NHS Data Model and DictionaryNHS Digital
Type:Patch
Reference:1854
Version No:1.0
Subject:Update Patch
Effective Date:Immediate
Reason for Change:Patch
Publication Date:6 December 2021

Background:

Work on the versions of the Data Dictionary from 3+ onwards, has identified the following issues:

This patch updates the items to ensure they display correctly in the NHS Data Model and Dictionary Version 3+.

A short demonstration is available which describes "How to Read an NHS Data Model and Dictionary Change Request", in an easy to understand screen capture including a voice over and readable captions. This demonstration can be viewed at: https://datadictionary.nhs.uk/elearning/Change_Request/index.html.

Note: if the web page does not open, please copy the link and paste into the web browser. A guide to how to use the demonstration can be found at: Demonstrations.

Summary of changes:

Supporting Information
FEMALE GENITAL MUTILATION DATA SET OVERVIEW   Changed Description
 
Attribute Definitions
BASIS OF DIAGNOSIS FOR CANCER   Changed Description
CHILDHOOD IMMUNISATION TYPE   Changed Description
DEATH LOCATION TYPE CODE   Changed Description
DISCHARGE FROM IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES SERVICE REASON   Changed Description
MULTIDISCIPLINARY TEAM MEETING TYPE FOR CANCER   Changed Description
PATIENT PROCEDURE TYPE FOR PRIMARY KNEE REPLACEMENT   Changed Description
PULSATILE LAVAGE (RETIRED)   Changed Description
RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE   Changed Description
RELATIONSHIP TO PERSON FOR COMMUNITY   Changed Description
RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE   Changed Description
SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE   Changed Description
 
Data Elements
ADULT MENTAL HEALTH CARE CLUSTER ASSESSMENT STATUS   Changed Description
ADULT MENTAL HEALTH CARE CLUSTER ASSESSMENT STATUS END DATE   Changed Description
ADULT MENTAL HEALTH CARE CLUSTER ASSESSMENT STATUS START DATE   Changed Description
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE   Changed Description
ANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODE   Changed Description
METHOD OF ADMISSION (HOSPITAL PROVIDER SPELL)   Changed Description
METHOD OF ADMISSION (MENTAL HEALTH HOSPITAL PROVIDER SPELL)   Changed Description
METHOD OF COMMUNICATION (END OF CANCER FASTER DIAGNOSIS PATHWAY)   Changed Description
METHOD OF DISCHARGE (HOSPITAL PROVIDER SPELL)   Changed Description
METHOD OF DISCHARGE (MENTAL HEALTH HOSPITAL PROVIDER SPELL)   Changed Description
PULSATILE LAVAGE (RETIRED)   Changed Description
 

Date:6 December 2021
Sponsor:Nicholas Oughtibridge, Head of Information Standards 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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FEMALE GENITAL MUTILATION DATA SET OVERVIEW

Change to Supporting Information: Changed Description

Introduction

The Female Genital Mutilation Data Set provides essential information in relation to the female genital mutilation population across England.

The Female Genital Mutilation Data Set is used:

  • To publish Official Statistics which will inform the Department of Health and Social Care, NHS England and NHS Improvement, other Government Agencies and the public, about female genital mutilation when it has been identified
  • To identify the potential risk of female genital mutilation to young girls and vulnerable women
  • For better planning and management of female genital mutilation SERVICES at a local level and across England

Data may be input immediately using an input screen via the NHS Digital Clinical Audit Platform when female genital mutilation is identified, or data extracts for Patients, can be submitted as a bulk upload on a monthly basis for each ORGANISATION.

CARE CONTACT activities undertaken for female genital mutilation PATIENTS during the REPORTING PERIOD are reported in the data upload.  This includes any attendances at an Out-Patient Clinic led by any type of CARE PROFESSIONAL, Hospital Provider Spells, Emergency Care Attendances, Group TherapyWard Attendances; or any other type of direct PATIENT-facing CARE CONTACT, with an exception to Sexual and Reproductive Health Clinics and Genitourinary Medicine (GUM) clinics, who are not required to submit the Female Genital Mutilation Data Set to the NHS Digital.



SNOMED CT Refset Metadata:

  • Female genital mutilation related findings:
    • Refset FSN: Female genital mutilation related findings simple reference set (foundation metadata concept)
    • Refset Id: 999002041000000103

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related findings.

  • Female genital mutilation related procedures:
    • Refset FSN: Female genital mutilation related procedures simple reference set (foundation metadata concept)
    • Refset Id: 999002031000000107

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Female genital mutilation related procedures.

Data Extract Specification

Description

The Department of Health and Social Care requires all NHS Trusts, NHS Foundation Trusts and GENERAL MEDICAL PRACTITIONERS to generate and provide a data extract in accordance with the Female Genital Mutilation Data Set. This requirement is applicable to all CARE PROFESSIONALS in these ORGANISATIONS whenever it has been identified that a woman or young girl has undergone female genital mutilation.

