Autistic Spectrum Disorder is a DISABILITY.

Autistic Spectrum Disorder is defined as a lifelong condition that affects how a PERSON communicates with, and relates to, other people. Autistic Spectrum Disorder also affects how a PERSON makes sense of the world around them.

The three main areas of difficulty, which all people with Autism share, are known as the 'triad of impairments'. They are

• difficulty with social communication (e.g. problems using and understanding verbal and non-verbal language, such as gestures, facial expressions and tone of voice)
• difficulty with social interaction (e.g. problems in recognising and understanding other people's feelings and managing their own feelings)
• difficulty with social imagination (e.g. problems in understanding and predicting other people's intentions and behaviour and imagining situations outside their own routine)

For further information on Autistic Spectrum Disorder, see the:

• National Autistic Society website at: What is autism?
• National Autistic Society website at: What is autism?
• NHS website at: Autism spectrum disorder (ASD).

The Barcelona Clinic Liver Cancer Staging System (BCLC Staging System) is a system for CANCER STAGING.

The Barcelona Clinic Liver Cancer Staging System creates categories by combining performance status, Tumour characteristics, liver function and cancer-related symptoms.

For further information on the Barcelona Clinic Liver Cancer Staging System, see the National Cancer Institute website.For further information on the Barcelona Clinic Liver Cancer Staging System, see the National Cancer Institute website.

The Binet Classification is a system for CANCER STAGING.

The Binet Classification is a staging system for PATIENTS with Chronic Lymphocytic Leukaemia (CLL).

For further information on the Binet Classification, see the National Cancer Institute website.For further information on the Binet Classification, see the National Cancer Institute website.

Biological Therapy is a CLINICAL INTERVENTION.

Biological Therapy is treatment to boost or restore the ability of the immune system to fight cancer, infections, and other diseases.

For further information on Biological Therapy, see the National Cancer Institute website.For further information on Biological Therapy, see the National Cancer Institute website.

Brachytherapy is a CLINICAL INTERVENTION.

Brachytherapy is a type of radiation therapy in which radioactive material sealed in needles, seeds, wires, or catheters is placed directly into or near a Tumour.

For further information on Brachytherapy, see the National Cancer Institute website.For further information on Brachytherapy, see the National Cancer Institute website.

Breslow Thickness is a CLINICAL INVESTIGATION RESULT ITEM.

Breslow Thickness (also known as Breslow Depth) is a measure of how deeply a melanoma Tumour has grown into the skin.

The Tumour thickness (depth) is usually measured from the top of the Tumour to the deepest Tumour CELLS. If the Tumour is ulcerated (the skin is broken), it is measured from the base of the ulcer to the deepest Tumour CELLS.

Breslow Thickness is used to help determine the stage of cancer. Thicker Tumours are linked with lower survival rates.

For further information on Breslow Thickness, see the National Cancer Institute website.For further information on Breslow Thickness, see the National Cancer Institute website.

A Care Home With Nursing is an ORGANISATION SITE

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

Examples of Care Homes With Nursing include:

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

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

"Nursing care means any SERVICE provided by a NURSE and involves:

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

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

A Care Home Without Nursing is an ORGANISATION SITE.

A Care Home Without Nursing is a Care Home.

Examples of Care Homes Without Nursing include:

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

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

The Care Quality Commission is an ORGANISATION.

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

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

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

The Care Quality Commission’s main activities are:

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

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

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

Cervical Intra-epithelial Neoplasia is a CANCER STAGING.

A Cervical Intra-epithelial Neoplasia is divided into grades and is used for PATIENTS with cervical cancer and may be used to describe how abnormal the CELLS are and how much of the cervical TISSUE is involved.

For further information on Cervical Intra-epithelial Neoplasia, see the National Cancer Institute website.For further information on Cervical Intra-epithelial Neoplasia, see the National Cancer Institute website.

Chemoradiotherapy is a CLINICAL INTERVENTION.

Chemoradiotherapy (also known as Chemoradiation) is a treatment that combines Chemotherapy with radiation therapy.

For further information on Chemoradiotherapy, see the National Cancer Institute website.For further information on Chemoradiotherapy, see the National Cancer Institute website.

A Child and Adolescent Mental Health Needs Based Grouping is a CARE CLUSTER.

Child and Adolescent Mental Health Needs Based Groupings are groupings that categorise the need for advice or help of children, young people and/or families referred to a SERVICE.

A Child and Adolescent Mental Health Needs Based Grouping should be assigned via a process of shared decision making between the SERVICE provider and the PATIENT or Patient Proxy. The decision, undertaken by a CARE PROFESSIONAL, may be helped by using an algorithm that was created to develop the groupings.

For further information on the Child and Adolescent Mental Health Needs Based Groupings and the assignment process, see "A Guide to Choosing Needs-Based Groupings in Child and Adolescent Mental Health Services to Inform Payment Systems".

The Child and Adolescent Mental Health Needs Based Grouping Tool is a type of Clustering Tool for child and adolescent PATIENTS receiving Mental Health care.

