting Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Data Set allows max an35
ORGANISATION IDENTIFIER (CODE OF PROVIDER)an3NoneNonean5 and an6 is not applicable for the Patient Level Information Costing System Acute Data Set - Out-Patient Care.
ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)min an3 max an5NoneNonean6 is not applicable for the Patient Level Information Costing System Acute Data Set - Out-Patient Care.

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PLICS ACUTE SPECIALIST WARD CARE DATA SET CONSTRAINTS

Change to XML Schema Constraint: Changed Description

Data Set constraints applied to the Patient Level Information Costing System Acute Data Set - Specialist Ward Care.

Data ElementFormat/LengthRangePattern MatchReason / Comment
CRITICAL CARE LOCAL IDENTIFIERmax an8NoneNoneExisting Format/Length means fixed length which is incorrect. Unable to change this as it is used in other data sets.
Data Set allows max an8
ORGANISATION IDENTIFIER (CODE OF PROVIDER)an3NoneNonean5 and an6 is not applicable for the Patient Level Information Costing System Acute Data Set - Specialist Ward Care.
ORGANISATION IDENTIFIER (CODE OF SUBMITTING ORGANISATION)min an3 max an5NoneNonean6 is not applicable for the Patient Level Information Costing System Acute Data Set - Specialist Ward Care.

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

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