Further information is available on the NHS Digital website at: Female Genital Mutilation Datasets.

Time period

Data extracted from systems can be submitted as a bulk upload on a quarterly basis for each ORGANISATION.

Format

Data submitted by the bulk upload facility must be formatted in 3 separate comma separated variable (csv) files (i.e. Patient, Attendance or Female Genital Mutilation), which are used to populate the NHS Digital Clinical Audit Platform. The data elements should be transmitted in the order specified in the Female Genital Mutilation Data Set.

Transmission

Electronic files must be transmitted to NHS Digital via the Clinical Audit Platform which is a secure web portal.

Connection to the web portal requires registration to the Clinical Audit Platform, which will include the provision of a login account name and password.

Further information about the Clinical Audit Platform and the data upload facility can be found on the NHS Digital website: at Clinical Audit Platform.

Further guidance on the Female Genital Mutilation Data Set can be found on the on the NHS Digital website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.Further guidance on the Female Genital Mutilation Data Set can be found on the NHS Digital website at: SCCI2026: Female Genital Mutilation Enhanced Dataset.

Mandation

The Mandation column indicates the recommendation for the inclusion of data.

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

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BASIS OF DIAGNOSIS FOR CANCER

Change to Attribute: Changed Description

The basis of how a PATIENT DIAGNOSIS relating to cancer was identified.

Notes:

  • National Code headings have been removed. The explanation of the National Code headings are:
    • National Codes 0 - 4: Non-microscopic
    • National Codes 5 - 9: Microscopic 

National Codes:

 Non-microscopic
0Death Certificate:
The only information available is from a death certificate
1Clinical:
Diagnosis made before death but without the benefit of any of the following (2-7)
2Clinical Investigation:
Includes all diagnostic techniques (e.g. X-rays, Endoscopy, imaging, Ultrasound Scan, exploratory surgery and autopsy) without a TISSUE diagnosis
4Specific Tumour markers:
Includes biochemical and/or immunological markers which are specific for a Tumour site
 Microscopic
5Cytology:
Examination of CELLS whether from a primary or secondary site, including fluids aspirated using endoscopes or needles. Also including microscopic examination of peripheral blood films and trephine bone marrow aspirates
6Histology of a metastasis:
Histological examination of TISSUES from a metastasis, including autopsy specimens
7Histology of a primary Tumour:
Histological examination of TISSUE from the primary Tumour, however obtained, including all cutting and bone marrow Biopsies. Also includes autopsy specimens of a primary Tumour
9Unknown:
No information on how the diagnosis has been made (e.g. Patient Administration System (PAS) /Hospital Information Support System (HISS) record only)
 

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CHILDHOOD IMMUNISATION TYPE

Change to Attribute: Changed Description

The type of childhood immunisation given to a child on the IMMUNISATION DATE.

Note:

  • National Codes ending in "0" are at a high level. Either the higher level national code or the lower level code national code should be reported as required by the Data Set.

National Codes:

010Diphtheria
010Diphtheria
011D3 - Diphtheria
012D4 - Diphtheria booster
020Pertussis
020Pertussis
021aP3 - Pertussis
022aP4 - Pertussis booster
030Tetanus
030Tetanus
031T3 - Tetanus
032T4 - Tetanus booster
040Polio
040Polio
041Po3 - Polio
042Po4 - Polio booster
050Haemophilus influenzae type b
050Haemophilus influenzae type b
051Hib3 - Haemophilus influenzae type b
060Measles, Mumps, Rubella (MMR)
060Measles, Mumps, Rubella (MMR)
061MMR1 - Measles, Mumps, Rubella 1
062MMR2 - Measles, Mumps, Rubella 2
070Meningococcal serogroup C (MenC)
080Haemophilus influenzae type b and Meningococcal C (booster) (Hib/MenC (booster))
090Pneumococcal (PCV)
090Pneumococcal (PCV)
091PCV2 - Pneumococcal
092PCV (booster) - Pneumococcal (booster)
093PCV1 - Pneumococcal
100Low dose Diphtheria
110Human papillomavirus (HPV)
120Rotavirus
130Hepatitis B (Hep B)
130Hepatitis B (Hep B)
131Hepatitis B (Hep B3) - Routine
132Hepatitis B (Hep B) - Selective
140Tuberculosis (BCG)
150Meningococcal serogroup B (MenB)
150Meningococcal serogroup B (MenB)
151MenB2 - Meningococcal serogroup B
152MenB (booster) - Meningococcal serogroup B (booster)
160Meningococcal ACWY
170Nasal Flu Vaccination
160Meningococcal ACWY
170Nasal Flu Vaccination
 

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DEATH LOCATION TYPE CODE

Change to Attribute: Changed Description

The type of LOCATION:

Note that ORGANISATIONS may choose to collect the DEATH LOCATION TYPE CODE codes at the high level (National Codes ending in "0") or at the more detailed level below each high-level code.