The Child and Adolescent Mental Health Needs Based Grouping Tool is a tool designed to categorise the need for advice or help of children, young people and/or families referred to a SERVICE.

For further information on the Child and Adolescent Mental Health Needs Based Grouping Tool, see "A Guide to Choosing Needs-Based Groupings in Child and Adolescent Mental Health Services to Inform Payment Systems".

A Commissioning Support Unit is an ORGANISATION.

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

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

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

Delivery is a CLINICAL INTERVENTION.

Delivery / Birth is a physiological normal life event resulting in the emergence of a baby from the uterus.

For further information on Delivery, see the NHS website at: What happens during labour and birth.For further information on Delivery, see the NHS website at: The stages of labour and birth.

An Electrocardiogram is a Clinical Investigation.

An Electrocardiogram (ECG) records the rhythm and electrical activity of the heart.

For further information on Electrocardiograms, see the NHS website at: Coronary heart disease.For further information on Electrocardiograms, see the NHS website at: Electrocardiogram (ECG).

The European Centre for Disease Prevention and Control is an ORGANISATION.

The European Centre for Disease Prevention and Control works in three key strategic areas:

• provides evidence for effective and efficient decision-making
• strengthens public health systems
• supports the response to public health threats.

For further information on the European Centre for Disease Prevention and Control, see the European Centre for Disease Prevention and Control website at: About the ECDC.For further information on the European Centre for Disease Prevention and Control, see the European Centre for Disease Prevention and Control website at: About the ECDC.

The Follicular Lymphoma International Prognostic Index 2 (FLIPI2) is an ASSESSMENT TOOL.

The Follicular Lymphoma International Prognostic Index 2 was developed to categorise the prognostic score for PATIENTS with untreated follicular lymphoma and is derived from:

• Age of the PATIENT in years
• Serum beta 2 microglobulin
• Haemoglobin
• Bone marrow involvement
• Longest diameter of the largest involved node.

The Follicular Lymphoma International Prognostic Index 2 calculator can be found at: Follicular Lymphoma International Prognostic Index 2 (FLIPI2) Calculator.The Follicular Lymphoma International Prognostic Index 2 calculator can be found at: Follicular Lymphoma International Prognostic Index 2 (FLIPI2) Calculator.

The International Society of Paediatric Oncology is an ORGANISATION.

The International Society of Paediatric Oncology's vision is that "No child should die of cancer".

The mission of the International Society of Paediatric Oncology (SIOP) is to:

• ensure that each child and young adult with cancer has access to state of the art treatment and care
• ensure that all involved in childhood cancer worldwide, have access to the latest progress through meetings, networking, and continuing professional development
• support those caring for children and young adults with cancer to provide the best curative and palliative therapies
• advocate for appropriate long term follow up for children and young adults after treatment for cancer.

For further information on the International Society of Paediatric Oncology, see the International Society of Paediatric Oncology website.For further information on the International Society of Paediatric Oncology, see the International Society of Paediatric Oncology website.

A Learning Disability (formerly known as a Mental Handicap and referred to as an Intellectual Disability) is a type of DISABILITY.

A Learning Disability usually has a significant impact on a PERSON's life. A PERSON with a Learning Disability finds it harder than others to learn, understand and communicate.

People with Profound and Multiple Learning Disabilities need full-time help with every aspect of their lives, including eating, drinking, washing, dressing and toileting etc.

Learning Disability includes the presence of a significantly reduced ability to understand new or complex information, to learn new skills (impaired intelligence), with

• a reduced ability to cope independently (impaired social functioning)
• which started before adulthood, with a lasting effect on development.

Further information regarding people covered by definition can be found in the document 'Valuing People: A New Strategy for Learning Disability for the 21st Century'.

Although, from a social care perspective, an Intelligence Quotient (IQ) of seventy or less is not sufficient reason for deciding if an individual should be provided with additional health and social care support, the following definition is applied within the Mental Health Services Data Set in the specific circumstance where data providers do not have an explicit data item to capture whether a PATIENT has a Learning Disability. 

Someone is considered to have a Learning Disability when they function at a level of intellectual ability which is significantly lower than their chronological age. This is usually considered to be equivalent to having an IQ of seventy or less:

• Mild Learning Disability (roughly equivalent to an IQ of fifty to seventy) is comparable to the educational term 'Moderate Learning Difficulty'. It is usually caused by a combination of restricted learning and social opportunities plus a high rate of low to average intellectual ability and Learning Disability in close relatives.
  
  
• Moderate-to-profound Learning Disability (roughly equivalent to an IQ below fifty) is comparable to the educational term 'Severe Learning Difficulty'. It usually has a specific biological cause.

Note: A Learning Difficulty is a type of Special Education Need which affects areas of learning, such as reading, writing, spelling, mathematics etc.

Further information on Learning Disabilities, can be found on the internet, for example:

• Mencap website
• Contact For families with disabled children.
• NHS website at: Learning disabilities.

A Lesion is a CELL PATHOLOGICAL ABNORMALITY.

A Lesion is an area of abnormal TISSUE.

A Lesion may be:

• benign (not cancer) or
• malignant (cancer).

For further information on Lesions, see the National Cancer Institute website.For further information on Lesions, see the National Cancer Institute website.

A Lymph Node is a TISSUE.

A Lymph Node is a rounded mass of lymphatic TISSUE that is surrounded by a capsule of connective TISSUE.

For further information on Lymph Nodes, see the National Cancer Institute website.For further information on Lymph Nodes, see the National Cancer Institute website.

NHS Shared Business Services is an ORGANISATION.

NHS Shared Business Services established by the Department of Health and Social Care has a unique partnership with digital experts to deliver modern corporate services to:

• improve efficiency and quality,
• save time and money, and
• support world-class patient care

For further information on the NHS Shared Business Services, see the NHS Shared Business Services website at: About us.For further information on the NHS Shared Business Services, see the NHS Shared Business Services website at: About us.

Radiotherapy is a CLINICAL INTERVENTION.

Radiotherapy is used to treat conditions such as cancer, thyroid disorders and some blood disorders.

During cancer Radiotherapy, controlled doses of high-energy radiation, usually X-rays, destroy cancer CELLS in the affected area.

For further information on Radiotherapy, see the National Cancer Institute website.For further information on Radiotherapy, see the National Cancer Institute website.

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

June 2021

• CR1806 (30 June 2021) - DCB1067 National Workforce Data Set v3.2
• CR1822 (Immediate) - DDCN 1822/2021 Introduction of Digital Health and Care Wales
• CR1805 (Immediate) - DDCN 1805/2021 Introduction of the Data Alliance Partnership Board
• CR1828 (Immediate) - DDCN 1828/2021 NHS England and NHS Improvement

March 2021

• CR1815 (1 April 2021) - DDCN 1815/2021 Commissioning Data Set XML Schema Version 6-2-0
• 
  
• The March 2021 Release introduces the NHS Data Model and Dictionary Demonstrations, which can be found at: Demonstrations.

February 2021

• CR1808 (Immediate) - DDCN 1808/2021 Correction of Format/Length Data Elements

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
• CR1803 (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

• CR1770 (23 April 2020) - DDCN 1770/2020 Job Role Code

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

• CR1656 (Immediate) - DDCN 1656/2018 NHS Data Model Update
• CR1665 (Immediate) - DDCN 1665/2018 Person Marital Status
• CR1645 (Immediate) - DDCN 1645/2018 Specialised Commissioning: Removal of Default Code YDD82

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

• CR1601 (Immediate) - DDCN 1601/2016 Organisation Identifier Data Elements
• CR1600 (Immediate) - DDCN 1600/2016 HES Data Dictionary

Release: November 2016

• CR1442 (01 November 2016) - SCCI1570 Amd 20/2015 HIV and AIDS Reporting Data Set and XML Schema Version 3
• CR1531 (Immediate) - DDCN 1531/2016 Clinical Terminology Update

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

• CR1473 (1 January 2015) - ISB 1538 Amd 13/2014 Chlamydia Testing Activity Data Set Update
• CR1496 (Immediate) - DDCN 1496/2015 Clinical Coding

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

• CR1355 (1 November 2014) - ISB 1513 Amd 45/2012 Maternity Services Data Set Update and XML Schema

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

• CR1353 (1 June 2014) - ISB 1067 Amd 22/2013 Workforce Data Set Version 2.7

Release: April 2014

• CR1449 (Immediate) - ISB 1610 Amd 01/2014 Female Genital Mutilation Prevalence Data Set

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:

• CR1346 (1 June 2014) - ISB 1595 Amd 32/2012 National Neonatal Data Set

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

• CR1363 (Immediate) - ISB 1067 Amd 43/2012 National Workforce Data Set Version 2.6
• CR1382 (Immediate) - DDCN 1382/2013 National Renal Data Set amendment
• CR1381 (Immediate) - DDCN 1381/2013 Healthcare Resource Groups
• CR1235 (1 June 2013) - ISB 1588 Amd 11/2012 Accident and Emergency Clinical Quality Indicators

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

• CR1364 (Immediate) - DDCN 1364/2013 Operating Theatre
• CR1335 (1 April 2013) - ISB 1593 Amd 27/2012 Venous Thromboembolism Risk Assessment Data Set
• CR1340 (1 April 2013) - ISB 0090 Amd 37/2012 Organisation Data Service - Non-Legislative Organisations
• CR1321 (1 April 2013) - ISB 0011 Amd 25/2012 Mental Health Minimum Data Set version 4.1

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

• CR1242 (Immediate) - DDCN 1242/2012 Retirement of Mental Health Minimum Data Set Version 3
• CR1238 and CR1276 (1 April 2012) - ISB 1577 Amd 10/2011 Diagnostic Imaging Data Set and Diagnostic Imaging Data Set Message v 1-0
• CR1290 (Immediate) - DDCN 1290/2012 Data Set Notation
• CR1263 (Immediate) - ISB 0090 Amd 5/2012 Health and Social Care Bill Changes
• CR1255 (31 March 2012) - ISB 1576 Amd 08/2011 Quarterly Bed Availability and Occupancy Data Set
• CR1295 (Immediate) - Retirement of old Commissioning Data Set messages
  The Information Standards Board for Health and Social Care have been involved in the redesign and retirement of the old Commissioning Data Set Pages, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.