National Codes:

10Hospital
20Private Residence
10Hospital
20Private Residence
21PATIENT's own home
22Other private residence (e.g. relative's home, Carer's home)
30Hospice
40Care Home 
30Hospice
40Care Home
41Care Home With Nursing
42Care Home Without Nursing
50Other (not listed)
50Other (not listed)
 

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DISCHARGE FROM IMPROVING ACCESS TO PSYCHOLOGICAL THERAPIES SERVICE REASON

Change to Attribute: Changed Description

The reason that the PATIENT was discharged from an Improving Access to Psychological Therapies Service.

Notes:

  • National Code headings have been removed. The explanation of the National Code headings are:
    • National Code 50: Referred but not seen
    • National Codes 10, 11, 12, 13, 14, 16, 17, 95: Seen but not taken on for a course of treatment
    • National Codes 46, 47, 48, 49, 96: Seen and taken on for a course of treatment

National Codes:

 REFERRED BUT NOT SEEN
50Not assessed
 SEEN BUT NOT TAKEN ON FOR A COURSE OF TREATMENT
10Not suitable for Improving Access to Psychological Therapies Service - no action taken or directed back to referrer
11Not suitable for the Improving Access to Psychological Therapies Service - signposted elsewhere with mutual agreement of PATIENT
12Discharged by mutual agreement following advice and support
13Referred to another therapy SERVICE by mutual agreement
14Suitable for Improving Access to Psychological Therapies Service, but PATIENT declined treatment that was offered
16Incomplete Assessment (PATIENT dropped out)
17Deceased (Seen but not taken on for a course of treatment)
95Not Known (Seen but not taken on for a course of treatment)
 SEEN AND TAKEN ON FOR A COURSE OF TREATMENT
46Mutually agreed completion of treatment
47Termination of treatment earlier than Improving Access to Psychological Therapies Care Professional planned
48Termination of treatment earlier than PATIENT requested
49Deceased (Seen and taken on for a course of treatment)
96Not Known (Seen and taken on for a course of treatment)
 

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MULTIDISCIPLINARY TEAM MEETING TYPE FOR CANCER

Change to Attribute: Changed Description

The type of Multidisciplinary Team Meeting at which the PATIENT's Cancer Care Plan was discussed.

Note: the National Codes at the high level (ending in "0") are Tumour groups and the items below each high-level code are Multidisciplinary TeamsORGANISATIONS will only use the high-level code if the Multidisciplinary Team is not listed.

National Codes:

0100Breast
0100Breast
0101Breast Multidisciplinary Team Meeting
0200Brain/Central Nervous System
0200Brain/Central Nervous System
0201Brain / Central Nervous System (CNS)/Neuroscience Multidisciplinary Team Meeting
0202Rehabilitation and Non-Surgical (Network) Multidisciplinary Team Meeting
0203Pituitary Multidisciplinary Team Meeting
0204Skull base Multidisciplinary Team Meeting
0205Spinal cord Multidisciplinary Team Meeting
0206Low grade glioma Multidisciplinary Team Meeting
0207Metastasis to brain Multidisciplinary Team Meeting
0208Stereotactic Radiosurgery (SRS) Multidisciplinary Team Meeting
0209Genetic subtypes Multidisciplinary Team Meeting
0300Colorectal
0300Colorectal
0301Colorectal Multidisciplinary Team Meeting
0302Anal Multidisciplinary Team Meeting
0400Children, Teenagers and Young Adults (CTYA)
0400Children, Teenagers and Young Adults (CTYA)
0401Paediatric Combined Diagnostic and Treatment Multidisciplinary Team Meeting
0402Paediatric Haematology only Multidisciplinary Team Meeting
0403Paediatric non-Central Nervous System (CNS) solid tumours only Multidisciplinary Team Meeting
0404Paediatric Central Nervous System (CNS) malignancy only Multidisciplinary Team Meeting
0405Paediatric Late Effects Multidisciplinary Team Meeting
0406Paediatric Oncology Shared Care Unit (POSCU) Multidisciplinary Team Meeting
0407Teenage and Young Adult Multidisciplinary Team Meeting
0408Teenage and Young Adult Late Effects Multidisciplinary Team Meeting 
0500Gynaecology
0500Gynaecology
0501Gynaecology Local Multidisciplinary Team Meeting
0502Gynaecology Specialist Multidisciplinary Team Meeting
0600Haematology
0600Haematology
0601Haematology Multidisciplinary Team Meeting
0602Lymphoma Multidisciplinary Team Meeting
0603Plasma Cell Multidisciplinary Team Meeting
0604Myeloid Multidisciplinary Team Meeting
0605Bone Marrow Transplant Multidisciplinary Team Meeting
0700Head and Neck (including Thyroid)
0700Head and Neck (including Thyroid)
0701Upper Aerodigestive Tract (UAT) only Multidisciplinary Team Meeting
0702Upper Aerodigestive Tract (UAT) and Thyroid Multidisciplinary Team Meeting
0703Thyroid Only Multidisciplinary Team Meeting
0800Lung
0800Lung
0801Lung Multidisciplinary Team Meeting
0802Mesothelioma Specialist Multidisciplinary Team Meeting
0900Sarcoma
0900Sarcoma
0901Bone and Soft tissue Multidisciplinary Team Meeting
0902Bone Multidisciplinary Team Meeting
0903Soft tissue Multidisciplinary Team Meeting
1000Skin
1000Skin
1001Skin Local Multidisciplinary Team Meeting
1002Skin Specialist Multidisciplinary Team Meeting
1003Melanoma Multidisciplinary Team Meeting
1004Supra T-Cell Lymphoma Multidisciplinary Team Meeting
1100Upper Gastrointestinal (GI)
1100Upper Gastrointestinal (GI)
1101Upper Gastrointestinal (GI) Local Multidisciplinary Team Meeting
1102Oesophago-Gastric (OG) Specialist Multidisciplinary Team Meeting
1103Hepatobiliary and Pancreatic (HPB) Multidisciplinary Team Meeting
1104Pancreatic/Biliary (PB) Specialist Multidisciplinary Team Meeting
1105Hepatic Specialist Multidisciplinary Team Meeting
1200Urology
1200Urology
1201Urology Local Multidisciplinary Team Meeting
1202Urology Specialist Multidisciplinary Team Meeting
1203Testicular Supranetwork Multidisciplinary Team Meeting
1204Penile Supranetwork Multidisciplinary Team Meeting
1300Other (not listed)
1300Other (not listed)
1301Cancer of Unknown Primary (CUP) Multidisciplinary Team Meeting
1302Neuroendocrine Multidisciplinary Team Meeting
1303Palliative Care Multidisciplinary Team Meeting
1304Enhanced Supportive Care Multidisciplinary Team Meeting
 