Release: January 2012

• CR1285 (Immediate) - DDCN 1285/2012 Elective Admission Type
• CR1252 (Immediate) - DDCN 1252/2011 Geographic Area Changes

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)
• 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:

• CR1105 (1 April 2012) - ISB 1510 Amd 25/2010 Community Information Data Set

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:

• CR1148 (1 July 2012) - ISB 1080 Amd 129/2010 NHS Health Checks Data Set

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:

• CR1050 (1 April 2012) - ISB 1520 Amd 51/2010 Improving Access to Psychological Therapies Data Set

Release: March 2011

• CR1224 (1 April 2011) - ISB 0092 Amd 02/20110 Commissioning Data Set Schema Version 6-1-1
• CR1223 (Immediate) - DDCN 1223/2011 Updates to Family Planning References
• CR1225 (Immediate) - DDCN 1225/2011 Practitioners with Special Interests
• CR1216 (1 April 2011) - ISB 0028 Amd 170/2010 Changes to Treatment Function Codes
• CR1203 (1 April 2011) - ISB 0084 Amd 150/2010 Introduction of OPCS Classification of Interventions and Procedures Version 4.6

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

• CR1175 (1 April 2011) - ISB 1518 Amd 166/2010 Changes to Sexual and Reproductive Health Activity Data Set
• CR1198 (Immediate) - ISB 1067 Amd 165/2010 National Workforce Data Set
• CR1207 (01 December 2010) - ISB 1573 Amd 168/2010 Mixed-Sex Accommodation
• CR1149 (01 January 2011) - ISB 0139 Amd 99/2010 GUMCAD: Change to Genitourinary (GU) Episode Types

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

• CR1134 (Immediate - ISB 1067/2010 Amd 109/2010 National Workforce Data Set
• CR1082 (Immediate) - ISB 0153/2010 Critical Care Minimum Data Set
• CR1082 (Immediate) - ISB 0153/2010 Critical Care Minimum Data Set
• CR1121 (Immediate) - DSCN 17/2010 Retirement of Data Standard KC60 Central Return

Release: May 2010

• CR957 (Immediate) - DSCN 19/2010 Central Returns: KA34 Ambulance Services
• CR1069 (Immediate) - Redesign of the Commissioning Data Set Pages
  The Information Standards Board for Health and Social Care have been involved in the redesign of the Commissioning Data Set Pages and are satisfied that it meets the requirements of the service, however a formal Information Standards Notice (ISN) will not be published as there are no changes to data standards.

Release: March 2010

• CR1123 (1 April 2010) - DSCN 18/2010 Information Standards Notice (ISN)
• 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

A Sentinel Lymph Node is a CELL PATHOLOGICAL ABNORMALITY.

A Sentinel Lymph Node is the first Lymph Node to which cancer is likely to spread from the primary Tumour. When cancer spreads, the cancer CELLS may appear first in the Sentinel Lymph Node before spreading to other Lymph Nodes.

For further information on Sentinel Lymph Nodes, see the National Cancer Institute website.For further information on Sentinel Lymph Nodes, see the National Cancer Institute website.

A Sentinel Lymph Node Biopsy is a Clinical Investigation.

A Sentinel Lymph Node Biopsy involves the removal and examination of the Sentinel Lymph Nodes to check for the presence of cancer CELLS.

For further information on Sentinel Lymph Node Biopsies, see the National Cancer Institute website.For further information on Sentinel Lymph Node Biopsies, see the National Cancer Institute website.

A Sonographer is a CARE PROFESSIONAL.

A Sonographer is a specialised healthcare worker who performs diagnostic medical sonography, or diagnostic ultrasound.

The Society of Radiographers, administers a Public Voluntary Register for those individuals practising as Sonographers.

For further information see the Society of Radiographers website at: Register of sonographers.For further information see the Society of Radiographers website at: Register of sonographers.

A Special Health Authority is an ORGANISATION.

A Special Health Authority (SpHA) provides a health service to the whole of England, not just to a local community, for example, the NHS Business Services Authority, Health Research Authority etc.

Special Health Authorities are independent, but can be subject to ministerial direction in the same way as other NHS bodies.

For further information on Special Health Authorities, see the NHS website at:For further information on Special Health Authorities, see the:

• Authorities and Trusts
• NHS Authorities and trusts.
• NHS website at: Authorities and Trusts
• Legislation.gov.uk website at: New Special Health Authorities.