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PATIENT PROCEDURE TYPE FOR PRIMARY KNEE REPLACEMENT

Change to Attribute: Changed Description

The type of Patient Procedure performed on a PATIENT during Primary Knee Replacement Surgery.

National Codes:

2Primary Total Prosthetic Replacement Using Cement
3Primary Total Prosthetic Replacement Not Using Cement
 Unicompartmental Knee Replacement
101Medial
102Lateral
103Patello-Femoral
5Primary Total Prosthetic Replacement Not Classified Elsewhere (e.g. Hybrid)

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

 

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PULSATILE LAVAGE (RETIRED)

Change to Attribute: Changed Description

This item has been retired from the NHS Data Model and Dictionary as it is no longer required for the National Joint Registry Data Set.This item has been retired from the NHS Data Model and Dictionary as it is no longer required for the National Joint Registry Data Set.

See National Joint Registry Data Set for the latest version of the data set.

The last live version of this item is available in the November 2012 release of the NHS Data Model and Dictionary.

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

 

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RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE

Change to Attribute: Changed Description

The relationship of the second PERSON to the first PERSON (the PATIENT) as used in the Community Services Data Set.

This is used to identify, for example, with whom the Child or Young Person is living in a permanent context or the relationship with the main Carer etc.

Note that ORGANISATIONS may choose to collect the RELATIONSHIP TO PERSON FOR CHILDREN AND YOUNG PEOPLE codes at the high level (ending in "X") or at the more detailed level below each high-level code.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained as the item is used by the Healthy Child Programme.

National Codes:

BPXBiological Parent
BPXBiological Parent
BPMBiological mother
BPFBiological father
SPXStep-Parent
SPXStep-Parent
SPMStepmother
SPFStepfather
GPXGrandparent
GPXGrandparent
GPMGrandmother
GPFGrandfather
ORXOther Relative
ORXOther Relative
ORAAunt
ORUUncle
ORSSister
ORBBrother
OROOther (not listed)
APXAdoptive Parent
APXAdoptive Parent
APMAdoptive mother
APFAdoptive father
FPXFoster Parent
FPXFoster Parent
FPMFoster mother
FPFFoster father
RCXResidential Carer
OTXOther
NOXNone - Lives Alone
RCXResidential Carer
OTXOther
NOXNone - Lives Alone
 

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RELATIONSHIP TO PERSON FOR COMMUNITY

Change to Attribute: Changed Description

The relationship of the second PERSON to the first PERSON (the PATIENT) as used in the Community Services Data Set.

Note that ORGANISATIONS may choose to collect the RELATIONSHIP TO PERSON FOR COMMUNITY codes at the high level (ending in "X") or at the more detailed level below each high-level code.

National Codes:

BPXBiological Parent
BPXBiological Parent
BPMBiological Mother
BPFBiological Father
SPXStep-Parent
SPXStep-Parent
SPMStepmother
SPFStepfather
PIXParents-in-Law
PIXParents-in-Law
PIFFather-in-Law
PIMMother-in-Law
CHXChildren
CHXChildren
CHSSon
CHDDaughter
CIXChildren-in-Law 
CIXChildren-in-Law
CISSon-in-Law
CIDDaughter-in-Law
GPXGrandparent
GPXGrandparent
GPMGrandmother
GPFGrandfather
GCXGrandchild
GCXGrandchild
GCSGrandson
GCDGranddaugther
ORXOther Relative
ORXOther Relative
ORAAunt
ORUUncle
ORSSister
ORBBrother
OROOther (not listed)
APXAdoptive Parent
APXAdoptive Parent
APMAdoptive Mother
APFAdoptive Father
FPXFoster Parent
FPXFoster Parent
FPMFoster Mother
FPFFoster Father
RCXResidential Carer
OTXOther
NOXNone - Lives Alone
RCXResidential Carer
OTXOther
NOXNone - Lives Alone
 

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RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE

Change to Attribute: Changed Description

The RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION of a PERSON, as specified by a PERSON.

Note: This is the Religious Affiliation of a PERSON, not their Religion.

Where applicable, RELIGIOUS OR OTHER BELIEF SYSTEM AFFILIATION CODE is aligned with descriptors for "Religious and Other Belief System Affiliation" in SNOMED CT® as follows:

SNOMED CT Refset Metadata:

  • Refset FSN: Religious or other belief system affiliation simple reference set (foundation metadata concept)
  • Refset Id: 999000531000000100

For further details relating to the SNOMED CT Refset Metadata, see the Data Dictionary for Care (DD4C) website at: Religious or Other Belief System Affiliation.

This item is not referenced in a data set in the NHS Data Model and Dictionary. It has been retained to ensure the modelling is consistent.

Notes:

National Codes:

 Baha'i
A1Baha'i
 Buddhist
B1Buddhist
B2Mahayana Buddhist
B3New Kadampa Tradition Buddhist
B4Nichiren Buddhist
B5Pure Land Buddhist
B6Theravada Buddhist
B7Tibetan Buddhist
B8Zen Buddhist
 Christian
C1Christian
C2Amish
C3Anabaptist
C4Anglican
C5Apostolic Pentecostalist
C6Armenian Catholic
C7Armenian Orthodox
C8Baptist
C9Brethren
C10Bulgarian Orthodox
C11Calvinist
C12Catholic: Not Roman Catholic
C13Celtic Christian
C14Celtic Orthodox Christian
C15Chinese Evangelical Christian
C16Christadelphian
C17Christian Existentialist
C18Christian Humanist
C19Christian Scientists
C20Christian Spiritualist
C21Church in Wales
C22Church of England
C23Church of God of Prophecy
C24Church of Ireland
C25Church of Scotland
C26Congregationalist
C27Coptic Orthodox
C28Eastern Catholic
C29Eastern Orthodox
C30Elim Pentecostalist
C31Ethiopian Orthodox
C32Evangelical Christian
C33Exclusive Brethren
C34Free Church
C35Free Church of Scotland
C36Free Evangelical Presbyterian
C37Free Methodist
C38Free Presbyterian
C39French Protestant
C40Greek Catholic
C41Greek Orthodox
C42Independent Methodist
C43Indian Orthodox
C44Jehovah's Witness
C45Judaic Christian
C46Lutheran
C47Mennonite
C48Messianic Jew
C49Methodist
C50Moravian
C51Mormon
C52Nazarene Church
Synonym: Nazarene
C53New Testament Pentacostalist
C54Nonconformist
C55Old Catholic
C56Open Brethren
C57Orthodox Christian
C58Pentecostalist
Synonym: Pentacostal Christian
C59Presbyterian
C60Protestant
C61Plymouth Brethren
C62Quaker
C63Rastafari
C64Reformed Christian
C65Reformed Presbyterian
C66Reformed Protestant
C67Roman Catholic
C68Romanian Orthodox
C69Russian Orthodox
C70Salvation Army Member
C71Scottish Episcopalian
C72Serbian Orthodox
C73Seventh Day Adventist
C74Syrian Orthodox
C75Ukrainian Catholic
C76Ukrainian Orthodox
C77Uniate Catholic
C78Unitarian
C79United Reform
C80Zwinglian
 Hindu
D1Hindu
D2Advaitin Hindu
D3Arya Samaj Hindu
D4Shakti Hindu
D5Shiva Hindu
D6Vaishnava Hindu
Synonym: Hare Krishna
 Jain
E1Jain
 Jewish
F1Jewish
F2Ashkenazi Jew
F3Haredi Jew
F4Hasidic Jew
F5Liberal Jew
F6Masorti Jew
F7Orthodox Jew
F8Reform Jew
 Muslim
G1Muslim
G2Ahmadi
G3Druze
G4Ismaili Muslim
G5Shi'ite Muslim
G6Sunni Muslim
 Pagan
H1Pagan
H2Asatruar
H3Celtic Pagan
H4Druid
H5Goddess
H6Heathen
H7Occultist
H8Shaman
H9Wiccan
 Sikh
I1Sikh
 Zoroastrian
J1Zoroastrian
 Other
K1Agnostic
K2Ancestral Worship
K3Animist
K4Anthroposophist
K5Black Magic
K6Brahma Kumari
K7British Israelite
K8Chondogyo
K9Confucianist
K10Deist
K11Humanist
K12Infinite Way
K13Kabbalist
K14Lightworker
K15New Age Practitioner
K16Native American Religion
K17Pantheist
K18Peyotist
K19Radha Soami
Synonym: Sant Mat
K20Religion (Other Not Listed)
K21Santeri
K22Satanist
K23Scientologist
K24Secularist
K25Shumei
K26Shinto
K27Spiritualist
K28Swedenborgian
Synonym: Neo-Christian
K29Taoist
K30Unitarian-Universalist
K31Universalist
K32Vodun
K33Yoruba
 None
L1Atheist
L2Not Religious
 Declines to Disclose
M1Religion not given - PATIENT refused
 Unknown
N1PATIENT Religion Unknown
 