The St Jude System is a system for CANCER STAGING.

The St Jude System (also known as the Murphy Staging System) is a staging system for paediatric PATIENTS with Non-Hodgkin Lymphoma (NHL).

A Sustainability and Transformation Partnership (STP) is an integral part of NHS England and NHS Improvement.

A Sustainability and Transformation Partnership is where local NHS ORGANISATIONS and Local Authorities draw up shared proposals to improve health and care in the areas they serve.

In some areas Sustainability and Transformation Partnerships have evolved to become Integrated Care Systems, a new form of even closer collaboration between the NHS and Local Authorities.

For further information on Sustainability and Transformation Partnerships, see the NHS England and NHS Improvement website at: Sustainability and transformation partnerships.For further information on Sustainability and Transformation Partnerships, see the NHS England and NHS Improvement website at: The journey to integrated care systems in every area.

The TNM Staging System is a system for CANCER STAGING.

The TNM Staging System:

• is one of the most widely used systems for CANCER STAGING and
• has been accepted by the Union for International Cancer Control (UICC) and the American Joint Committee on Cancer (AJCC).

The TNM Staging System is based on:

• the extent of the Tumour (T)
• the extent of spread to the lymph nodes (N) and
• the presence of distant metastasis (M).

A number is added to each letter to indicate the size or extent of the primary Tumour and the extent of cancer spread.

A Tumour is a CELL PATHOLOGICAL ABNORMALITY.

A Tumour is an abnormal mass of TISSUE that results when CELLS divide more than they should or do not die when they should.

Tumours may be:

• benign (not cancer) or
• malignant (cancer).

For further information on Tumours, see the National Cancer Institute website.For further information on Tumours, see the National Cancer Institute website.

An Ultrasound Scan is a Clinical Investigation.

An Ultrasound Scan (also known as a Sonogram) is a procedure that uses high frequency sound waves to create an image of part of the inside of the body, such as the heart.

Ultrasound Scans can be used:

• to help doctors make a diagnosis or to assess the effects of a treatment
• to study blood flow and to detect any narrowing or blocking of blood vessels
• during a Maternity Episode to produce images of the baby in the womb.

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

A subtype of PERSON PROPERTY.

Describes the severity of a PERSON’s cancer based on the extent of the original (primary) Tumour and whether or not cancer has spread in the body.

For further information on CANCER STAGINGS, see the National Cancer Institute website.For further information on CANCER STAGINGS, see the National Cancer Institute website.

An indication of whether the Baby's First Feed was breast milk and if so the type of breast milk.An indication of whether the Baby First Feed was breast milk and if so the type of breast milk.

National Codes:

National Codes:

Note:
This data item is included in Commissioning Data Set version 6-2, but should not be submitted until further development by the Department of Health has been undertaken.This data item is included in Commissioning Data Set version 6-2, but should not be submitted until further development by the Department of Health and Social Care has been undertaken.

ACTIVITY DATE (CRITICAL CARE) is the ACTIVITY DATE where the CARE ACTIVITY is during a CRITICAL CARE PERIOD.ACTIVITY DATE (CRITICAL CARE) is the date the PATIENT receives care which is a CRITICAL CARE ACTIVITY.

ALPHA FETOPROTEIN is the result of the Clinical Investigation to determine the PATIENT's serum Tumour markers for alpha fetoprotein (AFP) (a protein found in abnormal amounts in the blood of PATIENTS with cancer), where the UCUM UNIT OF MEASUREMENT is 'Nanograms per millilitre (ng/ml)'.

ALPHA FETOPROTEIN (CEREBROSPINAL FLUID) is the Cerebrospinal Fluid level of ALPHA FETOPROTEIN in the Cerebro Spinal Fluid at the time of PATIENT DIAGNOSIS, when values are greater than 100,000.

ALPHA FETOPROTEIN (MAXIMUM AT DIAGNOSIS) is the maximum level of ALPHA FETOPROTEIN collected at PATIENT DIAGNOSIS, when values are greater than 100,000.

BETA HUMAN CHORIONIC GONADOTROPIN is the result of the Clinical Investigation to determine the PATIENT's serum Tumour markers for beta human chorionic gonadotropin (bHCG) (a hormone normally found in the blood and urine during pregnancy), where the UCUM UNIT OF MEASUREMENT is 'International Units per Litre (IU/L)'.

BETA HUMAN CHORIONIC GONADOTROPIN may also be produced by some Tumour CELLS. An increased level of beta-human chorionic gonadotropin may be a sign of cancer of the testis, uterus, ovary, liver, stomach, pancreas, or lungs.

BETA HUMAN CHORIONIC GONADOTROPIN (CEREBROSPINAL FLUID) is the Cerebrospinal Fluid level of BETA HUMAN CHORIONIC GONADOTROPIN measured only for Central Nervous System (CNS) germ CELL Tumours. 