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SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE

Change to Attribute: Changed Description

The medical condition or reason for a Sexual Health and HIV Episode.

National Codes:The following codes are used within the data set:

 Diagnosis and/or treatment of infection or disease  
A1Primary syphilis
A2Secondary syphilis
A3Early latent syphilis
A4Cardiovascular syphilis
A5Neurosyphilis
A6All other late and latent syphilis
A7ACongenital syphilis
A10Ocular syphilis
A11Otosyphilis
BGonorrhoea
C1Chancroid
C2Lymphogranuloma venereum (LGV)
C3Donovanosis
C4Chlamydial infection
C4NNon-specific genital infection (NSGI)
C5APelvic inflammatory disease (PID) and epididymitis
C5BOphthalmia neonatorum
C6ATrichomoniasis
C6BAnaerobic/Bacterial vaginosis and anaerobic balanitis
C6COther vaginosis/vaginitis/balanitis
C7AAnogenital candidosis
C8Scabies
C9Pediculosis pubis
C10AAnogenital Herpes simplex: First episode
C10BAnogenital Herpes simplex: Recurrent episode
C11AAnogenital warts infection: First episode
C11DAnogenital warts infection: Recurrent episode
C12Molluscum contagiosum
C13Viral hepatitis B (HbsAg positive): First diagnosis
C14Viral hepatitis C: First diagnosis
C15Viral hepatitis A: Acute infection
C16Mycoplasma genitalium
D2AUrinary Tract Infection
D2BOther conditions requiring treatment at Level 3 Genitourinary Medicine Services
HHIV positive - Previously Diagnosed
H1New HIV diagnosis
H1ANew HIV diagnosis: Acute
H1BNew HIV diagnosis: Late infection (AIDS defined)
H2Attendance for HIV-related care
P4ACervical cytology: minor abnormality
P4BCervical cytology: major abnormality
 Sexual Health Services Provided
To record PATIENTS receiving Sexual Health Services or undergoing tests.
T1Chlamydia test
T2Chlamydia and gonorrhoea tests
T3Chlamydia, gonorrhoea and syphilis tests
T4Chlamydia, gonnorrhoea, syphilis and HIV antibody tests
T5Herpes Simplex Virus (HSV) Test
T6Hepatitis A/B/C Test
TSMicroscopy
TT3 Site Testing (chlamydia and gonorrhoea)
T7Syphilis and HIV Testing
T8Self sampling (urinalysis/swabs) without Health Care worker (HCW) consultation
T9STI testing not required/appropriate
T10Rapid testing (STI and/or HIV)
T11Chlamydia test declined
T12Mycoplasma genitalium test
O20Hepatitis A vaccination: 1st dose
O21Hepatitis A vaccination: Subsequent dose
O22Hepatitis A immune
O23Partner notification related attendance: Hepatitis A contact
O31PrEP eligibility criteria 1: MSM/transgender woman
O32PrEP eligibility criteria 2: HIV positive partner
O33PrEP eligibility criteria 3: Other high risk
O41PrEP regimen: Starting or continuing daily Prep
O42PrEP regimen: Starting or continuing event based Prep
O43PrEP regimen: Continued through other source
O44PrEP regimen: Offered and declined
O45PrEP regimen: Stopped
O51PrEP prescription: 30 tablets
O52PrEP prescription: 60 tablets
O53PrEP prescription: 90 tablets
O60PrEP patient characteristic: Transgender
P1AHuman Immunodeficiency Virus (HIV) antibody test (no sexual health screen)
P1BHuman Immunodeficiency Virus (HIV) antibody test offered and refused
P1CHIV test inappropriate
P2AHepatitis B vaccination: 1st dose
P2BHepatitis B vaccination: 2nd dose
P2CHepatitis B vaccination: 3rd dose
P2DHepatitis B vaccination: 4th dose
P2EHepatitis B vaccination: Booster
P2IHepatitis B immune
P3CONTRACEPTION and family planning advice (excluding condom provision)
P4Cervical cytology done
REF1Referral from Chlamydia Screening Programme
REF2Referral to a Level 3 Genitourinary Medicine Service
REF3Referral from home testing/sampling service
SG1Shigella flexneri (group B)
SG2Shigella sonnei (group D)
SG3Shigella other/unspecified
SRHSexual and Reproductive Health PATIENT
W1HPV vaccination: 1st dose
W2HPV vaccination: 2nd dose
W3HPV vaccination: 3rd dose
W4HPV vaccination: offered and declined
W5HPV vaccination: previously received in full
PNPartner notification initiated related attendance
PNCPartner notification related attendance: Chlamydia contact
PNGPartner notification related attendance: Gonorrhoea contact
PNHPartner notification related attendance: HIV contact
PNNPartner notification related attendance: Non-specific genital infection contact
PNPPartner notification related attendance: PID/Epididymitis contact
PNSPartner notification related attendance: Syphilis contact
PNTPartner notification related attendance: Trichomoniasis contact
PR1Pregnant 1-12 weeks
PR2Pregnant 13-28 weeks
PR3Pregnant 29-40 weeks
PEPSPost exposure prophylaxis after sexual exposure (PEPSE)
D3Other Sexual Health and HIV Episodes not requiring treatment
O11-O99Research/New/Urgent reporting (Retired 01 October 2018)
40Sexual Assault (Acute presentation)
41Sexual Assault (Non - acute presentation)
 Findings
CSE1Child sexual exploitation : concerns raised at internal assessment
CSE2Child sexual exploitation : concerns raised with internal safeguarding professionals
CSE3Child sexual exploitation : referred to external safeguarding professionals
DVConcern of domestic violence (or abuse)
FGMFemale genital mutilation (of any type)
 Special PATIENT Groups
To record additional information on certain PATIENT groups receiving Sexual Health Services or undergoing tests. Codes to be reported separately at each FIRST ATTENDANCE.
ZPrisoner
SWSex Worker
 Suffixes to Codes
To record additional information about the PATIENT’s presentation or a Sexual Health Service given. This information may be collected through the use of suffixes which can be applied to the SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE. Where appropriate, multiple suffixes can be used on the same SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE. The suffixes and the codes with which they can be used are given below. These codes are appended to the SEXUAL HEALTH AND HIV ACTIVITY PROPERTY TYPE.
RRectal infection
OPharyngeal infection
XPreviously diagnosed elsewhere
MMedication given
QQuadrivalent HPV vaccine
 Permissible Code Permutations Using Suffixes
 A - Syphilis
A1XPrimary syphilis - previously diagnosed elsewhere
A2XSecondary syphilis - previously diagnosed elsewhere
A3XEarly latent syphilis - previously diagnosed elsewhere
A4XCardiovascular syphilis - previously diagnosed elsewhere
A5XNeurosyphillis syphilis - previously diagnosed elsewhere
A6XAll other late and latent syphilis - previously diagnosed elsewhere
A7AXCongenital syphilis - previously diagnosed elsewhere
 B - Gonorrhoea
BRGonorrhoea - rectal infection
BOGonorrhoea - pharayngeal infection
BXGonorrhoea - previously diagnosed elsewhere
BMGonorrhoea - medication given
BRXGonorrhoea - rectal infection, previously diagnosed elsewhere
BRMGonorrhoea - rectal infection, medication given
BOXGonorrhoea - pharayngeal infection, previously diagnosed elsewhere
BOMGonorrhoea - pharayngeal infection, medication given
 C4 - Chlamydia
C4RChlamydia - rectal infection
C4OChlamydia - pharayngeal infection
C4XChlamydia - previously diagnosed elsewhere
C4MChlamydia - medication given
C4RXChlamydia - rectal infection, previously diagnosed elsewhere
C4RMChlamydia - rectal infection, medication given
C4OXChlamydia - rectal infection, previously diagnosed elsewhere
C4OMChlamydia - pharayngeal infection, medication given
 C2 - Lymphogranuloma (LGV)
C2RLymphogranuloma venereum (LGV) - Rectal infection
C2OLymphogranuloma venereum (LGV) - Pharayngeal infection
 C4N - NSGI
C4NRNon-specific genital infection (NSGI) - rectal infection (proctitis)
 C6A - Trichomoniasis
C6AXTrichomoniasis - previously diagnosed elsewhere
 H1 - New HIV diagnosis
H1XNew HIV diagnosis - previously diagnosed elsewhere
 H1A - New HIV diagnosis: acute
H1AXNew HIV diagnosis: acute - previously diagnosed elsewhere
 H1B - HIV diagnosis: late (AIDS defined)
H1BXNew HIV diagnosis: late (AIDS defined) - previously diagnosed elsewhere
 C10A - Anogenital Herpes simplex: first episode
C10AMAnogenital Herpes simplex: first episode - medication given
 C10B - Anogenital Herpes simplex: recurrent episode
C10BMAnogenital Herpes simplex: recurrent episode - medication given
 C11A - Anogenital warts infection: first episode
C11AMAnogenital warts infection: first episode - medication given
 C11D - Anogenital warts infection: recurrent episode
C11DMAnogenital warts infection: recurrent episode - medication given
 W1 - HPV Vaccination: 1st dose
W1QHPV Vaccination: 1st dose - quadrivalent vaccine
 W2 - HPV Vaccination: 2nd dose
W2QHPV Vaccination: 2nd dose - quadrivalent vaccine
 W3 - HPV Vaccination: 3rd dose
W3QHPV Vaccination: 3rd dose - quadrivalent vaccine
 