BETA HUMAN CHORIONIC GONADOTROPIN (MAXIMUM AT DIAGNOSIS) is the maximum serum level of BETA HUMAN CHORIONIC GONADOTROPIN measured at PATIENT DIAGNOSIS.

CARE PROFESSIONAL MAIN SPECIALTY CODE (CANCER REFERRAL) is the MAIN SPECIALTY CODE of the CONSULTANT referring the cancer PATIENT to the Principal Treatment Centre (Children Teenagers and Young Adults) or age specific Specialist.

CARE PROFESSIONAL MAIN SPECIALTY CODE (DIAGNOSIS) is the MAIN SPECIALTY CODE of the CONSULTANT responsible for the PATIENT at the time of PATIENT DIAGNOSIS.

CARE PROFESSIONAL MAIN SPECIALTY CODE (START SYSTEMIC ANTI-CANCER THERAPY) is the MAIN SPECIALTY CODE of the CONSULTANT who initiated the Systemic Anti-Cancer Therapy.

For Commissioning data, every CDS Type has a "CDS Originating Date" contained within the Commissioning Data Set data that must be used to populate the CDS ACTIVITY DATE.

The CDS ACTIVITY DATE is held in the Commissioning Data Set Transaction Header Group and is a mandatory data element for all uses of the Commissioning Data Set for both Bulk Update and Net Change Protocols, see the Commissioning Data Set Submission Protocol supporting information.

For Bulk Update use, see:

• CDS V6-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol 
• CDS V6-2-1 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol 
• CDS V6-2-2 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol
• CDS V6-2-3 Type 005B - Commissioning Data Set Transaction Header Group - Bulk Update Protocol

For Net Change Use, see:

• CDS V6-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol 
• CDS V6-2-1 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol 
• CDS V6-2-2 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol
• CDS V6-2-3 Type 005N - Commissioning Data Set Transaction Header Group - Net Change Protocol

Note:

CDS Type 010 'Accident and Emergency Attendance' will no longer be accepted from 01 November 2020.

The CDS ACTIVITY DATE has an associated "CDS Originating Date" specifically identified for each CDS Type as follows:

Usage: 
The CDS ACTIVITY DATE is validated by the Secondary Uses Service and Commissioning Data Set Interchanges are rejected if the date is not present, invalid or not compatible with the Commissioning Data Set Submission Protocol controls being used.

In particular, when using the Commissioning Data Set Bulk Replacement Update Mechanism, the CDS ACTIVITY DATE and its "CDS Originating Date" are used by the Secondary Uses Service to validate that the CDS Type date applicability falls within the CDS REPORT PERIOD START DATE and the CDS REPORT PERIOD END DATE.

CDS APPLICABLE DATE is the date (with an associated CDS APPLICABLE TIME) of the update event (or the nearest equivalent) that resulted in the need to exchange this Commissioning Data Set.

Usage: 
CDS APPLICABLE DATE is mandatory when used with the Commissioning Data Set Net Change Update Mechanism. It is not required when the Commissioning Data Set Bulk Replacement Update Mechanism is used. See the Commissioning Data Set Submission Protocol.

The CDS APPLICABLE DATE (and the CDS APPLICABLE TIME if supplied) is stored in the Secondary Uses Service database and in the event of multiple submissions of the same uniquely identified Commissioning data (even in separate interchanges).

The Secondary Uses Service database update process is then able to use this date and time to ensure correct updating of the Commissioning data in the correct relative date/time sequence.

CDS APPLICABLE TIME is the time (with an associated CDS APPLICABLE DATE) of the update event (or the nearest equivalent) that resulted in the need to exchange this Commissioning data.

Usage: 
CDS APPLICABLE TIME is mandatory when used with the Commissioning Data Set Net Change Update Mechanism. It is not required when the CDS Bulk Replacement Update Mechanism is used. See the Commissioning Data Set Submission Protocol.

The CDS APPLICABLE TIME (and CDS APPLICABLE DATE if supplied) is stored in the Secondary Uses Service database and in the event of multiple submissions of the same uniquely identified Commissioning data (even in separate interchanges), the Secondary Uses Service database update process is then able to use the date and time to ensure correct updating of the Commissioning data in the correct relative date/time sequence.

CDS COPY RECIPIENT IDENTITY is the NHS ORGANISATION CODE (or valid Organisation Data Service Default Code) for an ORGANISATION indicated as a CDS COPY RECIPIENT IDENTITY of the Commissioning data.

Usage: 
A Recipient may be an agency or SERVICE provider that carries out the receiving (and perhaps other) processes on behalf of the NHS ORGANISATION that ultimately uses the data. There may be multiple recipients for Commissioning data.

Organisation Data Service Default Codes for CDS COPY RECIPIENT IDENTITIES are detailed in the Commissioning Data Set Addressing Grid.

Where NHS England and NHS Improvement is the responsible commissioner for a specialised SERVICE, based on the NHS England and NHS Improvement Commissioner Assignment Method (CAM), one of the Specialised Commissioning Hub ORGANISATION CODES should be used depending on which Health Care Provider delivered the SERVICE, e.g. NHS Trust, Independent Sector Healthcare Provider.