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ADULT MENTAL HEALTH CARE CLUSTER ASSESSMENT STATUS

Change to Data Element: Changed Description

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ADULT MENTAL HEALTH CARE CLUSTER ASSESSMENT STATUS END DATE

Change to Data Element: Changed Description

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ADULT MENTAL HEALTH CARE CLUSTER ASSESSMENT STATUS START DATE

Change to Data Element: Changed Description

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ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See ANAESTHETIC OR ANALGESIC CATEGORY
Default Codes:9 - ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE not known
Default Codes:9 - Anaesthetic type not known

Notes: 
ANAESTHETIC GIVEN DURING LABOUR OR DELIVERY CODE is derived from attribute ANAESTHETIC OR ANALGESIC CATEGORY and PERIOD ADMINISTERED which records whether anaesthetic was given during Labour/Delivery, and the type used. Note: the Default Code description 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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ANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODE

Change to Data Element: Changed Description

Format/Length:an1
National Codes:See ANAESTHETIC OR ANALGESIC CATEGORY
Default Codes:9 - ANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODE not known
Default Codes:9 - Anaesthetic type not known

Notes: 
ANAESTHETIC GIVEN POST LABOUR OR DELIVERY CODE is derived from attribute ANAESTHETIC OR ANALGESIC CATEGORY and PERIOD ADMINISTERED which records whether anaesthetic was given after Delivery, and the type used. Note: the Default Code description 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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METHOD OF ADMISSION (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

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

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

METHOD OF ADMISSION (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.

ADMISSION METHOD CODE (HOSPITAL PROVIDER SPELL) will be replaced with METHOD OF ADMISSION (HOSPITAL PROVIDER SPELL), which is the most recent approved national information standard to describe the required definition.

 

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METHOD OF ADMISSION (MENTAL HEALTH HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

Format/Length:an2
National Codes: 
Default Codes:98 - Not applicable
 99 - METHOD OF ADMISSION not known

Notes: 
METHOD OF ADMISSION (MENTAL HEALTH HOSPITAL PROVIDER SPELL) is the same as attribute METHOD OF ADMISSION for the Mental Health Services Data Set.

Permitted National Codes:

11Elective Admission: Waiting list
12Elective Admission: Booked
13Elective Admission: Planned
21Emergency Admission: Emergency Care Department or acute or emergency dental SERVICE
22Emergency Admission: GENERAL PRACTITIONER: after a request for immediate admission has been made direct to a Hospital Provider, i.e. not through a Bed bureau, by a GENERAL PRACTITIONER or deputy
23Emergency Admission: Bed bureau
24Emergency Admission: Consultant Clinic, of this or another Health Care Provider 
25Emergency Admission: Admission via Mental Health Crisis Resolution Team
2AEmergency Admission: Emergency Care Department of another provider where the PATIENT had not been admitted
2BEmergency Admission: Transfer of an admitted PATIENT from another Hospital Provider in an emergency
2DEmergency Admission: Other emergency admission
81Other Admission: Transfer of any admitted PATIENT from other Hospital Provider other than in an emergency
 

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METHOD OF COMMUNICATION (END OF CANCER FASTER DIAGNOSIS PATHWAY)

Change to Data Element: Changed Description

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METHOD OF DISCHARGE (HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

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

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

METHOD OF DISCHARGE (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.

DISCHARGE METHOD CODE (HOSPITAL PROVIDER SPELL) will be replaced with METHOD OF DISCHARGE (HOSPITAL PROVIDER SPELL), which is the most recent approved national information standard to describe the required definition.

 

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METHOD OF DISCHARGE (MENTAL HEALTH HOSPITAL PROVIDER SPELL)

Change to Data Element: Changed Description

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

Notes: 
METHOD OF DISCHARGE (MENTAL HEALTH HOSPITAL PROVIDER SPELL) is the same as attribute METHOD OF DISCHARGE for the Mental Health Services Data Set.

Permitted National Codes:

1PATIENT discharged on clinical advice or with clinical consent
3PATIENT discharged by mental health review tribunal, Home Secretary or Court
4PATIENT died
6PATIENT discharged him/herself
7PATIENT discharged by a relative or advocate
 

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PULSATILE LAVAGE (RETIRED)

Change to Data Element: Changed Description

This item has been retired from the NHS Data Model and Dictionary as it is no longer required for the National Joint Registry Data Set.This item has been retired from the NHS Data Model and Dictionary as it is no longer required for the National Joint Registry Data Set.

See National Joint Registry Data Set for the latest version of the data set.

The last live version of this item is available in the November 2012 release of the NHS Data Model and Dictionary.

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

 

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

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