The NHS Digital website provides a mapping list of which Health Care Providers map to which Specialised Commissioning Hub. The mapping can be found on the Organisation Data Service web pages at: Provider to Commissioning Hub Mapping.

CDS COPY RECIPIENT IDENTITY will be replaced with ORGANISATION IDENTIFIER (CDS RECIPIENT), when it has been approved for use in national information standards.CDS COPY RECIPIENT IDENTITY will be replaced with ORGANISATION IDENTIFIER (CDS RECIPIENT), which is the most recent approved national information standard to describe the required definition.

CDS EXTRACT DATE is the date (with an associated CDS EXTRACT TIME) of the update event (or the nearest equivalent) that resulted in the need to exchange this Commissioning Data Set.

Usage: 
CDS EXTRACT DATE is mandatory when used with the Commissioning Data Set Bulk Replacement Update Mechanism. It is not required when the Commissioning Data Set Net Change Update Mechanism is used, see the Commissioning Data Set Submission Protocol.

The CDS EXTRACT DATE (and CDS EXTRACT TIME if supplied) is used by the Secondary Uses Service to detect duplicate Interchanges of a similarly defined Bulk Update submission of Commissioning Data Sets.

The Secondary Uses Service processes and stores the date and time information to ensure correct updating of the Commissioning Data Set data in the correct relative date/time sequence.

CDS EXTRACT TIME is the time (with an associated CDS EXTRACT DATE) at which the Commissioning data extract was undertaken.

Usage: 
CDS EXTRACT TIME is mandatory when using the Commissioning Data Set Bulk Replacement Update Mechanism and is used to ensure that submissions are processed in the correct relative sequence. See the Commissioning Data Set Submission Protocol.

The sender of Commissioning Data Set data should determine the most useful point of the system's processes to generate this time value to provide a useful reference/audit control point.

CDS INTERCHANGE DATE OF PREPARATION is the date when the Commissioning Data Set Interchange data was created.

Usage: 
CDS INTERCHANGE DATE OF PREPARATION is a mandatory data element when submitting Commissioning data.

CDS XML Schema Interchanges:
All Commissioning Data Set XML Schema interchanges submitted must contain a CDS INTERCHANGE DATE OF PREPARATION.

CDS INTERCHANGE TIME OF PREPARATION is the time when the Commissioning Data Set Interchange data was created.

Usage: 
CDS INTERCHANGE TIME OF PREPARATION is a mandatory data element when submitting Commissioning Data Set Interchanges.

CDS XML Schema Interchanges:
All Commissioning Data Set XML Schema interchanges submitted to the service must contain a CDS INTERCHANGE TIME OF PREPARATION.

CDS PRIME RECIPIENT IDENTITY is the mandatory NHS ORGANISATION CODE (or valid Organisation Data Service Default Code) representing the ORGANISATION determined to be the Commissioning Data Set Prime Recipient of the Commissioning Data Set Message as indicated in the Commissioning Data Set Addressing Grid.

Usage: 
The CDS PRIME RECIPIENT IDENTITY must be allocated on the first creation and submission of a CDS Type for a PATIENT and must not change even if the ADDRESS or ORGANISATION CODE (RESIDENCE RESPONSIBILITY) of the PATIENT changes during the lifetime of the Commissioning Data Set record otherwise duplicate Commissioning Data Set data may be lodged in the Secondary Uses Service database.

CDS PRIME RECIPIENT IDENTITY is a mandatory data item crucial for the correct indexing of the database and must not be changed during the life of the associated Commissioning Data Set. It does not identify the first or most important recipient of data, i.e. there is no inference of primacy of one recipient over another.

Organisation Data Service Default Codes for CDS PRIME RECIPIENT IDENTITIES are detailed in the Commissioning Data Set Addressing Grid. 

Please note that the following Organisation Data Service Default Codes must not be used in the Commissioning Data Set (CDS) header because they are not default Commissioner codes:

• Q99 - High Level Health Geography/Primary Care Organisation of Residence Not Known
  • for the CDS PRIME RECIPIENT IDENTITY, a valid ORGANISATION CODE (RESIDENCE RESPONSIBILITY) must be reported
• X98 - Primary Care Organisation Not Applicable (Overseas Visitors)
  • for the CDS PRIME RECIPIENT IDENTITY, the Commissioning Data Set Addressing Grid confirms the correct code that should be reported for Overseas Visitors who are exempt from charges.

CDS PRIME RECIPIENT IDENTITY will be replaced with ORGANISATION IDENTIFIER (CDS RECIPIENT), when it has been approved for use in national information standards.CDS PRIME RECIPIENT IDENTITY will be replaced with ORGANISATION IDENTIFIER (CDS RECIPIENT), which is the most recent approved national information standard to describe the required definition.

CDS REPORT PERIOD END DATE defines the End Date (for the date range of the data being exchanged) for the Commissioning Data Set Bulk Replacement Update time period.

Usage: 
CDS REPORT PERIOD END DATE is a mandatory data item when the Commissioning Data Set Bulk Replacement Update Mechanism is used. It is not required when the Commissioning Data Set Net Change Update Mechanism is used.
The CDS REPORT PERIOD END DATE must be a valid date and must not be before the CDS REPORT PERIOD START DATE.

See the supporting information in the Commissioning Data Set Submission Protocol for further details.

CDS REPORT PERIOD START DATE defines the Start Date (for the date range of the data being exchanged) for the Bulk Replacement Update time period.

Usage: 
CDS REPORT PERIOD START DATE  is a mandatory data item when the Commissioning Data Set Bulk Replacement Update Mechanism is used. It is not required when the Commissioning Data Set Net Change Update Mechanism is used.
The CDS REPORT PERIOD START DATE must be a valid date and cannot be after the CDS REPORT PERIOD END DATE.

See the supporting information in the Commissioning Data Set Submission Protocol for further details.

Usage: 
The Commissioning Data Set sender must make sure that the Commissioning Data Set extraction and submission facilities and processes differentiate correctly between:

• The ORGANISATION CODE (CDS SENDER IDENTITY) as carried in the Commissioning Data Set Transaction Header Group for every Commissioning Data Set,
• and
• The ORGANISATION CODE (CODE OF PROVIDER) as carried in the Service Agreement details which are part of the Episode/Attendance details.

Once associated with the Commissioning Data Set record and submitted to the Secondary Uses Service, the CDS SENDER IDENTITY should not be changed unless great care is taken to delete the original Commissioning Data Set records before any resubmission is undertaken.

Usually, the CDS SENDER IDENTITY is never altered once assigned.

CDS SENDER IDENTITY will be replaced with ORGANISATION IDENTIFIER (CDS SENDER), when it has been approved for use in national information standards.CDS SENDER IDENTITY will be replaced with ORGANISATION IDENTIFIER (CDS SENDER), which is the most recent approved national information standard to describe the required definition.

CLINICAL CONTACT DURATION OF APPOINTMENT is calculated from the Start Time and End Time of the clinical contact at an APPOINTMENT.This item has been retired from the NHS Data Model and Dictionary.

Access to this version can be obtained by emailing information.standards@nhs.net with "NHS Data Model and Dictionary - Archive Request" in the email subject line.

Attribute:

CONSULTANT CODE (INITIATED SYSTEMIC ANTI-CANCER THERAPY) is the CONSULTANT CODE of the CONSULTANT who initiated the Systemic Anti-Cancer Therapy.

CONSULTANT CODE (INITIATED SYSTEMIC ANTI-CANCER THERAPY) will be replaced with both PROFESSIONAL REGISTRATION ISSUER CODE and PROFESSIONAL REGISTRATION ENTRY IDENTIFIER, which are the most recently approved national information standards to describe the required definition.

CONSULTANT CODE (RESPONSIBLE CONSULTANT) is the CONSULTANT CODE of the CONSULTANT in overall charge of the PATIENT.

CONSULTANT CODE (RESPONSIBLE CONSULTANT) will be replaced with both PROFESSIONAL REGISTRATION ISSUER CODE and PROFESSIONAL REGISTRATION ENTRY IDENTIFIER, which are the most recently approved national information standards to describe the required definition.

DIAGNOSTIC TEST DATE is the date the Diagnostic Imaging was performed.

EMPLOYMENT SUPPORT REFERRAL DATE is the date the PATIENT was referred for Employment Support.  

EXPECTED DURATION OF APPOINTMENT is the expected duration in minutes of an APPOINTMENT when booked, prior to the attendance of the PATIENT.  

GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION) is the ORGANISATION CODE of the GP Practice that the PATIENT is registered with.This item is being used for development purposes and has not yet been approved.

The data for GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION) is supplied by the NHS Prescription Services.

Use of Organisation Data Service Default Codes

• V81997 should be used when a PATIENT presents, who is not currently registered at a GP Practice, but is eligible to be registered should they wish to.
• 
  
• V81998 should be used where a PATIENT should not have a registered GP Practice.
• 
  
• V81999 should be used where it is not possible to determine a PATIENT's registered GP Practice code, but it is known that they should have one, or where it is impossible to determine whether they should or shouldn't have a registered practice (for instance the PATIENT cannot communicate and is unidentified).

GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION) will be replaced with GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION), when it has been approved for use in national information standards.

GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION MOTHER) is the ORGANISATION CODE of the GP Practice that the mother of the PATIENT is registered with.This item is being used for development purposes and has not yet been approved. 

The data for GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION MOTHER) is supplied by the NHS Prescription Services.

GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION (MOTHER)) will be replaced with GENERAL MEDICAL PRACTICE (PATIENT REGISTRATION MOTHER), when it has been approved for use in national information standards.